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HomeMy WebLinkAboutN2017-0447OItyo Newport Beach ortB"11111111111111111111111111111111111111111111111111111111111 cach• CA 92660 f� Permit Counter Phone (949)644-3311 �y,.. Online Inspection Request - www.newportbeachea.gov / Online .• =' ��- Services �If511F` Job Address Description: Parcel # : Legal Desc FT LOT 15 Owner: Phone : Address Permit No: N2017-0447 Project No: 1141-2017 SCANNED Inspection Requests Phone (949)644-3255 355 WALNUT ST NB Thomas:Guide: 8881F5 INSTALL SEWER CLEAN OUT PER STD 406-L, UPGRADE WATER METER BOX TO 1", ALREADY HAS EXISTING SVC. 0450-652-4 - TR 772 LOT 14 BLK 15 ALL (EX SWLY 8 FT) THEREOF AND SWLY 9 GRAMME-SCHEURER JANE F 1523 ORANGE AVE COSTA MESA CA 92627 Applicant: COAST WATER & POWER Phone: 949-548-0106 949-289-0078[ Address : P O BOX 3341 NEWPORT BEACH CA 92659 Special Cond.: PRE -JOB INSPECTION REQUIRED Permit Processing Fee : $241.00 Sewer Connection : $0.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Inspection Fee : $330.00 Water Meter Connection : $0.00 Refundable Deposit: $0.00 Total Water Meter Box: $51.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By : Utilities Approval Traffic Approval : General Services Approval Contractor : COAST WATER & POWER Phone: 949-548-0106 949-289-0078 Address : P O BOX 3341 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 License Expire: 07 31, 2019 Business License : BT96014951 Business Expire: 12 31, 2017 Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2017 Total Fee $686.00 Paid: $0.00 Balance: $686.00 Receipt No: Date : _/_/ Other Department : Date: Date : _/_/ Permit Denied Date : �/ Date : _/_/ Issued Permit : Date : /3l/ Date: / / INBOUND NOTIFICATION : FAX 'TIME RECEIVED REMOTE CSID August 31, 2017 2:12:23 PM PDT 7,TT`77 , DURATION PAGES STATUS 129 4 Received PLEASE COMPLETE THE FOLLOWING INFORMATION JPROJECT ADDRESS: 355 WALNUT DESCRIPTION OF WORK: INSTALL. SEWER CLEAN -OUT PER 406-L. UPGRADE WATER METER BOX TO 1". ALREADY HAS EXISTING 1" SERVICE PPLICANT: MIKE KILBRIDE Phone: 949-289-0073 Mailing Address: PO BOX 3341 CRY/State/Zip: NEWPORT BEACH CA 92659 OWNER: Phone: Mailing Address: City/StatelZip: CONTRACTOR: MIK>: KILBRIDE Office Phone: 949-548-0106 Company (If different): COAST WATER AND POWER Jobsite Phone. 949-289-0078 Other Phone: FAX: 949-548-1616 Mailing Address: PO .BOX 3341 City/Statelzip: NEWPORT BEACH, CA 92659 State License Number & Class: 738400 A. 8, C-10 City Business License Number: BT9601491 EXP: 12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) company: STATE FUND Policy No: 9087110-14-2 Expires: 10/1/2017 REFUNDABLE DEPOSIT INFORMATION (lf Applicable) Made Payable To: MTKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341 NEWPORT BEACH, CA 92659 Special Conditions of Permit: Utilities: � Traffic: General Services: Other: Engineering Technician: Public Wor 'alist: Date: C� ! Permit No. N2017- Pub6a W Few: O#w Dwwknecc t AA ae Ii Fee: Praparmon of ROPOIVAgMftnm art Rsoort# wm fee Nbramsrg Was ftr*WAftVMmW Cbsum: TrWft Col*01 p%n CtmlCk S-1rt" x 1 �- 24• x 3(r . - H-Utz•::--•:•:--�:-':-:-:-:-:-:-:- :�,� - ,J. Iapecdon Few: Pubfic Warm Reid kwgec$im dies Fief! Inspeckm Genera SerAces kmpeckn Watw QuaWA=cW Tura knPecam TEm)TEO� SIOS.00 $2o.oa ss4_oa cs Fac1154 E t FfikMr$S •.•1'.1lllef�:-:13,.ti0r�3z_i50-�-=-:_:-_•:•-: �r� MW :- - -:#°-sec•.•i{3f�Q+_�'tYi=-'.-_.-.-_-.-•;�4��1�^' Sower connocdon Fee 4TT Box: Cover Oedfic of CWVMrlcs Fee ,�,om of t,.ry ,-,w 3 ras) $ZW.a art Services Fee (Ptah check hou*) $955-00 FbW Traci Aftp Fee $26488.oI Park DS&a&m Fee $1.079.0( � T� ShOst ammee*V'aca6on No ±ao96 a/ hoy aver a r7rs� $,.=.a 3tieetTreeFes .. amp Fee) a 9 40 61 LEGEND ' rREF t = POWER POLE :--SEWER CLEANOUT = WATER METER SOK o(j0 1 I � r , CENTER! rNE OF i /. PROPERTY LINE i CITY OF NEWPORT BEACH ENCROACHMENT PER -MIT PERMIT No. N t. G1'3- 'C;t-1 Lj -f ADDRESS APPLICANT IKILf4.X�c, OWNER DESCRIPTTON OF YvOR. � \". �,, ( t L-L -C .1 --- _ r.? ell JEX 55504401 S 0. E. TINKER 12KV 010 HAMILTON SUB (C3) 3MMV FNK IXIMW RM "Wo arow PROJECTSITE 1411 N. k 1, 1) P-d G N APITOVED FOR COVE T10:CTION 9 Newport Beach Police Dispatch City of Newport Beach Ph one. 949-644-3717 Public Works Department APPLICA71pN;Fdt T lyIp RY fSIDEyVp�LKGtO$t3R�one:949-644_3311 Fax:949-644.3318 city orNewport is"C* municipal code t262.0t0 Permit for Tem �:M!!!j g> Eir*'.PLAC61i9,4 APPLICANT IN) ORHIATION St>ret cjonure Name MIKE KILBRIE Company Name: COAST WATER & PpWER Address: P.O. BOX 3341 crry Of Ne v-a--- s�ne�s L tenet Np c,tyrz;p: NEWPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night BT96014951 Exact Location of Encroachment: ----I U (VSB str9e[ �tldrCSs or a ma� numOerOr ieet from nearest Inters ion) f ason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates belowTE: No work on holiday(s) or weekends. Date Closure to Begin. Date Closure to End: (Maximun is Days. DIAGRAM LOCATION OF ENCROACHMENT BELOW; Tlme of Closure: 7:00 AM to 5:oo pM e � g - -�- N o f A co y of this unit must be visible on the dash of each vehicle authorized to ark in reserved Da' The ap licant is responsible for notin Police Dis etch of any road closure, detour, or reserved a See reverse Side of this -permit for re ulalions Coverin use of this permit. ADDITIONAL CONDITIONS OF APPROVAL FOR 1 Flagman o ART: AS PERMIT AAS FOLLOWS: s7 oration per 2006 W,A,T,C.H. Manual, Page4.48. m. 2) Provide access to eergency, vehicles if needed. 3 41 Pla ) N otify ad"ac a, oP"D ce delineators around construction area. 5 t r Plate and backfill excavaons dun11 on -co strucprior to tion.' r. ("ermitee) herebyce - - ' " ^�"`�^e UK MODIFY C NDITIONS AT ANY ThiRE rtify the information provided is true and Correct. and f agree to comply conditions on the front and back of this pemtet Permitee guarantees to indemnify and hold the Chy of Newpo 6eeut E =RWI Pm- r Na. VAth that ten-ns and ha s gains`ta�rty claims, tiabil X MLi or gm WX %F mages arising out of permitee's activities ? Date: � Approved by: rC VX. ., sea Date: laltuysiows,an 9iMsrys7errno�sy wnn� resa+C:nwM.iESWAL:BBGR ' Emr firett C.osu:.:p+y��p, .Rl�geF:y,rer ..alSnrn L. 8/31/.2017 City of Newport Beach Page 8 of 8 4:30:53PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/01/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 355 WALNUT ST Activity : N2017-0447 SubType : NEW Status : APPROVED OWNER: GRAMME-SCHEURER JANE F Phone: APPLICANT: COAST WATER & POWER Phone • 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L, UPGRADE WATER METER BOX TO 1", ALREADY HAS EXISTING SVC. Item: 10215 ROUGH UTIL Requested Time: 9/1/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: Date: % Time: AM d9; Comments: _ 5 co Lwi ,&CTt (6-1 1 P4h SCG l�y sGt% �t� Ay � / cA") -f75 4-�*7 t Logged eye F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc 1 REPT131 Run Id: 4018 9/25/2017 City of Newport Beach Page 7 of 11 6:34:3,3AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/25/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 355 WALNUT ST ANW MiMD11111O n c Activity : N2017-0447 SubType : NEW Status : APPROVED OWNER: GRAMME-SCHEURER JANE F Phone : APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L, UPGRADE WATER METER BOX TO 1", ALREADY HAS EXISTING SVC. "UPDATED 9/6/17 TOP INCLUDE - INSTALL SCE CONDUIT`* -(s) Item: 10210 PUBLIC WORKS Requested Time: 9/25/2017 12:00:OOAM Requester: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM- InspiEf&ned to: 77777777777* Date: t 7 Time: !J " �,M Comments: a c� Logd Refile K e�� rr7e- F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSXlnspectorSheet.doc itL '9/27/2017 City of Newport Beach Page 7 of 19 4:31:O4PM INSP15O - Daily Inspection Request Report Requested Inspection Date: 09/28/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 355 WALNUT ST Activity : N2017-0447 SubType : NEW Status : APPROVED OWNER: GRAMME-SCHEURER JANE F Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L, UPGRADE WATER METER BOX TO 1", ALREADY HAS EXISTING SVC. **UPDATED 9/6/17 TOP INCLUDE - INSTALL SCE CONDUIT** Item: 10250 FINAL - PW Requested Time: 9/28/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: Inspector: 77777777777* Date: Time: AM PM Comments: / ypUr RV.-oye)"44 F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\Inst)ectorSheet.do REPT131 Run Id: 4018 9/28/2017 City of Newport Beach Page 10 of 12 4:31:oiPM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/29/2017 Inspection Type : ENCROACH Inspection Area : PW O_`- ♦ JJ_._-9 : 355-1V/l6N-IT ST Activity : N2017-0447 SubType : NEW Status : APPROVED OWNER: GRAMME-SCHEURER JANE F Phone APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description: INSTALL SEWER CLEAN OUT PER STD 406-L, UPGRADE WATER METER BOX TO 1", ALREADY HAS EXISTING SVC. "UPDATED 9/6/17 TOP INCLUDE - INSTALL SCE CONDUIT*` Item: 10250 - V% Requested Time: 9/29/2017 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to: Inspector: Date: Comments: Requestor: WEBUSER 9495480106 l7 Time: D = A PM s60 13 Fr Fwtp^-, so cl-T-a P,4 . F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018