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
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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: $686.00
Receipt No:
Date : _/_/ Other Department : Date:
Date : _/_/ Permit Denied Date : �/
Date : _/_/ Issued Permit : Date : /3l/
Date: / /
INBOUND NOTIFICATION : FAX
'TIME RECEIVED REMOTE CSID
August 31, 2017 2:12:23 PM PDT
7,TT`77 ,
DURATION PAGES STATUS
129 4 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
JPROJECT ADDRESS:
355 WALNUT
DESCRIPTION OF WORK:
INSTALL. SEWER CLEAN -OUT PER 406-L.
UPGRADE WATER METER BOX TO 1". ALREADY HAS EXISTING 1" SERVICE
PPLICANT: MIKE KILBRIDE
Phone: 949-289-0073
Mailing Address:
PO BOX 3341
CRY/State/Zip:
NEWPORT BEACH CA 92659
OWNER:
Phone:
Mailing Address:
City/StatelZip:
CONTRACTOR: MIK>: KILBRIDE
Office Phone: 949-548-0106
Company (If different):
COAST WATER AND POWER
Jobsite Phone. 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO .BOX 3341
City/Statelzip:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A. 8, C-10
City Business License Number:
BT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
company: STATE FUND Policy No: 9087110-14-2 Expires: 10/1/2017
REFUNDABLE DEPOSIT INFORMATION (lf Applicable)
Made Payable To: MTKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341 NEWPORT BEACH, CA 92659
Special Conditions of Permit:
Utilities: � Traffic:
General Services: Other:
Engineering Technician:
Public Wor 'alist:
Date:
C� !
Permit No.
N2017-
Pub6a W Few:
O#w Dwwknecc t
AA ae Ii Fee:
Praparmon of ROPOIVAgMftnm
art Rsoort# wm fee
Nbramsrg Was
ftr*WAftVMmW Cbsum:
TrWft Col*01 p%n CtmlCk
S-1rt" x 1 �-
24• x 3(r
. -
H-Utz•::--•:•:--�:-':-:-:-:-:-:-:-
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,J.
Iapecdon Few:
Pubfic Warm Reid kwgec$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
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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