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HomeMy WebLinkAboutN2017-0502.�F.'N•'� rT of y o cNewenter Dport Beacrive, Newporth Beach, CA 92660 IIII�IIIIIIIIIIIII°III�III�III"IIIIIIIIII��II�IIIII Permit No: N2017-0502 Permit Counter Phone (949)644-3311 Project No: 0423-2OT E� �.,. -v Online Inspection Request - www.newportbeachca.gov / Online �• `' Services Inspection Requests Phone (949)644-3255 Job Address: 446 SAN BERNARDINO AVE NB Thomas:Guide: 8881­16 Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. I Parcel # : 0490-231-2 - Legal Desc : FIRST ADD TO NEWPORT HEIGHTS BLK 23 LOT 8 Owner: WEBB ERIC P Contractor : COAST WATER & POWER Phone: 949-500-2141 Phone: 949-548-0106 949-289-0078 Address : 8 HILLSBOROUGH Address : P O BOX 3341 NEWPORT BEACH, CA 92660 0 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 Applicant: COAST WATER & POWER License Expire : 07 31, 2019 Phone: 949-548-0106 949-289-0078[ Address : P O BOX 3341 NEWPORT BEACH CA 92659 Business License: BT96014951 Business Expire : 12 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 30, 2017 Permit Processing Fee : $241.00 Sewer Connection : $250.00 Total Fee $1,050.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid: $1,050.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $0.00 Inspection Fee : $495.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By : Date : _/ / Other Department : Date: Utilities Approval : Date : / / Permit Denied Date Traffic Approval : Date: _/ / Issued Permit : 1 Date General Services Approval : Date: j ZNBOUNO NOTIFICATION : FAX RECEIVED SUCCESSFULLY " TIME RECEIVED REMOTE CSID DURATION PAGES STATUS Sgptember 27. 2017 at 2:54:15 PM PDT 115 4 Received .� � •��fx`�i '��?+�J�W :�M ' ).h�£"t Sc7'. �{�S y}t.�f ..; :r? ': '�i S:;�e-.�.`�� }jy � SNit� y( '1:.�+�ai't...1 - S.y-icy,+ y..� �i•'wr..��� .� s. t• - •hb•ah •�:,... ,-'i .. .l .`�+�� `i'm J F�ii2, '�•� lkin l iZF,�e i 't.' ; 1 _ _ � :�� : ,,�,[,y4 1T. 1�� �. ��•t �� �f' ..im 14n:3!w: BIZ fig^ ..° �,?�'r• C: `, t °' y �`r `t' s' � y"�w" e iT'y.�, PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 446 SAN BERNARDiNO DESCRIPTION OF WORK: REPLACE SEWER LATERAL 8 INSTALL CLEAN -OUT PER 406-L. PPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Mailing Address: City/State/Zip: PO BOX 3341 NEWPORT BEACH, CA 92659 OWNER: Rhone: Mailing Address: City/State/Zip: CONTRACTOR: MIKE KILBRIDE Office Phone: 949-548-0106 Company (if different): Jobsite Phone: 949-289-0078 COAST WATER AND POWER Other Phone: FAX: 949-548-1616 Mailing Address: CitylState/Zip: PO BOX 3341 NEWPORT BEA(:H. CA 92659 State License Number & Class: City Business License Number: 738400 A, B, CA 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/l/2017 REFUNDABLE DEPOSIT INFORMATION (ffA /icable) Made Payable To: MIKE KILDRIDE Vendor No: 9833 Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659 Special Conditions of Permit: MIN Utilities: Traffic. - General Services: Other: Engineering Technician: Public s Specialist: Date: Permit No. ).Z-7 / 7 IN2017- C'L- Permit Processing Fee: ofts Public Works Only $241.00 Other Department $275.00 �n Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection $155.0 Utilities Field Inspection $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBD Street/AlleyMalk Closure: $65 00Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36' $143.00 4TT Box S Cover $64.00 Additional ki T THE VLi_t�V7HFla�f >=1�Srii t�l11RE aP�R01FA��RO�IIT{F Er ^ ReYenue DIv.IsJar� (. - .. ..'REYENtiE: Dl1lt3idtd RRtRf;; TD PAirkb* OF FEES �A}ipiavati is : Street/AlleyMalk Closure: $65 00Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36' $143.00 4TT Box S Cover $64.00 Additional ki T THE VLi_t�V7HFla�f >=1�Srii t�l11RE aP�R01FA��RO�IIT{F Er ^ ReYenue DIv.IsJar� (. - .. ..'REYENtiE: Dl1lt3idtd RRtRf;; TD PAirkb* OF FEES �A}ipiavati is : 4ty. •.� (1AlaterAlleter InsiaNj�t�on Cl�ainge:2R:'00: f1 1314":Meter 55fi 2.5 : tjYa�er`ISAe(er. �Qxi�s : :I I1" Illletet .$'1Y1.50 . AD P4rkw8y0:Sideliv61k•Are4•(.SAx t Cot!er =Casty. �11/2":Meter: �1 1/.$2 I7 Meter. 1"•Meer13.. . .. . . . :I •:0 fie7` .. .I. 6g ...................................... . .. ................ t2' Turbine M!?te{ ;$8?l5 40 ttiAeter. $3.a1A.1i0 �4".Meter $4.730 00 1`.' 6Aeter- .?3.00 + 38 00 • $5:?.00 . 1 2° Meier^::2?.00 * 1fi2 01? $189.00: Meer $�;:1go 00 ................... Qty Budget Numbi Certificate of Compliance Fee (+100% of hrly over 3 hrs) $288.00 5200-5029 Development Services Fee (Plan check hourly) $155.00 5200-5015 Final Tract Map Checking Fee $2.488.00 5200-5026 Final Parcel Map Checking Fee - Moderate $2.488.00 5200-5027 Lot Line Adjustment Fee $1,079100 5200-5028 Park Dedication Fee Zone TBD 405-470 Street EasemenWacation Fee (+100er, of hry over 4 hrs) $1.022.00 5200-5031 Street Tree Fee (5700 Planting Fee) TBD .—.. 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only C jX Permit S list Receipt No. t'4 aera�Ctr�/_9f.aied/arr- ad+iroste•ygp trm and Dick masters, Rev. 10!21l2016 as-ro.-sod lazurnle Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of ReportlAgreement Document Recordation Fee Monitoring Wells Street/AlleyMaik Closure: Traffic Control Plan Check 8-112" x 11" 24" x 36" Additional � � •...� �ttk�Li�t V711FIf31I r• • . ......:,REVENUE. DIVI; $241.00 $275.00E) $817.00 $192.00 $502.00 Inspection Fee: Public Works Field Inspection $165.0 Utilities Field Inspection $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBD $65.00Newspaper Rack Inspection $108.00 $65.00 Sewer Connection Fee $260.00 $143.00 4TT Box Cover $64,00 8 MUTED 1 tE QiP�R01FA� FR0111�f IF �, Y aeveriue alvlslati� .`T, ` 1PIRTOpAEYMEN`T-0F:FEES r �+ IWater N[exor: Insiai Ngah; Cf><al ge $28:;00•:. 131 ":Meier 5f[.25 Wate Deter. 10Qxev. :I I1" -Altetef:1?i .56 :Fdr >°arkw.ay Sid�icira7k Ares F6Ax i cover = Costj: E1 1/2":fVleb2r: $285 00 1",Meter, :13.00 + 37:0Q $5CLQ0 :I 1� :'� Turbia� Mates• $700.00 -2 fuleter 27.00 + t5� 23 $88.�5;� .' " '$r $25.00 $ I2' 7urblr�e Metec :5 5. Q0 ic.ISO 1P.-A Alley AFr dS (,$.ox + .00r = Costj tM41 $3,3ib 11b :1` bAet r a3.Q0,+ 8:0(J" $5:1;00 . :1 "Meter :$4,�30.00 : 2" Meier, 27.00 +� :'t62 00 �169.d0 1 Meier .. :$71.9a oo ............... . .................. . _� Certificate of Compliance Fee (4-100 a of hrly over 3 hrs) $288.00 Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.00 Final Parcel Map Checking Fee - Moderate $2,488.00 Lot Line Adjustment Fee $1,079.00 Park Dedication Fee Zone TBD Street EasementfVacation Fee (+100% of hrly over 4 hrs) $1, 022.00 Street Tree Fee ($700 Planting Fee) TBD 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470 5200-5031 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only / 0 Permit S list Receipt No. EhlaarWVbW311afed/encmadJmastv-slap ircnt and track insawar Rev. 10/21/201e pteeshmIAs-m�isad loP1/2018 'LEGEND T-�-=—TREE' t - POWER POLE �j=SF-'WER CLEA-NOUT Q = WATER. M TFR BOX W�(o 450 i vLS� i i Clean - oJf' clwm All - I Newport Beach police Dispatch City of Newport Beach Public Works C1013ar tment '844-3311 Fax: 9d4-aA --,q.4 b City ofN - _--••ems• a•r_ua�31Cr``DR� t7t7MRSTf(Z P�A(`i81 NT enpOR Beach Alunippa/ Code 12. 62.010 PefMft fUr T NPPLICANT•fNFORMAT)pK w�ry �� Cl,,,,, Name: MIKE KiLBRIDE Company Name: COAST WATER & POWER City of Ne„. Beach Qua Bens ddress: P.p. BOX 3344 Cit`f2iP: NEINPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night BT9G014951 Exact Location of Encroachment: �riz r �+ tar o� YYb c�orlerA altldress or sPprwcmele coon of feat hem nearest int2t52iCttpn) . Reason for Encroachment: LMLrrY or NOTE: No work on holiday(s) or wee IMPROVEMENTS - Generally one day between dates below. kends. Date Closure to Begirt: . osure to End: ilVraxDtun fa Dsys) Date Cl Time of Closure- G.-7:00 AM to S:oo pile DIAAY Lr)f _el'1n�r �........— - _ - 4/ `7 �0 ALLEY e_ a �•��� cue �. r k 6Rh CLgjej, emlrt must be visible on Jhe dash of aach vehicle aritflonZed ire it IS r2snnn�ih�n f..r ....0 __ _ ... _ .• _ - reverse of an road closure detour, or .Gyure ivrl5 cDvannn tmo �tlllg t?l77Tlr. ADDITIONAL_ CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWs: 1 Close only the Portion of alleylstreet ad act3rrt to where work will be done. 2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hrS prior w closure orPost road closed ba� modes or, either side of work area. 5 Plate and backFilE excavations & o I{an or StTe94 Bunn non-construct{o^- 6) P(ace delineators around gy construction am -A CCTV RESERVES THE rmRIGHT TOR O"11111111— OR MODIFY CONDITIONS AT ANY TIAAE (P±iteej ±terepy CetSfy ttw_ information provided is tn,e and oo:rect_ anC I agree to 4om �ndrnens On the front and baC;c of Iris Derrnit. p. 0Y with the terms and tzrmtess against any dsim . ' �"'� 4ua -nth to indemnity anp !told the C ,f , r s rabillty..rjudgments iDr c!ana9es arising oui of m yewoo.: 2Qach Encroaci,mkn; ?- Nc t- 9 ae�s actwit;zs. IN � O J I �` X 27.1 `� >�tg: ApDroved bv: Data; �471 `�jQpY.•'.Il..,yy •Mry{ti r.ly.�aryi..: �i5NK91�.i7T 9!m 3tf.� J7Rrc Agp►vpp:.Npp2.sKtgl2iY. 0 I -. 912017 City of Newport Beach Page 8 of 8 4:30:26PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/10/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 446 SAN BERNARDINO AVE Activity : N2017-0502 SubType : NEW Status : APPROVED OWNER: WEBB ERIC P Phone: 949-500-2141 EPWEBB2005@GMAIL.COR APPLICANT: COAST WATER & POWER Phone • 949-548-0106 949-289-0078 mikekilbride@live.com Description: REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. "Kaa es ns o s Item: 10215 ROUGH UTIL Requested Time: 10/10/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: 777777777u* Inspector: jq Date: v 116117 Time: /,/)' M M Comments: S' Wk- 1-111 "c o //✓ STWZ-C- W,-y r� 4-�&T Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc REPT131 Run Id: 4018 16 Ap r 10,11012017 City of Newport Beach Page 4 of 4 -4:30:54PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/11/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 446 SAN BERNARDINO AVE Activity : N2017-0502 SubType : NEW Status : APPROVED OWNER: WEBB ERIC P Phone: 949-500-2141 EPWEBB2005@GMAIL.COh APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. Item: 10250 FINAL - PW Requested Time: 10/11/2017 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: t V Requestor: WEBUSER 9495480106 Date: I Time: A` • �MM Comments: OGL� J'?,o -; r-- -f - 'Ivf� < r) VtI74 - Plz- F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insr)ectorSheet.doc REPT131 Run Id: 4018