HomeMy WebLinkAboutN2017-0534City of Newport Beach IIII�I��I�I���I�I�IIIII
• ` .. 100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone (949)644-3311
yr. Online Inspection Request - www.newportbeachca gov / Online
c ' Services
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Permit No: N2017-053+ •
Project No: 2769-2,016 ,
Inspection Requests Phone (949)644-3255
Job Address: 1515 MARINERS DR NB Thomas:Guide: 889C5
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, ABANDON EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" SERVICE PER
STD 502-L.
Parcel # :
1174-230-9 -
Legal Desc :
N TR 3004 LOT 40
Owner:
MACE WARD & WHITNEY
Phone:
949-922-1706
Address :
1515 MARINERS DR
NEWPORT BEACH, CA 92660
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078[
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Contractor: COAST WATER & POWER
Phone : 949-548-0106 949-289-0078
Address : P O BOX 3341
NEWPORT BEACH CA 92659
COMPLETED Contractor State Lic: 738400
License Expire: 07 31, 2019
Permit Processing Fee :
$241.00
Sewer Connection :
$250.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check '
$0.00
Total Water Meters,
$649.50
Inspection Fee :
$660.00
Water Meter Connection :
$528.00
Refundable Deposit.
$0.00
Total Water Meter Box
$50.00
Street Tree Fee :
$0.00
Adjustment :
$0 00
Processed By:
Utilities Approval .
Traffic Approval :
General Services Approval
Business License: BT96014951
Business Expire :
12 31, 2017
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110
W. C. Expire:
10 01, 2018
Total Fee $1,914.50
Paid : $1,914.50
Balance: $0.00
Receipt No:
Date : —/ / Other Department : Date: —/—/
Date : / / Permit Denied Date —/—/
Date: —/ / Issued Permit : ' Date : 6 �/ 3%lf 7
Date:
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
'TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
r' October 24. 2017 at 9.30:46 AM PDT 136 5 Received
' 7 �
,}.l tj�� .ik�+� �. •i�LN. T.4 I TIu.1'. ,r 1 '�i
11ff y'i�l7ly•� {y�Ts�- '.; R �_•�m `�j�.ri't..v
y_.
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
1515 MARINERS
DESCRIPTION OF WORK:
REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
ABANDON EXISTING 314" WATER SERVICE & INSTALL NEW 1" SERVICE PER
602-L.
APPLICANT: MIKE KILORIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH. CA 92659
OWNER: Phone:
Mailing Address:
CitylState/Zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (if different):
COAST WATER AND POWER
Jobsite Phone: 949-289-00'78
Other Phone: FAY: 949-548-1616
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
State License Number 81 Class:
738400 A, B. C-10
City Business License Number:
BT9601491 EXP 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com n : STATE FUND Policy No:9087110-14-2 Expires: 10/1/2017
REFUNDABLE DEPOSIT INFORMATION if Applicable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
cial Conditions of Permit:
(
F
Utilities:
General Services:
Traffic:
Other:
�
Engineering Technician:
Publi ks Specialist:
' ,'
Oatg:rr��
V 4� I r %
Permit No.
N2017- "�
Permit Processing Fee:
Qtyx
Inspection Fee:
Public Works Only
$241 00
Public Works Field Inspection
$166.0
Other Department
$275.00
Utilities Field Inspection
$121.0
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
$817 00
Document Recordation Fee
$192 00
Refundable Deposit:
TBDB
Monitoring Wells
$502 00
Improvements
TBD
Street/Alley/Walk Closure:
$65.00=
Newspaper Rack Inspection
$108 00
Traffic Control Plan Check
�1
8-1/2" x 11"
$65 00
Sewer Connection Fee
$250.00
24" x 36"
$143 00
4TT Box S Cover
$64.00
Additional
.,^ ...^ ruff. PuraU�Ilr+1�3�`k EMSfi-4 UI A� OVAL. F"A73h -- � ^'
r . . - - REVENUE: Dt1/t§IQN: RRtOIx i'O PAYIII�NT•OFFEES . .....:
Revenaa Divialan -,— �• •.•
A'pp;•Qval: . . . ... . ... . .. �
Mjdt$r Meter: ;�Mai`aNation,Chargle.
E3/ ":Meier $50.25 Water Meter $Qx":' . % ;I
[1 `.' •Meter: •$•12:h.:5 :FiOr. i?&1•livii�l jr & :Side�arafk Are&•(Box•t Cower• _• � •I
f1 3 r2". M1Aeter : . 5285.00 1":Meter: :13 Dq 37:00 : $50.00. 1
11:1/2" Turbing Meter• $7.QOD0 2• Meter; 2Z.OQ 61.25. $88.25
f2" IfA�t ::: :: $423:00 i
�2•,�-urbin Mstet :$-qo Faf Fraf��Q a)+��R,eas:($ox +.ovr:=:cosr�
�34 •Meter:
`4":Meier: $4,:r30.U0 : 2":Meter:.27.00•r:tr2.00:. 5188.00�
�6'•' Meier . . . . . . '17.-190 0Q . . . . . . . . . . . . . . . . . .
Qty.
Budget Number
Certificate of Compliance Fee (+100% of hry over 3 hrsi
$288.00
5200-5029
Development Services Fee (Plan check hourly)
$155.00
5200-5015
Final Tract Map Checking Fee
S2,488.00
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,488,00
5200-5027
Lot Line Adjustment Fee
51,079.00
5200-5028
Paris Dedication Fee Zone
TBD
405-470
Street EasemenWacabon Fee 01013% of hrly over 4 hrs)
S1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
......
TBD
030-2284
...
Engineering Tech: Tot I Amount Due: For Finance use only
Permit Spnciallst Receipt o.
f queers(p.7.vsr2rasn7odC'Vnimt!rs/e. nvrr aw rAck ?6;- aril
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Permit No: N2017-0534
:�"w" ��,�
oity;VocNewenter Dport
Beach,
Newporth
Project No: 2769-201
Permit Counter Phone (949)644-3311
SCANNED
4-Online
Inspection Request - www.newportbeachca.gov
/ Online
�• " b �.
Services
n Inspection Requests Phone (949)644-3255
Y
Job Address:
1515 MARINERS DR NB
Thomas:Guide: 889C5
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, ABANDON EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" SERVICE PER
STD 502-L. *UPDATED
9/10/18: RELOCATE EXISTING CITY STREET LIGHT Z EASTERLY PER STD 200-L**
Parcel # :
1174-230-9 -
Legal Desc :
N TR 3004 LOT 40
Owner:
MACE WARD & WHITNEY
Contractor : COAST WATER & POWER
Phone:
949-922-1706
Phone: 949-548-0106 949-289-0078
Address :
1515 MARINERS DR
Address : P O BOX 3341
NEWPORT BEACH, CA 92660
r '
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, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP INS FUND
Policy No: 9087110
W. C. Expire: 10 01, 2018
Permit Processing Fee : $241.00
Sewer Connection :
$250.00 Total Fee $1,914.50
Agreement Fee:
$0.00
4TT Box Cover:
$64.00 Paid : $1,914.50
Traffic control Plan
Check : $0.00
Total Water Meters:
$649.50 Balance : $0.00
Inspection Fee:
$660.00
Water Meter Connection :
$528.00 Receipt No:
Refundable Deposit: $0.00
Total Water Meter Box:
$50.00
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: Date
General Services
Approval :
Date
—I L Vr_ r—i j\t
l
I PLEASE COMPLETE THE FOLLOWING INFORMATION
7-E
CT ADDRESS:
1515 MARINERS
Is
REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 405-L
ABANDON EXISTING 314" WATER SERVICE & INSTALL NEW-1" SERVICE PER
MIKE KILBRIDE
ress:
PO BOX 3341
ling
Phone:
City/State/Zip:
NEW PORT
Phone:
City/State/Zip:
A 92659
REFUNDABLE DEPOSIT INFORMATION (If Applicable
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Conditions of Permit:
Utilities:
General Services:
Engineering Technician: Public
Traffic: 0
Other:
Specialist: Date: Permit No.
11420117-
15
PaA La3Xb ZST lad Wd V-Z'ZO:V 3-V 3TOZ 'OT jagwaada5 I
SAIVIS S39Vd NOIl"na MO 310W3b 03AM3d 3WI1
.. ll-ifldsS3]0f1S 03AI3]3b XV=1 7 N0Iltl0I3I10N ONMINI .._
SRACKI
ALUMINUM
CAP
"-III')IIT 15IS M
240 V. MP.S. CUTOFF LUMINAIRE (FOR 70, i00, 160, 200 OR
250 WATT LAMP) WTH ENCLOSED REGULATOR TYPE BALLAST
PHOTO ELECTRIC CELL REMPTACLE, CHARCOAL FALTERED OPTICAL
ASSEMBLY, AND TYPE III DISTRIBUTION. G.E. M250 A2 REMOVABLE
POWER MODULE DOOR LUMNA1RE CUT OFF OPTICS OR
PRE -APPROVED EQUAL
AMERON CONCRETE POLE MIX 37 OR APPROVED EQUAL.
AMERON
CAT.
NO.
BRACKET
ARM
AILUMINUM
MOUNTING
HEIGHT
PULE
HEIGHT
4-CI-17-F4
4'
20'-8'
18'-9'
4-CI-23-F4
4'
26'-3'
24'-3"
4-CI--23-F8
NOTES:
1. BRACKET ARM. MOUNTING AND POLE HQQHTS TO BE SHOWN ON PLANS
2. 3'-C' DIA. CIRCULAR FOUNDATWN MAY BE USED IN PLACE OF 2•-G' SQ FOUNDATION.
I ALL BASES SHALL BE POURED TO 4' BELOW SIDEWALK GRADE. TO ALLOW FOR GROUT,
4. THE AREA AROUND ALL STANDARDS SHALL BE FORMED. AND POURED MTN GROUT TO EXTEND
6' ON EACH SIDE AND BACK OF STANDARD AND FROM BAD( OF CURS TO FRONT OF
STANDARD. GROUT SHALL BE POURED FROM TOP OF BASE TO SIDEWALK GRADE GROUT SHALL
CONSIST OF 2 PARTS SANO AND 1 PART CEMENT.
5- EACH POLE SMALL HAVE A PULL BOX. SEE S70-204-L
6. FUSE HOLDER IN ADJACENT PULL BOX SEE STD-205-L
7. ALL THREADED CONNECTIONS SMALL HALE PRE -APPROVED ANTI -SEIZE COMPOUND.
6. SEE POLE LEVELING DETAIL TO THE RIGHT.
9. FOR POLE: WRING , SEE CNO STD-205-L.
GALV. STEEL NUT
GALV. STEEL WASHERS
GALV. STD NUT
_ 12' SQ. POLE UK;
1 SET BACK PER I
PLAN � ADA -
i
REQUIREMENTS
� DOOR OPENING 0
FACES STREET !
GALVANZ,ED ANCHOR O °'
BOLT WTH GALVANIZED
NUT AND (2) WASHER&
G. I � OF �NOATION BASE DETAIL
sQ.
ELEVATI ON
I PUBJJC WORDS DEPARTMIENT
LMnTING STANDARD
is
TYPE I
RCE NO- 36106
j ANCHOR BOLT
INSTALL ANTI -se&
COMPOUND TO TNRFADS
LEVELING DETAIL
DOOR Opuma
FACES STREET
DRAWING INO.
-7.l% 1
MY
PULLBOX
.6
W CRUSHED -
ROCK BASE
INSTALL (2) PER —
BOX297x4' x8-
COMMON RED Oft0c
OSEL ENTERPRISES NO. 3-)f F
PULL BOX OR PRE-APROVED
£OVAL MARKED 'STREET LIGHT
HIGH VOLTAGE'
NOTE: IF 5 OR MORE CONDUITS
TERMINATE IN BOX, USE EISEL
ENTERPRISES NO. 5 F. --,-
Or • PVC
CONDUIT
I5
1- OR I)V • PVC CONDUIT
WITH 3 MIRES AS PER PLAN,
AND BELOW
SECTION A -A
1- OR IX • PVC CONDUIT WTH 3
WII2Es as oETa1LEpI BELOW
FUSE HOLDER AS PER
CNB STO-205-L.
CURB FACE 5' MAIL TO
OF STREET UGI
TYPICAL PULL BOX REQUIRED AT
EACH LIGHT STANDARD
DOTES:
1. ALL CONDUIT $HALL BE IX' DIA. P.V.C., SCHEDULE 40, UNLESS SPECIFIED OTHERWISE. PER PLAN
2'SEE CN8 STD-205-L FOR FUSE HOLDER A WRING DETAILS.
3.:#'TER CONDUCTORS ARE INSTALL, ALL CONDUIT ENDS SHALL BE SEALED WITH DUCT SEAL OR
PRE -APPROVED EQUAL
4.:NO CONDUIT RUN SHALL BE GREATER THAN 180' BETWEEN PULL BOXES.
5.:PULL BOXES SHALL NOT BE INSTALLED IN DRIVEWAYS, RAMPS OR BETWEEN THE O.C.R & E.C.R.
CITY OF NEWPORT BEACH (APPROVED: —
PUBLIC WORKS DEPARTMENT
RCE NO.36106
PULL BOX DETAILS awn: K Ili
Date: Jan 2004
DRAVANG NO.
STREET
LIGHT OR
BOLLARD
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY K_ i (Ii ei A
(entity who is requesting meter and/or would get
MAILING ADDRESS
CITY/STATE/ZIP
SERVICE ADDRESS 15 ! 5 IV LGN's,^Ces
S0 iR7ICI= REQUES Ep o ck all oincapply
Hydrant Meter
Deposit required
(tapping order)
RECEIPT#
PHONE #
( ) New Meter
New service address
(tapping order)
New Meter at existing service address
(tapping order)
(✓(Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location { Residential Location Fire Connection Fee $
1
Meter Size I
•I Fee $ 1 vi1 , 5 O ( 4TT Box Fee $ to .
(/Meter box & Lid - Alley/Traffic Area Fee $ or Parkways/Sidewalk Fee $ 50
Total Fees $ Encroachment Permit Number:t� 7� 1 q��-
Customer Name (property
Billing Address IS I S tLar i to e c, city/zip IyP6 U(o Gy d
Residence Phone # Business Phone #
E-Mail Address
Social Security # or CA Drivers License
FOR OFFICE USE ONLY
CLERK DATE BUS LIC # MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED,
NEW ACCOUNT NUMBER NOTES
WORK/TAPPING ORDER NUMBER
tlusers/rev/shared/water/water meter sery app 05/23/16
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
after date of issuance.
2. The Permittee agrees to defend indemnify and hold the City. its authorized agent. officers, representatives and
employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss
or damage to persons or property occurring as a result of work undertaken under this permit
3. All work shall be done in accordance with the approved plans. Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
4. Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
be corrected within two weeks after notification to the satisfaction of the Public Works Director
5. A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the
Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid State Contractor License Class C-34 is required. For construction or
connection to sewer lines a valid State Contractor License Class C-42 is required.
6. All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L,
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Industrial Safety prior to commencing underground construction as required by State law. Walls and faces of all
excavations over 5 feet in depth shall be protected by a shoring system, sloping of the ground, or other equivalent
means. Trenches less than 5 feet in depth shall be guarded when hazardous ground movement may be expected.
7. The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities
Department or General Services Department inspections may be required depending on scope of work performed.
8. All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
existing City -owned utilities (ie: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot
clearance over or under existing City -owned utilities. Sewer cleanouts require VCP or PVC SDR35 be used with a
4TT box over the riser.
9. Properly lighted barricades must be provided and maintained around all trenches. excavations and obstructions. All
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current "Manual of
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
per barricade per day, with a minimum charge of $35.00. It is the responsibility of the applicant to place barricades to
protect the general public. Access to fire hydrants must be maintained at all times.
10. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break. Memorial Day
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department
11 Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted Any lane(s) closure
on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by
the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way
will require a Caltrans Permit. All vehicles shall be lawfully parked.
12 This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure
13. Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City
may remove and bill the applicant Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department.
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
I certify th t I have a Certificate of consent to self -insure, Certificate of Worker's
Co ` e ii tinsu�nce, or a Certified Cop
Date: C Signature:(t�
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to California Worker's Compensation Laws. If,
after signing this certificate I become subject to the Worker's Compensation
provisions of the State Labor Code, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date: Signature:
CONTRACTOR LICENSE EXEMPTION
As the Owner of the benefiting property, I certify I am personally performing all
work in the Public Right -of -Way.
Date: Signature:
HOLD HARMLESS STATEMENT
I understand that I am locating minor encroachments within the City Right-of-
Way/Easement. As property owner it is my responsibility to maintain the
encroachments. I will be responsible for replacing the improvements if the City
removes them for maintenance of utilities or other public need. I shall indemnify
and hold the City harmless for any liability associated with the minor
encroachments.
Date: Signature:
24-hour notice for Encroac men Per i�pection is required by calling
Public Works at 949-644-3
15. Any above ground utility facilities ill require documented approval from the adjacent
affected property owner(s)
16. Homeowner, contractors, and subcontracolrs may each be liable for violations of Water
Quality Laws Best Management Practices will be enforced. It is against the law to
discharge construction debris into the gutter and storm drain. Felony violations of Water
Quality Laws are punishable by fines up to $25,000 and/or up to three years in State
prison plus the full cost to clean up an illegal discharge or spill.
17. If a refundable deposit was paid, applicant must submit a Soils Compaction
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
Public Works Department. Monies may be held for six months after final inspection
before a refund will be processed.
18. No trees in the public right-of-way shall be planted, removed. trimmed, or relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Work,
Department or corrections will be required (i.e. removals, exposing connections,
etc.). Additional inspection fees may be required.
20. Permit is for standard materials in the public right-of-way only. unless previously
approved by Public Works and an Encroachment Agreement has been processed.
21. Permit is valid for "description" of work noted on front only. Additional work
performed may require issuance of a separate permit and/or additional fees.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and understands tqe terms and
conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days after Issuance. ;l �,(�y _q u�
Permit fees are nonrefundable. Dal�id� -� Signatur@:�\tA
41,912017 City of Newport Beach Page 5 of 13
5:34:55AM INSP160 - Daily Inspection Request Report
Requested Inspection Date: 11/07/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address: 1515 MARINERS DR y
Activity : N2017-0534
SubType : NEW
Status : APPROVED
OWNER: MACE WARD & WHITNEY Phone : 949-922-1706
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, ABANDON
EXISTING 3/4" WATER_ SERVICE AND INSTALL NEW 1" SERVICE PER STD 502-L.
maw 6*01
Item: 10215 ROUGH UTIL
Requested Time: 11/7/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: J V Date: it 7 i% Time: 0 A PM
Comments: s";!
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11/30/2017 City of Newport Beach Page 4 of 8
4:30:19PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
12/01/2017
Inspection Type :
ENCROACH
Inspection Area:
PW
Site Address :
1515 MARINERS DR
Activity :
N2017-0534
SubType :
NEW
Status :
APPROVED
OWNER:
MACE WARD & WHITNEY
Phone : 949-922-1706
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, ABANDON
EXISTING 3/4" WATER SERVICE AND
INSTALL NEW 1" SERVICE STD 502-L.
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Item:
10040 SEWER LATERAL
Requested Time:
12/1/2017 12:00:OOAM
Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: z7777777777"
Ins ector: Time: ` ' ./ 0 PM
p �S Date: Z / / %
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheet.doc
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REPT131 Run Id: 4018
712312018 City of Newport Beach Page 6 of 8
4:30:18PM INSPI SO - Daily Inspection Request Report
Requested Inspection Date:
07/2412018
Inspection Type :
ENCROACH
Inspection Area:
PW
Site Address:
1515 MARINERS DR
Activity
N2017-0534
SubType:
NEW
Status :
APPROVED
OWNER:
MACE WARD & WHITNEY
Phone: 949-922-1706
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, ABANDON
EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" SERVICE PER STD 502-L.
Item:
10215 ROUGH UTIL
Requested Time:
7/24/2018 12:00:OOAM
Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: 7777777777 *
Inspector:
Comments:
Date:
F.\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
Time: AM PM
REPT131 Run Id: 4018
. ' 7/26/2018 City of Newport Beach Page 5 of 13
' 4:30:05PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/26/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1515 MARINERS DR
AIPIF31n%rmadotih .
Activity :
N2017-0534
SubType :
NEW
Status :
APPROVED
OWNER:
MACE WARD & WHITNEY Phone : 949-922-1706
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, ABANDON
EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" SERVICE PER STD 502-L.
Requested kopecthm(s)
Item:
10215 ROUGH UTIL
Requested Time:
7/26/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: 7777777777z-
Inspector:
Comments:
Date:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
Time: AM PM
REPT131 Run Id: 4018
9/12/2018 City of Newport Beach Page 8 of 12
4:30:59PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/13/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1515 MARINERS DR
A/P/D Information:
Activity : N2017-0534
SubType : NEW
Status : APPROVED
OWNER: MACE WARD & WHITNEY Phone : 949-922-1706
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbnde@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, ABANDON
EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" SERVICE PER STD 502-L.
*UPDATED 9/10/18: RELOCATE EXISTING CITY STREET LIGHT Z EASTERLY PER
STD 200-L**
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 9/13/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -gate code 1130
Assigned to: zzzzzzzzzzz*
LOGGED
9/19/2018 City of Newport Beach Page 10 of 12
4:30:08PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/20/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1515 MARINERS DR
Activity: N2017-0534
SubType : NEW
Status : APPROVED
OWNER: MACE WARD & WHITNEY Phone • 949-922-1706
APPLICANT: COAST WATER & POWER Phone: 949-548-0106
949-289-0078 mikekiibride@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, ABANDON
EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" SERVICE PER STD 502-L.
*UPDATED 9/10/18: RELOCATE EXISTING CITY STREET LIGHT Z EASTERLY PER
STD 200-L**
Item: 10250 FINAL - PW
Requested Time: 9/20/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to:
No stu.a.e�y
77777777777* N.J V
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