HomeMy WebLinkAboutN2017-0567City of Newport Beach IIII�I�II�II�III���III��IIIII��IIIII
100 Civic Center Drive, Newport Beach, CA 92660
t Permit Counter Phone (949)644-3311
z Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address:
3822 CAMPUS DR NB
Thomas:Guide:
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4271-510-7 -
Legal Desc :
N TR 3201 LOT 9
Owner:
3822 CAMPUS LLC
Contractor
Phone:
949-887-0959
Phone:
Address :
4300 CAMPUS DR STE 101
Address
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
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:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval
Permit No: N201 i-0567
Project No: 1779-2017
-r�J t � r , �5
Inspection Requests Phone (9 9)6�4-315 V �l
859E7
COAST WATER & POWER
949-548-0106 949-289-0078
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, 2018
Total Fee $635.00
Paid : $635.00
Balance : $0.00
Receipt No:
Date : _/_/ Other Department : Date:
Date : _/_/ Permit Denied Date
Date : _/_/ Issued Permit: 1. Date / t 7
Date : / /
IN50UND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
November 6. 2017 at 1:11:33 PM PST 96 3 Received
i
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROD ECT ADpRESS:
3822 CAMPUS
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN -OUT PER 406-L.
APPLICANT: MIKE KILBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH., CA 92659
OWNER.•
Phone -
Mailing Address:
City/State/Zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (if different):
COAST WATER ANp POWER
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
State License Number b Class:
138400 A. B, C-10
City Business License Number:
ST9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : STATE FUND Policy No:9087110-14-2 Expires: 10/1/2018
REFUNDABLE DEPOSIT INFORMATION(if A
ficable
Made Pa able To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341,
NEWPORT BEACH, CA 92659
Special Conditions of Permit:
ai4 f'
Utilities:
General Services:
Traffic:
Other:
Engineering Technician:
Public
Specialist:
Date:
Permit No,
N2017- 0q.11J
—7-71.2CcI
Permit Processing Fee: . , Inspection Fee: Q
Public Works Only $241.0 ) Public Works Field Inspection $165.0
Other Department S275.00 Utilities Field Inspection $121.0 IF ,
General Services Inspection $165.00
Agreement Fee: Water QualltylArtificial Turf Inspection S'108.00
Preparation of Report/Agreement $817.00
Document Recordation Fee $192 00 Refundable Deposit: TBU
Monitoring Wells $502.00 Improvements TBD
Street/AlleyfWalk Closure: $65 00= Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-112" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box & Cover $64.00
Additional
FH� ZLOY�N�!(3.tT�11ASrF �liltiUAW.rO E RROJN TI�• E 7 71A-ppr6VjI-.-.*-'-._-.-.
R�, enue� oiv11s1oh � �''
I. .. •REVENUE: D MSION- P:RIOEtTO:PAYMEkT 00- PEfS ,. '... ..
[Water mete ........... {fis%aH��Ign; Crharge. . $ i28.;0¢
1�>*�":Meier` � ��Q:25' • : ►iV81ier Metei IBoxPss. • ;)
I1° llAeter, $42.1.50. -'ForPaAiiu ay&'S?deliirAA.rr&B•?Bbi-f Cover'= �'o'& :: 1
E1 112":Meier $285.t)0 . 1":Meier .13.A0 37.00 .' $50.fl0 :I
I1:1/2" TurIjlm3 Meter $700 OtJ . :2 Miter: '27 V0 + 61 2f $88 �5 :'I
1. " INeter $425 ;. :I
`z'TU U. [A& Mefer $8$5 ti0 Fof Fra'ffip .Ap�Y',Qfges.lQox f Eoi�r = Co.
r3" Meter' $3.310 ff :1`,' Meter: 13.60 +. $8:0
�4".Meier' $4;730 00 . •2":Meier.. -17 00 * 162 00 $189AQ .�
I6'' :Meiet . 17,499:�a .. .
.......
Certificate of Compliance Fee (+100% of hrly over 3 hrs)
$288.00
5200-5029
Development Services Fee (Plan check hourly)
S155.00
5200-5015
Final Tract Map Checking Fee
$2,488.00
5200-5D25
Final Parcel Map Checking Fee - Moderate
$2,488.00
5200-5027
Lot Line Adjustment Fee
$1.079.00
5200-5028
Park Dedication Fee Zone
TBD
405-470
Street Easement/Vacation Fee (+100% of hrry over 4 hrs)
S1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Total Amount Due:
For Finance Use Only
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�ag`rra� CITY OF NEWPORT BEACH ! ADDRESS t
ENCROACHMENT PERMIT I APPLICANT t< �}
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' OWNER
DESCRIPTION OF WORK
Permit NOA26I
• 11/8/2017 City of Newport Beach Page 9 of 11
.4:30:17PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/09/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 3822 CAMPUS DR
Activity : N2017-0567
SubType : NEW
Status : APPROVED
OWNER: 3822 CAMPUS LLC Phone : 949-887-0959
APPLICANT : COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10215 ROUGH UTIL
Requested Time: 11/9/2017 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to: 7777777777Z'
Inspector: v Date:
Comments:
i LCV
Requestor:
t 1 /-Oil // 7
WEBUSER
Ai�
I 111-CA
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
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11/29/2017 City of Newport Beach Page 7 of 12
6:34:18AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/2912017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 3822 CAMPUS DR
AM hdai 11Wo c
Activity : N2017-0567
SubType : NEW
Status : APPROVED
OWNER: 3822 CAMPUS LLC Phone : 949-887-0959
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
f�equeslred in+:pecUo-(a)
Item: 10250 FINAL - PW
Requested Time: 11/29/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777`
Inspector: . ` Date: l ` 2� 17 Time: AM PM
Comments:>� T/�l/�G / zb►
�pMPLETE
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSMnspectorSheet.doc