HomeMy WebLinkAboutN2017-0327„�..�,,k�
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City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Civic Center Drive, Newport Beach, CA 92660 I III N 2 0 1 7
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov /Online
Services
Permit No: �1017-032.-7100
0 3 2 7
Project No : 0536-2016
SCAN N F
Inspection Requests Phone (949)644-3255
Job Address:
1215 E BALBOA BLVD NB
Thomas:Guide: 919C2
Description :
ABANDON EXISTING 3/4” WATER SERVICE AT MAIN. INSTALL NEW 1" WATER SERVICE PER STD 502-L.
Parcel # :
0481-630-7 -
Legal Desc :
BALBOA TR EAST SIDE ADD LOT 7 BILK 20(AND WLY1/2 LOT 8 BLK 20
Owner:
TYSON FAMILY TRUST
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106 949-289-0078
Address :
21731 VENTURA BLVD #300
Address : P O BOX 3341
WOODLAND HILLS, CA 91364 �4
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2017
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 01, 2017
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Total Fee
$1,436.50
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid :
$1,436.50
Traffic control Plan Check :
$0.00
Total Water Meters :
$649.50
Balance :
$0.00
Inspection Fee :
$495.00
Water Meter Connection :
$528.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$51.00
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 : ,U'
Date
General Services Approval :
Date
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY **
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
June 14, 2017 11:25:16 AM PDT 145 4 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
1215 E BALBOA BLVD
OF WORK:
ABANDON EXISTING 314" WATER SERVICE AT MAIN
INSTALL 1" WATER SERVICE PER 502-L
ANT: MIKE KILBRIDE
Address:
PO BOX 3341
Mauing Address: lCit
CONTRACTOR: MIKE KILBRTDE
Company (if different):
COAST WATER ANO POWER
Mailing Address: Cit+
PO BOX 3341
State License Number & Class: Cib
738400 A, B. C-10
WORKERS COMPENSATION INSURANCE - Certificate of
Com an : STATE FUND Pol
REFUNDABLE DEPOSIT INFORMATION (NApplicable)
Made Payable To: MIKE KILBREDE
Maillng Address: PO BOX 3341, NEWPORT
Special Conditions of Permit:
t t .— i i. _-h ,
Utilities:
General Services:
Phone: 949-289-007
Zip-.
NEWPORT BEACH, CA
Phone:
Office Phone: 949-548-0106
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
StatelZlp:
NEWPORT BEACH, CA 92659
Business License Number:
BT9601491 EXP:12-31 2017
nsurance (Section 3800 Labor Code)
NO: 9087110-14-2
Expires: 10/1/201
Vendor No: 9833
EACH. CA 92659
Traffic:
Other:
Vorksjiecialist: Date:
��
N2017- C32A
rermir rrocessmg t-ee:
Public Works Only
$241.00
Inspection Fee:
Public Works Field Inspection
$165.00
Other Department
$275,00
Utilities Field Inspection
$121.00 —
Agreement Fee:
General Services Inspection
$165.00
Preparation of Report/Agreement
$817.00
Water Quality/Artificial Turf Inspection
$108.00
Document Recordation Fee
Monitoring Wells
$192.001
$502.00
Refundable Deposit:
Improvements
TBDB
TSD
Street/Alley/Walk Closure:
S65 00
Newspaper Rack Inspection
$108.00
Traffic Control Plan Check
8-1/2" x 11"
24" x 36"
$65.00
$143.00�
Sewer Connection Fee
4TT Box &
$250.00�
Cover
$64.00
Additional
� ^ � �N�• �LL^Q1Nt�li3�F'��MS 1��UI
f 'REVENUE: DIV113lQN: RRIOR �
:::....
itl�atf$r Metei
• :
t1" Meter:
_
�1.112' Meter:
�1 112" Turbfitg Meter
:5285.00
'
��$t�• :
$7t}Q.0077
�2'�iubv+e
$425 D
Metes
;�)3?i6 (�0
` 4":Meter .
:$ii,.730 90
$7.190.00
.. .
H venue 4hdsicn. - :I
Appruvai• •. ,.I
Nat16 CliaiJe: $ 28 nO FI
Wafei Meter: BQxesc: ` . .I
• .FpC¢arkuva � :5ide •�. � • . • .
Y kvetkArea�(�'pX• Cover•=•host). •' •1
.,j":Meter-: • :13 t)� +• 3� 00 $5U 00. l
.;..Me ter:: 27 QO'81 2g $88,2S:1
F41� k'ra PAX
• 1 •I(Aeter,•:�•9�:�0:+38:00.� .�5:t' I
2":Meter:. 2?:..i•:.. QQ: $189.0
........ I
Certificate of Compliance Fee (+100% of hry over 3 hrs)
$288.00
00 -5YyCr
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
$1,079 00
5200-5028
Park Dedication Fee Zone
TBD
405-470
Street Easement/Vacation Fee (+100%of Myover 4hrs)
$1,022.00
5200-5031
Street Tree Fee_ ($700 Planting Fee)
TBD
030-2284
Engineering Tech: Total Amount Due: For Finance use oniv
Permit
y / f'usrYpbWS^.ltaNdrriv�on mg6Mlfdep front ana each mastwSi
v Rev. 10121/2016
Permit Processing Fee: Inspection Fee:
Public Works Only $241.00 Public Works Field Inspection $165.00
Other Department $275.00 Utilities Field Inspection $121.00
General Services Inspection $165.00
Agreement Fee: Water Quality/Artificial Turf inspection $108.00
Preparation of Report/Agreement $817,00
Document Recordation Fee S192.001 Refundable Deposit: TBD
Monitoring Wells $502 OOL Improvements T80�
Street/Alley/Walk Closure: S65 00Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee 5250.00
24" x 36" $143.00 4TT Box & Cover $64.00�
Additional
At rRR � JWT"-- H� ••, �. venue gi+dsfan. :I
[2EVENt{E I]INtidb:00WR TOPA1fAlIENT'bF F €S••' JAppruvai
:1
lYII`atorMeter trjst�lla�idn; Cha fyb $�2811a =i
F3ft'.:Me��r:5C):25' Water tflleter 8oxils :I
i1'' Meter
For�arkway :side kArea (Bpx +Cover
11 112" Meter :5285:Q0 !":Meter:':13.00 37.t)U $50.fl :I
11/2' Turbtrte Meter $�40 DO 2 Meter : 2.00..61 23 $8g 2S _I
$425 iQ 1
Itr Wete; X:41/ey.ateas:C$ax.+.E�yef.=;CoR0eter.,
1,110 A 1 `' Mitec`4:{Meter :$rf:T3t] Ot7 . 2":Meter` .27'.:Oi) x F62t)i): $1891
`Meter :$7,.490.00 1
QtY. Budget Number
Certificate of Compliance Fee (+100% of hrly over 3 hrs) $268.00 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 $1.079 00 5200-5028
Park Dedication Fee Zone T80 405-470
Street Easement/Vacation Fee (+100% of hrly over 4 hrs) $1, 022.00 5200-5031
Street Tree Fee ($700 Planting Fee) TBD 030-2284
Engineering Tech: Total Amount Due: For Finance use only
_ rz -
Permit Specialist Rece t No.
_ Rev. 10121 /2016
AB_re kcd'02: ,W's
knit an, oack Tra9mrs,
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
'REQUESTED BY /be
(entity who IS requesting meter and/or would
reruna)
MAILING ADDRESS Foy- 334 1 RECEIPT#
CITY/STATE/ZIP KJS I CA !R-AjolbM PHONE oce
SERVICE ADDRESS_ t X1 cJ IE Q16ja
) Hydrant Meter ( ) New Meter
Deposit required New service address
(tapping order) (tapping order)
New Meter at existing service address
(tapping order)
( ) C mmercial Location
( Meter Size
(Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
(4 Resident(al Location Fire C () onnectlon Fee S
Fee $ l ell . 5 0 ( ) 4TT Box Fee $
( Meter box & Lid - Ailey/Traffic Area Fee L or Parkways/Sidewalk Fee $
Total Fees $ Encroachment Permit Number. LJ1 , ' ` - " �3r
Customer Name (property
Billing
Residence Phone #
E-Mail Address
Social Security # or CA Drivers License
Business Phone #
FOR OFFICE USE ONLY
CLERK DATE BUS LIC tl MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORKITAPPING ORDER NUMBER
f/userstrev/shared/waterlwater meter sere 8pp 05/23/16
{
LEGEND
0 = TREE
f = POWER POLE
=SEWER CLEANOUT
Q = WATER METER BOX
P/L
{ � PIS A��•n
CURB & GUTTER
CENTERLM
,1RL.40A- OL'4
CITY OF NEWPORT BEACH I ADDRESS 1.4 5 E R s� Vr.A 4 Vu u. 4
ENCROACHMENT PERMIT APPLICANT j<ILU I
N20t'7- -
Permit Na. t; j -,�1A
� OWNER
E
;` DESCRIPTION OF WORK
LEGEND
= TREE
= POWER POLE
=SEWER CLEANOUT
Q = WATER. NTETER BOX
t5
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fit< lit ,x
CURB & GUTTER
CENTERLWE - - - - -
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i
wpo CITY OF NEWPORT BEACH ADDRESS
ENCROACHMENT PERMIT APPUCANT KILL JOe v
OWNER
DESCRIPTION OF WORK
Permit No .N
0/22/2017 City of Newport Beach Page 2 of 7
4:30:11PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/23/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1215 BALBOA BLVD E
Activity : J N2017-0327
SubType : NEW
Status : APPROVED
OWNER: TYSON FAMILY TRUST Phone :
APPLICANT: COAST WATER 8 POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : ABANDON EXISTING 3/4" WATER SERVICE AT MAIN. INSTALL NEW 1" WATER
SERVICE PER STD 502-L.
Item: 10215 ROUGH UTIL
Requested Time: 8/23/2017 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to:
Inspector:
77777777777*
31 W1
Requestor: WEBUSER
Date: Time: lt� 1M
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
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4/15/2019 City of Newport Beach Page 5 of 15
6:30:13AM INSP15O - Daily Inspection Request Report
Requested Inspection Date: 04/15/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1215 BALBOA BLVD E
A/P/D Information:
Activity : N2017-0327
SubType : NEW
Status : APPROVED
OWNER: TYSON FAMILY TRUST Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : ABANDON EXISTING 3/4" WATER SERVICE AT MAIN. INSTALL NEW 1" WATER
SERVICE PER STD 502-L.
Requested Inspection(s)
Item:
Requested Time:
Entered By:
Comments:
10250 FINAL - PW
4/15/2019 12:00:OOAM
WEBUSER
AM-
Requestor: WEBUSER
Assigned to: z7777z7777 "
CAW
r- r � k-&17-#
COMPLETED