HomeMy WebLinkAboutN2017-0150W11o4r City of Newport Beach �JpII 1111111111 111111111111
100 CIVIC Center Drive Newport Beach. CA 92660 N 2 0 1 7 0 1 5 0
rn Permit Counter Phone (949)644-3311
v w t, Online Inspection Request - www.newportbeachca.gov / Online
` Services
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Job Address: 3725 OCEAN BLVD NB Thomas:Guide:
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
Parcel # : 0521-501-5 -
Legal Desc : CORONA DEL MAR LOT BLK A POR OF BLK
Owner: FISCHER,DESMOND LAWRENCE
Phone: 0
Address : 3725 OCEAN BLVD
CORONA DEL MAR, CA 92625
Applicant: COAST WATER & POWER
Phone : 949-548-0106 [
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
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 :
$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
Date:
Date:
Date:
Date :
Permit No: N2017-0150 •
Project No : 3028-2013
3 G NC
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Inspection Requests Phone (949)644-3255
919F3
Contractor : COAST WATER & POWER
Phone : 949-548-0106
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2017
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
Paid :
Balance
Receipt No:
$885.00
$885.00
$0.00
Other Department : Date:
Permit Denied — Date:
Issued Permit Date : :
�_�_: -/_/
PLEASE COMPLETE THE FOLLOWING INFORMATION
• I 'I
3725 OCEAN BLVD
REPLACE SEWER LATERAL JAI IN4TALL CLEAN-QUT PER 406-L
i I III
'LICANT: MIKE KILBRIDE
ling Address:
PO BOX 3341
NER:
hone: 949-289-0078
P:
EWPORT BEACH, CA 92659
hone:
CONTRACTOR: MIKE KILBRIDE
i
Office Phone. 949-548-0106
Company (if different): ;
obsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
COAST WATER AND POWER j
Mailing Address:
CitylState/
Ip:
PO BOX 3341
NEWPORT BEACH, CA 92659
State License Number & Class:
City Busin
ss License Number:
738400 A, B C-10
T'9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE
Certificate of Insuran
a (Section 3800 Labor Code)
-Company: STATE FUND
i Polio No:
087110-14-2 Expires: 10/1/2017
EFUNDABLE DEPOSIT INFORMATION (If 1 able
ade Payable To: MIKE KILB IDE Vendor No: 9833
ailing Address: PO BOX 3341, NJWPORT BEACH, CA 92659
pecial Conditions of Per, t:
i
Utilities., � ! �! Traffic:
General Services: ; Other:
Engineering Technician: Public WMIlts Specialist: Date: Permit No.
N2017- i
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PROJECT ADDRESS:
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PERMIT N201.61 T
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C
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NUMBER:
APPLICANT:
MINE
111101111
Permit Processing Fee:
Inspecti n Fee:
Public Works Only $241.Do
Public Works Field Inspection $165-0
Other Department $275.'00
! Utilities Field Inspection $121.0
General Services Inspection $165-00
Agreement Fee:
Water Quality/Artificlal Turf Inspection $108.00
Preparation of ReportlAgreement $817..06
Document Recordation Fee $192'00
Refundable Deposit: TBD
Monitoring Wells $502'010
i Improvements TSD�
StreeVAliey/ Walk Closure: $65.00
Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65Op
24" x 36" $143,00
Sewer Connection Fee $250-fl(J�
4TT Box & Cover $64.0
Additional
IT 1
1 Ak.FA' o {1- E� ` Revn eaK givisn in
.t.....
.,REVENUE. DIVISION. PIR (a-J5
MEW 0� 01=6 : Approval
MfiaiQr 71Rek6:r'
, I tal4af arge' $ 28 OP !
F31�3=�:Melei<; .. .. ::$50�'
: W�fe+"•QA;te[��ix�s: - -- 1
�1 Nfster _ $ tit F
i7r, i��, ,ay & .�,detvaik Area 0— i Cover =- C0st ..: i
�1 Meter: :$285
1 '.►vleter� '13 O + 37 00 $50.00 ' .1
�1 1! " �ptkil�iBM�tet $7.b0b0 i ;:`
2 YVlet& -2' .66} 61;2S �8$. S • i
Ti,rbine:Metar :$�5iQ0gF
I
xratf sir All�y.fiFses{$arc +ofitr :Gostj .�
��"..I�leter . $31fii--II
-4" ,Meter : $4 bd'IIIO
: 2 Aheier^..2.7 00 + .'t62 00. - 41$9.0 A
' Meier-.'$7't9Ci{t�f3
Qtv. Budget Number
Certificate of Compliance Fee (+100% of My ov�r 3
rs) $288.00
1, 5200-5029
Development Services Fee (Plan check hourly)
$155+00
5200-5015
Final Tract Map Checking Fee
$2,488.60
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,488. 0
5200-5027
Lot Line Adjustment Fee
$1,079, 0
5200-5028
Park Dedication Fee Z
ne TOD
405-470
Street Easement/Vacation Fee (+100% of nrly g11er4
hrs) $1,022.90
5200-5031
Street Tree Fee ($700 Planting Fee)
I T D
030-2284
Engineering Tech:
Total Am ouni
Due:
For Finance Use Only
Permit ialist
Receipt No.
f:tuaerE7pbA;Iehered,ehcroachhrlasteiVc-p front and Dab masters/
L-' Row 10121/20161
As- mis-d t -1r2o16
1..E l.TE,VD
= TREE
= POWF-R POLE
Z =SEWED. CLEANOUT
J = WATER METER 13(1X
I
SA
CURE & GUTTER
? .. CENTERLINE �- -
CITY OF NEWPORT
ENCROACHMENT
i
Permit No .V a T,
3-725
Pl-L
C�u t1 NA
H ! ADDRESS 3-727 O
T APPLICANT .j � lI
OWNER
DESCRiPT0 OF WORK
51 CIN
A p lu
City of Newport Beach
Newport Beach Police Dispatch Public Works Department
Phone: 849-644-3717
Phone: 949-644 311 Fax, 949-G44-3318
City of Newport Beach A4unicipat Code �2.62.090 Permit fur iporary Straef Closure
name: MIKE KILBRIDE APPLICANT INFpRMATI 1V
Company Name. COAST WATER & POWER city of Newpon seacr, Sus!nesa Liczrge No.
Address: P.O. BOX 3341 BT96014951
City2ip: NEWPORT BEACH, CA 92659-8341 Phone: Day 9 9-289.0078 Night _
Exact Location of Encroachment: n 0!
(Use 3t 9etaddreRg a apprpxVnate nlm w of feettrom nearestintwseaonj
[NOTE-No
ason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
work on holiday(s) or weekends.
Date Closure to Begin: date Closurelto End:
(Maximum tb Days) I i
Time of Clo4'd:l 7:00AM to 5:00 PM
c-1% [ 9p C3(a
4CX40
A co of this ermit must be visible on the dash of each vehicle a imonzeaf to Park in reserved parking spots.
The applicant is responsible for notifyingPoli Dispatch of an d closuire, detour, or reserved 2rkin
See reverse side of this perm; for re uiations c v !in use ofThis permit.
ADDITIONAL CONDITIONS OF APPROVAL FOR HIS PERMIT ARE AIS 1'01�OWS:
liFI r
a man operation ratlrn r�06 �IfY.A.7.C.H. lyaqual, ra es 47�8.
2) Provide access to emergency vehicles if needed. 3) Notify ai c'Ont resigents 4$-Virg prior to closure.
4) Place delineators around construction area. 5) Plate and bac 11 excavaOons during non -construction.
!
I, tPermiteej hereby oattify the information provided is true, and ect, and I agree to rrtply with ttae teens and E^ao®crN,cnt �c:
conditions an the frortt and back of this permit. Permit" guarant to indemnify and ol¢!the City of Newport Beach
ha ga!ns any claims, li8bii , Or udgme fq( mages rising out of permiteeLC ac bvides. IV
-L�j Date:
Approved by: i J f
y Date.
C.iporu is and Batlinggipy.',�nlp�y fah lnbrtlM Filttl(.enfenl.lL� WJJL1B801ji iM SlRN G7oLwY MP�lGalior. �( F . !agmen.xDstsnea-
ievlpt14812017 City Beach
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INSP150 - Daily Request Report
Jon Date.
Requested F7
03/29/2017
tion T% Pe
ENCROACH
PW
A.1411
3725 OCEAN BLVD
I/D
Activity
N2017-0150
SubType:
NEW
Status :
APPROVED
:? E E OWNER:
FISCHER,DESMOND I-AWF, 7
Phone:
APPLICANT:
COAST WATER & POIAFER
Phone: 949-548-0106
PAL. AN D' NDese-ripUarf
AD
REPLACE SEWER 1,'VTt INSTALL CLEAN OLfT PER 5M,4061LRT.
stedins,
Item:
10215 ROUGH UT1,L
X J,C 7S,17
77 ime:
3/29/2017 12k,10:00PAI
Requestor: :,jFWEBUSE&,CKFL0
Enterod By:
WEBUSER
Requ
AM-
s s t e %14 7'irn e
Assigned w zzzzzzzz=*
Inspector: Date: Time: AfVr=-PM
Comments: l L i3PCITE -5 �60
- 51.1-v //V - - Pam-
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
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Run Id: 4018
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7/18/2019 City of Newport Beach
6:30:05AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
07/18/2019
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
3725 OCEAN BLVD
A/P/D Information:
Page 2of13
Activity : N2017-0150
SubType : NEW
Status : APPROVED
OWNER: FISCHER,DESMOND LAWRENCE Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
�Pigl
Item: 10210 PUBLIC WORKS
Requested Time: 7/18/2019 12:00:OOAM Requestor: NBIVR
9515291729
Entered By: NBIVR
Comments: AM
Assigned to: _i
i
COMPLETED