HomeMy WebLinkAboutN2017-0095City Newport Beach
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IIIIIPermit No:N2017-0095
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Permit Counter Phone (949)644-3311
Project No : 1679-2016
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Online Inspection Request - www.newportbeachca.gov / Online
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Services
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Inspection Requests Phone (949)644-3255
Job Address:
4501 PERHAM RD NB
Thomas:Guide: 919F4
Description :
ABANDON EXISTING WATER SERVICE
AT MAIN AND INSTALL NEW 2"
SERVICE PER STD 503-L. REPLACE SEWER LATERAL AND INSTALL NEW CLEAN
OUT PER STD 406-L.
Parcel # :
4750-130-1 -
Legal Desc :
N TR 3357 LOT 111
Owner:
Phone:
DELPONTE MICHELLE LIVING TRUST
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Contractor : COAST WATER & POWER
Phone: 949-548-0106
Address :
4501 PERHAM RD
Address : P O BOX 3341
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2017
Phone:
949-548-0106 [
Address:
P O BOX 3341
NEWPORT BEACH CA 92659
Business License : BT96014951
Business Expire : 12 31, 2017
Special Cond.:
PRE -INSPECTION REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP INS FUND
Policy No: 9087110
W. C. Expire: 10 01, 2017
Permit Processing Fee : $0.00
Sewer Connection:
$250.00
Total Fee $2,181.25
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Paid : $2,181.25
Traffic control Plan
Check : $65.00
Total Water Meters :
$953.00
Balance : $0.00
Inspection Fee :
$660.00
Water Meter Connection :
$528.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$88.25
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Date: _/_/
Other Department : -Date:
Utilities Approval
:
Date:
Permit Denied Date:
_/_/
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3 /
Traffic Approval :
Date : _/_/
Issued Permit : Date : / /
General Services
Approval :
Date: _/_/
er,r INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY 'r'r
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
N6vember 22, 2016 3:39:56 PM PST 166 5 Received
ECT
PLEASE COMPLETE THE FOLLOWING INFORMATION
4601 PERHAM
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY M,I t Ki'l bri'Gc e
(entity who is requesting meter andlor would get hydrant deposit rai
MAILING ADDRESS pQ Hojcf .73Yt _RECEIPT# Q
CITYISTATEIZIP TIoZ 4 51 PHONE #
SERVICE
501 PSG -"rim
) Hydrant Meter ( ) New Meter (%4 Meter Upgrade
Deposit required New service address Existing service address
(tapping order) (tapping order) (work order)
40 dew Meter at existing service address ( ) Irrigation only
w(tapping order)
( ) Commercial Location (residential Location () Fire Con ection Fee $
( )Meter Size ' 117 Fee $ S 5 • — ( 4 Box Fee $ ��• r
(wA58
(vr'Meter box & Lid - t Area Fee $ _ or Parkwa s/Sidewallk Fee $ Ur - P;xs
Total Fees $ Encroachment Permit Number: N C C 7 - 00c-S
Customer Name (property owner) M'k- k e lfe _ DELf v MITE my,'" _ „y g
Billing Address of g�m 9a&"
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 NUMBED__. NOTES
WORKITAPPING ORDER NUMBER
flusers/rev/shered/water/water mover sery app 05/23/16
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Newport Beach Police Dispatch
Phone: 90-644.3717
Y Of Newport Beach
City of Newport Beach
Public Works Department
Phone:9494344-3311 Fax.949-644_3318
Code 42,62010 Permit for Temporary Street Closure
Name: MIKE KILBRIDE — ,"�a�ruYrnrrury
Company Name: COAST WATER 8r POWER cttyofNewpmBeach srmine
ddress: P.O. BOX 3341
City/Zip: NEWPORT BEACH, CA 92669-8341 Phone: Day 949-289-0078 Night BT96014951
Exact Location of Encroachment: a u 1 Q- A m + LIM
(tlse street address or aPDrabrrrsie nrunbef or feet tom nearest intersection)
Keason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NOTE: No work on holiday(s) or weekends.
Data Closure to Begin: Date Closure to End:
(Ma>«rwm 14 Days}
nme of Closure: 7:00 AM to 5:00 PM
DIAGRAM LOCATION OF ENCROACHMENT BELOW: c a nr
C 36 c9A C.16
e A uR8
e.Ama� eQ 1P
e
rrrusz De VI&Dle on the dash of each vehii4e authorized to ark in reserved arkin ts.
T he a licant is reponsible for not � hg Police Dis ah:h of any road closure, detour, or reserved parking,
See reverse side of this permit for rl= ulafions cove, use or this rmit.
r. I
An _
^SDr rvrL t.ONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1)�man operation per.14MIL iV.A.T.C.H. Manual, Rages 47-a.
2) Provide access to emergency vehicles If needed. 3) Notify adjacent residents 48-hrS prior to closure.
41 Place delineators around construction area. 5) Plate and backfill excavations during non -construction.
r 1wra.2 K t MIM T f IMC
I. (PS—Itee) hereby Certify the information provided is true and correct, and I agree to comply with the terms and condftlons on the front and back ofthis Em°�'n`s`v ar ^ vo
Permit Permitee guarantees to indemnify and hold the City of ►Newport Beach
he gains+ any claims, Habit , or" dgme s fgr amages arising out of permhee's activities. d� —
X�' i 'L� j Data- a s N6 10
Approved by: b
Date: i I C ,
�'Oommeya ana Semrgcp.,,�.i,ogi SB�lTarnparay fctan.� clkscanwtiEau;.>;'uae6 .. QTartp avast Cbem.naa4Mon-�ansosPtspmen.s�isrvec�
• 6/25/2018 City of Newport Beach Page 13 of 15
4:30:30PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 06/26/2018
Inspectiion Type: ENCROACH
Inspection Area: PW
Site Address: 4501 PERHAM RD e
Activity : N2017-0095
SubType : NEW
Status : APPROVED
OWNER: DELPONTE MICHELLE LIVING TRUST Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : 'REVISED 3/21/17 - INSTALL NEW 1" METER ON EXISTING 1" SERVICE'. REPLACE
SEWER LATERAL AND INSTALL NEW CLEAN OUT PER STD 406-LI Ilia
F
Item: 10250 FINAL - PW
Requested Time: 6/26/2018 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz"
Inspector: Owt
Comments:
Requestor: WEBUSER
9495480106
Date: )��'/zz Time: AM PM
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
4501 Perham Rd Newport Beach CA 92625 US
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4501�,r' r Newport Beach CA 92625 US
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4501 Perham Rd Newport Beach CA 92625 US
SW (T), 8/8/19, 1:19:29 PM
11
8n/2019 City of Newport Beach Page 4 of 5
4:30:35PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/08/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 4501 PERHAM RD
A/P/D Information:
Activity : N2017-0095
SubType : NEW
Status : APPROVED
OWNER: DELPONTE MICHELLE LIVING TRUST Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : *REVISED 3/21/17 - INSTALL NEW 1" METER ON EXISTING 1" SERVICE*. REPLACE
SEWER LATERAL AND INSTALL NEW CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 8/8/2019 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: zzzzzzzzzzz*,) V
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COMPLETED