HomeMy WebLinkAboutN2017-0610Cit
', =y oo Yivof Newportic Center
Bpo Bhach, CA92660 III�I IIII IIIIIII IIIII�II II III II II Permit No: N201 7-06,1 Q
Permit Counter Phone (949)644-3311 Project No : t;
t Online Inspection Request - www.newportbeachca.gov / Online 1 ?9F.
9..�0
r ` Services
„A �+ Inspection Requests Phone (949)644-3255
Job Address: 119 VIA FLORENCE NB Thomas:Guide: 8881117
Description : INSTALL NEW 1" WATER SERVICE PER STD 502-L, REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING WATER
(3/4") AT MAIN.
Parcel # :
4231-630-2 -
Legal Desc :
TR 907 LOT 981(AND NELY 10 FT LOT 980
Owner:
CASPERS ANN K
Contractor : COAST WATER & POWER
Phone:
0 � ._. ,
`""": Phone: 949-548-0106 949-289-0078
Address :
119 VIA FLORENCE
Address : P O BOX 3341
NEWPORT BEACH, CA ��
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, 2017
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
$1,796.16
Agreement Fee :
$0.00
4TT Box Cover: $64.00
Paid :
$1,796.16
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: $96.66
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 : DI�8,
General Services Approval : Date: _/ /
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
December 6, 2017 at 9:27:31 AM PST 132 5 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
119 VIA FLORIwNCE
RIPTION OF WORK:
INSTALL 1" WATER SERVICE 5 0 2 - L
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT 4 0 6 - L
,d, Q gnDoN E x 1 �s1 ri VJA Q �t (3 /4") k-v Ise mEwfiln
APPLICANT: NUKE KILBRIDE Phone: 949-289-0078
Mailing Address: CityJState/Zip:
PO BOX 3341 NEWPORT BEACH CA 92659
OWNER: Phone:
Mailing Address: CitylState/Zip:
,n i KAU I UH: MIKE KILBRIDE Office Phone: 949-548-0106
mpany (it different): Jobsite Phone: 949-289-0078
COAST WATER AN]) POWER Other Phone: FAN: 949-548-1616
iling Address: CPty/State2lp:
PO BOX 3341 NEWPORT BEACH, CA 92659
Ile License Number & Class: Clty Business License Number:
738400 A, 8, C-10 BTR601491 EXP' 12-31 2017
)RKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
rnany: STATE FUND Policy No:9087110-14-2 Expires. I0A/201
FUNDABLE DEPOSI-T INFORMATION (If Applicable)
de Payable To: MIKE KILBRIDE Vendor No: 9833
ilin Address: PO BOX 3341, NEWPORT BEACH, CA 92659
CITY OF NEWPORT BEACH
APP ICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY I Ljtx W_
(entity who is requesting meter and/or would get hydrant deposit refund)
MAILING ADDRESS RECEIPT#
CITY/STATE/ZIP PHONE #
SERVICE ADDRESS � � � � � L O A
ZU
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
New Meter at existing service address
(tapping order)
( ) Commercial Location
(✓Meter Size It
Residential Location
V) Meter Upgrade
Existing serviCe address
(work order)
( ) Irrigation only
( ) Fire Connection Fee $
) 4TT Box Fee $
(L'Meter box & Lid - Alley/Traffic Area Fee $ V or Parkways/Sidewalk Fee $
Fee $
Total Fees $ Encroachment Permit Number: ('- I l (�
Customer Name (property owner) 116J V3 A T:L0 5A I-C
Billing Address�f [a`Ct Wye -0 qoo Cityjzip
Residence Phone # 141 ' " Business Phone # IWO
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
WORKUTAPPENG ORDER NUMBER
f/userslrevlshared/weterlwater meter sere app 05123116
Permit Processing Fee; Q Inspection Fee:
Public Works Only 3241_00 Public Works Field Inspection $165,
Other Department $275.00 Utilities Field Inspection $121.0
General Services Inspection $1g5,00
Agreement Fee: Preparation of Report/Agreement $817.00 Water Quality/Artificial Turf inspection $108.00
Document Recordation Fee $192.00 Refundable Deposit: TBD
Monitoring Wells $502.00 Improvements TBD
Street/Alley/Walk Closure: $65.00�Newspaper Rack Inspection S108.00
Traffic Control Plan Check
8-1/2" x 11" $65 00 Sewer Connection Fee $250-00
24" x 36" $143 00 4TT Box & Cover $64.00 Y
Additional
I THE FOLLOWING I7EM9- REQUIRE APPROVAL, FROM THE — Revenue Division
REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval_ 1
(Water Meter: Qty.
13/4" Meter $5025 -
Installation Charge $528.00� 1
11 Meter $121.50 1 1�Vater Meter Boxes: 1
11 1/2" Meter $285.CC 1" DPW Meter Box $96.66 1
11 1Meter $425.00
fine Meter $700.00 2" DFW Meter Box $203,24
1
12" Turbine Meter $845.0', 1
13" Meter $3,310.00
14" Meter $4,730.00 1
K, Meter $7,190.00 1
µy.;� .kSk'i M rt:Wt
Certificate of Compliance Fee l+im%of hriy over3 hrs? $288 00
Development Services Fee (Plan check hours Y) $-155.00
Final Tract Map Checking Fee $2.488.00
Final Parcel Map Checking ;`ee - Moderate S27488.00
Lot Line Adjustment Fee $1,079 00
Park Dedication Fee Zone _ TBD
Street EasementAtacationFee (+100%ofhrlyover4hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBD
_..---------------------.--------------
Engineering Tech: Total Amount Due:
�
Budget Number
5200-50 29
5200-5015
5200-5026
5200-5027
5200-5028
405-470_
5200-5C31
030-2284
- _ __ _
For Finance uss only
PermjLSnecialist
Rev i f/81201
pt
IV
+.f1W1i
from arn neck ras(y r-x'
LEGEND
TREE
u
+ = POWER POLE
r,• = SEWER CLEANOU'
= WATER METER BOX
i
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/ PROPERTY LINE --�
- !.- S.
\f 14 F Loktu of
CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
PERMIT No. N a 611 -- ( ( ( C
W.'- 1 - to -- L j- 1-
ADDRESS l s I V i A �Le tt f
APPLICANT
OWNER
DESCRIPTION Or WOP.
10/2/2018 City of Newport Beach Page 6 of 11
6::4:S 5AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 10/02/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 119 VIA FLORENCE
A/P/D Infoffnation:
Activity : N2017-0610
SubType : NEW
Status : APPROVED
OWNER: CASPERS ANN K Phone: 0
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL NEW 1" WATER SERVICE PER STD 502-L, REPLACE SEWER LATERAL AND
INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING WATER (3/4") AT MAIN.
Requested Inspection(s)
Item:
Requested Time:
Entered By:
Comments:
Assigned to :
10215 ROUGH UTIL
10/2/2018 12:00:OOAM
WEBUSER
AM-
zzzzzzzzzzz* J �-f
Cf}-NCV--,-t�D
Requestor: WEBUSER
(''�2 1✓1 � S ���q-1L
132 Via Florence - Google Maps
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11r112018 City of Newport Beach Page 9 of 14
4:30:48PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/02/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 119 VIA FLORENCE
-
Activity : N2017-0610
SubType : NEW
Status : APPROVED
OWNER : CASPERS ANN K Phone: 0
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : INSTALL NEW 1" WATER SERVICE PER STD 502-L, REPLACE SEWER LATERAL AND
INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING WATER (3/4") AT MAIN.
Item:
Requested Time:
Entered By:
Comments:
10215 ROUGH UTIL
11 /2/2018 12:00:OOAM
WEBUSER
AM-
Requestor:
Assigned to: 777777777Z7* 2 /o A4 /
,/vh11-u,fv/- P Ve'RI/a")fJ4, }-
q 7 1 / / *7 / , -C, ;f h p,-�-; 0 A_
WEBUSER
Rceffile
12/10/2019 City of Newport Beach Page 22 of 25
4:30:32PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 12/11/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 119 VIA FLORENCE
A/P/D Information:
Activity : N2017-0610
SubType : NEW
Status : APPROVED
OWNER: CASPERS ANN K Phone: 0
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL NEW 1" WATER SERVICE PER STD 502-L, REPLACE SEWER LATERAL AND
INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING WATER (3/4") AT MAIN.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 12/11/2019 12:00:OOAM Requestor: WEBUSER
01
Entered By: WEBUSER
Comments: 'ANY-'
Assigned to : zzzzzzzzz?Z*__-
/f'7 1(2"17
P_ Z_
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