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N2017-0340
U l-l2�•� City of Newport Beach IIIIIIIIIIII Illlllllllltlllllllllllllllllll Permit No: N2017-0340 100 Civic Center Drive, Newport Beach, CA 92660 III N 2 0 1 7 0 3 4 0 IIII Permit Counter Phone (949)644-3311 Project No SCANNED' ��µ. Online Inspection Request www newportbeachca gov / Online C N ED - Services Inspection Requests Phone (949)644-3255 Job Address . 1 PUBLIC ROW NB Thomas:Guide: Description Install isolation valve for existing air relief valve assembly per IRWD Standards on Jamboree Road and the southbound SR-73 on -ramp. Concrete restoration per City Standards Parcel # : Legal Desc : Owner: CITY OF NEWPORT BEACH Contractor : IRVINE RANCH WATER DISTRICT Phone: COMPLETED Phone: 949-453-5671 Address : Address : 3512 MICHELSON DRIVE IRVINE, CA 92612 Contractor State Lic: Applicant: IRVINE RANCH WATER DISTRICT License Expire: Phone : 949-453-5671 [ Address : 3512 MICHELSON DRIVE IRVINE, CA 92612 Business License Business Expire: Special Cond.: Workers' Compensation Insurance - - Carrier : Policy No: W. C. Expire: Permit Processing Fee . $241 00 Sewer Connection $0.00 Total Fee $571.00 Agreement Fee - $0.00 4TT Box Cover - $0 00 Paid : $0.00 Traffic control Plan Check : $0 00 Total Water Meters $0.00 Balance : $571.00 Inspection Fee $330 00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit $0.00 Total Water Meter Box : $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By. Date _/_/ Other Department -----Date: Utilities Approval Date. _/_/ Permit Denied Date: (� C- Traffic Approval : Date: _/_/ Issued Permit : Date . i; / General Services Approval Date: _/_/ •11DETAILED DESCRIPTION OF PROPOSED WORK: ArrLlVArl I; IPhone: Email Address: Mailing Address: CitylState/Zip: OWNER: Phone: Email Address: Mailing Address: City/State/Zip: ':..r.�. fI R 11r I IF�I t8i' R�IIiI E '�Fi!1SE VAJMIF'IL&1>t: CONTRACTOR: t��vi h S�l'LG� Office Phone: Pu�� 45�3 �SZo Company (if different): Jobsite Phone: Other Phone: Email Address: c�`C i I Mailing Address: City/State/Zip. State License Number & Class: City Business License Number: Expires: Expires: CORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Comaanv: Policv No: Expires: Munici al0 erations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 . n °: '`fn�.'''•`�.;s�'•*ry- ,,_'y, ., srr t�y:. ^s _ M Special Conditions of Permit: { ". . � P I 9RWAR Utilities: Traffic: Fire: 0 Municipal Operations Other: Engineering Technician: Permit Specialist Date: Permit No. N2017- f /users/pbw/sharedlencroach/masters/epworksheel xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 FEE WORKSHEET FOR ENOROACH11i[ PERMIT H OTY OF P��TS Puam 1lIlORI ©EPO1 All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT N2017- o340 t public ROW NUMBER: APPLICANT: Zrvime, 1RcmOl VJ01rf1' Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Q Inspection Fee: $241.00 I Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817.00 $192.001 Refundable Deposit: $502001 Improvements Qtv. $165.00 2 $121.00 $165.00 $108.00 TBD TBD Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65 00 Sewer Connection Fee $250.00 24" x 36" $143.001 1 4TT Box & Cover $64 00 Additional 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: Qty. (Water Meter: Installation Charge $528.00 1 13/4" Meter $50.25 Water Meter Boxes: 11" Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost) 11 1/2" Meter $285.00 1" Meter: 13.00 + 37 00 $50.00� 11 1 /2" Turbine Meter $700.00 2: Meter: 27.00 + 61.25 $88.25 1 12" Meter $425.00 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 1 13" Meter $3,310.00 1" Meter: 13.00 + 38.00 $51.00 14" Meter $4,730.00 2" Meter: 27.00 + 162 00 $189.00� 1 16" Meter $7,190.00 Certificate of Compliance Fee (+100% of hrly over 3 hrs) $288 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 TBD 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 Permit a ialist Receipt No. "i f 'users/obw/shared/encroachlmasters/ep front and back masters/ Rev 1/5/2017 epfeesheetxls-revised 10/2112016 Almendralo, Rodi From: Omar Escobar <Escobar@irwd.com> Sent: Tuesday, June 20, 2017 7:11 AM To: Almendralo, Rodi Cc: Dave Crowe; David Perez Subject: Permit For South East Corner Of Jamboree Rd. Attachments: UNIRPSENT1_(NEW) D40Construct - B_W Canon iR-ADV 4235 PCL_1672_001.pdf Good Morning, Rodi, I would like to request a permit for encroachment at the South East corner of Jamboree Road. Our crew will be installing a new 2 inch isolation valve in sidewalk for our 2 inch air relief valve that's in the corner. I've attached maps and pictures of the location. Please let me know what day and time works for you so that I may pick up the permit. If you have any questions please feel free to email or call me at your convenience. Thank You, Omar Escobar Water Maintenance Tech III Irvine Ranch Water District 3512 Michelson Drive Irvine, CA 92612 Office 949-453-5671 Cell 714-905-4291 Fax 888-507-8955 escobar@irwd.com 1 N 201-1— 03,40 51 3 01, 1 SOUTH BRISTOL ST amsTot-sr BRISTOL ST I 6STCRY 1 I 01`cICE BLDG RAYCRESTCT 4�1 If �i 5STORY PARKING STRUCTURE TR 12528 TR 42362 % G d / WRRIOTT HOTJL j 9 STOR� __11 RAYCREST CT V IRI L 1204, ATR 12529 a I EGP� Ci— I T. 12530/ At- — ARD 0 A *1FAII TR 12212 ce J.4 MBORE4 ROAD ALL TRAFFIC COP JROL PER W.A.T.C.H.MN 'UAL . . . . .. . ........... . .. ---- --- ......... . .......... ---- --- - ........... - -------- ----------- -- ---- ---- ...... WATER MAIN LINE - - - --- - - - - ------------- SE. BRiIST0L ST. S 73 TOLL RD.;ON RAMP - - - - - - - - -- - - - - - - - - - - PROPOSED EXCAVTION I\ '. \ "At, \\ .� \ 02017Google Goo le earth 1, 0 P. :.• � a ` rye. 1 1/11/2022 City of Newport Beach Page 3 of 12 4;30:44PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/12/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1 PUBLIC ROW A/P/D Information: Activity : N2017-0340 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: IRVINE RANCH WATER DISTRICT Phone : 949-453-5671 Description : Install isolation valve for existing air relief valve assembly per IRWD Standards on Jamboree Road and the southbound SR-73 on -ramp. Concrete restoration per City Standards. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/12/2022 12:00:OOAM Entered By: WEBUSER Comments: 'ANY-' Assigned to : z zzLZZZZ_ Requestor: WEBUSER 11