HomeMy WebLinkAboutN2017-0054NTH,
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City of Newport Beach
too civic Crntei Drive Newport Beach CA 92660 IIIIIIIIIIIIIIIIIIIIII,IIIIIIIII� IIIIIIIII
Permit Counter Phone (949)644-3311
Online Inspection Request - www newportbeachca gov / Online
Services
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IIIIIIII IIII Permit No: N2017 0054
Project No 1732-2016
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Inspection Requests Phone (949)644-3255
Job Address
22 MAINSAIL DR NB
Thomas:Guide: 919G1
Description
Install sewer clean out per Std 406-L
Parcel #
4585-313-1 -
Legal Desc :
N TR 8425 LOT 88
Owner:
FISCHER GEORGE & BEVERLY
COMPLETED
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106
Address :
248 DRIFTWOOD 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 -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
$635.00
Agreement Fee
$0 00
4TT Box Cover $64 00
Paid :
$635.00
Traffic control Plan Check $0 00
Total Water Meters $0 00
Balance :
$0.00
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
Traffic Approval
Date
Date
_/_/
_/_/
Permit Denied Date
Issued Permit oc!`. Date l -311 17
General Services Approval
Date
_/_/
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY +r,r
`TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
January 31, 2017 1:41:26 PM PST 92 3 Received
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WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
TE-THE B L• I Q
PROJECT ADDRESS: ILI
DETAILED DESCRIPTION OF PROPOSED WORK:
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PLICANT: _ ` A — ` " Phone -
Email Address:
Mailing Address:
CitylStatoop;
OWNER: phono;
mail Address:
Ring Address:
City/State/Zip:
AL' L OONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE .
ONTRACTOR:
Office Phone:
mpany (if different);
Jobsite Phone:
Other Phone:
Email Address:
ailing Address;
City/Statelzip:
tate License Number & Class:
Expires.
City Business License Number:
ices•
ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
om an : Polic No: Tres:
u�r'ic • I: �fioris: • 9d9;6:ax ,�s� ... .
ti(hies : 949-6A4:30.11
'rtisn Forks • �+1�r64:4-�9�3. • � -
FOR OFFICE USE ONLY
Special Conditions of Permit:
L la
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Nlunic'pal Operations
Traffic: I�J Fire: u
Other.
Engineering Technician:
Permit st
Date:
1
Permit No.
11420*,V611
f ltB�re/abwhMBfetllenCtaeC�rtneE�brslaOMaManaw.xK
Pubec Works Daparhnent 949.6"-3311
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Processing Fee:
Public Works Only
$241.00
Other Department
$275.00
Agreement Fee:
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$192.00
Monitoring Wells
$502.00
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
StreetlAlley/Walk Closure: $65.00= Newspaper Rack Inspection
Traffic Control Plan Check
$165.00
$121. )0
$165.00
$108.00
TBD
TBDJ
$108.00
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box & Cover $64.0
Additional
�._ � I€ 1: .... • .'RE1I�Nt1E DiN1Sll7ttrl Pt2tO1? TO PAYMeNT OR A£ES ::.......,� �.?zrLLawHirWO YA97 7IQZ;Wr�s Roi
F.' ! �►pProvir::. ......... ..1
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IW�tR►Nleler: : lislsjR; Rri Ciiai+ge.
i3/A'':Me3eir 5Q.25 : Vvabe��llet�c BQx0:: 1
[1 ^ -Meter: � � • $'13 t.a0 . - :poi �a>iiovay � :SidervaNs Area•tBnz• �• Gouei~= : •!
�1 Z/2":Meter: :$28S.t)0' : !":Meter::13.(itr37:00'
11:1/2"Tu. . . .Nle.. $ OQA-2;•Meter_' '27.Va�61,25 $88.25 !
12"•INeter • -$425.b :1
YJA3inoMs Met ............ .$84!i•QO
E �.fSAeter.•'•'•'•:•:•:•:.:.:.:.:.:.:.:.:•$3;31a••:1"•dAeter.•:•93.�0:�:38:flb:•••�•••'•••'•:'$S.t:A •:1
":Meier ::::::::::::::::$st,73�.iifl l"adeter::27 (K) f 62 00::' .' .' _' :' : 1b4 t]p.
Certificate of Compliance Fee (+100% of My over 3 tvs)
$288.00
Development Services Fee (Plan check hourly)
$155.00
Final Tract Map Checking Fee
$2,488.00
Final Parcel Map Checking Fee - Moderate
$2,488.00
Lot Line Adjustment Fee
$1,079.00
Park Dedication Fee Zone _
TBD
Street Easement/Vacation Fee (+100% of hry over 4 hr$)
$1.022.00
Street Tree Fee ($700 Planting Fee)
TBD
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405-470_
5200-6031
030-2284
Engineering Tech:
TTl Amount Due:
For Rnance Use Only
Permit atlst
Receipt No.
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�1 Rev. 1WI12016
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LEGEA "D
(0) = TREE
-4- = POWER POLE
Q =SEWER CLEANOUT
Q = WATER METER 8OX
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CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
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Permit No. rl
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APPLICANT Y : L'a 8, 1t)e
OWNER
DESCRIPTION OF WORK sa ff_ ,. cuj..
• 113112017 City of Newport Beach Page 5 of 6
4:30:09PM INSPI50 - Daily Inspection Request Report
Requested Inspection Date: 02/01/2017
Inspection T'ype: ENCROACH
Inspection Area: PW
Site Address : 22MAINSAIL DR
" 4W.,
4
Activity N2017-0054
SubType: NEW
Status : APPROVED
OWNER: FISCHER GEORGE & BEVERLY Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description Install sewer clean out per Std 406-L.
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Item: 10030 CLEAN -OUT
Requested Time: 2/1/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER /Z gl 19 e
Comments: AM -
Assigned to: 77777777777*
Inspector: 3 Date: 1 11-7 Time: is 1y&r_09)PM
Comments: '5AA1T-0S I
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