HomeMy WebLinkAboutN2017-0029U 5� -V -
4rwN'yY��� City o Newport Beach
1111111111111111111111111111111111111111111111111111111Drive, Newport
ach• CA 92660
Permit Counter Phone (949)644-3311
ILIy�,. s Online Inspection Request - www.newportbeachca.gov / Online
�•� s' ��, Services
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2
Job Address
Description :
Parcel # .
Legal Desc :
Owner:
Phone:
Address
2009 YACHT DEFENDER NB Thomas:Guide:
INSTALL SEWER CLEAN OUT PER STD 406-I. *UPDATED 5/30/18 - UPGRADE METER AND BOX TO 1"*
4585-711-5 -
N TR 9260 LOT 66
HUGHES ROGER & BRENDA
19 CREST CIR
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 -JOB INSPECTION REQUIRED
Permit No: N2017-0029
Project No : 0631-2015
SCANNED
Inspection Requests Phone (949)644-3255
889G7
COMPLETED Contractor : COAST WATER &POWER
Phone : 949-548-0106
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check
$0.00
Total Water Meters :
$649.50
Inspection Fee:
$330.00
Water Meter Connection:
$528.00
Refundable Deposit:
$0 00
Total Water Meter Box
$96.66
Street Tree Fee :
$0 00
Adjustment:
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval:
Contractor State Lic: 738400
License Expire: 07 31, 2019
Business License: BT96014951
Business Expire:
12 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110
W. C. Expire:
10 01, 2018
Total Fee $1,381.16
Paid : $1,381.16
Balance : $0.00
Receipt No:
Date : _/_/ Other Department : Date.
Date . _/_/ Permit Denied Date: , C
Date: / / Issued Permit : / Date : S/ �`/' 4�
Date : / /
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY Mike Kilbride WORK/TAP ORDER#
(person or entity who is requesting meter and/or would get hydrant deposit refund)
MAILING ADDRESS PO Box 3341 RECEIPT#
CITY/STATE/ZIP N=Mrt Beach, CA 92659 PHONE # 949.548.0106
SERVICE ADDRESS_ ZY&
0("�q CA;, a+4-�
SERVICE REQUESTED: Check all that apply
() Hydrant Meter
Deposit required
(tapping order)
( ) New construction
(work order)
( ) Irrigation only
( ) New Meter ) Meter Upgrade
New service address Existing service address
(tapping order) (work order)
( ) Adding meter to existing accountladdress
( ) New construction at existing service address
( ) Condo conversion/# of units Original Service Address
() Commercial Location ( ) Residential Location () Fire Connection Fee $
N) Meter Size '�_ *Fee $ I 5 $ S ( ) *4TT Box Fee $
Meter boa & Lid (circle) Alley/Traffic Area or Parkways/Sidewalk Fee $ yte.)-{
Total Fees* $ Paid by (circle) Check Credit Card Other with Encroachment Dermit
1 Please Complete Owner Info (hydrant Meter exempt)
Customer Name (property owner)
Billing Address
Residence Phone #
E-Mail Address
City/Zip
Business Phone #
Social Security # or CA Drivers
FOR OFFICE USE ONLY
CLERK DATE BUS LIC # M1D#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
f/users/rev/shared/water/water meter sery app 8/2/06
6
U U I(e�
wr.City of Newport Beach
GA 100 Civic Center Drive Newport Beach CA 92660 ZV 0 W29
Permit Counter Phone (949)644-3311
v to Online Inspection Request - www newportbeachca gov / Online
o Services
Job Address
2009 YACHT DEFENDER NB
Description
INSTALL SEWER CLEAN OUT PER STD 406-I.
Parcel # .
4585-711-5 -
Legal Desc :
N TR 9260 LOT 66
Owner: HUGHES ROGER & BRENDA
Phone :
Address : 19 CREST CIR
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 -JOB INSPECTION REQUIRED
Permit Processing Fee
$241.00
Sewer Connection
$0.00
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
Date
Utilities Approval
Date
Traffic Approval
Date
General Services Approval
Date
Thomas:Guide
Permit No: N2017-0029 ' -
Project No • 0631-2015 st-,A NI
Inspection Requests Phone (949)644-3255
889G7
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 $635.00
Paid : $635.00
Balance : $0.00
Receipt No.
Other Department Date
Permit Denied Date.
Issued Permit _ Date -/ /r
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
January 12, 2017 2:04:30 PM PST 110 3 Received
a
PLEASE COMPLETE THE FOLLOWING INFORMATION
Ir ROJECl' ADDRESS:
2 O O 9
YACHT DEFENDER
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN OUT 4 O 6 - L
APPLICANT: MIKE KILBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
OWNER:
1phone.
Mailing Address:
City/Statelzip-
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (if different):
COAST WATER AND POWER
Jobsite Phone: 949 289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
City/StatelZip:
NEWPORT REACH, CA 92659
State License Number & Class:
738400 A, B. C-10
City Business License Number:
BT9601491 EXP." 12-31-2015
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : STATE FUND Policy No:9007110-14-2 Expires:
10/10015
REFUNDABLE DEPOSIT INFORMATION (lf Applicable)
Made Pa able To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Permit:
Utilities:
General Services:
Traffic:
Other:
Engineering echnician:
Public
f-111,z.
s Specialist:
Date:
Permit No.
IN 201
Permit Processing Fee:
Inspection Fee:
Public Works Only
$237.00
Public Works Field Inspection
Other Department
$270.00'=
Utilities Field Inspection
General Services Inspection
Agreement Fee:
Water QualityrArtificial Turf Inspection
Preparation of Report/Agreement
$801 00
Document Recordation Fee
$188.00
Refundable Deposit:
Monitoring Wells
$492 00
Improvements
Street/Alley/Walk Closure:
$64.00=
Newspaper Rack Inspection
Traffic Control Plan Check
$162.04
$110.0
$162 00
$106 00
TBD
F��
TBD
$106.00
8-1/2" x 11" $64.00 Sewer Connection Fee $250.00
24" x 36" $140.00 4TT Box & Cover $54.7
_ Additional _ _ _ _ _ _
THE FOLL�WII�tG tTEMS REQUIRE APPROVAL FROM THE Revenue Division
REVENUE DIVISION PRIOR TO PAYMENT OF FEES lApproval:
Oh►
4tY I
Water Meter:
Installation Charge
.
$547.00. 1
13/4" Meter
$95.60
Water Meter Boxes:
11" Meter
$138 88
For Parkway & Sidewalk Area (Box
+ Cover = Cost
11 1 /2" Meter
$368.96
1" Meter, 11.42 + 34 26
$45.68
11 1/2" Turbine Meter
$670.75
2- Meter 22.84 + 52 74
$75.58 1
12" Meter
$510 31
1
12" Turbine Meter
$1,123.62
For Traffic & Alley Areas (Box + Cover = Cost) i
3" Meter
$3,354.65
1"Meter, 11.42 + 34.72
$46.114F::�
� 4" Meter
$4,407.87
2" Meter. 22 84 + 195 75
$218.59
!6" Meter
$7 130.82
Certificate of Compliance Fee (+100'/. of hriy over 3 hrs)
S288.00
5200-5029
Development Services Fee
TBD
5200-5015
Final Tract Map Checking Fee
$3,489.00
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,440.00
5200-5027
Lot Line Adjustment Fee
$1,059.00
5200-5028
Park Dedication Fee Zone
TBD
405-470_
Street EasemenWacation Fee (+100°A, of My over nrs)
$1,002 00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Total Amount D e:
For Finance use only
L C't
Permit Sp a ist
Receipt No.
rkuse .oEwMnarecldilCloaC$',M2$W5tgo lforvt am back micta'91
;� �� Rev.1-11-2016
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LEGEND
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— POWER POLE
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L = WATER :METER BOX
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�,� �';-°�'`, �.:MENT
ENCROCITY OF NEWPORT BEACH ; aDaREs (•t
°PERMIT'
f`�ACH
I PERMIT ; iaPPLICAVT.
1<. I`j I
I $ U `tti
"' �. OWNER
DESCRIPTION OF WORK
Permit No.N20(V(— c�z�
I
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3k15/2018 City of Newport Beach Page 8 of 8
4:30:1113M INSP150 - Daily Inspection Request Report
Requested Inspection Date: 03/16/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 2009 YACHT DEFENDER
Activity : N2017-0029
SubType : NEW
Status : APPROVED
OWNER: HUGHES ROGER 8 BRENDA Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-I.
Item: 10030 CLEAN -OUT
Requested Time: 3/16/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: 67 Date: a6 Zo t g Time: AM PM
Comments:
✓ i � Gl� Z- O t/�
C4
SQ>_
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
• '5/13/2019 City of Newport Beach Page 6 of 20
6:30:10AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/13/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 2009 YACHT DEFENDER
A/P/D Information:
Activity : N2017-0029
SubType : NEW
Status : APPROVED
OWNER: HUGHES ROGER & BRENDA Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live com
Description : INSTALL SEWER CLEAN OUT PER STD 406-I. *UPDATED 5/30/18 - UPGRADE METER
AND BOX TO 1 "*
Ib 100 Requested Inspection s)
Item: 9E4 �d�tS W f��G{�4G7/
Requested Time: 5/13/2019 12:00:OOAM equestor: WEBUSER
Entered By: WEBUSER 1�
Comments: AM- 1A.11ap
Assigned to: 77777777777*