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N2017-0398
City of Newport Beach I III IIIIIII III II III II II III 100 Civic Center Drive, Newport Beach, CA 92660 II� N 2 0 1 7 0 3 9 8 n Permit Counter Phone (949)644-3311 Online Inspection Request - www newportbeachca gov / Online •mot Services Jillou Job Address : 1406 ANTIGUA WAY NB Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Parcel # : 1177-710-3 - Legal Desc : N TR 3852 LOT 50 Owner: ANTIGUA PROPERTIES LLC ^ Phone: j t Address : 2027 TAHUNA TER �J CORONA DEL MAR CA 92625 Applicant: COAST WATER & POWER Phone : 949-548-0106 949-289-0078[ Address : P O BOX 3341 NEWPORT BEACH CA 92659 Special Cond.: PRE -CONSTRUCTION MEETING 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 - 0 2.1.16 , Permit No: N2017-0398 Project No : 2920-2016 " Inspection Requests Phone (949)644-3255 Thomas:Guide: 889C5 Contractor : COAST WATER & POWER Phone: 949-548-0106 949-289-0078 Address : P O BOX 3341 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 License Expire : 07 31, 2019 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 : Pate: OF P• PUBLIC WORKS DEPARTMENT PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 1406 ANTIGUA WAY DESCRIPTION OF WORK: INSTALL SEWER CLEAN -OUT PER 406-L APPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Mailing Address: PO BOX 3341 City/State/Zip: NEWPORT BEACH, CA 92659 OWNER: Phone: Mailing Address: City/State/Zip: 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/State/Zip: NEWPORT BEACH, CA 92659 State License Number & Class: 738400 A, B, C-10 City Business License Number: BT9601491 EXP: 12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Compan : STATE FUND Policy No: 9087110-14-2 Expires: 10/(/2017 REFUNDABLE DEPOSIT INFORMATION (If Applicable) Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659 Conditions of Permit: (,l-\.`��1.) I a I t r-�1 ,%_, 1fi t=LC,_Cc Utilities: Traffic: Q General Services: Other: Engineering Technician: Publi ohs Specialist: Date Permit No. c�(' N2017- t FEE WORKSHEET FOR ENCROACHMENT PERMiT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT Fees Are Nob,^Ref-iiiidcibli&: U iless Othd wise: StdtL'd :::::::: : PROJECT ADDRESS: ypN201� 1.&&Uot PERMIT -- � ✓)��. NUMBER: APPLICANT: ,_ ri'de Permit Processing Fee: Public Works Only $241.00 Other Department $275.00 17i Agreement Fee: Preparation of Report/Agreement $817 00 Document Recordation Fee $192 00 Monitoring Wells $502 00 Inspection Fee: QtY. Public Works Field Inspection $165.00 �. Utilities Field Inspection $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements 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 00 4TT Box & Cover $64 0 Additional THE- FVLtOWMNG tTEMS •REQUIRE• APPROVAL. FROM THE • . Revenue. Division. • . • . • . • . • . • . • . • . r:�:�:�:�:�::�REi%ENt1E:DtV1§lOiN:Pa2tQR�TOPA�i`MEI�T'OF'FEfS .'.'.':':':'. ApPrcival_•:•:•:•:�:-:�:•: :•:•:•:�:j [Water Meter;; , ; , ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; : ;NistaNation; Charge; ; ; ; ; ; . ; - ; ; ; $528;00 : : : -I 13/h":Meter . - . • . - . • :::::::::::: $5Cj.25 :::::: Water I�IIQt�Ir BQx¢§:: ::..:::::::::::::: 'I . .. - .FDr. Parkway 6 :Side►waik •Area -(.Box-+• Cover=. Coo. 11.i&'*Meter'-:-:':': : :':':':':':':':':$285.00 '. : 1Meter.: 13.00+3700'. : .':'$5000: .1 [11/2"TurbiniaMeter' : : : ; ; ;-;-'$700.00•'•' ;.2:;Meter:;-;27.Oa+6125 - ------------$88.25 •;1 ........... 12"-Meter •;•;-;-;-; ; ; ; ;,;,;,;,;,;,$425:00 ;-;-;- .. .. .... -;-;-;-; ; ; ; : : : ; ; ; ; :-; : ; : ; : . . .-. . . .-:.:.1 r2°'Turbine •4ox: EoYr =:Cost 13" Meter: : : : : : $3,31 D �3b : : : : : :1 `.' Meter.: 3.40: +. 38:OfJ :.: : :.: r4" Meter. : : : : : I. .................. $4, t30.00 . .... • ... • : • : •2".Meier.. •.27..00, + 162.00:..:.: : $189 00.8:.1 ............................ t6" *Meter- ... " . .. . • ... • • : • ...$7,190.00 : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :.. a QtY. Budget Number Certificate of Compliance Fee (+1 o0% 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: Permit SDoc.ialist T/gtal Amount Due: For Finance use only Receipt No. /users/pbw/sharedlencroachlmasters/ep front and back masters/ LEGEAD = TREE = POWER POLE =SEVER CLEANOUT 'N'.ATER METER BOX Oak -CENTERLINE Jy, ADDRESS CITY OF NEWPORT BEACH ENCROACHMENT PERMIT APPLICANT OWNER DESCRIPTION OF NORK Permit NoA 12/11/2017 City of Newport Beach Page 5 of 11 4:31:OOPM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/12/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1406 ANTIGUA WAY 4n Activity : N2017-0398 SubType : NEW Status : APPROVED OWNER: ANTIGUA PROPERTIES LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbdde@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L. 1-0 Item: 10215 ROUGH UTIL Requested Time: 12/12/2017 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz* Inspector: J\-/ Date: Comments: 14!�& ,�Itl- b n / z,4 r F:\Users\PBW\Shared\E NC ROACH\MASTERS\FORMS\I nsoectorS heet.doc Requestor: WEBUSER Z Time: 0 ' l0 Z(Aj)PM /Xlr 5-1� REPT131 Run Id: 4018 1/31/2018 City of Newport Beach Page 6 of 6 4:30:60PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 02/01/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 1406 ANTIGUA WAY - v M4M�� �, ,`riw'zel,,yr.7`S.,'�,+�w.•:y l.E�iu"'S'�''-,�? �=!X-..11�',G•�.I i[. •..�..�.{3.�=�'5 .. .. . *-''::i°, -Y, t - a Activity: N2017-0398 SubType : NEW Status : APPROVED OWNER: ANTIGUA PROPERTIES LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L. 0 L,-' tir +�c .xl.. ,�-K %•- �!;l- ! e j¢j '"_ n�,iY2.3scu-. -,:'r`•,,,--"'f.',''�`'ir;,�r: ^iN, x.., .� M ,,.A�."., ..n'.µ?�;r-. _ ..--:':i-`'� -.. an'3�t���JNG��5'7�•��:'�,'�i t.S _ v .. t .. - Item: 10250 FINAL - PW Requested Time: 2/1/2018 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to : 77_77777777' Requestor: WEBUSER