HomeMy WebLinkAboutN2018-037714N6
City Newport Beach
111111111111111111111111111111111111111111111111111111111 Permit No:N2018-0377'01 lot„Cach,CA92660 2
;,, Permit Counter Phone (949)644-3311 Project No - 1207-ZSCANNED
Online Inspection Request - www.newportbeachca gov / Online ,
' Services
J,E,;,J 'L �� Inspection Requests Phone (949)644-3255
Job Address:
4515 GORHAM DR NB
Thomas:Guide: 9
Description :
ABANDON EXISTING 1" WATER SERVICE AND INSTALL 2" SERVICE FOR 1 1/2" METER PER STD 503-L. INSTALL�TERAL AND CLEAN OUT PER
STD 406-L
Parcel #
4750-140-3 -
Legal Desc :
N TR 3357 LOT 108
Owner:
MILLER ROBERT AND ESTHER
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106 949-289-0078
Address :
4515 GORHAM DR
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, 2019
Phone:
949-548-0106 949-289-0078[
Address :
P O BOX 3341
NEWPORT BEACH CA 92659
Business License: BT96014951
Business Expire : 12 31, 2018
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
$2,066.24
Agreement Fee:
$0 00
4TT Box Cover - $64.00
Paid :
$2,066.24
Traffic control Plan Check $0.00
Total Water Meters . $813.00
Balance :
$0.00
Inspection Fee
$495.00
Water Meter Connection : $528 00
Receipt No.
Refundable Deposit: $0.00
Total Water Meter Box $203.24
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
General Services Approval : Date : _/_/
PLEASE COMP E THE FOLLOWING INFORMATION
PROJECT ADDRESS:
4515 GORHAM
DESCRIPTION OF WORK:
ABANDON EXISTING 1" WATER SERVICE & INSTALL 2" WATER SERVICE
FOR 1 1/2" METER PER 503-L
INSTALL SEWER LATERAL & CLEAN -OUT IN PERHAM RD PER 406-L
APPLICANT: MIKE KILBRIDE I
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 12-31-18
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : STATE FUND Policy No.9087110-14-2 Expires: 10/1/2018
REFUNDABLE DEPOSIT INFORMATION (lf Applicable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
MAWRWY
Special Conditions of Permit:
MIMI
Utilities:
General Services:
Traffic:
Other:
Engineering Technician:
Public Wo -Specialist:
Date: ?
-J�
Permit No.
N2018- ��
Permit Processing Fee: Inspection Fee:
Public Works Only $241 00 Public Works Field Inspection $165 00
Other Department $275 00 Utilities Field Inspection $121 00
General Services Inspection $165 00
Agreement Fee: Water Quality/Artificial Turf Inspection $108 00
Preparation of Report/Agreement $817 00
Document Recordation Fee $192 00 Refundable Deposit: TBD
Monitoring Wells $502 00 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 0
24" x 36" $143 00 FO4TT Box 8 Cover $64 0
Additional
I THE LLOWIN_FIMEMS REQUIRE APPROVAL FROM THE Revenue DlvWon 1
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I
I 4tY• I
(Water Meter: Installation Charge $528.0 I
13/4" Meter $50.25
11" Meter $121.50 - Water Meter Boxes: I
11 1/2" Meter $285.0 1" DFW Meter Box $96.66
11 1/2" Turbine Meter $700.0 2" DFW Meter Box $2013 24 1
12" Meter $425.00 1
12" Turbine Meter $845.00
13" Meter $3,310.00 1
� 4" Meter $4,730.00 1
!6" Meter $7,190.00 i
Qty.
Budget Number
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 hriy 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
z /-( U'G-,,`
Permit S cialist Receipt No.
,( f'use,s/oLwisrar.xlie^u,)acn/mastersiep -font and Dacn ndsterS/
Rev 11/8/20171 epteesneet .is -revised ' ,iwi l
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY PhrilP
(entity who is requesting meter and/or would get
deposit refund)
MAILING ADDRESS RECEIPT#
CITY/STATE/ZIP PHONE #
SERVICE ADDRESS 1515 &fka M
SERVICE REQUESTED: Chock all that apply
( ) Hydrant Meter ( ) New Meter ( ) Meter Upgrade
Deposit required New service address Existing service address
(tapping order) (tapping order) (work order)
( ) New Meter at existing service address () Irrigation only
(tapping order) /
( ) Commercial Location Residential Location ( ) Fire Connection Fee $
� n
(Meter Size (�? Fee $ a5 • (44TT Box Fee; �Py
�p2 . lwi
( J) Meter box & Lid - Alley/Traffic Area Fee $3_ or Parkways/Sidewalk Fee $
Total Fees $ Encroachment Permit Number: �1�(� C'/� I
Please Coniphift Owner Info (Hydrant Meter !!) needed for monthly service billing account
Customer Name (property owner) Xak
n r
Billing Address aOLlD c-i55 vS tNC City/Zip CD M
`Residence Phone # Business Phone #
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
WORK/TAPPING ORDER NUMBER
f/users/rev/shared/water/water meter sery app 05/23/16
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CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
ADDRESS
Cso iFA
Permit No.42 --c f-� o
' 2/6/2019 City of Newport Beach Page 11 of 18
4:30:55PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
02/07/2019
Inspection Type :
ENCROACH
Inspection Area :
PW
Site Address :
4515 GORHAM DR
i.
7. "i�; - �i=.;,S�i' ;tmf'lw `ti!t ,. "+tL_�.+Ti'r. - ..
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Activity :
N2018-0377
SubType :
NEW
Status :
APPROVED
OWNER: MILLER ROBERT AND ESTHER Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : ABANDON EXISTING 1" WATER SERVICE AND INSTALL 2" SERVICE FOR 1 1/2"
METER PER STD 503-L. INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L.
ue$teii Ins :... in�sj
Item: 10215 ROUGH UTIL
Requested Time: 2/7/2019 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
V2019 City of Newport Beach Page 8 of 18
6:30:20AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/11/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 4515 GORHAM DR
"M Information:
Activity : N2018-0377
SubType : NEW
Status : APPROVED
OWNER: MILLER ROBERT AND ESTHER Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : ABANDON EXISTING 1" WATER SERVICE AND INSTALL 2" SERVICE FOR 1 1/2"
METER PER STD 503-L. INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L.
iPts)
Item: 10250 FINAL - PW
Requested Time: 9/11/2019 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777`
1 � ` r7 �1 .,�{.//�'-Cr"`J � !, 1'".: � r - t [ � t �k' �,� L� �- `- t • ".. F.� % E' � r / •`.' . �'� r
3/5/2020 City of Newport Beach Page 16 of 17
.1:30:04PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/06/2020
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 4515 GORHAM DR
A/P/D Information:
Activity : N2018-0377
SubType : NEW
Status : APPROVED
OWNER: MILLER ROBERT AND ESTHER Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : ABANDON EXISTING 1" WATER SERVICE AND INSTALL 2" SERVICE FOR 1 1/2"
METER PER STD 503-L. INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 3/6/2020 12:00:OOAM
Entered By: WEBUSER
Comments: 'ANY-'
Assigned to : zzzzzzzzzzz*
< le, e
/ i1 ✓ �-Ci �� 11
r
Requestor: WEBUSER
11
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