HomeMy WebLinkAboutN2018-0132City of Newport Beach 111�1111III IIIIIIIIIIIIIII IIPermit No:N201
^<100Ciwc Center Dve, Newport Beach, CA 92660 2I1II1I 2
Permit Counter Phone (949)644 3311 Project No : 0433-2018 C-01 -v Online Inspection Request - www newportbeachca gov / Online
Services
Inspection Requests Phone (949)644-3255
Job Address: 16 BEACON BAY NB Thomas:Guide: 919C1
Description REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, REPLACE 3/4" WATER METER BOX WITH NEW 1" BOX AND PURCHASE 1" METER.
Parcel # - 0502-110-8 -
Legal Desc : R BK 9 PG 42 PAR 16
Owner: SKJONSBY GREG/HANNA Contractor : COAST WATER & POWER
Phone: Phone: 949-548-0106 949-289-0078
Address : 16 BEACON BAY Address : P O BOX 3341
NEWPORT BEACH, CA 92660 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 $1,796.16
Agreement Fee : $0.00 4TT Box Cover: $64.00 Paid : $1,796.16
Traffic control Plan Check $0.00 Total Water Meters : $649.50 Balance : $0.00
Inspection Fee : $495.00 Water Meter Connection : $528.00 Receipt No:
Refundable Deposit: $0.00 Total Water Meter Box: $96.66
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: _/_/
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
March 15, 2018 at 3:24.34 PM PDT 119 4 Received
--J
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
16 BEACON BAY
DESCRIPTION OF WORK:
REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
REPLACE 3/4" WATER METER BOX WITH 1" BOX AND PURCHASE 1" METER
NOTE: HAS EXISTING V WATER SERVICE
APPLICANT: MIKE KJLBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
CltylState/Zip:
NEWPORT BEACH, CA 92659
OWNER:
Phone:
Mailing Address:
City/State/Zip:
CONTRACTOR: MIKE KILBRJDE
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)
Com an : STATE FUND Policy No: 9087 1 10-14-2 Expires: 10/1/201
REFUNDABLE DEPOSIT INFORMATION (If Applicable
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Permit:
l.t=
Utilities: � Traffic: �]
General Services: Other:
Engineering Technician:
Publlc ks Specialist:
Date:
ICJ
Permit No.
IN2018- C I
Permit Processing Fee:
Inspectlon Fee:
Public Works Only
$241 .00FM
Public Works Field Inspection
$165.00
Other Department
$275.00
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/ArtiRclal Turf inspection
$108.00
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$192 00
Refundable Deposit:
T80�
Monitoring Wells
$502.00
Improvements
TBD
Street/Alley/Walk Closure:
$65.00
Newspaper Rack Inspection
$108,00
Traffic Control Plan Check
8-1/2" x 11"
$65.00
Sewer Connection Fee
$250,
24" x 36"
$143.00
4TT Box 8t Cover
$64.00
Additional
HE FOL
TLOWING ITEMS REQURE
IAPPROVAL
FROM THE
_
RZeMe DIVISIon
rpproval:
1
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES
1
Qty.
(Water Meter:
Installation Charge
$528.0
13/4" Meter
$50.25
1
11" Meter
11 1/2" Meter
11
$121.50
$286-000
Water Meter Boxes:
1" DFW Meter Box
1
$96.66 1
1
1/2" Turbine Meter
$700.00
2" DFW Meter Box
$203.24
12" Meter
12"
$425 00
Turbine M@ter
$845.00
1
13 Meter
$3,310.00
1
14" Meter
$4,730.00
16" Meter
$7,190.00
1
Qty.
Budget Number
Certificate of Compliance Fee (+100% of hriy 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
$1,079100
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 Amountt Due:
For Finance use only
Perini iallst
Recelp No.
fluse•sfpowi:�,3raLvfmfoacrthllastat*D flan' any har, m9ate,el
Rev 11/812017
on(wuchaOtnU-icveed1t,V17
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY %Li Ibli d
(entity who is requesting meter and/or would get
MAILING ADDRESS RECEIPT#
CITY/STATE/ZIP PHONE #
SERVICE ADDRESS
fr...:�rva-r—.-aa� r...^^--9i*J�» •.. ' r-.R r ' - _ �crsxr,-�, r; t�o7N[ F:"cPtii
- _ ,��''; .;�y����;,'a' „y. _ _ - 'e-^r^r.+—_"-. _ -' �•,S�. r�:��! fy._-=:;..- -- - _ ~'i,= =,. ip[: ��', N;; 9'w+'F'.wi•'G' � - .7-uf 1�:�-"o..i.� �,r.� -- -•'-`•"^+Iti-'>,±--; :�M; „`,'i. •<. _ - 1, •'je' �'i`' - •-�,i�-:'ril:: y.�,., i{,;, y�A^`-'.�f;; �+�}'• iL`�.-'z-•?t'r.
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
( New Meter at existing service address
(tapping order)
(-I Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location () Residential Location () Fire Connection Fee $
(41) Meter Size I u Fee $ 1 �,k ► 5 ( Y4�T Box Fee $ to 4 .
(4Meter box & Lid - Alley/Traffic Area Fee $ && or Parkways/Sidewalk Fee $
Total Fees $
Encroachment Permit Number: L-2-C l � --0 13 ,9"
Customer Name (property owner)
Billing Address—z� City/Zip A1,6 , C4 q;Uof
Residence Phone #
E-Mail Address
Social Security # or CA Drivers License
usiness Phone #
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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ENCROACHMENT PERMIT
ADDRESS
Pei-n1xt No.N21 �01-�2
12/12/2018 City of Newport Beach Page 9 of 14
4:30:05PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/13/2018
Inspection Type: ENCROACH
Inspection Area: PW / Z
Site Address : 16 BEACON BAY
Activity : N2018-0132
SubType: NEW -
Status : APPROVED
OWNER: SKJONSBY GREG/HANNA Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, REPLACE
3/4" WATER METER BOX WITH NEW 1" BOX AND PURCHASE 1" METER.
Item: 10215 ROUGH UTIL
Requested Time: 12/13/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 777777777'
Logged
REGi#e