HomeMy WebLinkAboutN2014-0006�swToa, City of Newport Beach 111111111111111111111111111111111111111111111111 111Permit No: N2014-0006
"f G� 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 4 0 0 0 6
H Permit Counter Phone (949)644-3311 Project No: 2943-2013 SCANNED a Online Inspection Request- www.newportbeachca.gov/Online SNED
Services
Inspection Requests Phone (949)644-3255
Job Address : 1701 PORT MARGATE PL NB Thomas:Guide: 889135
Description : Install sewer clean out per STD 406-L. Replace 3/4" water meter box with 1".
Parcel#: 4581-220-1 -
Legal Desc : N TR 6621 LOT 45
Owner: NB PARTNERSHIP, LLC
Phone: 949-466-0900
Address: 3419 VIA LIDO #455
NEWPORT BEACH, CA
Applicant: MIKE KILBRIDE, LTD
Phone: 949-548-0106
Address : PO BOX 3341
NEWPORT BEACH, CA 92659
Special Cond.: 2943-2013
pre -job inspection required
Permit Processing Fee:
$242.00
Sewer Connection: $0.00
Agreement Fee:
$0.00
4TT Box Cover: $54.72
Traffic control Plan Check :
$0.00
Total Water Meters : $0.00
Inspection Fee :
$0.00
Water Meter Connection : $0.00
Refundable Deposit:
$0.00
Total Water Meter Box: $45.68
Street Tree Fee :
$0.00
Adjustment : $0.00
Processed By:
Date:
Utilities Approval :
Date
Traffic Approval :
Date:
General Services Approval:
Date :
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, 2015
Business License:
BT96014951
Business Expire:
12 01, 2014
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
9073044-13
W. C. Expire:
10 01, 2014
Total Fee $804.40
Paid : $804.40
Balance : $0.00
Receipt No j20 - 4goal
Other Department : Date : —/—/—
Permit Denied Date : —/—/
Issued Permit : I �} Date: (V /U/ t
Permit Processing Fee: Qt .. Inspection Fee: Qty.
Public Works Only $242.001 I I Public Works Field Inspection $154.00 3
Other Department $319.00 Utilities Utilities Field Inspection $198,001L�--Jli1
General Services Inspection $154.00
Agreement Fee:
Preparation of Report/Agreement $900.00 Refundable Deposit: TBD
Document Recordation Fee $209.00
Monitoring Wells $495.00 Improvements TBD
Street/AlleyfWalk Closure: $55.000 Sewer Connection Fee $250.00
Traffic Control Plan check 4TT Box & Cover $54.72 1
8-112" x 11" $55.00
24" x 36" $139.00
Additional `._-.i..__
THE"FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue oivlslon
REVENUE DIVISION PRIOR TO PAYMENT OF FEES •�Approval�Tr�—_--�1
Qty. Q
lWater Meter: Installation Charge $406,00
X3/4" Meter $96.00 Water Meter Boxes: I
�1" Meter $139:00 For Parkway & Sidewalk Area (Box + Cover = Co
111/2"Meter $369.00 1"Meter: 11.42+34.26 $45.68 1
�2" Meter $510.00 2. Meter: 22.84 + 52.74 $75.5$ 1
13" Meter $3,355.00
p: Meter $4,408.00 For T'raff%C & Alley Areas (Box t Cover= Cost)
16" Meter $7,131.00 1" Meter: 11.42 + 34.72 $46.14
2" Meter: 22.84 + 195.75 $218.591 1
Certificate of Compliance Fee (+1000/o of hriy over 3 hrs)
$288.00
Development Services Fee
TBD
Final Tract Map Checking Fee
$3,489.00
Final Parcel Map Checking Fee - Simple
$374.00
Ali Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS: 1701 Pt Margate
PERMIT N2014- O pLq(a
$3,489.00
NUMBER:
APPLICANT: COAST WATER & POWER
Park Dedication Fee Zone
TBD
Street Easemt/Vacation Fee (+100% of hrly over 4 hrs)
Permit Processing Fee: Qt .. Inspection Fee: Qty.
Public Works Only $242.001 I I Public Works Field Inspection $154.00 3
Other Department $319.00 Utilities Utilities Field Inspection $198,001L�--Jli1
General Services Inspection $154.00
Agreement Fee:
Preparation of Report/Agreement $900.00 Refundable Deposit: TBD
Document Recordation Fee $209.00
Monitoring Wells $495.00 Improvements TBD
Street/AlleyfWalk Closure: $55.000 Sewer Connection Fee $250.00
Traffic Control Plan check 4TT Box & Cover $54.72 1
8-112" x 11" $55.00
24" x 36" $139.00
Additional `._-.i..__
THE"FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue oivlslon
REVENUE DIVISION PRIOR TO PAYMENT OF FEES •�Approval�Tr�—_--�1
Qty. Q
lWater Meter: Installation Charge $406,00
X3/4" Meter $96.00 Water Meter Boxes: I
�1" Meter $139:00 For Parkway & Sidewalk Area (Box + Cover = Co
111/2"Meter $369.00 1"Meter: 11.42+34.26 $45.68 1
�2" Meter $510.00 2. Meter: 22.84 + 52.74 $75.5$ 1
13" Meter $3,355.00
p: Meter $4,408.00 For T'raff%C & Alley Areas (Box t Cover= Cost)
16" Meter $7,131.00 1" Meter: 11.42 + 34.72 $46.14
2" Meter: 22.84 + 195.75 $218.591 1
Certificate of Compliance Fee (+1000/o of hriy over 3 hrs)
$288.00
Development Services Fee
TBD
Final Tract Map Checking Fee
$3,489.00
Final Parcel Map Checking Fee - Simple
$374.00
Final Parcel Map Checking Fee - Moderate
$2,297.00
Final Parcel Map Checking Fee - Complex
$3,489.00
Lot Line Adjustment Fee
$1,089.00
Park Dedication Fee Zone
TBD
Street Easemt/Vacation Fee (+100% of hrly over 4 hrs)
$983.00
Street Tree Fee ($700 Planting Fee)
TBD
5200-5029
5200-5015
5200-5026
5200-5027
5200-5027
5200-5027
5200-5028
405-470_
5200-5031
030-2284
Engineering Tech:
Total Amount Due:
For Finance Use only
I?ol�i
* 804, 40
Public Works Specialist:
Receipt No.
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.12.01-2013
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PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
1701 Port Margate
DESCRIPTION OF WORK: Establish gas service trench. Z¢ $ (d-j
Install sewer clean-Out
Replace 3/4" water meter box with T'
APPLICANT: MIKE KILBRIDE Phone: 949-289-0078
Mailing Address:
PO BOX 3341
CitylState/Zip:
NEWPORT BEACH, CA 92659
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CONTRACTOR: MIKE KILBRIDE loffice
Phone: 949-548-0106
Company (if different)
COAST WATER AND POWER I
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO SOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, B C-10
City Business License Number:
BT9601491 EXP: 12-01-2014
WORKERS OMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: STATE V7ND Policy No: 9073044-13 Expires: 10/1/2014
REFUNDABLE DEPOSIT INFORMATION (lfApplicable)
Made Pa able To: MIKE IKIILBRIDE Vendor No: 9833
PO BOAC 3341, NEWPORT BEACH, CA 92659
Mailing Address: PO
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Special Conditions of Permit:
1
Utilities: Traffic:.
General Services: Other:
Engineering Technician:
(
Public Works Specialist:
I 1wl-
Date:
l Z -
Permit No.
N2014- 000419
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LEGEND
TREE
= POWER. POLE
=SEWER CLEANOUT
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— WATER METER I3OX
CURB &
CENTERLINE -i- -
CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
Permit No.iN2�`�. Qr�lo
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APPLICANT jOLCB(' we
OWNER
DESCRIPTION OF WORK
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City of Newport Beach
Newport Beach Police Dispatch SIoL. Public Works Department
Phone: 949-644-3797 Phone: 949-644-3311 Fax: 949.644-3398
APPLICATION FOR;TENtFC9RARY STR, EET 7°$I,dEWALK CLOSURg,OR DUMPSTER PLACEMENT
City of Newport Beach Municipal Code 12.82.010 Permit for Temporary Street closure
APPLICANT INFOn MATION '
vame: MIKE KILBNI[�E
7omPany name: COAST WATER & POWER alry or tvowporc seam al,alnrms L,cen:: wq,
address: P.O. BOX 3341 3TS6014951
;ity/zip: NEWPORT BEACH, CA 52659-8341 Phone: Day 949-289-0078 Night
Lavation of Encroachment: v1 51
from n9arest
Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below_
NOTE: NO work on hgliday(s)I or weekends.
Date Closure to Begin: Date Closure to End:
(Maximum 14 )ays) Time of Closure: 7:00 AM to 5:00 PM
DIAGRAM LOCATION OF ENCROACHMENT BELOW: fir+ ^D+. \L' P01eye' bBE 7-4..5177x;
PoDk 0 Cf
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A copy of tens permit trust be visible on the dash of each vehicle authorized to park in r€served par ing spots.
Thea licant is responsible fpr notifying police Dl,^patch of any road closure, detour, ar reserved parking,
See reversa side of this e 'r far re Mations covering use of thls permit.11
ADDITIONAL CONDITIONS OF APPROVAL FOR, THIS PERMIT ,ARE AS FOLLOWS:
_1) Flagman operation per a411 W-A.T,O.H. Manual, Pages 47-48.
2) provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hrs prior to closure.
4) Place delineatore around construction area..L). Plate and backfill excavationes during non -construction.
(Permitee) hereby certify the information provided is true and concct and I agnae to comply with the terms and
:onditions on the front and back of this permit. Permitee guarantees to indemnify and hold the City of Newpgrt Beach
0s rjjns any claims, liabili y, or'udgme 5 fqr dmages arising out of permiteee's acctt''evls. ,
Dater 3 W
Approved by:
Date:
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9055 EIOZ/LE/ZI
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY Mike Kilbride WORWTAP ORDER#
(puson or entity who is requesting meter and/or wont get hydrant deposit refund)
MAILING ADDRESS FO Iiox 3341 RECEIPT#
CITY/STATE/ZIP Newvort Beach, CA 92659 PHONE # 949.548.0106
SERVICE ADDRESS 1701 Pt Margate UPGRADE METER BOX ONLY
SERVICE REQUESTED. Check all that apply
() hydrant Meter
Deposit required
(J8ppin-, 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 account/address
( ) New construction at existing service address
( ) Condo conversion/# of units Original Service Address
( ) Commercial Location ( ) Residential Location ( ) Fire
( ) Meter Size *Fee S { I 1TT Box Fee $ 54.72
( x) Meter box & Lid (circle) Alley/Timffic Area or Rarkways/Sidewalk Fee $ 45.
Total Fees* $ 100.40 Paid by (circle) Check Credit Card Other with Encroachment permit
Please Complete Owner Info
Customer Name {property own
Billing Address
Residence Phone #
E -Mail Address
Meter exempt)
City/Zip
Business Phone
Social Security # or CA Drivers
FOR OFFICE USE ONLY
CLERIC DATE BUS LTC # MID
DATE UTILITIES COMPLETED BATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER
flusers/rev/shared/water/water meter sery app 8/2/06
N2viZf'6006
50 39dd 3QIJE_1IA 919T8b9646 99:9T ET9Z/T£/ZT
06-26-2014 Inspection Request Reporting rage 4
4'29 pm NE PART 6EACH CA -CITY
Requested Inspect Date: Friday, June 27, 2014
Assigned To: zzzzzzzzzzz
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1701 PORT MARGATE PL NB
A/P/D Information
Activity: N2014-0006 Type: ENCROACH Sub Type: NEW Status: APPROVED
Const Type: Occupancy: Use: Insp Area: PW
Owner: NB PARTNERSHIP, LLC Phone: 949-466-0900
Applicant: MIKE KILBRIDE, LTD Phone: 949-548-0106
Description: Establish gas service trench per WO# 208674. Install sewer clean out per STD 406-L. Replace 3/4" water
meter box with 1'.
Reauestedlnsnection(s
Item: 10215 ROUGH UTIL Requested Time: 12:00 AM
Requestor: WEBUSER Phone: 949-548-0106
Comments: AM -
Assigned To: zzzzzzzzzzz* Entered By: WEBUSER WB
Action: Time Exp:
Inspector: Time: AM PM
Comments:
Legged
Defile
F:\Users\PBW\Shared\FNCROACH\MASTERS\FORMS\InspectorSheet.doe
REPT13 --_ - - ----- _ Run Id: 6352-
REPT131. Run Id: 4018
e
Requested Inspect Date: Wednesday, kFebruary 11,2015
Assigned To: zzzzzzzzzzz
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1701 PORT MARGATE PL NB
AIPID Information
Activity: N2014-0006 Type: ENCROACH Sub Type: NEW Status: APPROVED
Const Type: Occupancy: Use: Insp Area: PW
Owner: NB PARTNERSHIP, LLC Phone: 949-466-0900
Applicant: MIKE KILBRIDE, LTD Phone: 949-548-0106
Description: Install sewer clean out per STD 406-L. Replace 314" water meter box with 1".
Notice: 2-10-2015 scope of work was reduced. Gas service trench was removed from this permit. - SROOKS
Reauested Inspection(s
Item: 10250 FINAL - PW
Requestor: WEBUSER
Comments: AM -
Assigned To: zzzzzzzzzzz*
Action: Time Exp:
Inspector: <" &- Date:
Comments:
Requested Time: 12:00 AM
Phone:
Entered By: WEBUSER WB
2'-0 -17 Time: AM PM
F:\Users\P B W \S hared\ENC ROACH\MASTERS\FO RMS\I nso ecto rSh eet. doc
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