HomeMy WebLinkAboutN2015-0047City of Newport Beach IIIIIII IIIIIIIIIII111111111111111111111111111111II II
oa 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 5 0 0 4 7
` Permit Counter Phone (949)644-3311
v Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address : 2108 E OCEAN FRONT NB
Description: Replace sewer lateral and install clean out per STD 406-L.
Parcel #:
0482-823-3 -
Legal Desc :
N TR 518 BLK E LOT 3
Owner:
MORGAN THOMAS H
Phone:
0
Address :
3333 S BANNOCK ST #950
Total Water Meters:
ENGLEWOOD, CO
Applicant: MIKE KILBRIDE, LTD
Phone: 949-548-0106 [
Address: PO BOX 3341
NEWPORT BEACH, CA 92659
Special Cond.: PRE -JOB CONSTRUCTION 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 :
$308.00
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 : _/_/
Permit No: N2015-0047
o)� ANo1939-2013
" NED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919D3
REVIEWED
Contractor : COAST WATER & POWER
Phone: 949-548-0106
Address: P 0 BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2015
Business License:
BT96014951
Business Expire:
12 31, 2015
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110-14-2
W. C. Expire:
10 01, 2015
Total Fee $604.72
Paid : $604.72
Balance : $0.00
Receipt No
Other Department : —Date: _/_/_
Permit Denied Date: _/_///
Issued Permit: k4.11214 --ate- Date: I f 2-11
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS: n ` p g a FRow-rPERMIT N2015-
L• NUMBER: 00 41
APPLICANT: COAST WATER & POWER
TO BE COMPLETF=D BY POBLIC WORKS DEPARTMENT
Permit Processing Fee:
Qty.
Inspection Fee:
Qty.
Public Works Only
$242.00
Public Works Field Inspection
$154.00
Other Department
$319.00
Utilities Field Inspection
$198.00
11" Meter '.`
$139.00
General Services Inspection
$154.00
Agreement Fee:
$369.00
5200-5015
1" Meter
Preparation of Report/Agreement
$900.00=
Refundable Deposit:
TBD=
Document Recordation Fee
$209.00
5200-5027
Final Parcel Map Checking Fee - Moderate $2,297.00
Monitoring Wells
$495.00H
Improvements
TBD=
Street/Alley/Walk Closure:
$55.00
Sewer Connection Fee
$250.00
Traffic Control Plan Check
4TT Box & Cover
$54.72
8-1/2" x 11"
$55.00
405-470_
Street Easemt/Vacation Fee (+100% of My over 4 hrs) $983.00
24" x 36"
$139.00
5200-5031
Street Tree Fee ($700 Planting Fee) TBD
Additional
030-2284
._.._.._.._..---_.._.._.._..----.._....._.._.._..—
Engineering Tech:
I HE f'ULLUVVING 1 I EMS KLUVIRE APPROVAL FROG
REVENUE DIVISION PRIOR TO PAYMENT OF FEE
1
Qty.
2" Meter: 22,84 +`195.75 $218.59,
[Water Meter:
[
Installat
13/4" Meter
$96.00
Qty. Budget Number
Water M
11" Meter '.`
$139.00
5200-5029
For Park
11 1/2" Meter
$369.00
5200-5015
1" Meter
12" Meter
$510.00
5200-5026
2: Meter
13" Meter
$3,355.00
5200-5027
Final Parcel Map Checking Fee - Moderate $2,297.00
14. Meter
16"
$4,408.00
5200-5027
For Trah
Meter
$7 131 00
5200-5027
1" M t
THE Revenue Division -
S TApproval: [
Qt .
on Charge $406.00 ,I
eter Boxes: l
,vay & Sidewalk Area: (Box + Cover = Cost) ;1
11.42 +34.26 $45.688
22.84 +52.74 $75.58
1
c & Allev Areas (Box ;+ Cover -'Cost)
[ e er.
2" Meter: 22,84 +`195.75 $218.59,
[
MISCELLANEOUS FEES
Qty. Budget Number
Certificate of Compliance Fee (+100% of hriy over 3 hrs) $288.00
5200-5029
Development Services Fee TBD
5200-5015
Final Tract Map Checking Fee $3,489.00
5200-5026
Final Parcel Map Checking Fee - Simple $374.00
5200-5027
Final Parcel Map Checking Fee - Moderate $2,297.00
5200-5027
Final Parcel Map Checking Fee - Complex $3,489.00
5200-5027
Lot Line Adjustment Fee $1,089.00
5200-5028
Park Dedication Fee Zone _ TBD
405-470_
Street Easemt/Vacation Fee (+100% of My over 4 hrs) $983.00
5200-5031
Street Tree Fee ($700 Planting Fee) TBD
030-2284
._.._.._.._..---_.._.._.._..----.._....._.._.._..—
Engineering Tech:
Total Amount Due:
.
- .._..
C11 LJ
&D .-72-
.,
Public Works Specialist:
Recei(pttt N�o.
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Newport Beach Police Dispatch City of Newport Beach
Phone: 949-644-3717
Public Works Department
Phone: 949-644-3311 Fax: 949-644-1-11S1
City of Newport Beach Municipal Code 12.62.010 Permit for Temporary Street Closure ` �r..arnery r
ame: MIKE KILBRIDE APFLICANTINFORMATION'
orl Name: COAST WATER & POWER[BT96014951
i
_ty of Newport Beach Business
ddress: P.O. BOX 3341
ity/zip: NEWPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night
Exact Location of Encroachment: +�—� ` f �+� OV fe 1 V (� L
(Use stree address or approximate number of feet from nearest intersection) , I
Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NOTE: No work on holiday(s) or weekends.
Date Closure to Begin: Date Closure to End:
(Maximum 1 DDays)
Time of closure: 7:00 AM to 5:00 PM
DIAGRAM LOCATION OF ENCROACHMENT BELOW
0c�fl� 13�vd
I-_. 1r�
5� ^ 5�
permit must be visible on the dash of each vehirle auth�rha
of any road closure. detour or reserved
tions covering use of this nermlr
ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1) Close only the portion of alley/street adjacent to where work will be done.
2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hrs prior to closure.
4) Post road closed barricades on either side of work area. 5) Plate and backfill excavations & open alley
or street during non -construction. 6) Place delineators around construction area.
(Permitee) hereby certify the information provided is true and correct, and I agree to comply with the terms and r `
:onditions on the front and back o this permit P rmitee guarantees to indemnify and hold th9 City of Newport Beach Encroachment PerIDIDit No:
Xr ss a` my Flaimr�liab ity. or ent r damages arising out of perrrytas a acti les. �� A O,�
IAJ^�� �L9 ., N lz l -
Date:
Approved by Date: D V 4
c'Doeumen¢ and SelingaOwnetlLocal Sellpnge Temmrary lnieme FeeLOeln lE wpJPtiG. Us'f-' p5. ;C'^sure4 p';,..�,-Ja9
t3��g,
WORK5HEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS: , 0 Q� t Y OCIS HA V.O:Rerr;
DESCRIPTION OF WORK:
e� AcE �wFo, �rtQ�r+- n-YraAl Mmii 0,A 1404- 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:
BT96014951 EXP: 12-31-2015
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: STATE FUND Policy No: 9087110-14-2 Expires: 10/01/2015
REFUNDABLE DEPOSIT INFORMATION (If Applicable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic:
Other:
Engineering Technician:
i�-�
Public Works Specialist:
��
Date:
['7-61- 1 S
Permit No. I
N2015- 0641
CluserslpbwlsharedlencroacNmasters/epw ksheetds
01-30-2015 Inspection Request Reporting Page 4
4:18 pm NEWPORT BEACH CA -CITY
Requested Inspect Date:
Monday, February 02, 2015
Assigned To:
zzzzzzzzzzz
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
2108 E OCEAN FRONT NB
A/P/D Information
Activity: N2015-0047 Type: ENCROACH Sub Type: NEW
Status: APPROVED
Const Type: Occupancy:
Use:
Insp Area: PW
Owner: MORGAN THOMAS H
Phone: 0
Applicant: MIKE KILBRIDE, LTD
Phone: 949-548-0106
Description: Replace sewer lateral and install clean out per
STD 406-L.
Requested Inspection(s)
-
Item: 10215 ROUGH UTIL
Requested Time:
12:00 AM
Requestor: WEBUSER
Phone:
Comments: AM -
Assigned To: zzzzzzzzzzz`
Entered By:
WEBUSER WB
Action: Time Exp:
Inspector: � Date:
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
Time: AM PM
RPp-n3-1 -_____ __ ...._ _ _-- ___ __._
REPT131 Run Id: 4018
6030-819m015
08pmO15 (NEWPORT 13EA cap CIITY Page 3
Reauested Insoection(s
Item: 10250 FINAL - PW Requested Time: 12:00 AM
Requestor: WEBUSER Phone: 949-548-0106
Comments: AM -
Assigned To: zzzzzzzzzzz* Entered By: WEBUSER WB
Action: Time Exp:
Inspector: Date: _ y�i t j,% Time
Comments:
F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doe
AM PM
g --- - - _ _ ---- - --Run- Id:.. 6536
REPT131 Run Id: 4018
Requested Inspect Date:
Friday, March 20, 2015
Assigned To:
zzzzzzzzzzz
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
2108 E OCEAN FRONT NB
AIP/D Information
Activity:
N2015-0047 Type: ENCROACH Sub Type: NEW Status: APPROVED
Const Type:
Occupancy:
Use: InspArea: PW
Owner:
MORGAN THOMAS H
Phone: 0
Applicant:
MIKE KILBRIDE, LTD
Phone: 949-548-0106
Description:
Replace sewer lateral and install clean out per STD 406-L.
Reauested Insoection(s
Item: 10250 FINAL - PW Requested Time: 12:00 AM
Requestor: WEBUSER Phone: 949-548-0106
Comments: AM -
Assigned To: zzzzzzzzzzz* Entered By: WEBUSER WB
Action: Time Exp:
Inspector: Date: _ y�i t j,% Time
Comments:
F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doe
AM PM
g --- - - _ _ ---- - --Run- Id:.. 6536
REPT131 Run Id: 4018