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1,2/11/2012 12:21 9495481616 KILBRIDE PAGE 01
CITY. 'OF [s6EWPQRg ZEA'CH:.?.,',,.,' .,,'•,.;;:'. ''.....; , _ , ,. .
•PUBLIG.:WE7RKS DEPARTMENT"
PLE CO.MPLETETHE'FOLLOWIN,G INFORMATi.DN; i`, ',l;¢(' : "; "• ;;:,;,
PROJECTADDRESS:
DESCRIPTION OF WORK:
16_
]gc10
gPPLIGANT: MIKE KILBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/Stetelzip:
NEWPORT BEACH, CA 92659 ,
OWNER: zip:
Mailing Address: CitylState/Zip: ,
CONTRACTOR: MIKE KILBRIDE
IOM06 Phone: 949-548-0106
Company (if different):
COAST WATER AND POWER
Jobslte Phone: 949-289-0079
Other Phone: PAX: 949448-1616
Mailing Address:
PO BOX 3341
City/Statelzip:
NEWPORT BEACH, CA 92659
State License Number & Cless:
738400 A, B, C-10
city business License Number:
DT9601491
WORKERS COMPENSATION INSURANCE - Cortificate of Insurance (Section 3800 Labor Code)
Company: STATE FUND Policy No 238-0012820 Expires; 10/011x412
REFUNAABLE DEPOSIT INFORMATION (lfApplicable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Meiling Address: �• PO BOX 3341, NEWPORT BEACH, CA 92659
.. FOR:OFFICIE USE ONLY '
Special Conditions of Permit: T G © (p z� O I a'
ADDITIONAL APPROVAL REQUIRED -FROM THE FO.LLOWING, DEPARTMEN11.3
Utilities:
General Servlc
Traffic:
Other:
Engines echlcian:
f ubIIC Works Specialist:
Date;
Peftilld No.
N2012- 034
r.N:ervPW1:aeLDs
10/31/2012 13:53 9495481616 KILBRIDE PAGE 02
LEGEND
TREE
= POWER POLE
4 = SEWER CLEANOUT
0 = WATER METER BOX
CENTERLINE OF
LN'LA
PROPERTY LINE
CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT ,
PERMIT N®. N Zo12 - 3�
MN�31 095
ton
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ADDRESS
APPLICANT �< J L16jtA (ri-, I ( '—
OWNER
DESCRIPTION OF WOR.
10/31/2012 13:53 9495481616 KILBRIDE PAGE 04
City of Newport Beach
Newport Beach Police Dispatch Public Works Department
Phone: 94M44-3717 Phone; 949-644-3311 Fax: 949-644-3318
A. PPLICATION':F.OR: [EMP.ORARY'STftEET,f ;S;tgEWA4 YC'"CL6;SURE dR6;WtJiM�PSTER' pLACEMEINT
City of Newport Beach Municipal Code 12.62.010 Permit for Temporary Street Closure
APPLICANT INFORMATION
Name: MIKE KILBRIDE
Company Name: COAST WATER 8{ POWER City of Newport BeachHusinesg4lcenseNo.
P.O. BOX 3341
BT96014951
10ity/Zip: NEWPORT BEACH, CA 92659-8341 Phone: Day 949.289-0078 Night ,�
Exact Location of Encroachment: A
10` 1NVIN nar
number of feet from nearest
Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NOTE: No work on holidays) or weekends.
Date Closure to Begin: {lI u� et' Date Closure to End: l5
Time of Closure: 7:00 AM to 5:00 PM
106
DIAGRAM LOCATION OF ENCROACHMENT BELOW NQ. I-LAUMAN
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of this
permit must be visible on the dash of each vehicle authorized to park in reserved arking spots.
The applicant is responsible for notifying Police Dispatch of any road closure, detour, or reserved
parking.
See reverse side of this Earmir for regulations covvrin uSe of this
ermit.
ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
dose only the portion of alleyistreet 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
(Pernnitee) hereby certify the information provided is true and Correct, and I agree to comply with the terms ar
mditions on the front and back of this permit. Permitee guarantees to indemnify and hold the city of Newport
against any claims. liabilly. or jud[g�meentssffor damages arising out of pennitee's ctiv�' .iega.
,A --- 4+� Cate; ``.' I �{
Approved by:
Date:
09(1pp MIATL one 3¢pMpIUmpCrp / inwmm Frw00n140joIlAWCXeFV0 jTCmp abYai GWOR npplc¢uc0 KnW�tlo.M�olop¢e{I
EnorOaCnment Permit No:
a),5ct
12/11,/2012 12:21 9495481616 KILBRIDE PAGE 02
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10-31-2012 Inspection Request Reporting Page 3
4:.38 pm NEWPORT g A H �A -CITY
Requested Inspection(s)
Item: 10030 CLEAN-OUT Requested Time: 12:00 AM
Requestor: WEBUSER Phone: n2012-0354
Comments: AM -ROUGH AM PLEASE
Assigned To: zzzzzzzzzzz* Entered By: WEBUSER WB
Action: Time Exp:
Inspector:
Comments:
Date: WA t Time: AM PM
I nn n Girl
v U tj r %A
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 _. ___._.. __.. _.._ _._ .....---_._.. ...___ Run Id: 5799
REPT131 Run Id: 4018
Requested Inspect Date:
Thursday, November 01, 2012
Assigned To:
zzzzzzzzzzz*
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
806 S BAY FRONT NB
A/P/D Information
Activity:
N2012-0354 Type: ENCROACH Sub Type: NEW Status: APPROVED
Const Type:
Occupancy:
Use: Insp Area: PW
Owner:
MCGRANAHAN DAWN
Phone: 0
Applicant:
MIKE KILBRIDE, LTD
Phone: 949-548-0106
Description:
Install gas sleeve - WO# 2084621. Install sewer clean out per STD 406-L. Install 2" water service per STD
403-L.
Requested Inspection(s)
Item: 10030 CLEAN-OUT Requested Time: 12:00 AM
Requestor: WEBUSER Phone: n2012-0354
Comments: AM -ROUGH AM PLEASE
Assigned To: zzzzzzzzzzz* Entered By: WEBUSER WB
Action: Time Exp:
Inspector:
Comments:
Date: WA t Time: AM PM
I nn n Girl
v U tj r %A
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 _. ___._.. __.. _.._ _._ .....---_._.. ...___ Run Id: 5799
REPT131 Run Id: 4018
it
P's
P's
10/31/2012 13:53 9495481616 KILBRIDE PAGE 05
FEE WORKSHF.ET: Ffl.R:-f.NCROACH'MENT PERMIT
:CITY:OFWEWPO T:BEACH
RUBLIC VUQRK& t&PARTMENT:
All Fees Are Non -Refundable Unless: Otherwise..: Stated,
PROJECT ADDRESS: O PERMIT N2012- 22�j�y
{� •` NUMBER:
PPLICANT: COAST WATER & POWER
Permit Processing Fee: Qty.
Public Works Only $236.00
Other Department $311.00
Agreement Fee:
Preparation of Report/Agreement $879.00
Document Recordation Fee $204.00
Monitoring Wells $484.00
Street/AlleylWalk Closure: $53.00
Traffic Control Plan Check
8-1/2" x 11" $53.00
24" x 36" $135.00
Additional
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Refundable Deposit:
Improvements
Sewer Connection Fee
4TT Box & Cover
1= =.=z4=
OTHE .
Qty.
$150.00
$188.00
$150.00
TBD=•
TBD=
$50.00
$
$54.72
ivision
aty.
l
(Water Meter:
Final Tract Map Checking Fee
Installation Charge:,
13/4" Meter
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Refundable Deposit:
Improvements
Sewer Connection Fee
4TT Box & Cover
1= =.=z4=
OTHE .
Qty.
$150.00
$188.00
$150.00
TBD=•
TBD=
$50.00
$
$54.72
ivision
Certificate of Compliance Fee (+100/ of hriy over 3 hrs)
aty.
l
(Water Meter:
Final Tract Map Checking Fee
Installation Charge:,
13/4" Meter
$96.06
Final Parcel Map Checking Fee -Moderate
Water Meter'Boxes:
11" Meter
$139.00
Lot Line Adjustment Fee
For Parkway & Sidewalk Area {Sox + C6ver=Cost :.
11 1/2" Meter
$369.00
Street EasemtNacation Fee (+100% of My over 4 hra)
1" : Meter; 11.42+34.26..
Street Tres. Planting Fee)^
1
12" Meter
$510.00
2: Meter: ' 22.84 + 52.74 $75.58
13" Meter
$3,352.00
1
14: Meter
$4,408.00
For Trafic&AlleyAreas (Box+Cover=Cost .'
16" Meter
$7,131.00
1'.'Meteri. 19.42+34.72 $4$.14.
2`' Meter. 22.84 + 195.75 - .:S218:59
----------------------------- _---..i
Certificate of Compliance Fee (+100/ of hriy over 3 hrs)
$281.00
Development Services Fee
TBD
Final Tract Map Checking Fee
$3,406.00
Final Parcel Map Checking Fee - Simple
$365.00
Final Parcel Map Checking Fee -Moderate
$2,243.00
Final Parcel Map Checking Fee - Complex
$3,406.00
Lot Line Adjustment Fee
$1,063.00
Park Dedication Fee Zone _
TBD
Street EasemtNacation Fee (+100% of My over 4 hra)
$959.00
Street Tres. Planting Fee)^
TBD
_..($700
_- _-
`..
5200-5015
5200-5026
5200-5027
5200-5027
5200-5027
5200-5028
4310-470_
5200-5031
030-2284
Engin eri Tech:
Total Amount Due:
For Finance uen only
lQ/o3.3�
Publi orks Specialist:
Receipt No.
--8'4511
sod dan 2072
10/31/2012 13:53 9495481616 KILERIDE PAGE 03
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT ME'T'ER
REQUESTER BY_ Alike Kilbride, LTA WORK/TAP ORDER#
(person or entity who is requesting muter and/or would get hydrant deposit refund)
MAILING ADDRESS PO Box 3341 RECEIPT#
CITY/STATE/ZIP
Newport Beach
CA 92659 PHONE #_
SERVICE ADDRESS_
p
O �Q
S
SERVICE REQUESTED: Check all that apply
() Hydrant Meter
Deposit required
(tapping order)
( ) New construction
(work order)
( ) Irrigation only
() Condo conversion/# of i
( j Commerciai Location
( ) New Meter ) Meter Upgrade
New service address Existing service address
(topping order) (work order)
( ) Adding meter to existing account/address
( ) New construction at existing service address
s Original Service Address
t / 1\C8/UCIILIYI LVL.iILAVAI ( ) Fir r %Cr,•n.�CtlQn Fm
(Y.) Meter Size Lwn— Fee S . ( ) 4TT Box Pee
W Meter box & Lid (circle) lley/Tr Ac Area or Parkways/Sidewalk Fee S
Total Fees
Paid by (circle) Cheep Credit Card
Please Complete Owner Info (hydrant Meter exempt)
Customer Name (property owner)
Billing Address City/Zip
Residence Phone # Business Phone #
E -Mail Address Social Security # or CA Drivers License
1.110
FOR OFFICE USE ONLY
US LIC
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUM
f/users/rev/shared/water/water teeter sery app 8/2/06
rage 1
Requested Inspect Date: Tuesday, March 19, 2013
Assigned To: zzzzzzzzzzz*
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 806 S BAY FRONT NB
AIP/D Information
Activity: N2012-0354 Type: ENCROACH Sub Type: NEW Status: APPROVED
Const Type: Occupancy: Use: Insp Area: PW
Owner: MCGRANAHAN DAWN Phone: 0
Applicant: MIKE KILBRIDE, LTD Phone: 949-548.0106
Description: Install gas sleeve - WO# 2084621. Install sewer clean out per STD 406-L. Install 2" water service per STD
403-L. Replace SCE conduit.
Notice: Scope of work increased on 12-11-2012 to include replacing SCE conduit. - SROOKS
Requested Inspection(s)
Item: 10060 PIPE INSTALLATION - UTIL
Requestor: WEBUSER
Comments: AM -rough inspection please
Assigned To: zzzzzzzzzzz*
Action: Time Exp:
Logged
Inspector:
Comments:
V111
Date:
F:\Users\PB W \S hared\E N CROACH\MASTERS\FORMS\InsoectorSh eet.doc
Requested Time: 12:00 AM
Phone: N2012-0354
Entered By: WEBUSER WB
Refile
Time: AM PM
REPT131 --- - ...... -.._---..._- . ...... .............-11un- 1 -d -: --5&E[8 -_
REPT131 Run Id: 4018
06-18-2013 Inspection Request Reporting Page 1
. ,.
__ ..' —. . ..
Requested Inspect Date: Wednesday, June 19, 2013
Assigned To: zzzzzzzzzzz*
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 806 S BAY FRONT NB
A/P/D Information
Activity: N2012-0354 Type: ENCROACH Sub Type: NEW Status: APPROVED
Const Type: Occupancy: Use: Insp Area: PW
Owner: MCGRANAHAN DAWN Phone: 0
Applicant: MIKE KILBRIDE, LTD Phone: 949-548-0106
Description: Install gas sleeve - WO# 2084621. Install sewer clean out per STD 406-L. Install 2" water service per STD
403-L. Replace SCE conduit.
Notice: Scope of work increased on 12-11-2012 to include replacing SCE conduit. - SROOKS
Reauestedlnsoection(s
Item:
10250 FINAL - PW
Requested Time: 12:00 AM
Requestor:
WEBUSER
Phone: 949-548-0106
Comments:
AM -am final please
Assigned To:
zzzzzzzzzzz
Entered By: WEBUSER WB
Action:
Time Exp:
Comment:
Comment:
Utility connection complete, site still under construction.
Inspector: Date: Time: AM PM
Comments:
0Q0p
u
n
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoeclorSheet doc
REPT131 _ .____... _..-------....._ Run Id: 5954
REPT131 Run Id: 4018
� Li
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