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N2012-0354
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''.....; , _ , ,. . •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 J� 2®� tt SSC. OIllbZ Lo r -n io,_ , AGA kmAlw *Q_ cke-m .NAV 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 Vt--K,1jiL)N IQ So Ay Fabht A A L LLf L N � ® 9.1 -�D ®E] 4 T5 KI P p ^p co A co 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 DIAMON c _ m rt2 iA 9 plpy N � ?I _l I c I N DIAMON c _ m rt2 iA Z plpy N � ?I _l I c A Rig, J DIAMON SAPPHIRE co a � NN A Rig, 9X81 e d pOx 0 SAPPHIRE g7°'� ii a � NN g7°'� ii a g�6 A Rig, 9X81 e d pOx 0 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 I