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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. JA,N 2 C) RECD ��V C-7- .12-01-2013 rluse -h.kfs're'v�isentl December Cttq of Newport eac kA it "iz EWPORT BEAC-H ^F 6 2 loa ke, ?`W`e a a occ-on 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