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Home My WebLink AboutN2017-0222City of Newport Beach 111111111111111111111111111111111ImI��1111111111111 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachea.gov / Online Services Permit No: N2017-0222 Project No: 2844-2016 Inspection Requests Phone (949)644-3255 Job Address: 242 CATALINA DR NB Thomas:Guide: 888H6 Description : INSTALL TWO 1" WATER SVC PER STD 502-L, CAP EXISTING 3/4' SVC AT MAIN. INSTALL TWO NEW SEWER LATERALS AND CLEAN OUTS PER STD 406-L, CAP EXISTING LATERAL. Parcel # : 4253-821-0 - Legal Desc : N TR 444 LOT 18 Owner: SHIBLA LLC Contractor : COAST WATER & POWER Phone: Phone: 949-548-0106 Address : PO BOX 3363 Address : P O BOX 3341 LA JOLLA CA 92038 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 Applicant: COAST WATER & POWER License Expire: 07 31, 2019 Phone: 949-548-0106 [ Address : P O BOX 3341 NEWPORT BEACH CA 92659 Business License: BT96014951 Business Expire: 12 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2018 Permit Processing Fee : Agreement Fee: Traffic control Plan Check: $241.00 $0.00 $65.00 Sewer Connection : 4TT Box Cover: Total Water Meters : $500.00 $128.00 $1,299.00 Total Fee Paid : Balance : $2,995.00 $2,995.00 $0.00 Inspection Fee : $660.00 Water Meter Connection : $1,056.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $102.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date : _/_/ Other Department : Date Utilities Approval : Traffic Approval : Date : _/_/ Date : _/_/ Permit Denied Date Issued Permit : L Date General Services Approval : Date : _/_/ INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY TIME RECEIVED REMOTE CSID DURATION PAGES STATUS ray, 3, 2017 11:06: 2 5 AM PDT 171 5 Received PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS; 242 CATALINA DESCRIPTION OF WORK: INSTALL TWO 1" WATER SERVICES PER 502-L. ABANDON EXISTING 3/4" SERVICE AT WATER MAIN. INSTALL TWO SEWER LATERALS & CLEAN -OUTS PER 406-L L � APPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Malling Address: PO BOX 3341 City/State/Zip: NEMTORT REACH, CA 92659 OWNER Phone: Mailing Address: City/State/zip- CONTRACTOR: MIKE KILBRIDE Office Phone: 949-548-0106 Company (if different): COAST WATER AND POWER JobsKe Phone: 949-289-0078 Other Phone: FAX: 949-548-1616 Mailing Address: PO BOX 334t City/State/Zip: NEWPORT BEACH, CA 92659 State License Number & Class: 738400 A B C-10 City Business License Number: OT9601491 EXP: 12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3300 Labor Code) Company: STATE FUND Policy No: 8087110-14-2 Expires: 10/1/2017 REFUNDABLE DEPOSIT INFORMATION /fApplicab/e) Made Payable To: MIKE KILBRIDE Vendor NO: 9833 Mailing Address: PO BOX 3341 NEWPORT REACH, CA 92659 Special Conditions Of Permit; Utilities: � Traffic: General Services: Other: Engineering Technician: Public pecialist: Date: =ennit No ,L 7- Permit Processing Fee: 42ML Inspection Fee: Public Works Only $241.0 Public Works Field In"ction $165.0 Other Department $275.0021 Utilities Field Inspection $121.0 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: TBDB Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk Closure: $55.00 Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.0 24" x 36" $143.00 4TT Box & Cover $64.00 Additional � to �. nw� ^� �� ^� � �, � ^� 1 `t_ �I IT 11�5 f AE:iF " 70J lei• I ` Revenue of qn a .'REVEI�t1E..Dfi i§IhN. RRt(:)rR TO PA-YMENT OF FEES ,Approval. �1AiaierjMlsl<er ilristNattafi Ghlae $(�?28;0 1 +}��1":Me3�r • •;$5Q.25 1Nafe��fll�r ii3Qx�s ,1 �1't 11Aeter $ -'Nt ;5 For:1'aricway & Si elmalx A. ri�� reQz t Covet �1 i,2'! AA4iFr285 40 Z". nileter .13 00 *•37 00 $5017 _ :I �1 t/2" 'ultiMpllRi?ter $i00130 . 2,:IVlater . 2i�0 } 6t,23 '.. 8 .�� 1 12"I6q�t�r 1 �2 r. Turbine Meter : $84$ { k t-Qf - rai'�r� : A71ey A, s :l$ox + av�9f =.Cost 1 130 -ISAeter. 49,110.41 1Z"- Mleter �.7 0� r•.t6^� Ot) $189 00 1 ,� •Meter-: :$7'490.�4 ..... . ... ....... . . . . Budget Number Certificate of Compliance Fee (+100°% or hrly over 3 hrs) $288.00 5200-5029 Development Services Fee (plan check hourly) $155.00 5200-5015 Final Tract Map Checking Fee $2.488.00 5200-5026 Final Parcel Map Checking Fee - Moderate $2,488.00 5200-5027 Lot Line Adjustment Fee $1,079.00 5200-5028 Park Dedication Fee Zone TBD 405-470 Street Easement/Vacation Fee (+100% of My over hrs) $1.022.00 5200-5031 Street Tree Fee (5700 Planting Fee) TOD 030-2284 Engineering Tech: T l Amount Due: For Finance use only g Permit S7LU� Receipt No. Ifuvrdpbw/ana,SW&ncroacN!masixsfep front antl D9:k master9/ Rev. 10l21/2016 60reashee,.CsJaviaea,on_12o1e LEGEND TREE + = POWER POLE = SEWER CL.EANOUT { = WATER METER BOX f ��sll `two.A moon CENTERLINE OF • VAIM l k A 6-VA It -t�lo PROPERTY LINE V 0 ADDRESS Z M L C Wrtiu rm- APPLICANT lKj Ll&R% (* 4F OWNER DESCRIPTION OF: WOP CITY OF NEWPORT BEACH ENCROACHMENT PEPMIT PEP -MIT No. N Z G)-7- C4a-3' CITY OF NEWPORT BEACH APP41br'.Ae ICATION FOR WATER METER OR HYDRANT METER REQUESTED BY _ (entity who is requesting motor and/or would get hydrant deposit refund) MAILING ADDRESS r� 60A ?t341 RECEIPT# CITYISTATEIZIP A/& . 92 (i 5 41 PHONE # SERVICE ADDRESS CA' &I k� :.:.. •: t .irl'i ` ...... ..• ,... e+.+9 it •- r t!'�w }+,"'Y' .'-f7 .df by 4. { °./'^..�'{'L R.y�.fM i i" '.R•. an S;i. () Hydrant Meter ( ) New Meter ( ) Meter Upgrade Deposit required N w service address Existing service address {tapping order) 7 (tapping order) (work order) p� New Meter at existing service address ( ) irrigation only (tapping order) ( ) Commercial Location { Residential Location () Fire Connection Fee $ Meter Size 1 Fee $ o14 5 • — A4TT Box Fee $ /oia Meter box & Lid - Alley/Traffic Area Fee $/Q.'.) . r or Parkways/Sidewalk Fee $ Total Fees $ Encroachment Permit Number: Customer Name (property owner) 5h: b 1a L t, C- Billing Address tL�t,.s� 3 L Cityizip L^ Z«q cA Residence Phone # Business Phone # E-Mail Address Social Security # or CA Drivers License FOR OFFICE USE ONLY CLERK DATE BUS LIC # MID# DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED NEW ACCOUNT NUMBER NOTES WORKITAPPING ORDER NUMBER f/users/revlsharedlwatermwer meter sere epp 06/23116 -Newport Beach Police Dispatch • • Phone: 949-644-3717 City of Newport Beach Public Works Department Phone:949-644-3311 Fax:949."4-inin Clty of Newport Beach Ilrunidpal Code 12 62010 F*nnit for Te mporary sheet Cltasun, Name: MIKE KILBRIDE APPLICANTiNFt)RMATION Company Name: COAST WATER & POWER c4'� Address: P.O. BOX 3341 City/Zip: NEW PORT BEACH, CA 92659-8341 ' Phone: Day 949-289-0078 Night Exact Location of Encroachment: (Use street address or approximate numw of feet iron fl resr irTePr 90FT 928cn Uuairl= License No. BT96014951 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 14 Days) Time of Closure: 7:00 AM to 5:00 PM 't9A Ct6 91— 0 ? : 0 y 9A (As 15� -Vjt . • top a RmL' hi 4cuVe A 2EX of this p@rm# must be visible on the dash of each vehicle authorized b park i ?reserved parking Spots. The aDDACent is r2SnnnsiAlsa -ri-_ir nntrfi.i.,.. D.dr ,., See reverse side of this permit forT2LIqWns coverij ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS 1) Flagman operation r 41 'MV.A.T.C.H. Manual, Pages 47A8. 2) Provide access to emergency vehicles If needed. 3) Notify adjaceni 4 Place delineators around construction area. 5) Place and backfill sit orreserved 48-hrS prior to closure. during non -construction. i. (POrmitee) hereby certify the information provided is true and correct, and I agree to comply with the terns and E ao>la.r,.rTt >ra: conditions on the Front and back of this permit. Pen•nitse guarantees to indemnify and hold the City of Newport Beach A O J ha s ams any Claims, iiabil , or ' gme fry a ages arising out of tq Sn 9 permitee's AactiAvities. X L Data: O l ! v 1 l Approved by; ..�� Date: Lt, ':'AO(wNMts anC �aninysTOwTw'1VdI SlIC raj FrtlMi�nmM.-GSV$J3 Ja9G'. i . t-bn0 $4'!N C1GTUR♦DONcY�011-GIGiO�Pbjmen.lyi$�e�tT i � 12/6/2017 City of Newport Beach Page 7 of 8 - 4:30:42PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/07/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 242 CATALINA DR Activity : N2017-0222 SubType : NEW Status : APPROVED OWNER: SHIBLA LLC Phone : APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description : INSTALL TWO 1" WATER SVC PER STD 502-L, CAP EXISTING 3/4' SVC AT MAIN. INSTALL TWO NEW SEWER LATERALS AND CLEAN OUTS PER STD 406-L, CAP y+.EXISTING LATERAL _ Item: 10215 ROUGH UTIL Requested Time: 12/7/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: ------Z' 1 Inspector: tiT Date: 1 7-Time: Z,�M Comments: �'(% /%✓/ , P�� F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc REPT131 Run Id: 4018 1217/2017 City of Newport Beach Page 10 of 15 '4:30:53PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/08/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 242 CATALINA DR Activity : N2017-0222 SubType : NEW Status : APPROVED OWNER: SHIBLA LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbdde@live.com Description : INSTALL TWO 1" WATER SVC PER STD 502-L, CAP EXISTING 3/4' SVC AT MAIN. INSTALL TWO NEW SEWER LATERALS AND CLEAN OUTS PER STD 406-L, CAP EXISTING LATERAL._ Item: 10215 ROUGH UTIL Requested Time: 12/8/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: zzz777 7777* Inspector: Date: Z/0/17��% �O' pTime: AIIQ PM JAIS rA-` L L u Comments: Gv A-Y V l F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 1/3/2018 City of Newport Beach Page 11 of 11 4:30:58PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/04/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 242 CATALINA DR Activity : N2017-0222 SubType : NEW Status : APPROVED OWNER: SHIBLA LLC Phone APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbdde@live.com Description: INSTALL TWO 1" WATER SVC PER STD 502-L, CAP EXISTING 3/4' SVC AT MAIN. INSTALL TWO NEW SEWER LATERALS AND CLEAN OUTS PER STD 406-L, CAP EXISTING LATERAL. Item: P4571erj . PA4-V GJ Requested Time: 1/4/2018 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM- A ssi�ned to: ZZZ77777777' 1 Inspecto : � Date: I Time: AM PM Comments: � � eAcl \Gj - - P-6--AIC,4 — M5-7 Re% F:\Users\PBW\SharedkENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 `r•i� 4111 t M ,ice: � �..ii ��', •. �k�Nf'if�lAit�f�NrNl�i 1 9/10/2018 City of Newport Beach Page 15 of 15 6:34:35AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/10/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 242 CATALINA DR A/P/D Information: Activity : N2017-0222 SubType : NEW Status : APPROVED OWNER: SHIBLA LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description : INSTALL TWO 1" WATER SVC PER STD 502-L, CAP EXISTING 3/4' SVC AT MAIN. INSTALL TWO NEW SEWER LATERALS AND CLEAN OUTS PER STD 406-L, CAP EXISTING LATERAL. Requested Inspection(s) Item: 10255 FINAL - Utilities Requested Time: 9/10/2018 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: AM - Assigned to: zzz7777 zzZ' COMPLEm.e V