HomeMy WebLinkAboutN2018-0492N yy U
W o port
pitCivic y Center Drive,
ea Bport ehach, CA 92660 IIII�III�III�IIIIIIIIIIIII�IIIIIIIIIII�III�IIIIIIIII Permit No: N2018-049 7-
I. Permit Counter Phone (949)644-3311 Project No: 1663-2018
v $ Online Inspection Request - www.newportbeachca.gov / Online ����
Services
Inspection Requests Phone (949)644-3255
Job Address : 103 VIA QUITO NB Thomas:Guide: 919A1
Description : LINE EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" WATER
SERVICE PER STD 502-L.
Parcel # :
4232-430-8 -
Legal Desc :
N TR 907 LOT 138
Owner:
BENSON BRIAN & DENISE
Contractor : COAST WATER & POWER
Phone:
Address :
103 VIA QUITO
"i �!
L�:ii�i
Phone: 949-548-0106 949-289-0078
Address P O BOX
NEWPORT BEACH, CA 92663
,
: 3341
NEWPORT BEACH CA 92659
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078[
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License: BT96014951
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Business Expire : 12 31, 2018
Workers' Compensation Insurance - -
Carrier : STATE COMP INS FUND
Policy No: 9087110-18
W. C. Expire: 10 01, 2019
Permit Processing Fee :
$257.00
Sewer Connection :
$250.00
Total Fee $2,056.16
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid : $2,056.16
Traffic control Plan Check :
$0.00
Total Water Meters :
$684.50
Balance : $0.00
Inspection Fee :
$704.00
Water Meter Connection :
$563.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$96.66
Street Tree Fee :
$0.00
Adjustment:
$0.00
Processed By:
Utilities Approval :
Traffic Approval :
General Services Approval :
Date : _/ / Other Department : Date:
Date : _/ / Permit Denied Date :4_/ V
/
Date : _/ / Issued Permit: Date : /
Date : / /
E-MA;'-ED
�, � q- r • �8
PROJECT ADDRESS:
103 VIA QUITE
DESCRIPTION OF WORK:
LINE EXISTING SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
ABANDON EXISTING 3/4" WATER SERVICE & INSTALL 1" WATER SERVICE
PER 502-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:
BT9601491 EXP: 12-31-18
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
-Company: STATE FUND Policy No; 9087110-14-2 Expires: 10/1/2018
REFUNDABLE DEPOSIT INFORMATION (If Applicable)
Made Payable To: MIKE KILBRIDE
Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
ICoc3 201�
Permit Processing Fee: Inspection Fee:
Public Works Only $257.00EM Public Works Field Inspection $176.0
Other Department $293.00= Utilities Field Inspection $129.0
Agreement Fee: Water Quality/Artificial Turf Inspection $115.00
Preparation of Report/Agreement $871.00
Document Recordation Fee $204.001 1 Refundable Deposit: TBD
F::�
Monitoring Wells $535.00= Improvements TBD
Street/Alley/Walk Closure: $70.00= Newspaper Rack Inspection $115,00
Traffic Control Plan Check
8-1/2" x 11" $70.00 Sewer Connection Fee $250.00
24" x 36" $152.00 4TT Box & Cover $64.00
Additional 9
THE FOLLIN OWG ITMS REQ IRE APPRVAFRM THE OL lire;;rsio
e Divin
I RF.VFNtiF rvviSinju PRtnR Tn P"upuT ni' FFFA A nmval:
r
Water Meter:
CIty.
Installation Charge $563.00
3/4" Meter
$50.25
F1" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24®
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
14" Meter
$4,730.00
16" Meter
$7,190.00
Development Services Fee (Plan check hourly) $165.00 5200-5015
Final Tract Map Checking Fee $2,653.00 5200-5026
Final Parcel Map Checking Fee - Moderate $2,653.00 5200-5027
Lot Line Adjustment Fee $1,151.00 5200-5028
Park Dedication Fee Zone TBD 405-470
Street Easement/Vacation Fee (+100% of hrly over 4 hrs) ! $1,089.00 5200-5031
Street Tree Fee ($700 Planting Fee) TBD 030-2284
Engineering Tech: Total Amount Due: For Finance use only
4 "1
D 1l�
Perm' ialist Receipt No.
t'lusersipbw/shared/encroach/masterslep front and back masters/
Rev. 9/13/20181 leotaesreet,As-revised 9113118
ALL UNUERGR0UN4`WQRK $,MALL sr: PF.R ORMO'D O'Y A L1,C"EN$15D,CONTRA►C'T01t
Contact "Underground Service Alert" At .east *.Homrs'In'Adyane t of AnX c + vatifar► at` $004224133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed
elf -insure, Certificate of Worker's
I certify that I have a Certificate of consenVAZ,"
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
times. Work, has been done to issuance of
Com en lion insurance, or a Certified Cop
permit and construction plan shall be kept at the job site at all which prior
Date: A, Signature:
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
after date of issuance.
The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss
I certify that in the performance of the work under this permit, I shall not employ
or damage to persons or property occurring as a result of work undertaken under this permit.
any person so as to become subject to California Worker's Compensation Laws. If,
All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
after signing this certificate I become subject to the Worker's Compensation
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances,
ons of the State Labor Code, I must comply with the provisions of Section
provisions
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
3700 this permit shall be deemed revoked.
be corrected within two weeks after notification to the satisfaction of the Public Works Director.
A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the
Date: Signature:
Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid State Contractor License Class C-34 is required. For construction or
CONTRACTOR LICENSE EXEMPTION
connection to sewer lines a valid State Contractor License Class C-42 is required.
All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L,
As the Owner of the benefiting property, I certify I am personally performing all
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
work in the Public Right -of -Way.
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Date: Signature:
Industrial Safety prior to commencing underground construction as required by State law. Walls and faces of all
excavations over 5 feet in depth shall be protected by a shoring system, sloping of the ground, or other equivalent
HOLD HARMLESS STATEMENT
means. Trenches less than 5 feet in depth shall be guarded when hazardous ground movement may be expected.
The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
I understand that I am locating minor encroachments within the City Right -of -
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
Way/Easement. As property owner it is my responsibility to maintain the
inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities
encroachments. I will be responsible for replacing the improvements if the City
Department or General Services Department inspections may be required depending on scope of work performed.
removes them for maintenance of utilities or other public need. , I shall indemnify
All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
and hold the City harmless for any liability associated with the minor
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
encroachments.
existing City -owned utilities (ie: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot
Date: Signature:
clearance over or under existing City -owned utilities. Sewer cleanouts require VCP or PVC SDR35 be used with a
4TT box over the riser.
Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
24-hour notice for EncroachmeO Permit Inspection is required by calling
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current "Manual of
Public Works at 949-644-331
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
California Department of Transportation. If needed,"barricades can be obtained from the City at a charge of $10,00
per barricade per day, with a minimum charge of $35.00. It is the responsibility of the applicant to place barricades to
15. Any above ground utility facilities will require documented approval from the adjacent
protect the general public. Access to fire hydrants must be maintained at all times.
affected property owner(s),
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
Quality Laws. Best Management Practices will be enforced. It is against the law to
January 1, unless approved by the Public Works Department.
I. Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
discharge construction debris into the gutter and storm drain. Felony violations of Water
Quality Laws are punishable by fines up to $25,000 and/or up to three years in State
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
prison plus the full cost to clean up an illegal discharge or spill.
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
17. If a refundable deposit was paid, applicant must submit a Soils Compaction
Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by
the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way
Public Works Department. Monies may be held for six months after final inspection
will require a Caltrans Permit. All vehicles shall be lawfully parked,
This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
before a refund will be processed.
18. No trees in the public right-of-way shalt be planted, removed, trimmed, or relocated
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure,
without approval from the General Services Department.
Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
19, All work in the public right-of-way must meet the approval of the Public Work, -,-
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
Department or corrections will be required (i.e. removals, exposing connections,
Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City
etc.). Additional inspection fees may be required.
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
20. Permit is for standard materials in the public right-of-way only, unless previously
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreement has been processed.
Temporary Street Closure Permit must be obtained from the Public Works Department.
21. Permit is valid for "description" of work noted on front only. Additional work
performed may require issuance of a separate permit and/or additional fees.
!o work related tP
ore nonrefundable,
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY I� 61.6(t
(entity who is requesting meter and/or would get hydrant deposit refund)
MAILING ADDRESS RECEIPT#
CITY/STATE/ZIP LLPHONE #
SERVICE ADDRESS i Q �. a &,-10
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
New Meter at existing service address
(tapping order)
(Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location (residential Location () Fire Connection Fee $
(/jMeter Size I t I Fee $ 1 a (• 6 (-1(4TT Box Fee $ to • r
P(Meter box & Lid - Alley/Traffic Area Fee $'9%• 1AL or Parkways/Sidewalk�Feee $
Total Fees $ Encroachment Permit Number: N �" I (R_� Q'i
Customer Name (property owner) bran oeo,;o-i
Billing Address 94,01 City/Zip 54,.--" , c
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/rev/shared/water/water meter sery app 05/23/16
LEGEND _ •
o =TREE
-z„
POWER POLE
�-
L� -SEWER CL.EANOUT CQ�. l i(lb \INS-Txk\ �
Q = WATER METER BOX �(Q, SV C-
I
' I I
'__________� r _
v
CENTERLINE OF 3 T ,& �� Cl� 11 �1 • b
CITY OF NEWORT BEACH
ENCROACHMENT PERMIT ADDRESS
Permit No.VDr, —of'q2-
11/s/zo�e City of Newport Beach Pegs 8 of
4:30:12PU INSP1 SO - Daily Inspection Request Report
Requested Inspection Date: 11/07/2018
Inspection Type : ENCROACH
Inspecdon Area : PW
Site Address : 103 VIA QUITO
Activity ; N2018-0492
- - --- - '='-_�- ---t - ---- --- ----- --- - -- ----- -- - - -- - - - - --
jjAg ; APPROVED
OVIMER : BENSON BRIAN & DENISE Phone
APPLICANT : COAST WATER & POWER Phone: 949-548-0106
949-289-W78 mHoMbrideQire.com
Descdpdon : INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE AN[
INSTALL NEW 1" WATER SERVICE PER STD 502-L. "*UPDATED 10/31/18: INSTALL
uMlu c+rurr% A ATg--r%AI itre 4t%Tr% IAQ 1 ""
Item: 10080 SERVICE CONNECTION - U11L
-- -Requested Time: MM018 12:00:OOAM - ---- -- - _ Requestor: WEBUSER
9493512661
Entered gy: WEBUSER
Comments: ANY-
wad—�i�v
TI lNSP�c� .
42fl&4018 City of Newport Beach P,Oe 7 of 14
4:30:4" INSP150 - Daily Inspection Request Report
Requested Inspection Deft: 12/14/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 103 VIA QUITO
Activity : N2018-0492
APPROVED
OWNER: BENSON BRIAN & DENISE Phone
APPLICANT : COAST WATER s POWER Phone : 949-548-0106
"1'.289-0078 nAaeMbideGIve.com
Descripdon : INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE ANI
INSTALL NEW 1" WATER SERVICE PER STD 502-L. "UPDATED 10131/18: INSTALL
LICU11 CMAGO 1 ATC12AI nco C"rr% AA& 1 sw
Itam:
Requested Time:
Entered By:
Comments:
10215 ROUGH UTIL
1 ?J14/MW-12:00:00AM-
WEBUSER
AM-
Assigned to: ......... - a,'
(tsIl vA
_ Requestor: WEBUSER - -
W Ir le-c-
� 5
,* •( Z(a k
12/17/2018 City of Newport Beach Page 9 of 9
6:30:09AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 12/17/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Addree�s�sy: 103 VIA QUITO
7 Activity : N2018-0492
SubType : NEW
Status : APPROVED
OWNER: BENSON BRIAN & DENISE Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE ANI
INSTALL NEW 1" WATER SERVICE PER STD 502-L. **UPDATED 10/31/18: INSTALL
NEW SEWER LATERAL PER STD 406-L**
Item: 10215 ROUGH UTIL
Requested Time: 12/17/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
0 CILvA-
J2 1-7 tn'���
ged
i� `0i2o18 City of Newport Beach Page 10 of 20
-6:30:46AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/20/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 103 VIA QUITO
AW D hMx,natkm:
Activity :
N2018-0492
SubType :
NEW
Status :
APPROVED
OWNER:
BENSON BRIAN & DENISE Phone:
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilb'ride@live.com
Description :
INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE ANI
INSTALL NEW 1" WATER SERVICE PER STI? 502-L. *"UPDATED 10/31/18: INSTALL
NEW SEWER LATERAL PER STD 406-L**
RaQues�ed Mnsp@c�Cx�(S}
Item:
10000 EXCAVATION & PIPE INSTALL-UTIL
Requested Time:
12/20/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: 777777777 7* 111) y
GtI wCt�;tt-r-`
- jg Jed
Reffie
f
10/1'5/2019 City of Newport Beach Page 8 of 21
'4:30:22PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 10/16/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 103 VIA QUITO
. . , A%P/D Information• t
Activity : N201 92
SubType :
Status : APPROVED
OWNER: BENSON BRIAN & DENISE Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE ANI
INSTALL NEW 1" WATER SERVICE PER STD 502-L. **UPDATED 10/31/18: INSTALL
NEW SEWER LATERAL PER STD 406-L**
Request ad_ Inspec>tiori(sj '
Item: 10000 EXCAVATION & PIPE INSTALL-UTIL
Requested Time: 10/16/2019 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz* J, I
C.
Logged
Defile
ARA
4
0
1/19/2020 City of Newport Beach Page 7 of 14
•4,30:44PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/30/2020
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 103 VIA QUITO
Activity: N2018-0492
SubType : NEW
Status : APPROVED
OWNER: BENSON BRIAN & DENISE Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE ANI
INSTALL NEW 1" WATER SERVICE PER STD 502-L. **UPDATED 10/31/18: INSTALL
NEW SEWER LATERAL PER STD 406-L**
Item: 10250 FINAL - PW
Requested Time: 1/30/2020 12:00:OOAM
Entered By: WEBUSER
Comments: 'AM-'
Assigned to: 777777777zz*
&0C>a t (,:--
�S
_Eva�
Requestor: WEBUSER
'949'402.3008'
4
1i31/2020
City of Newport Beach Page 4 of 19
6:30:40AM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/31/2020
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 103 VIA QUITO
AlP1D tni+cmaw imr.
Activity :
N2018-0492
SubType :
NEW
Status :
APPROVED
OWNER:
BENSON BRIAN & DENISE Phone:
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description :
INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE AN[
INSTALL NEW 1" WATER SERVICE PER STD 502-L. **UPDATED 10/31/18: INSTALL
NEW SEWER LATERAL PER STD 406-L**
Item:
10250 FINAL - PW
Requested Time:
1/31/2020 12:00:OOAM Requestor: NBIVR
9494023008
Entered By: NBIVR
Comments: AM
Assigned to: j Ab
5 P /L
L