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HomeMy WebLinkAboutN2017-0294V �.,15 tµY,RRI �T CityofNewDport Beach Permit No: N2017-0294- NewportBeach, CA 92660 I III I II IIIIII,II III IIIIIII I2IIII II II � Permit Counter Phone (949)644-3311 Project No - 4, Online Inspection Request - www newportbeachca gov / Online .SCANNED - Services Inspection Requests Phone (949)644-3255 Job Address : 312 DAHLIA AVE NB Thomas:Guide: 889,16 Description : INSTALL 1" WATER SERVICE PER CITY STANDARD 502-L AND INSTALL SEWER LATERAL AND CLEANOUT PER CITY STANDARD 406-L. ALLEY RESTORATION PER CITY STANDARDS. "UPDATED 8/31/17"" REPLACE SCE CONDUIT — Parcel # : Legal Desc : N TR 15935 LOT 69 Owner: SKELLERN Phone: 9496400943 Address : 15 RONSARD NEWPORT BEACH CA 92657 Applicant: SKELLERN Phone: [ Address Special Cond.: PRE -JOB INPSECTION REQUIRED COMPLETED Permit Processing Fee . $241.00 Sewer Connection $250 00 Agreement Fee : $0.00 4TT Box Cover: $64.00 Traffic control Plan Check : $0 00 Total Water Meters . $649.50 Inspection Fee : $495.00 Water Meter Connection : $528.00 Refundable Deposit: $0 00 Total Water Meter Box : $51.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Utilities Approval Traffic Approval General Services Approval Date Date Date Date Contractor Phone : Address Contractor State Lic: License Expire : Business License Business Expire : Workers' Compensation Insurance - - Carrier : Policy No W. C. Expire: Other Department : Permit Denied : Issued Permit Total Fee $1,750.50 Paid : $1,750.50 Balance : $0.00 Receipt No: Date - Date : /_/ 21-! Date /3 /`7 City of Newport Beach��ulll e , e z oII� Permit No: ni2o� �-�24 �I�IIOIIIIII IIIIH o�` 6 1 DO Civic Center Drive, Newport Beach, CA 9zfi6u N 2 k Permit Counter Phone (949)644-331 t Project No: >� Online inspection Request - wow_newportbeach ca gov f Online Services Inspection Requests Phone (9481644-5255 Job Address � 312 DAHLIA AVE NB Thomas:Guide: 889J6 Description, INSTALL 1" WATER SERVICE PER CITY STANDARD 502-L AND INSTALL SEWER LATERAL AND CLEANOUT PER CITY STANDARD 406-L. ALLEY RESTORATION PER CITY STANDARDS. Parcel # : Legal Dese : N TR 15935 LOT 69 Owner: SKELLERN Phone: 9496400943 Address : 15 RONSARD NEWPORT BEACH CA 02657 Applicant: SKELLERN Phone: [ Address Special Cond.: PRE -JOB INPSECTION REQUIRED Permit Processing Fee: $241 00 Sewer Connection $250.00 Agreement Fee: $0.00 4TT Box Cover $64.00 Traffic control Plan Check $0.00 Total Water Meters: $649.50 Inspection Fee $495.00 Water Meter Connection : $528.00 Refundable Deposit: $0.00 Total Water Meter Box: $51.00 Street Tree Fee . $0.00 Adjustment $0.00 Processed By. Utilities Approval Traffic Approval General Services Approval: Date. —l�l Date: `I_I Date. _I_I Date 1 1 Contractor Phone: Address Contractor State Lic: License Expire: Business License Business Expire : Workers' Compensation Insurance - - Carder : Policy No W. C. Expire: Total Fee Paid: Balance Receipt No. $1,750.50 $1,750.50 $0.00 Other Department : Date : —1-1 Permit Denied Date —1-1 Issued Permit : Date : /0 j �C H r-3 n. L, LA m wn r-+ m n m ov r `J r 0 rn D z 3 vo v � c v z z O H ;u T m H 3 n o � m G n z H v A m n m m v c 00 c n m H -n H T z � r N � D L� m A rD --i � n D mH J. C rz SUB INSTALLATION 20E YG41 AAA 11M �lPCG VD-023% \\ FL-1,01% `. 312 DAHLIA AVE COR W DEL MAR CA 9Q625 ` . 314 DAHLIA AVE CORONA DELMAR (;ARM 200AMP PANEL 1201240N WHASE UKW STON! / CF ='I,- ?i 750866c r METE? NEw tiHiAn \ \ iR 1. TY :-99C A[ 1-A/e caw IF ,x TO OM -• ' , 1N' 1- RSA ' EX7ER9pl 1 Cf• 6- CM DUB M EXAVATW !c 2-O&W I -VC. ❑P iRMO TO NEW HHI di' b. I- 'yA EAR "6 _T DUTY 5-37C T 5-MAY CF I- S9 TAX D= CST FOR BU/�AGfH/A,[ •'9)E' W [F CM OW 2 1/2' M V CF 6- CM DUCT FOR WAYATIDn m. 2-I JO 1-#2 IP (NEW HH TO PANE..; 3A' IN: 2-NIR CAI MA '20%24(1 c Iq u5RE 169%% r 7 Msm i CF: /`LJ / I&SE TG NEW ItM i iH. 30' 350 ti 43JkIUF 10E I pF�.Fr- R '7R NTc I�in,.. SL'RFACE-MOUM'EU OR SEM -FLUSH I vde / zw ora ETA9CIi EAM73II01- 4FWQFj1 METER INSTA�s T)ON E / 75ONZE SEE LSR 5-25 E ow O6 u lwi An K � IE1RK- REUIM7�4 tR! i Rs 30' 1 P7+YT TYPLT1iA 1 4m I T�411 36' OJTAaC QCQIw [l� DOTAGE UIE TMG / I TW-tC '. HTRDL AWLR FD I I FW TRAFK WNTADL oFA'D DAVO"MTA- SC RTNNC REQU (FI MOT[,) � r rl ' I tIE wi 4I I c5D 14e (TLM) REQU LEI j v ac+oew io 4 X 1101rD11LL GfiM6114{ w m(INl[ V K i["R �C u rrn s >LL a nwp OR'*JCAI Y.L' T �{ w9111 • •OlJfYt OfAWS lql M CQ a' �[ IRA i.�C 1 iM iM[ 0� A �Oa� P �Q1111K I �w anw aKA IIOYS/ s�w1 M t1 ..olF �. � vA RiV a NIMBI IGM ]YT p161mf Ntl11�K YK lYA 111f161 JYi IIIOY''4 Wl M CJI['O LQ 11MI N IR.11UI0R/:1Y f�Ol M alrC 01[ a' K ' KII TM4 !WL Im ♦t TN�GO AY tlCMCfY4 >II C4t FrY4 w'. ('.4 YXj I : , rc .wAlc "a swwc aw,a: awl ro rz>am.ciar, annr a 6E wr2n1 v x a�lau. au : T1YOQ X INLW �M v X A7+la fua. r 9 rsc ao.. , rf .cm W.1[ xnw,aulr X 'w. K rrA� UWeh a •c .ewv.ce f�L' rt a roti gee uox ile onr :, . net[[ n rrnao inw AieciwL M WA'ol � R •nl.3 E Il.' m IAY Y MR T.IC 6 K E➢GT �f b11� K r(rh mv a M naoia !wi x n neca -MC-At, CO"OUIT SANK ;=CTIO" SEE WS CD 120 u cur muan� � ma cawrt T L1A DAT4 15MIE 7QE KYA CUSP 7LJ4U EtlZ SD 9 32 11i2 cRq? SQ 62 JD 1249 'ATACE DROP 0.23 FL'C V FACTOR . 101 FINAL DESIGN APPROVED FOR CONSTRUCTION AMQM ,ve. DEL MAR. CA 92-325 City of Newport Beach IIIIIIII IIIIII II IIIIII IIIIII IIIIIII II Permit No: N2017-0294 . 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 9 4 Permit Counter Phone (949)644-3311 Project No : `� Online Inspection Request - www newportbeachca gov / Online _,, ".1' ` +\\N NE® ` Services Inspection Requests Phone (949)644-3255 Job Address: 312 DAHLIA AVE NB Thomas:Guide: 889,16 Description : INSTALL 1" WATER SERVICE PER CITY STANDARD 502-L AND INSTALL SEWER LATERAL AND CLEANOUT PER CITY STANDARD 406-L. ALLEY RESTORATION PER CITY STANDARDS. Parcel # Legal Desc : N TR 15935 LOT 69 Owner: SKELLERN Phone: 9496400943 Address : 15 RONSARD NEWPORT BEACH CA 92657 Applicant: SKELLERN Phone: [ Address Special Cori PRE -JOB INPSECTION REQUIRED Permit Processing Fee . $241.00 Sewer Connection : $250.00 Agreement Fee : $0 00 4TT Box Cover • $64.00 Traffic control Plan Check $0.00 Total Water Meters $649.50 Inspection Fee : $495 00 Water Meter Connection : $528.00 Refundable Deposit: $0 00 Total Water Meter Box $51 00 Street Tree Fee . $0 00 Adjustment : $0 00 Processed By Date: Utilities Approval Date - Traffic Approval : Date. General Services Approval : Date Contractor Phone: Address Contractor State Lic: License Expire : Business License Business Expire : Workers' Compensation Insurance - - Carrier : Policy No: W. C. Expire: Total Fee $1,750.50 Paid : $1,750.50 Balance : $0.00 Receipt No: Other Department : Date Permit Denied Date Issued Permit : Date :/� 7 WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH Z 3•��O PUBLIC WORKS DEPARTMENT COMPLETE- THE BELOW INFORMATION - . . - . - . - . - . PROJECT ADDRESS: 1 7 Tina ,'w OF PROPOSED - - IN -L • J. PPLICANT: L70 Phone: qqq. 5YA- QIQLo Email Address: ` �,' T' Mailing Address: IV( City/State/Zip: 9 3a I s OWNER: Phone: Email Address: Mailing Address: City/State/Zip: ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: r' aA LT D Office Phone: 94 • 010 Company (if different): Jobsite Phone: y. Other Phone: Email Address: r�,', k r_ cm vv%', k e i LSv r e% 470 . C•a State License Number & Class: City Business License Number: p Expires: % • 5 (- / g 1 y Ex ires: 2• • 1 1 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: 54 Q '"n CL Policy No: 01F%l /0• (p Ex ires: o f �uniic' aI.Q erations:-9�49-6.44�3Q5S.�.-.•..�.�.�.�.•.•.•.•.•.•.•.•.•.•.•.'.'.'.'.'.-.'.'.'.'.'.'.'.'.'.'.�.'.�.'-'-' ........ ......................... Utilities:. •949-64, 44, 011 .. • . • . • . • . • .. _ Urban Forest :• .949 644-308.3. - FOR OFFICE USE ONLY Special Conditions of Permit: ;PVC. -3Db :,nspe0+;d'V1 recyut red - ADDCTIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Traffic: 0 Fire: 0 Municipal Operations Other: Engineering Technician: Permit Specialist Date: Permit No. �od tad; (o ' i ' I 11420%- tj'users)pow/shared/encroachimastersiepvvof'Ksheet ds ve. n / r -,*- %133 N201-7 --b2-1y Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT : = All Feed Aee J•N6h_R0-Whdebke: uh/6ss:I�ttisiiir/tse tat+2i PROJECT ADDRESS: 2. ^ (�i.� � _ v �fn `,I��O., PERMIT NUMBER: ALQ�s APPLICANT: , / . �J 4Ll � • �t � WWI-, - OL TO BE COMPLETED BY PU MENT Permit Processing Fee: Public Works Only $241.00 I Other Department $275.00 Agreement Fee: Preparation of ReportlAgreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502-00 Inspection Fee: Qty. Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108,00 Refundable Deposit: TBD Improvements TBD Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143-00 4TT Box & Cover $64.00 Additional THE FOLLOWiNG.FTEMS f2EQU1RE• APPROV—A FROM E TH- . - . • . - . - Rev... . ...... .....enue �i.Yisian_ • . - ............I (..•.-.-"-.-.-REVENtlE-DfViStON.PRtOFf�`OPAYMEWT'OF�FEfS�-�-�.�.-.-.-. ApprQvai:---.-.-.-.-.�.-.-.�.-.-.-.� E::::::.:......:...:.: ............::"::::::::::::: 4 :I [Wa�OFMetdr::•:":•.•.•:•:•.-:. :_. :-:-:-.: " " .::kiSt.3Nafidn.Ctiafge :.:.:.:.:.:.:.;-:.;-$528.0Q71; V/4t,Meter :: ::::::::: :::. - . - . -_ . •W;afet-MOtO $Qxesc :... ; . ; ... ; ; ; ::: ; ; • :1 [1''-Meter..," : :": : : : : : : : : $12:t.5 : -.For-(Box-+-Cover--los :1 E1 912":Meter. . . . . . . "'T [1 . . . .$285-00 '-"-'-"-"""-2. :•'-1":Meter.:-'13�o +37:Od :: '--27.1)a+61.25•--"-'-'-"•'-"-$88-25 : : : $Sd.0 1l2urbineMe'ter•'•'- - $ZOO.DO Meter, -'•'•'•'-'I E2"IVleter;•;.:::;::... -;-$425D. ; ; ; ; ; ; ; :": :: ; :: ; :: ; :•;- :1 -Z'Turbine Keter ... F3° ;$ d5.00 ; ; ; ; "; Fflf Franc & Alley:Q es ($ox;+;EoveF;= Cyst) ; -. • "I Meter: .`.'3.0: r4"Meter : : : : : : : : [ ::. : :::$4,:73O.OQ : . 2":Meter: :2��iQ *:t62.d0::$t89.0 1 :I : 16,,.Meter-- ; _ - - - _ .". _ --$7,;490.Ofl :•.•:•.....................•... ................... .: : :": : ::,:._•:.-.-.--:-:... �:�:- I Budget Number Certificate of Compliance Fee (+100% of hriy 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 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance use only 1;zoll; 0 1150. �;-D Permit Specialist Receipt No. f/users/pbw/shared/enQach/masters•ep front and back masters/ Rev 10/21/2016 epteesheet,Js­�vised 100-1Qe16 CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REQUESTED BY Mike Kilbride WORK/TAP ORDER# tperson or entnq x%ho is requesting meter and/or could get hJdrant deposit refund) MAILING ADDRESS PO Box 3341 RECEIPT# CITY/STATE/ZIP Newport Beach, CA 92659 PHONE # 949.548.0106 SERVICE ADDRESS_ SERVICE REQUESTED: Check all that apply () Hydrant Meter Deposit required (tapping order) ( ) New construction (NNork order) ( ) Irrigation only ( ) New Meter ( ) Meter Upgrade New service address Existing service address (tapping order) (,�%ork order) VAdding meter to existing account/address ( ) New construction at existing service address ( ) Condo conversion/# of units Original Service Address ( ) Commercial Location ( ) Residential Location ( ) Fire Connection Fee S �g) Meter Size f� *Fee S (L 1 • Sy 4() *-ITT Box Fee S (0 'I. 0 4, W Meter box & Lid (circle) lleyfT)ffic Area or Parkways/Sidewalk Fee S 5/ 001 Total Fees* S 23U . 50 Paid by (circle) Check Credit Card Other with Encroachment permit 1 Please Complete Owner Info (Hydrant Meter exempt) Customer Name (property Billing Address Residence Phone # E-Mail Address City/Zip Business Phone # 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 f users rev shared eater kkater meter sen, app 8 2 06 LEGEND TREE + = POWER POLE = SANER CLFANOLF = W:ArER METER SOX I i I I I CEN;•?�Rt THE OF 11,00, 1 1" PP OPER7I I INE I I 3t2 I —ro -D .ADDRESS APPLICANT OWNER r DESCRIPI 10N OF WOP CITY OF NEWPORT BEACH ENCROACHMENT PERMIT PERMIT No. N City of Newport Beach Newport Beach Police Dispatch Public Works Department Phone:949-644-3717 Phone:949-644-3311 Fax:949-644-3318 APPLICATION FOR TEMPORARY STREET / SIDEWALK CLOSURE OR DUMPSTER PLACEMENT APPLICANT INFORMATION Name MIKE KILBRIDE Company Name COAST WATER Sri POWER City of Newport Beach Business License No Address P.O. BOX 3341 BT96014951 City/zip NEWPORT BEACH, CA 92659-8341 Phone Day 949-289-0078 Night lExact Location of Encroachment: ,Use street address or ap[}oximate number of feetygm nearest intersection) in for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below. : No work on holiday(s) or weekends. Date Closure to Begin: (Max,mur^ id Gays; Date Closure to End: Time of Closure: 7:00 AM to 5:00 PM DIAGRAM LOCATION OF ENCROACHMENT BELOW: 0 e � � i No A copy of this permit must be visible on the dash of each vehicle authorized to park rn reserved parking spots The applicant is responsible for notifying Police Dispatch of any road closure, detour, or reserved parking See reverse side of this permit for regulations covering use of this permit ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS: 1) Flagman operation per 2006 W.A.T.C.H. Manual. Pages 47-48. 2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hrS prior to closure. 4) Place delineators around construction area. 5) Plate and backfill excavations durinq non -construction. CITY RESERVES THE RIGHT TO REVOKE OR MODIFY CONDITIONS AT ANY TIME (Permitee) hereby certify the information orovded :s true and correct and I agree to comply with the terms and `-,croac,-me— = T NO conditiors on the front and back of this eerr—t Permitee gua•antees to indemnify and hold the City of Newport Beach harMsNgairstlany claims habihr oriudgr eris for aamaaes ans,ng out cf oermitee s activities IV X Date- I L •1 Z2 -' pproved by —_^--- Cate _-s , _ mqn 0..^er"_ z >ern -gs'emocra ^,erne) 33G rr=mc 3. eet : osu•==or,ca••o t,�C^ae-='a; ^ •';�Sn�_•. 6/12i2617 City of Newport Beach Page 5 of 11 644:13AM INSP150 - Daily Inspection Request Report Activity : SubType : Status : OWNER: Requested Inspection Date: 06/12/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 312 DAHLIA AVE A M klf+O viuMoft: N2017-0294 NEW APPROVED SKELLERN Phone : 9496400943 Description: INSTALL 1" WATER SERVICE PER CITY STANDARD 502-L AND INSTALL SEWER LATERAL AND CLEANOUT PER CITY STANDARD 406-L. ALLEY RESTORATION PER CITY STANDARDS. R�eques�sd Mtspsctiotr(s� Item: 10215 ROUGH UTIL Requested Time: 6/12/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: 7777777,77/777* Inspector: �J V Date: Z / % Time: 1 a�MPM Comments: a _ [� S � _ eiv I� 4/7Arm Chi�)� . Lq3r?401 ' Lvo&Ie o/y-,i"t'YZ Sir-'V��� Loaded Refilo F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Inspectorsheet.doc REPT131 Run Id: 4018 8/14/2018 City of Newport Beach Page 10 of 14 4:30:35PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/15/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 312 DAHLIA PL Activity: N2017-0294 SubType : NEW Status : APPROVED OWNER: SKELLERN Phone: 9496400943 Description: INSTALL 1" WATER SERVICE PER CITY STANDARD 502-L AND INSTALL SEWER LATERAL AND CLEANOUT PER CITY STANDARD 406-L. ALLEY RESTORATION PER CITY STANDARDS. **UPDATED 8/31/17** REPLACE SCE CONDUIT" Item: 10020 PERMANENT PAVING- PW Requested Time: 8/15/2018 12:00:OOAM Requestor: WEBUSER 9494663880 Entered By: WEBUSER Comments: AM-8:30to 9:00 please, conc. pavement --s Assigned to: z7777777zz* Inspector: I'a �'2 Date: Time: A PM 8 S Comments: } kY ea Reefile F:\Users\PB W\Shared\E NC ROACH\MASTERS\FORMS\I nsoectorS heet.doc REPT131 Run Id: 4018 8N6/2018 City of Newport Beach Page 22 of 22 6:34:03AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/16/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 312 DAHLIA PL A/P/D Information: Activity : N2017-0294 SubType : NEW Status : APPROVED OWNER: SKELLERN Phone: 9496400943 Description: INSTALL 1" WATER SERVICE PER CITY STANDARD 502-L AND INSTALL SEWER LATERAL AND CLEANOUT PER CITY STANDARD 406-L. ALLEY RESTORATION PER CITY STANDARDS. **UPDATED 8/31/17** REPLACE SCE CONDUIT** Requested Inspection(s) Item: 10200 PRE JOB - PW Requested Time: 8/16/2018 12:00:OOAM Entered By: WEBUSER Comments: AM-9 -9:30 please, thank you Assigned to: zzzzzzzzzzz* �ar" fjv; vof;�e-- rod' ;,+ ✓dvoC �►cS�irg7'p1�'�• Requestor: IZ16 LAMM:1iL9111C7 949-466-3880 8/22/2018 City of Newport Beach Page 15 of 15 6:34:28AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/22/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 312 DAHLIA PL A/P/D Information: Activity : N2017-0294 SubType : NEW Status: APPROVED OWNER: SKELLERN Phone: 9496400943 Description: INSTALL 1" WATER SERVICE PER CITY STANDARD 502-L AND INSTALL SEWER LATERAL AND CLEANOUT PER CITY STANDARD 406-L. ALLEY RESTORATION PER CITY STANDARDS. **UPDATED 8/31/17** REPLACE SCE CONDUIT** Requested Inspection(s) Item: 10255 FINAL - Utilities Requested Time: 8/22/2018 12:00:00AM Requestor: WEBUSER 9494663880 Entered By: WEBUSER Comments: ANY -Please sign off final Inspection Assigned to : zz77777777* r C OMPLETED