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
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FINAL DESIGN
APPROVED FOR CONSTRUCTION
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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
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—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