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HomeMy WebLinkAboutN2017-0049City of Newport Beach IIIIII111111111111111111111111111111111111111111II II o� 6 100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 0 4 9 ti Permit Counter Phone (949)644-3311 Online Inspection Request- www.newportbeachca.gov/Online oaS4s Services Job Address: 21 BURNING TREE RD NB Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Parcel # : 4421-913-5 - Legal Desc : N TR 7638 LOT 48 Owner: GIBBS CHRISTOPHER Phone: 949-721-8200 Address : 23 CORPORATE DR #246 NEWPORT BEACH, CA 92660 Applicant: CHRISTOPHER HOMES Phone: 949-721-8200 [ Address : 23 CORPORATE PLZ #246 NEWPORT BEACH CA 92660 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Permit Processing Fee : $241.00 Sewer Connection : $0.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Inspection Fee : $330.00 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: Utilities Approval Traffic Approval : General Services Approval Date: Date : Date : Date: / Thomas:Guide: Permit No: N2017-0049 - Project No : 1951-2016 �' A N N E® _ Inspection Requests Phone (949)644-3255 889E5 REVIEWED Contractor: CHRISTOPHER HOMES Phone: 949-721-8200 Address : 23 CORPORATE PLZ #246 NEWPORT BEACH CA 92660 Contractor State Lic: 285639 License Expire : 09 30, 2018 Business License: BT00017545 Business Expire : 12 31, 2017 Workers' Compensation Insurance - - Carrier : STATE COMP Policy No : 9035422 W. C. Expire: 12 28, 2017 Total Fee $635.00 Paid : $635.00 Balance : $0.00 Receipt No Other Department : Date Permit Denied Date Issued Permit : Date : LR / -7 WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: oZ / 11,ey1,,,6 TQg!E ,El04p DETAILED DESCRIPTION OF PROPOSED WORK: APPLICANT: /tom RE-gLe-'e Phone:-PY--A;a z?SW2 Email Address: ,&wrF<cC4 7/,e e_ Mailing Address: 23 Go City/State/Zip: OWNER: yQ, s /BBf Phone: Email Address: Mailing Address: City/State/Zip: 6 RA1A-?( 724e .ems '41v ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: Office Phone: l✓� Company (if different): !/R/zrm Jobsite Phone: Other Phone: Email Address: QZ/f Ru`pgJ,G�y Mailing Address: Z City/State/Zip: State License Number & Class: fj39 Expi /2 City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: olicy No: Expires: 9 / Municipal Oerations: 949-644-3055 Utilities: 949-644-3U11 Urban Forestry: 949-644-3083 FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS - Utilities: Municipal Operations Traffic: Fire: Other: Engineering Technician: Perm i ecialist Dat Z`1 I Permit No. N2017- Ct)LjCj f/users/pbw/shared/encroach/masters/epwoBsheet.xls 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 Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT 1 N2017- r { 'CC LI1 iYL t NUMBERTO BF- COMPLETED BY PUBLIC WORKS L)EPARTIMENT APPLICANT: Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Street/Alley/Walk Closure: Traffic Control Plan Check Inspection Fee: $241.00 Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $.00 $192192.00 Refundable Deposit: $502.00 Improvements $65.00= Newspaper Rack Inspection TBD TBD $108.00 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143.001 1 4TT Box & Cover $64.00 Additional -------------------- I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM'. THE Revenue Division — — — — 1 [Water Meter: 13/4" Meter $50.25 I V Meter $121.50 11 1/2"Meter $285.00 11 1/2" Turbine Meter $700.00 12" Meter $425.00 12" Turbine Meter $845 00 13" Meter $3,310.00 14" Meter $4,730.00 16" Meter $7.190.00 Installation Charge $528.00" Water Meter Boxes: For Parkway & Sidewalk Area (Box + Cover = Cost) 1" Meter: 13.00 + 37.00 $50.00� 2: Meter: 27.00 + 61.25 $88.25 For Traffic & Alley Areas (Box + Cover = Cost) 1" Meter: 13.00 + 38.00 $51.00� 2" Meter: 27.00 + 162.00 $189.00 Certificate of Compliance Fee (+100 i• 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/VacationFee (+100%ofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Total Amount Due: For Finance use only LC,I+L, I Cow - c0 Permit Specialist Receipt No. f lusers/pbw/shamdlencroachlmosters/ep front and back masters/ Rev. 1/5/2017 epfeesheetxls-revised 1012112016 ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I Contact "Underground Service Alert" At Least 48•Hours In Advance of Any Excavation at 1-800.22T b ' ' ' ' " TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANCE (Se I%n 3800 Labor Code) Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed I certify that I have a Certificate of consent to set t_.m , Certificate of Worker's contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the ompensat! n Ins ante, or a Certified Copy that f. permit and construction plan shall be kept at the job site at all limes. Work, which has been done prior to issuance of / %//7 a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days Date: Signature: 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. provisions of the State Labor Code, I must comply with the provisions of Section Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall 3700 or 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 connection to sewer lines a valid State Contractor License Class C-42 is required. CONTRACTOR LICENSE EXEMPTION All benching 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 means. Trenches less than 5 feet in depth shall be guarded when hazardous ground movement may be expected. HOLD HARMLESS STATEMENT 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 inspections by encroachments. I will be responsible for replacing the improvements if the City the Municipal Operations Department 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 (le: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot clearance over or under existing City -owned utilities. Sewer cleanouts require VCP or PVC SDR35 be used with a Date: Signature: 4TT box over the riser. Property lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual Inspections should be requested by ceiling the P Itljf IC Waft Inspection signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by th Request Line at: 949.644-3255. INITIALS: California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.0 per barricade per day, with a minimum charge of $36.00, It is the responsibility of the applicant to place barricades to, 15. All above ground facilities shall comply with the Municipal Code, including but not limited protect the general public. Access to fire hydrants must be maintained at all times. to Chapter 13.20. 0. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day 16. Homeowner, contractors, and subcontractors 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, 1, Any work that extends Into traffic or parking lanes and impedes the normal flow 0f traffic requires the applicant to discharge construction debris into the gutter and storm drain. Felony violations of Water acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and Quality Laws are punishable by fines up to $25,000 and/or up to three years in State 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 Certificate or Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure Evidence of a Slurried Backfll and request a final inspection from the Public Works on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Department. Monies may be held for six months after final inspection before a refund will the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way be processed. will require a Caltrans Permit. All vehicles shall be lawfully parked. 2. This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of 18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. without approval from the Municipal Operations Department, Parks and Street Trees 3. Applicant must notify USA at 1.800-227-2600 2 days before starting any underground construction. Applicant Division. 19. All work in the public right-of-way must meet the approval of the Public Works Department must notify all affected residents 24 hours in advance of restricted access and any inconveniences. All USA marks or corrections will be required (i.e. removals, exposing connections, etc.). Additional shall be removed prior to Final Public Works Inspection, inspection fees may be required. 4. Refuse or unused materials shall be removed within 24 hours after completion of the work. If mitt removed, the City 20. Permit is for standard materials in the public right-of-way only, unless previously approved may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 by Public Works and an Encroachment Agreement has been processed, for the collection schedule so service is not interrupted. To place a dumpster or materials In the public right-of-way, a 21 permit is valid for "description" of work noted on front only. Additional work performed Temporary Street Closure Permit must be obtained from the Public Works Department. rnav requlre issuance of a separate permit and/oradditional fees. le wmk-related to' this enoraaohmard pwmttatoll�twpwfemrad until the Public Works Department has Issued this permit. ondRlons of this permit and he/she sgrssete abldeby them. Pemtft Is void ff wort its not commenced wlthldi0 days after to 'eerit fees are nonrefundable. Please nots: Prooaratlon of Encroachment A anent fqe is non-refundable, Date: a 4 0 0 20 40 annommosomor Feet Disclaimer: Every reasonable effort has been made to assure the accuracy of the data provided, however, The City of Newport Beach and its employees and agents disclaim any and all responsibility from or relating to any results obtained in its use. Imagery: 2009-2013 photos provided by Eagle Imaging www.eagleaerial.com Chisel "S" on face of concrete R 10 curb over lateral. 3" high 1 letter. Ya" deep. Curb & gutter 1 1 7 \1 I i Sidewalk (or alley surface) Finished street surface Riser, Coulder or Fernco coupling & stopper to be Installed 6" below finished grade. :1.1 Minimum Slope: Y4" per linear foot or 2.00% SPECIALNOTE: Under on circumstances shall ABS pipe or fittings be allowed! All sewer laterals shall be inspected by the Utilities Dept. and be replaced if necessary to meet current city standards. Sewer lateral connection per STD-405—L CONSTRUCTION NOTES: 1O Install sewer cleanout cover per applicable portions of STD-511—L. Triangular cover with "S" on top. O2 4" (or 6") SDR-35 PVC sewer pipe with gasketed, integral bell and spigot joints. O 4" (or 6") SDR-35 PVC 45' bend. ® 4"x 4" (or 6% 6") SDR-35 PVC wye branch fitting. O4" (or 6") ABS stopper (where laterals are stubbed) © 4" (or 6") short piece, SDR-35 PVC, 6" long. 7O 4" (or 6") rubber mechanical banded seal clamp. Fernco or City approved equal. © 4" (or 6") private sewer pipe. O9 8"x 4" (or 6") wye branch fitting. SDR-35 PVC. GENERAL NOTES: 1. For slope less than Yap per foot a 6" lateral shall be used with a minimum slope = )6" per foot. 2. A cleanout shall be installed on all sewer lateral connections. 3. Cleanout shall be installed at property line. 4. Sewer cleanout covers shall be Brooks products No. 4TT or J.&R. No. 4T marked sewer. 5. Cleanout covers placed In sidewalks may be Brooks Products No.t —RS and No.1—R (concrete cover) or JAR. No. 1—R by special permission only. 6. Sewer cleanout riser pipe material shall be SDR-35 PVC except where existing sewer main is VCP in which case VCP pipe and fittings shall be used. 7. PVC shall be SDR-35 per ASTM 3034. S. PVC pipe and fittings shall be bedded with % crushed rock material. In areas of ground water or tide water %" crushed rock. 9. Where VCP materials are used, bedding shall be standard. 10. Single family residences shall be 4" diameter all others shall be 6". 10 Install ABS stopper in rubber coupling. Use 11. Saddle type connections to sewer mains are prohlbitied, except by special Mission Clay Products stopper or approved permission from the Utilities Superintendent. (Then only on old concrete equal. mains with heavy flows.) 11 Sidewalk replacement shall be in full panel. 12. Glue or solvent joints are prohibited. CITY OF NEWPORT BEACH APPROVED: PUBLIC WORKS DEPARTMENT — SEWER LATERAL WITH RCE NO.36106 PUBLIC WORKS DIRECTOR CLEANOUT DRAWING NO. STD-4.061-T, 10030 _ G� _O � PGA - -J0 a Inspector: J �r Date: l ,�3� 'I 1 7 Time: 3U /MM PM Via Ei y Comments: JikPec Jp 5%7% Si O iit/ SJr1 S n T / 3�Fl.n� s,�%1 _ `iO�-'%s i'e��/'G � i ��� C✓�.�. ��ic ��.��,�-r-r S' Div s BST>dti � F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131 Run Id: 4018 417112017 City of Newport Beach Page 3 of 6 4:30:09PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/01/2017 Inspection Type : ENCROACH Inspection Area : PW - --mite-AddressT21BURNING TREE RD -- A/P/D Information: Activity : N2017-0049 SubType : NEW Status : APPROVED OWNER: GIBBS CHRISTOPHER Phone : 949-721-8200 APPLICANT: CHRISTOPHER HOMES Phone : 949-721-8200 MREZELLE@PLCLAN D. COI Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10030 CLEAN -OUT Requested Time: 2/1/2017 12:00:OOAM Requestor: WEBUSER 9494000725 Entered By: WEBUSER Comments: PM - Assigned to: zzzzzzzzzu* Inspector: i Date: Z I t __7 Time: ll 00 A) PM Vl� Er Comments: S yf 17 6X6AVfA77oN s4 SG D %LOLFF7 wO/G (� iI-r�3Da 1�LI7 �1A/G� t7� !<v6>7<YLD u N S?` .4- D L.Or,tc .G �✓ry F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018 J N z o t ? aw oo qel 2 1 8 u KIV `G IN 6 a K� VY7- YO0 -o-2 Zs- - JA-t--c TV Inspector: 2 7 Date: Time: F�� AB pM Comments: 6!? Sty f�oivc CC)LG 9tG /Lc�� r� I 1 OD A-" - 62�-- 1-0 s co Z & rGT Fi"7'� F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018