The URL can be used to link to this page

Home My WebLink AboutN2017-0098of Newport Beach 11�il�ililIIIIIIIIIIIIIIIllllilillllil llIIIilil II N2O17-0098 ityo Permit No: Beach, CA 92660 Permit Counter Phone (949)544-3311 Project No Online Inspection Request - www.newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address : 448 SERRA DR NB Thomas:Guide: 919F3 Description : Install 2 residential driveway approaches (W=16' and 12'), curb drain, entry walkway and remove and replace any damaged rolled curb and gutter per City Standards. EA required for private improvements in public right-of-way. Parcel # : 4591-620-9 - s Legal Desc : N TR 1237 LOT 52 m3 Owner: WISEMAN DELIGHT J Contractor : NICHOLSON CONSTRUCTION CO Phone: 0 Phone: 949-872-6637 Address: 448 SERRA DR Address : 1 CORPORATE PLZ #110 CORONA DEL MAR, CA NEWPORT BEACH CA 92660 Contractor State Lic: 660295 Applicant: NICHOLSON CONSTRUCTION License Expire : 12 31, 2018 Phone: 714-865-4465 Address : 1 CORPORATE PLAZA DR, SUITE 110 NEWPORT BEACH, CA 92660 Business License : BT98032850 Business Expire: 04 30, 2017 Special Cond.: Pre -job inspection required Workers' Compensation Insurance - - EA Required Carrier : STATE FUND Policy No: 9074255 W. C. Expire: 10 01, 2017 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $1,553.00 Agreement Fee: $817.00 4TT Box Cover: $0.00 Paid : $0.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $1,553.00 Inspection Fee : $495.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box : $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date: _/_/_ Other Department : —Date: Utilities Approval : Date: _/_!_ Permit Denied Date 3 � f;L 17 Traffic Approval : Date: _/_/ Issued Permit : i Date : General Services Approval : Date : _/_/_ WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT CQ PL TET ELO I .O TIQ ;4 ... PROJECT ADDRESS: 448 Serra Drive Corona Del Mar CA 92625 DETAILED DESCRIPTION OF PROPOSED WORK: Construct: Residential Drive Approach 2 eachper City STD-162L, 3" Curb Drain per City STD-184L, and Walkway. Replace rolled curb as requIreTby inspector. Pay or I y street tree to be planted. APPLICANT: Nand Glass Phone: 714-865-4465 Email Address: nanci@nicholsoncompanies.com Mailing Address: 1 Corporate Plaza Dr., Suite 110 CitylStatelZip: Newport Beach, CA 92660 OWNER: DBTN, LLC Phone: 949-756-8393 Email Address: nanci(a)nicholsoncompanies.com Mailing Address: City/State/Zip: 1 Corporate Plaza Dr., Suite 110 Newport Beach, CA 92660 -PLEASE COMPLETE ALL CONTRACTOR INFORMATION IS REQUIRED CONTRACTOR: Nicholson Construction Office Phone: 949-756-8383 Company (if different): lJobsite Phone: 949-482-9475 Other Phone: Email Address: nanci@nicholsoncompanies.com Mailing Address: 1 Corporate Plaza Dr., Suite 110 CitylStatelZip: Newport Beach, CA 92660 P State License Number & Class: 660295 Class B Expires: 12-31-18 City Business License Number: BT98032850 Expires: WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code) Company: State Fund Policy No: 90742552016 Expires: 10-1-17 RFRUNOABLE:P.!'pSIT:INFORM?TION::(/!:App/icabfe,:: 5:: i::::::;:::: ii:::: is .....: >;::::::::«'<:<: ::::::�::i:i ::.:"i.':`::::::.:.:.i.»'>' :.:.: :..........:..:.:.:.:.::: >::::. »> :::::::>i ................ ::::::::::....:::.:.:.:.:.:.:.::::::::::::::........ .....;:;:;::::::::::: FOR OFFICE USE ONLY Special Conditions of Permit: s t sh ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: 0 Other: Engineering Technician: Public Works Specialist: Date: Permit No. flusers/pbwlsheredlencroachlmaslerslepnorksheel x1s Public Works Department 949.644.3311 Permit Processing Fee: QtV. Inspection Fee: itr Public Works Only $241.00 Public Works Field Inspection $165.00 Other Department $275.00P Utilities Field Inspection $121.00 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement Document Recordation Fee $817.00� $192.00 Refundable Deposit: TBD Monitoring Wells $502.00 Improvements TBD StreettAlley/Walk Closure: $65.00= Newspaper Rack Inspection $108.00 0 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143.00 4TT Box & Cover $64.00L Additional --_--- 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 __. ._...._ _.. .. �..... .......... �.. ..w�iu�ur nv CGCC Cnnrnva L• 1 (Water Meter: 13/4" Meter 11" Meter 11 1/2" Meter 11 1/2" Turbine Meter $50.25 $121.50 $285.00 $700.00 Installation Charge $528.001 1 Water Meter Boxes: For Parkway & Sidewalk Area (Box + Cover = Cost) 1" Meter: 13.00 + 37.00 $50.00� 1 2: Meter: 27.00 + 61.25 $88.25 12" Meter $425.00 1 12" Turbine Meter 13" Meter 14" Meter 6" Meter $845.00 $3,310.00 $4,730.00 $7,190.00 For Traffic & Alley Areas (Box + Cover = Cost) 1 1" Meter: 13.00 + 38.00 $51.00 2" Meter: 27.00 + 162.00 $189.00 1 MISCELLANEOUS FEES Q . Budget Number Certificate of Compliance Fee (+100% of My over 3 hrs) Development Services Fee (Plan check hourly) Final Tract Map Checking Fee Final Parcel Map Checking Fee - Moderate Lot Line Adjustment Fee Park Dedication Fee Zone Street Easement/Vacation Fee (+100% of hrly over 4 hrs) Street Tree Fee ($700 Planting Fee) $288.00 $155.00 $2,488.00 $2,488.00 $1,079.00 _ TBD $1,022.00 TBD 1 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470_ 5200-5031 030-2284 --------------- ._.._....._.._..........._.._.._.._... Engineering Tech: Total Amount Due: For Finance use only Permit Specialist Receipt No. (luserslpbwlsharetllencroachlmaslers/ep !root and back masters) Rev. 1/5/2017 epreesheet As -revised 1012112016 i ry. t t i F�� t%ti3�G� i��R F.��}V��V�7�■4��1��c�� f <r;7 a>�<l�s f � y� , �i l�. to t x�a. � F ";, }� � ,�-x..a.:r S�✓. e r-:k�p,�y � ,'✓ '�e`C �i S=af vi b `�"*t� �rt y'' a:� > Z'�.°+; Y...��i_P.� .),�.-�:.��RESL��.�� ^:•��i �� ti.'.�� ...f,�. v-,�.r�'T:��z:'>� .: Ait Fees Are IICon-Refundable Unless Otherwise Stated '- PROJECT ADDRESS: PERMIT N2017- g -Ifl 'Gerv'n NUMBER: A PLICANT: Y ichGi Permit Processing Fee: O Inspection Fee: Qty. Public Works Only $241.00 Public Works Field Inspection $165.00 Other Department $275.00P Utilities Field Inspection $121.00 1J 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: TBDP Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00 0 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 •-------------------------- -----I I THE FOLLOWING ITEMS REQUIRE FROM THE Revenue Division I RFva:mt IF niumintJ PPIAP Tn P"JUIPI IT nP FFPC Annrnvalt :I 1 qry. 4tY• (Wafer Meter: Installation Charge $528.00 1 13/4" Meter $50.25 < Water Meter Boxes: 11" Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost 11 1/2" Meter $285.00 1" Meter: 13.00 + 37.00 $50,00 11 1/2"'Turbine Meter $700.00 2: Meter: 27,00+61.25 $88.25 12" Meter $425.00 1 12" Turbine Meter 13" Meter $845.00 $3,310.00 : For Traffic & Alley Areas (Box + Cover = Cost) 1" Meter.13.00+ 38.00 $51.00 4" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00" 1 16" Meter $7.190.00 Certificate of Compliance Fee (+100% of hrly over3 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 EasementNacation Fee (+100% of hriy over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 1-700. 030-2284 Engineering Tech: Total Amount Due: For Finance Use only ti� Permit Specialist Receipt No.-13 �0 X; c} �-7Li ^�•, ENsers/pbw/shared/encroach!masters/ep front and back masters/ REV. 1/5/2017 epfeesheet.As-revised 10/21/2016 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 I certify that I have a Certificate of consent to self -insure, Certificate of Worker's contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the &Ompensation Insurance, or a Certified Copy thereof. permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance o .-1 c' S -'a. a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days Date: t 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 37o0 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 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 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 1 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 WaylFasement 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 fe: 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. Propedy lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual 16P8CtjOnwalhotdd3b@`F�QU@3t9d b}frCH)j)IY{}= Ii ;� (f)1 pF')Ft a)F�I�pB�fiO(� signs, flags, lights and other warning and safety devices shall conform to the requirements of the current o Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the 6QU@4i':L1rf8'8i: $a�+¢�+i*"��5 :± INITIALS: .5V_ 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 1 : 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, ]. 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 of 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 Backfili 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 Caitrans 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, a' 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 Division. 3. 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 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. C Refuse or unused materials shall be removed within 24 hours after completion of the work. If not 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. 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. work performed Temporary Street Closure Permit must be obtained from the Public Works Department. may require issuance of a separate permit and/or additional fees. C.L. SERRA DRIVE w a) NE 36' 80X5'1RI,.I.r-rREr. FINAL oo 01- 10 -C) 12 7 7 12 2 2 cqi� o" 99' G5 TG r m 7- 9 FF-- 1 .00 P D=9 < 13 13 r t 'A ,14 rF= 103.92 A ABOVE FF= 93.67 4 PAD= 9167 I Z 4 CONCPXM r7 2 2- C CRUSHED ROCK 17 SCI 4 rl 9 6. �k" TG 0'. JR 9k: Exhibit "A" Sheet 1 of 1 p� 'DrA_. ♦ N � • r a GrYir--1 U7- /9?//7 J rA- .-T-F Address: 448 Serra fir. Owner: 440' Serra, LLC Stoihe r .unc codrer'7oito exceed 18" in P ay =-i eoii%i(7 fvla(tese c , �?Cil. 911 P, C7�Ir�V�c �av 1�`e,�4 wv v f L. Landscape Sketch r Encroachment Agreement rA 4-- 5P� ra olpred cconCreto -.Davil Outback #E &0, .rim: Mcio!LtNcl Maltese e FIA: 1 ow g P�l IN r,A- nco of c, exceed 18"in P c�l t f Walk �.Iayl Storks -I�eolil Address: 448 Serra Dr. Owner: 448 Serra. LLC 17 'J conc�(et-677 le - Da,,i� Ouqdaci< i� iris: > Jeollk;c lmalt* )VV — — - --------- V Fptd,q- XRE) M—Pe. Landscape Sketch for Encroachment Agreement 3f15,7417 City of Newport Beach Page 24 of 24 6:34:38AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/15/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 448 SERRA DR Activity : N2017-0098 SubType : 41812017 Page 13 of 14 3/3/2017 City of Newport Beach Page 2 of 13 6:34:48AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/03/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 448 SERRA DR 41P1D Information:'`. Activity : N2017-6098 SubType: Status : APPROVED OWNER: WISEMAN DELIGHT J Phone: 0 APPLICANT: NICHOLSON CONSTRUCTION Phone: 714-865-4465 Description : Install 2 residential driveway approaches (W=16' and 12'), curb drain, entry walkway and remove and replace any damaged rolled curb and gutter per City Standards. EA required for private improvements in public right-of-way. Item: 10200 PRE JOB - PW Requested Time: 3/3/2017 12:00:OOAM Requestor: NBIVR 9494829475 —(Ci4& 7- Entered By: NBIVR Comments: AM Assigned to: . / Inspector: V Date: 7 3 /-7 Time: 7'�o AM PM -Y-- o�J �l/i/ /Z6 D/ 06ii 10 LAI V,�iyGc rr�r D /.y i F:\Users\PBW\Shared\ENCROACHWASTE RS\FORMS\Insrectors heet.doc REPT131. Run Id: 4018