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Home My WebLink AboutN2017-0009�swrro��, City of Newport Beach Q.. d 100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 0 0 9 H t Permit Counter Phone (949)644-3311 c�a.. Online Inspection Request - www.newportbeachca.gov / Online nrR Services - Permit No: N2017' 0009 Project No: 0978-20 ANNED Inspection Requests Phone (949)6443255 Job Address: Description: 1701 PORT BARMOUTH PL NB INSTALL SEWER CLEANOUT PER 4r� iV1 1110 �n Thomas:Guide: 889G6 Parcel#: 4581-311-2 - Legal Desc : N TR 6622 LOT 84 Owner: WAGNER DAVE & BROOKE Contractor : COAST WATER & POWER Phone: Phone: 949-548-0106 Address : 1701 PORT BARMOUTH PL Address: P O BOX 3341 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92659 Applicant: KILBRIDE MIKE Phone: 949-289-0078 [ Address : PO BOX 3341 NEWPORT BEACH, CA 92659 Special Cond.: Pre -job inspection 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 Contractor State Lic: 738400 License Expire: 07 31, 2017 Business License: BT96014951 Business Expire : 12 31, 2017 Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2017 EVIEWE® Total Fee $635.00 Paid : $635.00 Balance: $0.00 Receipt No: Other Department : —Date: _/_/ Permit Denied : Date: Issued Permit : s " V Date: , / [ 'I''•- {�^'w ^-'T ``�" ai?l ...X :. t.r')32 5 "'. &M"rvi.f ut 4 �'. ;+�2. ��. .Ty�F��Ri�.iY��4. x 1 PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 1701 PORT BARMOUTH DESCRIPTION OF WORK: INSTALL SEWER CLEAN -OUT PER 406-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 loffice 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: 12-31-2015 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: STATE FUND Policy No: 9087110-14-2 Expires: 10/1/2015 REFUNDABLE DEPOSIT INFORMATION (If Applicable) Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659 e?w"x..�'"3f'Zcv�*S_d:.sieS H.'r%:1s£�`�.i, y.ar—•u'£: :�{ . ;:....: .....MUM", `R.�. . :5`%E .3..:: Special Conditions of Permit: Utilities: Traffic: General Services: Other: Engineering Technician: Public Works Spe alist: Date: Permit No. IN2017- Oct-7` _ 7 v(� Permit Processing Fee: �Qt .� Inspection Fee: Dty. Public Works Only $241.00 1 ' Public Works Field Inspection $165.00 Other Department $275.00 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� 1 '- Refundable Deposit: TBDB Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250,00= $64.00 24" x 36" $143.00 4TT Box & Cover _ Additional E THE rOL,7ov; (F-rEMS ftEQUl�tk E A—PPR SAL rROM -r n ue �rvlsla7 ...t �Reven' f -REVEWdE DIVISLON.PRIOR'TOPAYMEI>tT'OF FEES'.. Approval; 4 .. t (Watev Meter tnstaFlatton Charge. $528 Oa[: 1314":IVe)er $50 25 Wa O-Wter Beexes•: :t t1r Meter $12150 .orfarkway& 5/deawalkArea (Bax t C OV.eC Co t1 1 :Meter .$285 00 1 Meter :13 00 + 37 00 $5fl 110 t t1'1/2" "'Turb1n, l3* eter $700,A0 :' ; 2 Meter .,_27 00 + 61 t25 t2 Meter v$425'00. .. :. .t t2 Tidbine Mete{ $845 QO ' FoFTrajfie .& A/IeY �Feas (fox +.Col er =Cost) ::t tar Meter $3 310 Ob . 1` Meter 13 90 + 38 00 $5.F Olt 44":Meter : $4 73QA0 2 Meter :27 00 +. h62 00 : $189 i)OB: a �:-Meter : ...$7,1917d0, ; .....-.... _ ..I Certificate of Compliance Fee (+100% of hrly 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 TBDI 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. f fusers/pbw/sharedlencroach/maslerslep front and back masters/ Rev. 10/21/2016 epfeesheet As -revised 10/21/2016 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuan _ f; 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 employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss or damage to persons or property occurring as a result of work undertaken under this permit. I All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances. Penalties guarantees all work performed under this permit to be free of hidden and latent defects. Any failures she 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 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. All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L, in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of 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. The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be inspected and approved before backfilling, or applicant may be required to excavate site. Separate inspections by the Municipal Operations Department may be required depending on scope of work performed. All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole existing City -owned utilities (is: 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 4TT box over the riser. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All signs, flags, lights and other warning and safety devices shall conform to the requirements of the current "Manual of 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 $36.00. It is the responsibility of the applicant to place barricades to protect the general public. Access to fire hydrants must be maintained at all times. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day weekend, summer between June 15 and September 15, and during the holiday season from December 19 to January 1, unless approved by the Public Works Department. Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lanes) closure 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 Slate Highway right-of-way 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 materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. Applicant must notify USA at 1.800-227.2600 2 days before starting any underground construction. Applicant must notify all affected residents 24 hours in advance of restricted access and any inconveniences. All USA marks shall be removed prior to Final Public Works Inspection. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 for thecollectionschedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a Temporary Street Closure Permit must be obtained from the Public Works Department. WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) I certify that I have a. Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy Date: /. y, �� Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) I certify that in the performance of the work under this permit, 1 shall not employ any person so as to become subject to California Worker's Compensation Laws. If, after signing this certificate I become subject to the Worker's Compensation provisions of the State Labor Code, I must comply with the provisions of Section 3700 or this permit shall be deemed revoked. Date: Signature: CONTRACTOR LICENSE EXEMPTION As the Owner of the! benefiting property, I certify I am personally performing all work in the Public Right -of -Way. Date: Signature: HOLD HARMLESS STATEMENT I understand that I am locating minor encroachments within the City Right-of- Way/Easement. As'.. property owner it is my responsibility to maintain the encroachments. I will be responsible for replacing the improvements if the City removes them for maintenance of utilities or other public need. I shall indemnify and hold the City+ harmless for any liability associated with the minor encroachments. Date: Signature: 15. All above ground facilities shall comply with the Municipal Code, including but not limited to Chapter 1320. 16. Homeowner, contractors, and subcontractors may each be liable for violations of Water Quality Laws. Best Management Practices will be enforced. It is against the law 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 prison plus the full cost to clean up an illegal discharge or spill. 17. If a refundable deposit was paid, applicant must submit a Soils Compaction Certificate or Evidence of a Slurried Backfill and request a final inspection from the Public Works Department. Monies may be held for six months after final inspection before a refund will be processed. 18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated without approval from the Municipal Operations Department, Parks and Street Trees Division. 19. All work in the public right-of-way must meet the approval of the Public Works Department or corrections will' be required (i.e. removals, exposing connections, etc.), Additional inspection fees rn; r be required. 20. Permit is for standard materials in the public right-of-way only, unless previously approved by Public Works and an Encroachment Agreement has been processed. 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. LEGEND 0 = TREE = POWER POLE 0 =SEWER CLEANOUT = WATER METER BOX 1701 ---------------- CURB & GUTTER -CENTERLINE VPCIRT BEACH IMENT PERMIT 17 ADDRESS V701 ft WARMa� APPLICANT le9 OWNER DESCRIPTION OF WORK 11 A O 14 i o1r 14:30:57PM City of Newport Beach Page s of 6 INSP150 -Daily Inspection Request Report Requested Inspection Date : 01/06/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 1701 PORT BARMOUTH PL Activity : N2017-0009 SubType : NEW Status : APPROVED OWNER: WAGNER DAVE & BROOKE Phone : - -APPLICANT : KILBRIDE MIKE - — -- Phone : 949=289-0078 Description : INSTALL SEWER CLEANOUT PER 406 L Item: 10215 ROUGH UTIL Requested Time: 1/6/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER ` Comments- AM - Assigned to: zzzzzzzzzzz* Inspector: - (, v% Date: 16 Time: A4 PM Comments: .ewe "#A lam A F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheetdoc REPT131. Run Id: 4018 1701 FOPLT SARMOu-riA PL N 2-0117 000 q QM VL I5 R-pUG N UT i L Inspector: J �D Date: [ s /17 Time: AM PM Comments C1W r; Y , "'i l [ pt wile KIM: t�o Kvt�JtT DbGtAMr-A1T'S ati FILE OR- s6AA11y&iD Tb PC-R-r�t i �r- S Pau F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131. Run Id: 4018 6/2212017 City of Newport Beach 4:31:02PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/23/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 1701 PORT BARMOUTH PL Activity : N2017-0009 SubType: NEW Status : APPROVED OWNER: WAGNER DAVE & BROOKE APPLICANT: KILBRIDE MIKE )escrintion : INSTALL SEWER CLEANOUT PER 406 L Page 4 of 8 Phone: Phone : 949-289-0078 Item: 10250 FINAL - PW Requested Time: 6/23/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: ANY - Assigned to: zzzzzzzzzzz- Inspector: ZU, (I Date: l Time: S APM Comments: ( D �� Z S zvl� F:\Users\PB\MS hared\E NCROACMMASTERS\FORMS\Ins oectorSheet.doc REPT131. Run Id: 4018