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HomeMy WebLinkAboutN2017-0205City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 0 5 Permit Counter Phone (949)644-3311 -s1 '4r Online Inspection Request- www.newportbeachca.gov/Online r„r Rev: Services Permit No: N2017-020J Project No : 1027-2016 SCANNED - Inspection Requests Phone (949)644-3255 Job Address: 2025 PORT CARDIFF PL NB Thomas:Guide: 889GS Description : SEWER CLEAN OUT PER STD 406-L. Parcel # : 4580-820-2 - Legal Desc : N TR 6623 LOT 26 Owner: ST JOHN ROBERT & JANA waxs Contractor : HOLT R B INC Phone: 714-319-2999 ✓✓✓ Phone: 949-496-1660 Address : 2032 PORT BRISTOL CIR Address: 34249 CAMINO CAPISTRANO #216 NEWPORT BEACH CA 92660 CAPISTRANO BEACH CA Contractor State Lic: 805391 Applicant: ST JOHN ROBERT & JANA License Expire : 03 31, 2018 Phone: 714-319-2999[ Address : 2032 PORT BRISTOL CIR NEWPORT BEACH CA 92660 Business License: BT30054659 Business Expire : 09 30, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : Policy No: W. C. Expire: Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee $571.00 Agreement Fee, $0.00 4TT Box Cover: $0.00 Paid: $571.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance: $0.00 Inspection Fee : $330.00 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 cly r2 71 ;.-t) 17 Traffic Approval : Date : _/_/_ Issued Permit.: ) Date General Services Approval : Date : _/_/ ' ui,R,H�TtQMl3Rf�Q(��►2H/I�ENt PeE% IIT �¢ COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: , APPLICANT: �j L lP6C' Phone: �14 Email Address: C9C% �Q��tgS�ppl�pq{/�Tg211c. GdM Mailin Address: 0 607 City/Statel3p: JUAM eft P15rF-A-N0/ CA q2 15 OWNER: Phone: Email Address: Mailing Address: City/State/Zip: ALL C©NTRACTfJR` I,N Of�MAT)ON `fS RAC UI,R�b4 , Lg E=GUIVIPLETf , ,.. ,t CONTRACTOR: F115 ROLT I KIC Office Phone: Company (if different): JobsitePhone: `lj) bfiif-1°II`)' Other Phone: Email Address: G' Gt2 QSi7 4� Ptpa'e Ift5. CZ)tA Me Ing Address: P �o - City/State/Zip: Slr -1,, ,- O CPTIS('R^b CA -rUoV State License Number & Class: f Expires: Ci Business License Number: 3 Q `� &� Expires: }j WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: %-W Q_ NSUv WCE $'fiid JCIAL Pollcy No: Expires: 20 201 Municipal Oerations: 949.644-3065 Utilities- 949-644-3011 Urban Forestry: 949-644-3083 ROFFICEIISE"".ONLf ;-_ -' r Special Conditions of Pe it: i 1 , °ADDITIQNAIL-" PRDYALA900iRED FRC1M THE'FQLCOWIN_O'DEPARTMENTS Utilities: Municipal Operations Traffic: Fire: 0 Other: Engineering Technician: Permit list Date: Permit7No7N201 t/userWpbw/shared/encmachlmasters/epwarhsheet.xls _ 319.-a99rr Public Works Department 949.644-3311 100 Civic Center Drive, Newport Beach, CA 92660 PROJECT ADDRESS: ry p Crcmr r N2017-0 �l G✓U.X�Iq NUMBER: 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 8-112" x 11" 24" x 36" Additional Inspection Fee: $241.00 Public Works Field Inspection $165. 0 $275.00M Utilities Field Inspection $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $.00� $192192.00 Refundable Deposit: TBDB $502.00 Improvements TBD $65.00= Newspaper Rack Inspection $108.00 0 $65.00 Sewer Connection Fee $143.00 4TT Box & Cover 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 S ciatist Receipt No. f.lusers/pbw/shared/encmach/mesterslep front and beck masters/ TL Rev. 1/5/2017 epfeesheet.xfs visad 10/21/2016 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT 1. 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 issuance of 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. 2. 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. 3. 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. 4. Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall be corrected within two weeks after notification to the satisfaction of the Public Works Director. 5. 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. 6. 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. 7. 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 Utilities Department or General Services Department inspections may be required depending on scope of work performed. 8. 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 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 4TT box over the riser. 9. 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 $35.00. 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. 10. 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. 11. 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 lane(s) 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 State Highway right-of-way will require a Carrans Permit. All vehicles shall be lawfully parked. 12, 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. 13. 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. 14. 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 daysby calling 949-644-3066 for the collection schedule 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 !. certify that I have a Certificate ol conse _. Compensation Insurance, or a Certified Cprpy �th/g Date: +1 �-3l zonr is e: \ ? 3800 Labor Code) , Certificate of Worker's CERTIFICATE OF EXEMPTION (Section 3"0 Labor Code) certify that in the performance of the work under this permit, I 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 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: hour notice for Encroachment Permit Inspection is required by calling blic Works at 949-644-3311. � 15. Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). 16. Homeowner, contractors, and subcontracotrs 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 Stale 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 Sackfill 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 General Services Department. 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 may 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 separ permit an . r additional fees. 7/3/2017 City of Newport Beach Page 3 of s 6:34:22AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07/03/2017 Inspection Type,: ENCROACH Inspection Area PW Site Address : 2025 PORT CARDIFF-PL Activity [ N2017-0205' SubType: NEW Status : APPROVED OWNER: ST JOHN ROBERT & JANA Phone: 714-319-2999 APPLICANT ST JOHN ROBERT& JANA Phone 714-319-2999 Description : SEWER CLEAN OUT PER STD 406-L. Item: 10030 CLEAN -OUT Requested Time: 7/3/2017 12:00:OOAM Requestor: NBIVR 7143192999,—' Entered By: NBIVR Comments: AM Assigned to: Inspector: Date: Time: /z ' a)A PM Comments: G t // l5 1� /A !sill '-r'Al Logged Refile i F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc i 7/5/2017 City of Newport Beach Page 3 of 9 6:34:47AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07/05/2017 Inspection Type: . ENCROACH Inspection Area: PW Site Address : 2025 PORT CARDIFF PL AIPID Information:' Activity : N2017-0188 SubType: Status : APPROVED OWNER: BARKER Phone: 0 APPLICANT: RODEO HOMES Phone : 949-4974189 Description : Plug existing driveway approach with new curb, gutter and sidewalk, install new driveway approach (W=17'), install curb drain, remove 3 existing street trees, and plant (2) 48-inch box Magnolia (little gems) street trees per City Standards and pay for (1) 48-inch box street tree to be planted at a different location. Requestedlnspection(s) Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 7/5/2017 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: �� Date: 7 Time: ' O A PM .� Comments: 0,/+9-�17 CtW3 4 ctn-c-ti ' i S !'eiz Srp-- /fir C) 1 . 1A sT 61t2A,,7;t l'KiiJm- 7-0 ETr�n2/J'�i/E `=�k T'i>rz ,ra-r2n—o Ge s F: \Users\PBW \Shared\ENCROACH\MASTERS\FORMS\I n spectorS heet.doc ■ I TEMPORARY EXCAVATION 1 b 3� JACI N i RES'l0LD ICE FL I 3.V _ 2' I I I ,EXIST EXIST GROUND .. PROP CURB ^� I FS SWALE DETAIL —�=4 T o' n' ">., _ w _ NEW CUR 96.50 IE PA PLACE GR� TO PREVEP r`, 6�0--�-�` FROM SITE r � � a `��' -GRASS FIELD VERIFY LATERAL I e I GFP=99.08 I 1%� I i Q 1t"s DS d: w %C)o Z °D z� m '¢� U d' O O 1p 't co 10 8 I LOT IC) ,Q la U- 0 U H No 0 a