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Home My WebLink AboutN2017-0001y�w.r.r�r City of Newport Beach 111111111111p11111111111111111111111 II ��p�� (I Permit No: N2017-0001 o� 100 Civic Center Drive: Newport Beach, CA 92660 N 2 0 1 7 0 0 0 1 Permit Counter Phone (949)644-3311 Project No : 1750-2015 -` Online Inspection Request - www.newportbeachca.gov / Online SCANNED Services Inspection Requests Phone (949)644-3255 Job Address : 121 VIA MENTONE NB Thomas:Guide: 888J7 Description : REMOVE AND REPLACE ROLLED CURB, INSTALL NEW DRIVEWAY PER CITY STANDARD STD-164-L. REMOVE DECORATIVE MATERIAL FROM 4 FOOT WIDE UTILITY EASEMENT. Parcel #: 4232-140-3 - Legal Desc : TR 907 LOTS 597 AND 598 Owner: HASSETT GLORIA BRADESON Contractor: MASONRY PLUS Phone: 0 l Phone: 714-381-5997 Address : 121 VIA MENTONE Address : 1079 CORONA LANE NEWPORT BEACH, CA COSTA MESA CA 92626 Contractor State Lic: 553711 Applicant: MASONRY PLUS License Expire : 01 31, 2017 Phone: 714-381-5997 [ Address : 1079 CORONA LANE COSTA MESA CA 92626 Business License: BT00016674 Business Expire : 11 30, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance -- Carrier : STATE COMP Policy No: 9027621 W. C. Expire: 10 01, 2017 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: �Sl Refundable Deposit: $0.00 Total Water Meter Box : $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date: i / 3//7 Other Department : —Date: Utilities Approval : Date: _/_/ Permit Denied Date: Traffic Approval : Date: _/_/_ Issued Permit : �—"'� Date: General Services Approval : Date: _/_/ 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 1 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 Compensation Insurance, or a Certified Copy theregf� 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 �7 ate: :3 s ignature:--.---✓' 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 shalt 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, Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall provisions of the State Labor Code, I must comply with the provisions of Section be corrected within two weeks after notification to the satisfaction of the Public Works Director. 3700 or this permit shall be deemed revoked. 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 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 WaylEasement. 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 (ie: 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. 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 InsjYectYstts shataYd:;be5re'gtxested'��.68(�(17Qitf1 {YCit''Cff8p9,Oh INITIALS 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 $10.00 111 per barricade per day, with a minimum charge of $35.00, 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. ]. 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. I. 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 Backfill 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. 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 relocated2. 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 tl prior to Final Public Works Inspection. inspection fees may be required. 4. Refusee orr uunusnused 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, 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 escription" of work noted on front only. Additional work performed "dmay Temporary Street Closure Permit must be obtained from the Public Works Department. require issuance of a separate permit and/or additional fees. h � RK-5 E � t3R ENGR C �(T PERtV�IT ti '%s-�1Na,. �.. ��!yTUMY?�s((� '�ao,.oi §<';£,�✓''t �'�-`��Lh� '"�3• ��ryy's,.�� Nf i_`wp"�Y�1Rfi`* F/Ld$'N� f.J%`f`"*Yfh��'•!n��SI`=�'"7Y}%'[5'�n�W`n �15�1ICYUI�IIfSAtl1V�._ _¢ h. DETAILED DESCRIPTION OF P OPOSED ORK: /� re-VNnCc)ve y1i eJ r e rb qu, 4Y-k\je -a-cj n 0 rd2c Phone: r APPLICANT: Zi ( Email Address: sa 0 Mailing Address:, (fh Gs924 24 OWNER: ( A `U Phone: Email Address: Mailing Address: CitylStatelZip: ;F r x AL LrGONTl �1C iZ7R thl f)RMA (4J I IS, R f U,CEt CONTRACTOR: ��» g,e O unr ` lU 5 I sPLEA E OIIIIP � 4 . x, =? Office Phone: 71 Company (if different): M A -3 o tv iZ'( Pt_U 5 Jobsite Phone: other Phone:`7( 3& I 59q Email Address: V2--" M a So h dv I c_o ✓✓i Mailing Address: C a? i c, v-o n a v1 CitylStatelZi Cis rv1C 5-4 CA '5'2-C 2� ; State License Number &Class 1j 6, 3 7 (( Expires:(' �'' ( City Business License Number: gt-b(.7C) '66`4 Expires' t( IT7 `. WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)' Company: S T4 1 C FLW D Policy No: Expires: MunccfpakO iaYwns :$49-644=305i,, UtiliheS..949:G4h 301. ........ Uctian Forestry 5a9.644, 30t33 ..::..: ;..... 7 7 ' ::... ; .. 7 7_ .....:: Special Conditions of Permit: ( ve -601-1^ Tb QUDiTIONALYAP)?ROU„AC RPGtUJR,EDsFRON(T)1.'KGLLO,UUINC�a[7EPARM,NT$ :a,, Traff Municipal Operations Other: =**ni ion: Permit Specialist Date: i CtZ jPerm1 No. N20 - Ott f:lm-ffpbw/shared/encroach! asters/epwdrksheet.XIS Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Installation Charge $528.00= $50.25 Water Meter Boxes:` $121,50 ForParkway&SidewalkArea(Box+Coven= Cost) 1 $285,00 1" Meter: 13,00+37.00 $50 00 1 $700.00 2; Meter: 27.00 + 61.25 $88.25= $425.00 $845,06 For Traffic & AHey Areas (Box + Cover = Costj $3,8%00 1"Meter; 13.00+3800 $1.00 1I1 +16 2Meter: 2T002,00 $189.0� 0$4,730.00 $7190U Qty. Budget Number e (+100% of hrly over 3 his) $288.00 5200-5029 ,Plan check hourly) $155.00 5200-5015 ee $2,488.00 5200-5026 =ee - Moderate $2,488.00 5200-5027 $1,079.00 5200-5028 Zone _ TBD 405-470_ ee(+100%ofhrlyover 4hrs) $1,022.00r 5200-5031 ) Planting Fee) TBD : 030-2284 Engineering Tech: Total Amount Due: For Finance use Onlyy; 5 `i t .+� PermitSpecialist ReceiptNo. s h./users/pbw/shared/encroach/masterslep front and back masters/ Rev. 10/21/2016 epfeesheetAs-revised 10121/2016 192.45 i L=0.04' � R=762.00 40 40 { f2. M. 'c. vv r 8 I, 12.72 crYr{ 72.5 ,.. A_ ---�� a8• 0 t,r �— LL' P.U.E I ..__.__._ „ - o Lo �o 2 ��, J V N N F R/W 9 CURB 0 12' GR_O.UND. C/L FIELD VERIFY FINISH - GROUND �z No. 5A011 � � Exp.12-31-15 .ccr �i 12" a � � DRA R