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I .O .77777771 PROJECT ADDRESS: ^^y k 7 /" )r I V C', DETAILED DESCRIPTION OF PROPOSED WORK: ex4. APPLICANT: .L1:" T G E V1 Phone: (, Emall Address: , •; T �� ✓ fC u ) I_ Mailing Address: E��e CitylState/Zip: Phone: OWNER: Email Address: Mailing Address: City/State/Zip: ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: CIS Office Phone: Company (if different►: Jobsite Phone: Other Phone: Email Address: / e j -Tz, k7<' In Mailing Address: lc- r Tz's./�� ��'I� A V-tf Cj y/Sta e121p: / - - voG re-" Cad) rill? State License Number & Class: Expires: , CRY Business License Nu ber: f r}13 jq.. Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: REFUNDAE...E...... IT IN ORMATIQN:(/fApp/icab./e) Refuisd ble To ..... Mad Refund To FOR OFFICE USE ONLY Special Conditions of Pe ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: 0 Fire: Other: Engineering Technician: Public Specialist: Date, Permit No. f./US¢f5/pG14/sbafetllencfa3G1/f1125bf9I¢p\mfk5h¢¢�%S ��^'� .gym I` P1 Public Works Department949-644.334i FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: '�(� (� PERMIT N2017- c� NUMBER: APPLICANT: TO BE COMPLETED BY PUBLIC WORKS DEPARTMENT Permit Processing Fee: P!!Yl- Inspection Fee: Public Works Only $241.00 j ) Public Works Field Inspection $165.0 L�- 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� Refundable Deposit: TBDB MonitoringWells $502.00 Improvements TBD Street/Alley/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 $64.00 Additional �/ .____EF-------------------- ----� I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approvat: I 1 Qty. cat . 1 (Water Meter: Installation Charge $528.001 13/4" Meter $50.25 Water Meter Boxes: 1 I V Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost) 11 1 /2" Meter $285.00 1" Meter: 13.00 + 37.00 $50,00 1 11 1/2" Turbine Meter 12" Meter 12" Turbine Meter 13" Meter $700.00 $425.00 $845.00 $3,310.00 2: Meter: 27.00 + 61.25 For Traffic & Alley Areas (Box + Cover 11"Meter: 13.00 + 38.00 $88.25F:::] 1 1 = Cost) 1 $51.00� 1 �4" Meter 16" Meter $4,730.00 $7,190.00 2" Meter: 27.00 + 162.00 $189.00 Certificate of Compliance Fee (+100% of hriy over 3 hrs) $288.00 Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.00 Final Parcel Map Checking Fee - Moderate $2,488.00 5200-5029 5200-5015 5200-5026 5200-5027 Lot Line Adjustment Fee $1,079.00 5200-5028 Park Dedication Fee Zone _ TBD 405-470_ Street EasemenWacationFee (+1o0%ofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance Use only Permit S list Receip No. C flusers/pbw/sharedlencroach/masters/ep front and back mastersl Rev. 1/5/2017 epfeesheetxlsiavised 10/21/2016 t 4i W T.r' C C N u O- O O N p L U.0 Oi C W O v N C N C a r a T Y C u jp 0 !;.0 mcNyE oo @ C vN G °t joc°N U c Ewm �OrNyoo W N a3 aU o O-acv vmvQ M C ..;oN E- >c m m m E «'.n > w ° .,c; -. 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Council PolicygL-6 Private Encroachments in Public Rights -Of -Way Permit Number: N (�� /��� Date The use of artificial turf shall be governed by the following standards: (1) Materials Minimum Specifications. a. Artificial turf shall be of a type known as cut pile infill and shall be manufactured from polypropylene, polyethylene, or a blend of polypropylene and polyethylene fibers stitched onto a polypropylene or polyurethane meshed or hole -punched backing. b. Hole -punched backings shall have holes spaced in a uniform grid pattern with spacing not to exceed four inches by six inches on center. c. Soil stabilizing filter fabrics shall be rated to perform for a minimum of 15 years. d. See detailed specifications at www.asgi.us (2) Installation. Site preparation is extensive for artificial grass and should be done by a professional installer. Pursuant to the Contractor's State License Board, synthetic grass installers must have a classification "A" (General Engineering), "B" (General Contractor), C-27 (Landscaping), or C-61/0-12 (Synthetic Products) Contractor's License. Artificial turf shall be installed in accordance with the manufacturer's specifications and in accordance with the Association of Synthetic Grass Installers (ASGI) guidelines. Artificial turf shall be maintained in a manner to mimic healthy living turf, including the following: a. Sod or existing groundcover shall be removed prior to installation of any artificial turf. b. Artificial turf shall be installed over a compacted and porous road base material that is a minimum of two inches deep. c. Underlayment fabric shall be no less than 4 ounces per sq. ft. d. Artificial turf shall be anchored at all edges and seams. e. All artificial turf seams shall be glued and not sewn. • Artificial turf shall be maintained by the property owner in a fashion so as to mimic the appearance of a flourishing, maintained lawn without any of the following: fading • visible seams • gashes, dents or ruts • damaged areas or stains • worn-out unnatural appearance • odors or a matted appearance f. All parkway trees, new and existing, shall have the artificial turf cut and anchored a distance no less than 24 inches around the tree base. A layer of mulch shall be placed and maintained to cover the base of all parkway tree(s). All parkway tree(s) shall be provided irrigation or hand watered during the tree(s) establishment period and/or if the tree(s) are in need of watering. It is the homeowner's responsibility to maintain a sufficient watering schedule to maintain the health of the tree(s). (3) Maintenance. Do: Clean, sanitize, brush, and remove debris. a. Clearing shall be done with non -toxic, biodegradable products. Any discharge of wash/waste water or cleaning materials shall be prevented from entering the gutter and storm drain system. b. Hand rake worn turf areas. c. Repair depressions to maintain an even visual surface. d. Brush back any loose infill that has been washed or moved off the turf. e. Eliminate any odors, flat or matted areas, weeds, loosened edges at seams or elsewhere. f. Replace artificial turf when maintenance or repair is unable to simulate a healthy living turf. Do Not: Install indoor/ outdoor carpet or allow runoff or weeds a. Wash down artificial turf area so as to allow runoff b. Install artificial turf up to the base of the parkway tree(s) less than 24 inch diameter around tree base. c. Allow weeds to grow along perimeter or through any seem. d. Install "indoor/outdoor' carpeting type material in lieu of artificial turf as set forth in the Association of Synthetic Grass Installers (ASGI) guidelines. References: Landscape architects and installers: zuzuzv.cica.org Artificial turf installation guidelines: nnuzu.asgims Landscape rebates: zumv.watersmartnewport.om I understand the information provided me and my responsibility as a homeowner to install and maintain the parkway and tree(s) if any existing or future plantings in a manner as written above and abides (bb council Policy L-6. Property Address:.. ce)-vl3_0 OvLl 'Er' Date: 3-b iI Homeowner Simaturel/_,�_/y 5/30/2017 City of Newport Beach page I of 12 4:30:48PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 05/3112017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 2936 CLIFF DR A/P/D Information: Activity : N2017-0287 SubType: NEW Status: APPROVED OWNER: WILLIAM DONALD L Phone: APPLICANT: BMS BUILDERS, INC Phone : 626-319-2852 Description: NEW CURB, GUTTER AND SIDEWALK PER STD 180-L, 2 NEW CURB DRAINS PER STD 184-L, NEW 36" STREET TREE, REMOVE DECORATIVE WALLS ALONG CLIFF DR, NEW SEWER GLEAN,,OUT PER STD 406-L. eq tea�pection(s) Item: 10200 PRE JOB - PW Requested Time: 5/3112017 12-0000AM Requestor: NBIVR 6263192852-- jULA-`/ Entered By: NBIVR Lf'5� p2 Comments: AM r-iMf}-NQp Assigned to: Inspector: 1-V Date: :S73///-7 Time: S-36 AM PM 13 C/r-/ ie Comments: �-o O95y zvto p Ll `U B 1 - i s` ialLi - \2-ey 16 <</ 4 /PC- C c4 � /90 -L . /PCO - LU lyl P Pi C�`i � U /ti l S j ! L L� IZ��i cc=i ✓� . REPT131 Run Id: 4018 5/31/2017 City of Newport Beach Page 17 of 19 4:30:16PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/01/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 2936 CLIFF DR Ama�ioil r Activity : N2017-0287 SubType: NEW Status : APPROVED OWNER: WILLIAM DONALD L Phone: APPLICANT: BMS BUILDERS, INC Phone : 626-319-2852 Description : NEW CURB, GUTTER AND SIDEWALK PER STD 180-L, 2 NEW CURB DRAINS PER STD 184-L, NEW 36" STREET TREE, REMOVE DECORATIVE WALLS ALONG CLIFF DR, NEW SEWER CLEAN OUT PER STD 406-L. Reguested Ins (s) Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 6/1/2017 12:00:OOAM Requestor: WEBUSER Entered By: Comments: Assigned to: Inspector: Comments: WEBUSER AM - zzzzzzzzzzz' W 626-319-2852 -rV Date: (o !7 Time: AM PM S_ ��✓ CA - s cPy- TXT - �99E)C/ efi/e F:\Users\PB W 1S hared\ENCROACH\MASTERS\FO RMS\I nsoectorS heet.doc REPT131 Run Id: 4018 7/28/2017 City of Newport Beach Page 6 of 7 .1:13:44AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07/28/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : 4515 WAYNE RD A/P/D Information: Activity : N2017-0387 SubType: Status : APPROVED APPLICANT: MACBETH DANIEL Phone : 949-584-4999 OWNER: PORTER BARRY Phone : 714-478-5222 Description : Replace driveway approach,curb, gutter, and sidewalk per City standards. One (1) curb core per City standard Requested Inspection(s) — Item: 10200 PRE JOB - PW Requested Time: 7/28/2017 1 : O:OOAM Requestor: WEBUSER 9495844999 ' Entered By: WEBUSER - ®` Comments: AM - Assigned to : zzz\zzzzuzz` Inspector: J� Date: l'? _ J� Time: 7s5 /AMJPM Comments: °v 5 -L Mz- -L yttY G (p x/ F:\Users\PBWkShared\ENCROACHkMASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 Ej 9/20/2017 City of Newport Beach Page 5 of 16 4:30:37PM INSP150 - Daily Inspection Request Report Activity SubType Status Requested Inspection Date : 09/21/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 2936 CLIFF DR A/P/D Information: N2017-0287 NEW APPROVED OWNER: WILLIAM DONALD L Phone : APPLICANT: BMS BUILDERS, INC Phone : 626-319-2852 Description: NEW CURB, GUTTER AND SIDEWALK PER STD 180-L, 2 NEW CURB DRAINS PER STD 184-L, NEW 36" STREET TREE, REMOVE DECORATIVE WALLS ALONG CLIFF DR. NEW SEWER CLEAN OUT PER STD 406-L. Item: 10250 FINAL - PW Requested Time: 9/21/2017 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: Inspector: Requestor: NBIVR 6264870418 Date: l Time: A PM Comments: -Ae�E Z45�; GL %l-P' 0'�V-E0 17 SG U S . S' FT— /Q 9 adft"5� %. 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