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HomeMy WebLinkAboutN2017-0643City of Newport Beach IIIIII�IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIq Permit No: N?917-0643 100 Civic Center Drive, Newport Beach, CA 92660 4, Permit Counter Phone (949)644-3311 Project No : 0069-2016 e"-R ># Online Inspection Request - www.newportbeachca.gov / Online � Aa g,q"; e,� ys Services A b Inspection Requests Phone (949)644-3266 Job Address : 3812 RIVER AVE NB Thomas:Guide: 888G6 Description: INSTALL NEW DRIVEWAY APPROACH PER STD 163-L, REPLACE ADA CURB RAMP PER STD 181-L-B(CASE J), REMOVE EXISTING DAMAGED CURB & GUTTER AND RECONSTRUCT TYPE A CURB & GUTTER PER STD 182-L. REMOVE EXISTING STONE FINISH SIDEWALK TO BULKHEAD AND INSTALL STANDARD CONCRETE SIDEWALK PER STD 180-L, REMOVE WALLS IN R-O-W. Parcel # : 4233-040-1 - Legal Desc : CANAL SECTION BLK 238 LOT 7 ��� Owner: MILLER THOMAS & ROBYN Contractor : MANUEL CRUZ ARMENTA Phone: Phone: 714-974-2716 Address : 9093 REALES ST Address : 5308 E WESTRIDGE RD ALTA LOMA CA 91737 ANAHEIM HILLS CA 92807 Contractor State Lie: 970891 Applicant: MANUEL CRUZ ARMENTA License Expire: 03 31, 2018 Phone: 714-974-2716 [ Address: 5308 E WESTRIDGE RD ANAHEIM HILLS CA 92807 Business License : BT00021846 Business Expire : 05 31, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP Policy No: 9139943 W. C. Expire: 03 01, 2018 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $736.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $0.00 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: Traffic Approval : Date : _/ / Issued Permit : Date :Q?P_10 —U i, General Services Approval : Date : _/ /_ %� `v �`� y.: M,. '✓--' ti .¢^, �- fin' - � - S - - ,. y. t 1FOR PROJECT'ADDRESS: &Lve DETAILED DESCRIPTION OF P OPOSED WO K: APPLICANT: Phone: — Email Address:A1W Mr, S .� S Mailing Address: City a e/Zip: OWNER: N Phone: Email Address; Mailing Address: TOW 9,ea koq S r City! a/Zi 0 wi & t�iNTAlff3�2aINi� .. , ..w.tC?I� ..' ry CONTRACTOR: Office Phone: Company (if different): lJobsite Phone: Other Phone: Email Address: Mailing Address: City/State/Zip: State License u & Class: Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: i EFU(�DARI .DEMOTiNFORMATIQN.flfAppffcati(e .......... ..._ ::... . .:..:.::. i ePtrnd F*ayable To ... ..........:.... .. ............. ....:.........._ ........: atI Refund To.:..... .... .i Special Conditions of Permit: �Qr r i " A�IDITI,ONAL APPROVAL' REQ(JIA fRONI TIDE Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public W pecialist: Date: i 2—-z V 1 Permit No. U fAwrs/pbm/shamd/encma&tmasl WepwoMsheetxls `-- - E�©(v�l— (n Public Works Department 949.644-3311 "r pwwf yvy�'/ "'r 4 ,� v :, itrrl s .t ° a tt r ALr4sR?•}?� � "v I .-f." .•3sR y,a.. t�'� "� s' tl 'r t x s w cvv *r 't xs ± v v .•� 1 t. ,�{*. F � if � 1 3 iL2 ty R '� Ygt����F�^ vf Y (+A �q r1 yV�:1[� y .ti fy`v?t +!�� N" x TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 1. 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 f 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 ertified Copy th reof.. 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 Dat 4 Signature: after date of issuance. CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 2. The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and employees hamlless 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, 3. 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. 4. 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. 37o0 or this permit shall be deemed revoked. 5. 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 connection to sewer lines a valid State Contractor License Class C-42 is required. CONTRACTOR LICENSE EXEMPTION 6. 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 7. 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 Way/Easement. As property owner it is my responsibility to maintain the inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities encroachments. I will be responsible for replacing the improvements if the City Department or General Services Department inspections maybe required depending on scope of work performed, . removes them for maintenance of utilities or other public need. I shall indemnify 8. 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. 24-hour notice for Encroachment Permit Ins ion is r aired b calling y 9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the Public Works at 949-644-3311. j California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00 15. An above round unlit facilities ill require documented y g Y q approval from the adjacent 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 affected property ownens). 16. Homeowner, contractors, and subcontracotrs 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. 11, 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 emergency vehicles must be maintained at all times.. Traffic Control must be per Work Area Traffic Control prison plus the full cost to clean up an illegal discharge or spill. Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure 17, If a refundable deposit was paid, applicant must submit a Soils Compaction on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Certificate or Evidence of a Slurried Backfill and request a final inspection from the the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way Public Works Department. Monies may be held for six months after final inspection will require a Caltrans Permit. All vehicles shall be lawfully parked. before a refund will be processed. 12. 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 relocated materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. without approval from the General Services Department. 13. 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 must notify all affected residents 24 hours in advance of restricted access and any inconveniences. Department or corrections will be required (i.e. removals, exposing connections, 14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City etc.). Additional inspection fees may be required. may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 20, Permit is for standard materials in the public right-of-way only, unless previously for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a approved by Public Works and an Encroachment Agreement has been processed. Temporary Street Closure Permit must be obtained from the Public Works Department. 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. fJaworJsrrelate�.'j'#e9ifhcr�ticroachmank perm/#-.��"e,It��'ft�F,�#ier�{inkf�Elt�uP�floLff30�a�I�ejrCias`;f iii -:- ,m y�ia . W�`�" �p"t�; "�t as rraadaand raler��rjds .fecros}and;. 4 a r tY: ':'� i t s Y' '� f,- �y s ''� rlx s mry4s� 4 '�� �? ..i .5.... .. .. .Y ..9 F ...,. .. .. n.y"1Tro Rrir JvYdfia sYr 2yraa'u hi a � • §� r..:, ftJ-i Y-.+•xkrt rc, ` .An. .. x. rvx.. Permit Processing Fee: Public Works Only $241.00 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.00� Document Recordation Fee $192.00 Monitoring Wells $502.00 Street/AlleyMalk Closure: $65.000 Traffic Control Plan Check 8-1/2" x 11" $65.00 24" x 36" $143.00 Additional Inspection Fee: Public Works Field Inspection $165.0 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover Certificate of Compliance Fee (+100% of hrly over s 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 Lot Line Adjustment Fee $1,079.00 Park Dedication Fee Zone _ TBD Street Easement/VacationFee (+10o%ofhrlyover 4hrs) $1,022.00 Street Tree Fee ($700 Planting Fee) TBD $.00 $64P 64.00 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470_ 5200-5031 030-2284 Engineering Tech: Inspection Fee: Public Works Field Inspection $165.0 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover Certificate of Compliance Fee (+100% of hrly over s 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 Lot Line Adjustment Fee $1,079.00 Park Dedication Fee Zone _ TBD Street Easement/VacationFee (+10o%ofhrlyover 4hrs) $1,022.00 Street Tree Fee ($700 Planting Fee) TBD $.00 $64P 64.00 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 3� Permit S ualist Receipt No. f.luserstpbw/sharedtencroachlmastemlep front and back masters/ Rev. 11/8/2017 epfeesheetxis- vised 1118117 AL AT VT .K5 EET E ALL T OF HPLY '-WAY 'ELINE EKING CONSTRUCTION NOTE ON-51M' — -O INSTALL b" PLANTER DRAIN N/ ATRIUM GRAT O INSTALL b" 5CIUARE GRATE B ADAPTER, ND5 ®IN57ALL 18" KRISTAR SHALLOW DEPTH GATGEAGHo4 3 G-03 'ER IN O INSTALL 4" DRAIN PIPE, SDK 35 PVC, L EO 4NDARD O CONSTRUCT E 10INFILTRATION BASIN (510-1 O INSTALL 4° ENAG ENA LNHLDDRAIN WITH TRAFFIC, AGE PER CITY DRAIN PIPE OR DRAM INLET n C.ON9TRUCrT 5" OONG. FI_AT,INORK ON ORA L ®C,ONSTRUCT 5" THICK DRIVEWAY 5A5E PEA S DRIVEWAY PROFILE 70 CONFORM PER C,11 ® 'A7 THE NEW SITE FENCE PER ARGHITEGNRAL PLA E C,ONNEGT ROOF DOWN5POU7 TIED DIREGI 10 REPORT RECOMMENDATIONS 11 C,ONSTRUCT DECK DRAIN AND CONNECT I DETAIL ON SHEET 6-03, TYPICAL ,URB B GUTTER 12 NOT USED d'zn el 10"I0 IRVINE IRVINE, GA TEL: q- CLIENT: 905" 1034 REAL= ALTA LOMA, GA TEL: (q0q) 464 SHEEP TITLE: 5F.CTION "NG TS-T( 6,55 W, . r%j GEND 110 1 PROJECT ST .1/2/2016 City of Newport Beach Page 2 of 9 4:30:26PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/03/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 3812 RIVER AVE Activity : N2017-0643 SubType: NEW Status: APPROVED OWNER: MILLER THOMAS & ROBYN Phone : APPLICANT: MANUEL CRUZ ARMENTA Phone : 714-974-2716 Description : INSTALL NEW DRIVEWAY APPROACH PER STD 163-L, REPLACE ADA CURB RAMP PER STD 181-L-B(CASE J), REMOVE EXISTING DAMAGED CURB & GUTTER AND RECONSTRUCT TYPE A CURB & GUTTER PER STD 182-L. REMOVE EXISTING STONE FINISH SIDEWALK TO BULKHEAD AND INSTALL STA RD-CONGRETE SIDEWALK PER STD 180-L, REMOVE WALLS IN R-O-W. i -� o Item: 10200 PRE JOB - PW l VQB14F� Requested Time: 1/3/2018 12:00:OOAM Requestor: 7143497188 — pt0qIULf6�Z- Entered By: NBIVR Comments: AM \\ InspAg41&ed to • °�J� Date: Time: 01 Oc> A PM Comments: Dim! Tc> ^I-A� 0"7— c t IV L T-0 e"le- J lui>i>✓ \ O�t.dJ� 'fia t_ocal� t.>rm ��iss--n.��' � 'tea `� .Logged Ref e F:\Usem\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131. Run Id: 4018 .1/vo/2018 City of Newport Beach Page 4 of 12 4:30:37PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/11/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 3812 RIVER AVE Activity : N2017-0643 SubType: NEW Status : APPROVED OWNER: MILLER THOMAS & ROBYN Phone: APPLICANT: MANUEL CRUZ ARMENTA Phone : 714-974-2716 Description : INSTALL NEW DRIVEWAY APPROACH PER STD 163-L, REPLACE ADA CURB RAMP PER STD 181-L-B(CASE J), REMOVE EXISTING DAMAGED CURB & GUTTER AND RECONSTRUCT TYPE A CURB & GUTTER PER STD 182-L. REMOVE EXISTING STONE FINISH SIDEWALK TO BULKHEAD AND INSTALL STANDARD CONCRETE SIDEWALK PER STD 180-L, REMOVE WALLS IN R-O-W. Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 1/11/2018 12:00:OOAM Requestor: NBIVR 7143497188 Entered By: NBIVR Comments: AM Assigned to: lit /! s L I ®t - z- - 4 19 2- -L. pthe"5 5z� D - L 5-z> L City of failKu2ola Newport Beach Page z of e 4:31:01PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/12/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 3812 RIVER AVE Activity: N2017-0643: SubType: NEW Status : APPROVED OWNER: MILLER THOMAS & ROBYN Phone: APPLICANT: MANUEL CRUZ ARMENTA Phone : 714-974-2716 Description : INSTALL NEW DRIVEWAY APPROACH PER STD 163-L, REPLACE ADA CURB RAMP PER STD 181-L-B(CASE J), REMOVE EXISTING DAMAGED CURB & GUTTER AND RECONSTRUCT TYPE A CURB & GUTTER PER STD 182-L. REMOVEEXISTING STONE FINISH SIDEWALK TO BULKHEAD AND INSTALL STANDARD CONCRETE SIDEWALK PER STD:180-L, REMOVE WALLS IN R-O-W. 'I< Item: 10100 FORMS WITH COMPACTION;- PW Requested Time: 1/12/2018 12:00:OOAM Requestor: NBIVR 7143497188 Entered By: NBIVR Comments: AM v Ins Date: [ l7i !$ Timer (f-5 AM M I�ned +� • � ��' Comments: �r 2Z, 4P 16 2-L au ra VDTr� : v�w RA-,O era To .56A-0mt- Logged ih F:\Usem\PB W \Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc REPT131. Run Id: 4018 5 1/23/2018 City of Newport Beach Page 1 of 20 4:30:50PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/24/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 3812 RIVER AVE Activity : N2017-0643 SubType: NEW Status : APPROVED OWNER: MILLER THOMAS & ROBYN Phone: APPLICANT: MANUEL CRUZ ARMENTA Phone : 714-974-2716 Description : INSTALL NEW DRIVEWAY APPROACH PER STD 163-L, REPLACE ADA CURB RAMP PER STD 181-L-B(CASE J), REMOVE EXISTING DAMAGED CURB & GUTTER AND RECONSTRUCT TYPE A CURB & GUTTER PER STD 182-L. REMOVE EXISTING STONE FINISH SIDEWALK TO BULKHEAD AND INSTALL STANDARD CONCRETE SIDEWALK PER STD 180-L, REMOVE WALLS IN R-O-W. Item: 1010 FORMS WITH COMPACTION - PW Requested Time: 1/24/ 8 12:00:OOAM Requ or: NBIVR 7143497188 Entered By: NBIVR -- Comments: AM Ins®i?ed to : \,} Date: Z' ? Time: AM PM Comments: �1��1`l G-7°G� i-CD- re-,Cn- rG "Tq - F:\Users\PBW\Shared\ENCROACHkMASTERSXFORMS\InspectorSheet.do REPT131. Run Id: 4018 1/29/2018 City of Newport Beach Page 2 of 19 6:34:17AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/29/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address: 3812 RIVER AVE i41P/D lriformation ? Activity : N2017-0643 SubType: NEW Status: APPROVED OWNER: MILLER THOMAS & ROBYN Phone : APPLICANT: MANUEL CRUZ ARMENTA Phone : 714-974-2716 Description : INSTALL NEW DRIVEWAY APPROACH PER STD 163-L, REPLACE ADA CURB RAMP PER STD 181-L-B(CASE J), REMOVE EXISTING DAMAGED CURB & GUTTER AND RECONSTRUCT TYPE A CURB & GUTTER PER STD 182-L. REMOVE EXISTING STONE FINISH SIDEWALK TO BULKHEAD AND INSTALL STANDARD CONCRETE SIDEWALK PER STD 180-L, REMOVE WALLS IN R-O-W. Item: 10250 FINAL - PW Requested Time: 1/29/2018 12:00:OOAM Requestor: NBIVR 7143497188 Entered By: NBIVR Comments: AM InslAzOned to Date: [ Z� ( OD Time: A PM Comments: 5e) �i E2 F! 1V9L—I ? MRI.-E- IFE F:\UserskPBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc