HomeMy WebLinkAboutN2017-00130o cfi�of Neic wport BP a ortshah, cn 9z66o III' IIII IIIIIIIIII IINI I �I�lllllllll�llY II Permit No: N2O 17-001 J ` . -
Permit Counter Phone (949)644-3311 Project No: 2214-2016
u Online Inspection Request- www.newportbeachca.gov/Online
R ¢ Services WNNED
Inspection Requests Phone (949)64 7V9Y
Job Address : 301 EVENING CANYON RD NB Thomas:Guide:
Description: REPLACE DRIVEWAY PER PLAN AND R/R CURB AND GUTTER PER PUBLIC WORK INSPECTOR
Parcel # :
Legal Desc :
Owner: CONCRETE CONCEPTS
Phone:
Address:
Applicant: CONCRETE CONCEPTS
Phone : [
Address: 4906 1/2 NEPTUNE AVENUE
NEWPORT BEACH CA
Special Cond.: PRECONSTRUCTION MEETING REQUIRED
Contractor: CONCRETE CONCEPTS
Phone:
^� e Address: 4906 1/2 NEPTUNE AVENUE
NE
iK NEWPORT BEACH CA
Contractor State Lic: 928875
License Expire : 02 28, 2011
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
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
Business License: BT30055432
Business Expire :
Workers' Compensation Insurance - -
Carrier :
Policy No:
W. C. Expire:
Total Fee $571.00
Paid: $571.00
Balance : $0.00
Receipt No:
Date :
/11
Al
Other Department :
Date:
Date :
_/_/_
Permit Denied
-Date:
Date:
_/_/_
Issued Permit:
Date
Date :
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COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: ) Q11Wg
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: n/tsa d nInfi-T) L-2-
Phone: �W S -66n-6
Email Address: N ZSOI� Mf+,'l
Mailing Address:
7 je .c JINC, C'+W 90 20
City/State/Zip:
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OWNER:
1Phone:
Email Address:
Mailing Address: City/State/Zip:
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CONTRACTOR: e'b ,vc 9-Er- 7C [p c: i p
lOffice Phone:'?'I"5/ 66 3
Company (if different):
lJobsite Phone:
Other Phone:
Email Address: j'<-5'd?- F1VL, ((FL- if-/L�* e (-fc-7MAiL. C' C-4 I
Mailing Address: Q
City/State/Ziur
Stat Lionse Number & ass:
Expires: fta t7t'�b65y.
C ty Business License Number:
2. Expires, 6 30
WORKERS COMPENSATION INSURANCE - Certif►cate of Insurance (Section 3800 Labor Code)
J Company: U !C-�i \\ Policy No: Expires:
MuniCi al0 orations: 949,644.3055
Utilities: 949-6444011
Urban Forestry; 949-644-3083
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Special Conditions of Permit: w
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Utilities:
Municipal Operations
Traffic: Fire: 0
Other:
neeri nician:
Permit Specialist
D e:
1 k !�
Permit No.
142017- GCS 1'2
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Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
EXISTING CONCRETE PAVING
13
14
15
96
97
18
Q19
20
EXISTING TH CMU SITE WALL.
(E) CONCRETE CURB
CONCRETE DRIVE APRON PER DETAIL 1 - STD-162-L DRIVEWAY APRON.
NOT USED
EXISTING TREE, PROTECT IN PLACE
EXISTING WATER METER
EXISTING SEWER CLEANOUT
REINFORCED CONDRETE PAVING
ALTERED TOP OF SLOPE
4'SQ TREE WELLS, TYP FOR 3.
EXISTING PARKWAY SOFTSCAPE
60" H WOOD FENCE.
IT'Y OFhdEWPORT EFL,-'-JELOPIv1ENTDEP,'RT�MFn
CF THESE Pl *IS DO II"TITUTF EXPRESS OR
Ih4PUED
r lu To GDi G ,IVIG IN /IOC_ I01)
OF OR
•i. NTH F O ui iT FlHD POI IGI S C F TI
Y OF
- -�[ 1'HH AP RC V% GUARANI 1 THAT TkL
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P >IS
^OvI 1-1 CITY BUILD AIU
, iN
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c rIS INC,'TJULIE= - OENFVV 7 NCH
,/ES
U NY FERMI! / °E TIME 3o1L Il TR
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ip
a II0RP:L BY S BEFORF IXfITG O
a ,
.tN
F IIE„E,�SAP.v TO .v FIT THE OREII IH�C CS P
SAP
..._C�i6.a.
OF NEV lPORI c-'^>�
FEn6._ITy
AChIJGVYLEDGEMEN _..
(SIGNATURE)
T SIGNA --
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^eA� SERVICES —.-----
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TO
21 DRIVEWAY ENTRY TO REMAIN AT EXISTING LOCATION AND
MAINTAIN EXISTING SIZE.
22 72"H CMU SITE WALL WITH 30"H RETAINING. PROVIDE EXTERIOR
PLASTER FINISH AND CMU WALL CAP.
23 12" x 18" x 15' FRENCH DRAIN. 3" DIA PERFORATED PIPE IN WRAPPED
CRUSHED ROCK BED. REF. DETAIL "D"/SHT.
24 DRAIN PIPE THROUGH CURB. ENCROACHMENT PERMIT REQUIRED
FROM PUBLIC WORKS DEPT. REF. DETAIL STD-184-USHT-CNB-1
25 3" DIA. ABS. SCH 40 DRAIN LINE. SLOPE LINE 1% MIN., TYP.
26 AREA DRAIN, TYP.
27 MARSHALL STAMPING 6TDSG4 MODULAR 6" x 4" x 48" STEEL GRATE
TRENCH DRAIN
28 66"H CMU SITE WALL. PROVIDE
�, 8 C
GENERAL NOTES
AND CMU WALL CAP.
1. AN A,PFROVED ENCRMC—HMENT PERR�S,�EQUIRED FnaR L WORK
rTIVITIES WITHIN THE PUBLIC RIGHT-OF-W SAND EASEMENTS.
2. A PUBLIC WORKS DEPARTMENT ENCROACHMENT PERMIT INSPECTION IS
REQUIRED BEFORE THE BUILDING DEPARTMENT PERMIT FINAL CAN BE
ISSUED. AT THE TIME OF PUBLIC WORKS DEPARTMENT INSPECTION, IF ANY
OF THE EXISTING PUBLIC GUTTER, AND ALLEY/STREET PAVEMENT WILL BE
REQUIRED AND 100% PAID BY THE OWNER. SAID DETERMINATION AND THE
EXTENT OF THE REPAIR WORK SHALL BE MADE AT THE DISCRETION OF THE
PUBLIC WORKS INSPECTOR.
OR
W
Q
A
All Fees Are Non -Refundable Unless Ofherwlse Stated
PROJECT ADDRESS: PERMIT
30 1 Nl WGA�.i�bt, NUMBER: N2017-
WJ 6 Dp(
APPLICANT:
Gb C
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Permit Processing Fee:
QtV.
Inspection Fee:
Q
Public Works Only
$241.00
Public Works Field Inspection
$165.00 y
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
$817.00
Document Recordation Fee
$192.00
Refundable Deposit:
TBDB
Monitoring Wells
$502.00
Improvements
TBD
StreetfAlleyNValk Closure:
$65.000
Newspaper Rack Inspection
$108.00
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
1425.0'H
$845.00For Traffic & AAeyAreas (Box + Cover # Cost)
$3,310.001"Meter: '113,00+38.00 $51.00=$4,730.002" Meter: 27.00 + 162,00 $189,00
Certificate of Compliance Fee (+1o0% of hrly 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
Lot Line Adjustment Fee $1,079.00
Park Dedication Fee Zone _ TBD
Street Easement/Vacation Fee (+100%ofhrlyover4hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBD
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./users/pbw/shared/encroach/masters/ep front and back masters/
Rev. 1/5/2017
epfeesheet.xis-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 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.
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.
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.
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.
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 wdh 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 $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.
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 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 tragic 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 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 (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 thereof.
Date: Signature:
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to Califon Worker's Compensation Laws. If,
after signing this certificate I become su jec to the Worker's Compensation
provisions of the State Labor Code, I must Porri with the provisions of Sect' r1'
3 0 or this rmit shall be deemed revoked
�ignature:
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:
If
NITIAL
15. All above ground facilities shall comply with the Municipal Code, including but not limited
to Chapter 13.20.
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 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 separate permit and/or additional fees.
heck A License - License Detail
Page I of
Contractor's License Detail for License # 928875
)ISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this
nformation, you should be aware of the following limitations.
CSLB complaint disclosure is restricted bylaw (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the
link or button to obtain complaint and/or legal action information.
Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
Due to workload, there may be relevant information that has not yet been entered onto the Board's license database.
his license is current and active.
II information below should be reviewed.
8-CONCRETE
Business Information
CONCRETE CONCEPTS
320 MARGUERUTE AVE APT B
CORONA DEL MAR, CA 92625
Business Phone Number:(949) 400-6639
Entity Sole Ownership
Issue Date 02/18/2009
Expire Date 02/28/2017
License Status
Classifications
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with WESTERN SURETY COMPANY.
Bond Number: 61799088
Bond Amount: $15,000
Effective Date: 01/01/2016
Contractor's Bond History
Workers' Compensation
This license is exempt from having workers compensation insurance; they certified that they have no employees at this time.
Effective Date: 03/06/2015
Expire Date: None
Workers' Compensation History
tps://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum--928875 01/11/201
CITY OF NEWPORT BEACH
FINANCE DEPARTMENT
100 Civic Center Drive, Newport Beach, CA 92660
P.O. BOX 1768, Newport Beach, CA 92658-8915
Permit Number: N2017-0013
Today's Date : Jan 11, 2017
CASH RECEIPT
Plan Check Number: 2214-2016
Receipt Number: R000074134
Job Address: 301 EVENING CANYON RD NB
Description: REPLACE DRIVEWAY PER PLAN AND R/R CURB AND GUTTER PER
Owner: CONCRETE CONCEPTS
Applicant: CONCRETE CONCEPTS
Date Paid: Jan,11,2017 12:08 PM Total Paid: $571.00
Notation:
Initial: DK
Description Payment Type Check Number Card Type
Payment
Credit Crd
FOR PLAN CHECKS ONLY:
1f_1OCTAar7_A1A
VISA
Tendered
$571.00
For status, please log on to www.newportbeachca.gov/buildingand select PLAN CHECK STATUS or
call (949) 644-3255
NOTICE: PLAN CHECK EXPIRES 180 DAYS FROM DATE OF SUBMITTAL