HomeMy WebLinkAboutN2017-0368City of Newport Beach
00 Civic Center Drive, Newport Beach, CA 92660 N111111111111111111111111111111111111111111 0II7IIII
Permit Counter Phone (949)644-3311
w+ Online Inspection Request- www.newportbeachca.gov/Online
jrrart�* Services
Job Address : 1216 SOMERSET LN NB
Description : 2 NEW CURB CORES PER STD 184-L.
Parcel # :
1174-621-6 -
Legal Desc :
N TR 3032 LOT 27
Owner:
MESERVESCOTT
Phone:
949-493-7831
Address :
1216 SOMERSET
NEWPORT BEACH, CA 92660
Applicant:
CAPACI ENTERPRISES INC
Phone:
949-945-8362 [
Address :
11841 KENSINGTON RD
LOS ALAMITOS CA 90720
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit No: N2017-0368
Project No : 0340-2017 SCANNED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889C5
IM COMPLaw
Contractor:
Phone:
CAPACI ENTERPRISES INC
949-945-8362
Address :
11841 KENSINGTON RD
LOS ALAMITOS CA 90720
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 :
$165.00
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
Contractor State Lie: 868248
License Expire : 07 31, 2018
Business License:
BT30040251
Business Expire :
07 31, 2017
Workers' Compensation Insurance - -
Carrier :
STATE COMP
Policy No:
9126663
W. C. Expire:
03 06, 2018
Total Fee $406.00
Paid : $406.00
Balance : $0.00
Receipt No:
Date :
_/_/
Other Department : Date
Date :
_/_/
Permit Denied Date
Date :
_/_/_
-
Issued Permit : Date
Date
.KO
E . I
PROJECTADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
hi�.P � � GG� ��G4 ✓L(!!�
APPLICANT: L 6,61," ;-,
lPhone.
Email Address:
Mailing Address: /
/_ 14p Sp
City/State/Zip:
wl D
OWNER: A/GeIGv ve
1Phone: 7 !(— 7f'q
Email Address:
Mailing Address: City/State0p:
712 i 61 -!�' N /4,-/L 1-2e-�e'C
777s.''ALICN1 mAm�tIMIYRsAtCf�LSIGIF�4€V
CONTRACTOR:
loffice Phone:
Company (if different):
cfu ti L, �-✓
JObSite Phone: I(
1 Other Phone:
Email Address:
Mailing Address:
12- S v
City/State/Zip:
414w •f- lc
State License Number & Class:
j, ? 49 Ex Tres: ? /7
City Blum iness License Number:
- ;� ; 25- Expires:
WORKERS COMPENSATION INSURAN - Certificate of Insurance (Section 3800 Labor Code)'
Company: PolicyNo:q/ Expires:3 /7
IRI�UNi}4 q SiT DE)?E3tNfQRMATiON fffAppll�able.)
.................... ...........................................
NIat1 fZefupd To..:.. ..:. .. ..
fORQFFIGEt)5,QWLY
Special Conditions of Permit:
i t - r,-v4t s(.-�e—
. , .. "sADDITIO1V:gGAPPROU1kL REQ(21REp FRG)M,THE FOLL611kINGUFPTMEN
Utilities: Traffic: 0 Fire: 0
General Services: Other:
Engineering Technician:
Public riss Specialist:
Date:
Permit No.
ffusars/pinWsharetl/encroachlmaslers/apwarhsheetwLs �--
I
Public Works Department 949-644-3311
YKVJtIi 1 AUUKrJJ: I YCKNII I
NUMBER ��CU 17YMQ�,�1p r} 1ti- : N2017-
Permit Processing Fee:
Inspection Fee:
Public Works Only
$241.00
Public Works Field Inspection
$16:
Other Department
$275.009
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of ReporUAgreement
$817.00
Document Recordation Fee
$192.00
Refundable Deposit:
TBDB
Monitoring Wells
$502.00P
Improvements
TBD
Street/AlleylWalk 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
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division
REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval::
Qty.
Q . 1
Water Meter:
Installation Charge
$528.00 i
34' Meter
$50.25
'
Water Meter Boxes:
1
1" Meter
$121,50
For Parkway & Sidewalk Area (Box
+ Cover = Cost)1
1 112" Meter
$285,00
1" Meter. 13.00 + 37.00
$50.00
1 112" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25
$88.25
2" Meter
$425,00
2" Turbine Meter
$845,00
For Traffic & Alley Areas (Box + Cover = Cast)
3"Meter
$3,310.00
1"Meter: 13,00+38.00
$5100
4" Meter
$4,730.00
2" Meter: ; 27.00 + 162.00
$189 00
6" Meter
$7 191) Dn�l
Certificate of Compliance Fee (+100% of hriy over 3 hrs)
$288.00
5200-5029
Development Services Fee (Plan check hourly)
$155.00
5200-5015
Final Tract Map Checking Fee
$2,488.00
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,488.00
5200-5027
Lot Line Adjustment Fee
$1,079.00
5200-5028
Park Dedication Fee Zone _
TBD
405-470_
Street Easement/VacationFee (+1o0%ofhrlyover 4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
030-2284
Engineering Tech: Total Amount Due: For Finance use only
$ Pq
Permit �alist Receipt No.
\J /users/pbw/shared/encroach/masters/ep front and back masters/
Rev. 1/5/2017 epfeesheet.xls-revised 1021/2016
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 tie: 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 baricades 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 lariats) 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 Caltrans 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.
BY Pu tCENSEDlC',ONTRACTOR
i ce of Ate €�Ceavariont! t 806?122.4133'
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
I certify at I have a Certificate of consent to elf -insure, Certifica of Worker's
Co pe sation Insurance, or a Certified Co' t reof.
Date l% 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 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:
24-hour notice for Encroachment Permit Inspection is required by calling
Public Works at 949-644-3311.1�
f_.
15. Any above ground utility faciliti s will require documented approval from the adjacent
affected property owners).
16. Homeowner, contractors, and subconSracotrs 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 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 separate permit and/or additional fees.
SCALE: 3/32"=V-0"
TYPICAL NOTES:
• PROPOSED 4" SDR35 PVC DRAIN LINE PIPE SLOPE 1 %
• ALL HARD SURFACES (CONCRETE, BRICK) SLOPE 1% TO DRAINS
• ALL PERMEABLE SURFACES SLOPE 2% (GRAVEL, TURF, PA)
(-E:): T-X%sti--Lc-.\
CI ) - '4Vim%
LEGEND: 3" min (typ.)
FF FINISH FLOOR ELEVATION ELEVATION CHANGE - EXCEPT AT DOORWAYS
TOC TOP OF CURB ELEVATION PROPERTY LINE
FG FINISH GRADE ELEVATION ® AREA DRAIN
PA PLANTER AREA PERFORATED FRENCH DRAIN LINE
mmummm BOTTOMLESS DRAIN PIPE (NON PERFORATED)
TRENCH DRAIN EXISTING CURB CORE
NOTE:
IT IS THE RESPONSIBILITY OF THE PERMIT TEE TO MAKE SURE THAT ALL WORK COMPLIES
WITH THE NEWPORT BEACH STANDARD DRAINAGE PLAN. NO PLAN REVIEW IS
PERFORMED ON THE SITE PRIOR TO PERMIT ISSUANCE. COMPLIANCE WILL BE VERIFIED
BY BUILDING DEPARTMENT INSPECTOR.