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Home My WebLink AboutN2018-0057City of Newport Beach 1pil1111111111111111111111111111111111111111111 m ' 100 Civic Center Drive, Newport Beach, CA 92660 µ Permit Counter Phone (949)644-3311 tr Online Inspection Request - www.newportbeachca.gov / Online Services Permit No: N2018-UU57 Project No: 1190-2016 SCANNED Inspection Requests Phone (949)644-3255 Job Address : 3803 SEASHORE DR NB Thomas:Guide: 888G7 Description: NEW DRIVEWAY APPROACH PER CITY STD, PAY FOR STREET TREE TO BE PLANTED IN AN OFF -SITE LOCATION, PAY FOR NEW 1" WATER METER BOX. Parcel # : 4233-250-6 - Legal Desc : THIRD ADD TO NEWPORT BEACH BLK 38 LOT 2 Owner: PIATT THEODORE D JR Phone: Address: 3803 SEASHORE DR NEWPORT BEACH, CA 92663 4 r i PUL-" Applicant: GUIDERO WILLIAM Phone: 949-675-2626 [ Address: 425 30TH STREET #23 NEWPORT BEACH CA 92663 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED 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 : $96.66 Street Tree Fee : $726.89 Adjustment : $0.00 Processed By: Utilities Approval Traffic Approval : General Services Approval Date Date Date: Date : Contractor: LEGACY CUSTOM HOMES INC Phone: 949-887-4750 Address: 1000 QUAIL ST, STE 250 NEWPORT BEACH CA 92660 Contractor State Lie: 986194 License Expire : 08 31, 2019 Business License: BT30045036 Business Expire : 10 31, 2018 Workers' Compensation Insurance - - Carrier: STATE COMP Policy No: 9118909 W. C. Expire: 12 02, 2018 Total Fee $1,393.55 Paid: $0.00 Balance: $1,393.55 Receipt No: Other Department : Date Permit Denied Date Issued Permit: ' Date GRMLT COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: $0'j SFgs a4 DETAILED DESCRIPTION OF PROPOSED WORK: iP L. P 1, APPLICANT: 6,,-3 Phone: Cl `- "gl? SV Email Address: L_C r -4-A A%t.. Mailing Address: lop& (kw A%l 9r1q^ S V 1^LC 2 2 e City/State/Zip: �a , p�.art-11;Z<tGLt G4 q Z ((, O OWNER: Phone: Email Address: Mailing Address: City/State/Zip: s;�,.��FL��OEi[l'�Ia��Q�F4lI�IIIE/k�ff�Nl,);S'I�EQF4 .., _�PEF�SE �QIIIIPLETE..�...;, CONTRACTOR: a-+ Office Phone: Company (if different): � 1S-Tb--h �"kl � Jobsite Phone: Other Phone 41 Email Address: L�1A s!� 6,hp�tl. Co,% — Mailing Address: ltocy> QVP4L- %,r. Su VM 22a City/State/Zip: Nce-A-e*vL-t- VAVA C46-i2-� e State License Number & Class: 3 Ex Ares: . .- y q City Business License Number: 04V"D 6 Expires: LP414e WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 33800 Labor Code) Company: S�=� a WU Policy No:'111 eq 01 Ex ires: 2-20^ Municipal Operations: 949-644-3055 Utilities: 949.644-3011 Urban Forestry: 949-644-3083 • F y x' 3 M ;.R _.wRJ N77.. t # '... FOR bFFICE U$E ONLY Special Conditions of Permit: ;A4L7D)TIONAL APPRgVAL REQt1IRED EL OM THE F.,OL.LOWINP DEPARTMENT$ Utilities: Municipal Operations Traffic: Other: 0 Fire: 0 Engineering Technician: Perm' p ialist Date: Permit No. �j N2018- V 0 �/ F:/users/pbw/shared/encroach/master epwamsheet.xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 m fi` r ? r {A�. r�i.-��k '. 1$` 15 St e yry, 9 Will,�^,. All Fees Are Nan -Refundable finless Otherwise Stated PROJECT ADDRESS: PERMIT N2018-seldiza l NUMBER: APPLIJCANT: �41 yf Permit Processing Fee: Inspection Fee: Public Works Only $241.00M Public Works Field Inspection $165.Oql 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: TBD Monitoring Wells $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" $65.010= 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. Water Meter: 'Installation Charge, $528.00 3/4" Meter $50.25 1"Meter $12150 Water Meter Boxes. 1 112" Meter $285.00 1" DFW Meter Box $96.66 1 1/2" Turbine Meter $700,00 2" DFW Deter Box $203.24= 2e Meter $425.00' 2" Turbine Meter $845.00' 3" Meter $3,310.00' 4" Meter $4,730.00 nn nrtae,. ':T7 ton nn -. Certificate of Compliance Fee (+100% 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% of hrly over hrs) �1.022.00 Street Tree Fee ($400-PI f� Fee) �'j l I 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 Perm i cialist Receipt No. f./userslpbw/sharedlencroach/masters/ep front and back masters/ Rev. 12/18/2017 epfeesheaUls-revised 11/8117 )1 9o-Zokp 2. 4. 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 ClassC-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 ashoring 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 backflling, 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. 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 (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 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 traffic or within the State 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. 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 I certify that I have a Certificate of consent to s Compensation Insurance, or a Certified Cgpyshgl of CERTIFICATE OF EXEMPTION (tVicti 0 Labor Code) I certify that in the performance of the work un r is permit, I shall not employ any person so as to become subject to Californ' crker's Compensation Laws. If, after signing this certificate I become subj to the Worker's Compensation provisions of the State Labor Code I must coT the provisions of Section P PY 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 1 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: 24-11hour notice for Encroachme9t Permit Inspection is required by calling Public Works at 949-644-3311t,[ 15, Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). 16, Homeowner, contractors, and subcontracotrs 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 Wafer 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 Backfil 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. ditional work performed may require issuance of a separate permit and/oEaddfees. 1/3032018 City of Newport Beach Page 6 of 16 4:30:27PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/31/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 3803 SEASHORE DR Activity : N2018-0057 SubType: NEW Status : APPROVED OWNER: PIATT THEODORE D JR Phone: APPLICANT: GUIDERO WILLIAM Phone : 949-675-2626 Description : NEW DRIVEWAY APPROACH PER CITY STD, PAY FOR STREET TREE TO BE PLANTED IN AN OFF -SITE LOCATION, PAY FOR NEW 1" WATER METER BOX Item: 10 PRE JOB - PW Requested Time: 1/3 /2018 12:0O:OOAM Entered By: WEBUSER Comments: AM- Assigned to: ZZZzzzzzzzz` Inspector: C � v Date Comments: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc Requestor: WEBUSER 949-887-4750 - ,(3 1(-L Time: PM Ref(l REPT131. Run Id: 4018 2/22/2018 City of Newport Beach Page 1 of 8 4:30:24PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/23/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address: 3803 SEASHORE DR Activity : N2018-0057 SubType: NEW Status : APPROVED OWNER: PIATT THEODORE D JR Phone: APPLICANT: GUIDERO WILLIAM Phone : 949-675-2626 Description : NEW DRIVEWAY APPROACH PER CITY STD, PAY FOR STREET TREE TO BE PLANTED IN AN OFF -SITE LOCATION, PAY FOR NEW 1" WATER METER BOA Item: 10250 FINAL - PW Requested Time: 2/23/2018 12:00:OOAM Requestor: Entered By: NBIVR Comments: AM Assigned to: Inspector: (n LI 1q Date: _ Comments: \\ e.Wl, YIYh Ili L \ Vl ^�eJ 1 A // / n F:\Usem\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc NBIVR 9498874750 Time: Q A� PM REPT131. Run Id: 4018