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Home My WebLink AboutN2017-0572H� City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachea.gov / Online Services II�I�Iu�IIII�0IIIIII05l�lll�� II Permit No: N2017-0572 Project No : Inspection Requests Phone (949geMNED Job Address : 1 PUBLIC ROW NB Thomas:Guide: Description: INSTALL WREATHS, GARLAND, AN DLIGHTED ORNAMNETS ON 36 STREET LIGHTS IN BALBOA VILLAGE. INSTALL TWO WREATHS ON BALBOA VILLAGE ENTRY ARCH SIGN. I nsical 11 11 y 1 YI Parcel # : Legal Desc : Owner: BALBOA VILLAGE MERCHANTS ASSN Phone : Address: Applicant: JANIS DINWIDDIE Phone: 949-244-0642 CVA Address : Special Cond.: DO NOT OBSTRUCT PHOTOCELL ON LIGHT POLE. PEDESTRIANrl"RAFFIC CONTROL PER WATCH (LATEST ED) Permit Processing Fee : $275.00 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 : $0.00 Processed By: Utilities Approval Traffic Approval : General Services Approval Sc- Date : _/ /_ Date: ((/ 1$ 1-7 Date : I t /A/13_ Date : GHrjs 1al1nS{,yt Tara J2knRe'm Sao - ZroO- UUy 53D - 2 W-Uz83 Contractor: THE JARVIS CO Phone : 877530-2224 Address: 4828 1/2 MISSION BLVD MONTCLAIR, CA 91763 Contractor State Lie: License Expire: Business License: ,f 20 (0 (p Business Expire: Workers' Compensation Insurance - - Carrier : Policy No: W. C. Expire: Total Fee $440.00 Paid: $440.00 Balance: $0.00 Receipt No: �ai JI Other Department: Date: Permit Denied —Date: Issued Permit : SG Date : 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 a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within - after date of issuance. 2. The Penmittee 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. Permitlee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall be corrected within twoweeks 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 Stale Contractor License Class A can perform any work in the public right-of-way. For construction or connection to water fines 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 parkwaylmadway 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 aver 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 whenfhazamous 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 installations) shall be allowed over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locale and pothole existing City -owned utilities fe: 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 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 S35.00. 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 f, 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 lanes) 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 Stale Highway right-of-way will require a Cattrans 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 949-644-3G66 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 1 have a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy Thereof. Date: Nov. 9, 2017 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, 1 must comply with the provisions of Section 3700or 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 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: 24-hour notice for Encroachment Permit Inspection is required by calling Public Works at 949-644-3311. 15. Any above ground utility facilities will require documented approval from the adjacent affected property ownens). 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 Water Duality 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. ORKSWES1 ACH R �OMIFM a 9 RAPIIQRR�' MENT-51PE—MIT V'111059= 'T RMIAH.aa BIN W --go mga -w'k' "A -g--, " - - --g-lilf., ffiffiNk ffil -"-' "M MINE _q �1;0 L WAN 11PROJECT ADDRESS: Balboa Village Balboa Boulevard, Palm Street & Main Street DETAILED DESCRIPTION OF PROPOSED WORK: Install wreaths, garland and lighted ornaments on lampposts on streets as noted above, plus on the boardwalk and in the Palm Street parking lot. Install date to be week of 11/13 - 17, 2017, exact date to be determined 24 hours prior. 11 EF Removal date to be the week e!H�cdate TBD Installation and removal to be �dunng evening hours. APPLICANT: Janis Dinwiddie (for Balboa Village Merchants Association) IF11011W. 949 548 2411 office or 949.244.0642 cell Email Address: lanisdin@yahoo.com Mailing Address: ICity/State/Zip: 1048 Irvine Avenue #439 1 Newport Beach, CA 92660 OWNER: Balboa Village Merchants Association At Palmer, Administrator Email Address: scott@bidsysinc.com Mailing Address: jCityl�tatelzlp: 2865 East Coast Highway #360 Coro del Mar, CA 92625 Nfl --M CONTRACTOR: The Jarvis Company Office Phone: 877.530.2224 Company (if different): Jobsite Phone: 530.260.4441 Chris Johnsen Attn: Tara Johnsen, Operations Manager Other Phone: 530.260.4283 Tara Johnsen Email Address: TheJ@Nisco@yahoo.com Mailing Address; City/State/Zips 4284-1/2 Mission Boulevard Mo State License Number & Class: n/a 'City Business License Number: service company Expires: ( S f -W &P (a Expires: WORKERS COMPENSATION INSURANCE - Certificate of insuran—ce—(Uee �Ion Company: State Compensation Insurance Fund Policy No: 9109567-2017 Expires: 8/15118 .............. Refund Paya(lie Tv, ;;. .. . . . . . . . .. . . . . NITS--, Special Conditions of Permit: yio-t obtslwcj: In I eg✓ Nq TciY lq7'L'Aj' zAt Y> R E OM,., T H j g Utilities: Traffic: Fire: General Services: F=� Other: Engineering TechnicianWorks Specialist: Date, 'Ie) I-) Permit No. S& I I I JJ100-0574 f NsersipMvishamdfencmachtmastomtep%vorksheelxts Public Works Department 949-644-3311 KIN ------..._--- Crystal Valley Decorating 5' Cascade Wreath I ...... — - - ------------ 1-Piece Frame Hanging/PM = Full Round Building= flalf Round Front 1/4" Rod Foliage Rings (2) per side Outside Ring (4) 1/4" Rod Spacer Rings 48" Dia 3/8" Rod 44-1/2" Dia Spacer Bars (4) 39-1/2" Dia 3/8" Rod — 36" Dia Inside &. NMI BF: Ad Standa Bracke (4) Spacer Rj 0 3' Inside 0 4' Outsid (2) per side I" Angle POLICYHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 10-30-2017 BALBOA VILLAGE MERCHANTS ASSOCIATION 2865 E COAST HWY STE 360 CORONA DEL MAR CA 92625-2258 GROUP: POLICY NUMBER: 9f09567-2017 CERTIFICATE - ID: 283 CERTIFICATE EXPIRES: 08-15-2018 08-15-2017/08-15-2018 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE H 282 DATED 10-30-2017 SIR JOB:X1819 VILLAGE OF BALBOA This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT N2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-15-2015 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT X1650 - TARA JOHNSEN P,S,T - EXCLUDED. EMPLOYER JOHNSEN COMMERCIAL SERVICES (A CORP) DBA: THE JARVIS COMPANY PO BOX 850 GRASS VALLEY CA 95945 IP16,HOj (REV.7-2014) PRINTED : 10-30-2017 . Cust Page 1 of 1 Encompass Detail Acct. Type: Type not found License #: SP2066 Category: BT-06 Bus. ID: 0083153 Name: THE JARVIS COMPANY Owner Name: TARA A JOHNSEN Owner Phone: 8775302224 Owner Type: C Exp. Date: 11/15/2017 S Addy: 12455 HILLCREST DR City, St, Zip: NEVADA CITY, CA 95959 B Addr1l: PO BOX 850 B Addr2: B Addr3: GRASS VALLEY, CA B Zip: 95945 Phone: 8775302224 FEIN: 4695 SEIN: 3678830 Established: 3/28/2016 SIC: 1799 -MISC SPECIAL TRADE CONTRACTORS # of Emps: 0 usr1: 581090 usr2: usr3: usr4: usr6: usr6: 236614 usr7: Emergency Contact Info Contact: ???? Phone: ???? http : //app s. eitynet. newportbeachca. gov/masterid/ENC_detail_CP. asp?EID=SP2066 11 / 14/2017