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HomeMy WebLinkAboutN2017-0370w1,$ City of Newport Beach IIY��������l II Permit No:N2U17-03%' 100Civic Center Drive, Newport Beach, CA92660 tom. Permit Counter Phone (949)644-3311 Online Inspection Request- www.newportbeachca.gov/Online Project No : 1305-2016 SCAN N @� Eb Services Faarnw''` Inspection Requests Phone (949)644-3255 Job Address: 2315 MARGARET DR NB Thomas:Guide: 889A6 Description: REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD 162-L. REMOVE ALL NON-STANDARD IMPROVEMENTS IN THE R.O.W. Parcel # : 4253-013-5 - Legal Desc : NEWPORT HEIGHTS LOT 28 SELY 50 FT NWLY 210 FT -EX NELY 132.02 FT & Owner: MELUM THOMAS A �6 Contractor : SIEMONSMA CONST Phone: 949-645-0748 t_ Phone: 949-722-0628 Address: 2315 MARGARET DR� \96 Address : 1048 IRVINE AVE #430 NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92660 Contractor State Lic: 536498 Applicant: MELUM THOMAS A License Expire : 07 31, 2018 Phone: Address Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Business License: BT30046476 Business Expire :. 03 31, 2018 Workers' Compensation Insurance -- Carrier : STATE COMP INS Policy No: 1957819 W. C. Expire: 01 01, 2018 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee : $571.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $571.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $330.00 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: 2 // 7/ a c i7 General Services Approval : Date COMPLETE THE BELOW INFORMATION DETA DESCRIPTION OF P O D WORK: l APPLICA ., Phone: Email Addres 7M iling ddr: CitySate/' OWNE Phone: Email Addre s Mailing Addres City State/Zip: CONTRAC ` Office Phone:i'� Comp ny(i different): Jobsite Phone: Other Phone: — Email Addres Mailing Address: City/ tate/Zip: G State License N mber & Class: Expires: City Bus' ess License Number: Expires: WORKERS COMP NSAT ON INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Munici alb erations: 949.644 3055 Utilities: 949-044.3011 Urban Forest) : 949-644-3083 N""�'ia�,*fa x ,vai ,r :�. l�F f✓fS" 7 IC'i.,i Special Conditions of Permit: ry '....._Mu v �, �... �?� � _ .. '"r ,� Utilities: Municipal Operations Traffic: Other: Fire: 0 Engineering Technician: Perm' pecialist Date: A% r-7 j 7 Permit No. IN2017-b7'10 f:/users/pbwlshamdfencroach/rnesterslepworksheet.xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells StreetlAlley/Walk Closure: Traffic Control Plan Check 8-1/2" x 11" 24" x 36" Inspection Fee: $241.0 Public Works Field Inspection $165.00 $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $817.00 $192.00 Refundable Deposit: TBDB $502.00 Improvements TBD $65.00= Newspaper Rack Inspection $108.00 $65.00 Sewer Connection Fee $250.00 $143.00 4TT Box & Cover $64.00 ---__ ___ SQUIRE APPROVAL FRQM THE Revenue Division (OR TO PAYMENT OF FEES Anoroval:; I [Water Motor. 13/4" Meter $50.25 i1" Meter $121.50 11 1/2" Meter $285.00 11 1/2" Turbine Meter $700.00 12" Meter $426,00 12" Turbine Meter $845.00 ,2 Turbine $3,310.00 � 4" Meter $4,730.00 r6" Meter $7.190.00 City. Qty. 1 Installation Charge $52&00" 1 Water Meter Boxes: 1 For Parkway& Sidewalk Area (Box + Cover = Cost) 1 1" Meter 13 00 + 37.00 $50.00� 2: Meter: 27.00+ 61.25 $88.25 1 For Traffic & Alley Areas (Box + Cover = Cost) 1'Meter: 13.00+3&00 $51.00 I 2" Meter: 27,00 + 162.00 $189.00" 1 1 ` '' Certificate of Compliance Fee (+100% of hrly 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/Vacation Fee (+100%ofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Tot I Amount Due: For Finance use only CZ) Permit Permit Sp cialist Receipt No. f:/users/pbw/sharedlencroach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheet.xls-revised 10/21/2016 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 subgmde 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. 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 de: 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 $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 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. 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 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. D E3if A'�:,I�E'NSE_ E����C©NTRACTOR ince ttf An ''EX�auatiorr a{;8A0-42.2 33 WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code), - - I certify that I have a Certificate of consent to self -insure, Certificate rorkers Com ns tion Insurance, or a Certified Copy In /g�f[��` Date:.K�)l 7 Signature: n � CERTIFICATE OF EXEMPTION (Sec 'on 3800 Labor Code) 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 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 Encroach n mlt Inspection i r quir by calling Public Works at 949-644-3311 15, Any above ground utility facilities require dodVmented approval from the adjacent affected property owners). 16. Homeowner, contractors, and subconlracotrs 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. 4. 2. 'INV-;� 0.64'b.0. 6—E-SILT. PIT 3.64 1 T,O. SLOPE 7'4r Ici at- - I I NOTE. R040MALLWX-1�8TANIDA110- INPROVEMEM IN R.O.W. CURS 3.76! F.G -7- SLOPE2 111 10 1 ROCK 6ki6w DRAIN INVERT TYPICAL FOR LENGTH OF PIPE SECTION ---- A T - SIDE -E­ 1(A00 DO 24' SO. FRAME AND GRATE IN CONC. FRAME NOTE: DEMWSHANDPZWVE EXIST, ,21.6440., C. M. U, WALL RET. WALL IN FLOW. 18"SO. PIT 401A PERF. PVC SCHED. 40 DRAIN PIPE W/ FABRIC WRAP E- IRV URAINTOSTRrET 0.57'T.O. CIJR6'�' CRUSHED ROCK IN FABRIC FILTER CLOTH DRAIN SEE 3`0 0.00'F.L. x Ill 4 STD. 1 6 9 --T .......... .......... 140TE: v DRIVE APPROACH AND PROMLE (MVEWAVg-TOOON " i P 'Et 12'-6" T-O" NSILT -PIT DETAIL LEGAL Q.EtCRIPTION' rY cU 2L.4 0 . . 0 CITY QfNOWORT laEACH, M RT TRACT � LOT ' IN, THE 0 R A N 6 E, CA' Li F� COU I OFFOMIA A.P. NO! 426-MI46 'TO EXIST. RES. FRONT SETBACK . . . .. . . . . 112" DE SILTING TRENCH; .... 3.03'F.S. U.j 0.78'F.S. 'LIt—qf.exls-r DRIVE 0hx 0.0 F.L. Z LU ,,A co W 12-6- @ 18% 2.25'i, 7-0" 10% .70" DIMENSIONS DETERMINED BY 2. GRATE FRAME DIMENSIONS. 6' MIN, W DE PEDSTRIAN SAFE USE FRAME AS A FORM » FRAME & GRATE ZVO" SLOT OPENING, EAST JO DAN IRON WORKS OR EQUAL (800)874,4100 ---- RATE IJ #4 RIBAR ................. TOP BOTTOM IpH Ca %NW FXPRK FILL THIS PORTION WITH CRUSHED no 9M A"RM ROCK AFTER POURING GRATE E 00 CRUSHED ROCK 24" SUPPORT CURB TOP" W/FILTER CI.OTH PLAN VIEW ELEVATION SECnONE_E Z 10. Q— Dig a 24" wide X 18" minimum depth trench b— Place filtdr cloth in the trench. Up 12" 0 top SUCTIONH-B c— Fill bottom of the trench with crushed rock, d— Form and pour perimeter Concrete curb. e— Fill the rest of the trench with crushed rock to 40 from top of trench. DETAIL "Ell URB Sept, is required. 5 7/2412017 City of Newport Beach Page 2 of 12 4:30:57PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 07/25/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 2315 MARGARET DR Activity : N2017-0370 SubType: NEW Status: APPROVED OWNER: MELUM THOMAS A Phone: 949-645-0748 Description : REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD 162-L. REMOVE ALL NON-STANDARD IMPROVEMENTS IN THE R.O.W. Item: 10110 CONCRETE PUBLIC WORKS' . 111 Requested Time: 7/25/2017 12:00:OOAM Requestor: NBIVR 9492893863 Entered By: NBIVR Comments: AM Assigned to: 3� Inspector: Date: / of Time: cT f3e) M PM Comments: A 4 i (iv/ 1-0 961he4,) 5 M /&2_ QtoI G� �'.e�wi P A — r7-:�-1 s Ale)-r- Per` C4T::x Ir—EF-0 u i rz & ai., ' r s- c-o^zm-,q-e_ tz;;oz tzn F:\Users\PB W \S hared\E NC ROACH\MASTERS\FORMS\I nsoectorSheet.doc REPT131 Run Id: 4018 y , 7/26/2017 City of Newport Beach Page 1 of 3 4:30:40PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 07/26/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2315 MARGARET DR SubType: NEW Status: APPROVED OWNER: MELUM THOMAS A Phone : 949-645-0748 Description : REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD 162-L. REMOVE ALL NON-STANDARD IMPROVEMENTS IN THE R.O.W. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 7/26/2017 12:00:OOAM Requestor: NBIVR 9492893863 - [Ni/ � Entered By: NBIVIj.-•""`� Comments: A '` - 00A - II Assigned to: Inspector: �� Dater Z iP Time: ! i ° 01j PM Comments: 0!il4t5e_yef7 C>fi,o rd/2&j�!7 S w / _-5-ro - /G z A py/! vM C®/y rX1+e-729 r ©F e-o & D JE) az�-evt1 c Logged F:\Users\PBVV\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131. Run Id: 4018 8i2i2017 City of Newport Beach Page 1 of 14 7:15:55AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/02/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2315 MARGARET DR Activity : N2017-70 r 03A/P/D intbrmation_; SubType: NEW Status: APPROVED OWNER Description Item Requested Time: Phone : 949-645-0748 REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD 162-L. REMOVE ALL NON-STANDARD IMPROVEMENTS IN THE R.O.W. 10250 k FINAL - PW 8/2/2017 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: Inspector: , ) \/ Date Requestor: NBIVR 9492893863 'L-7 Time: Z Z6 AM PM Comments: /' I-) 2a; G—G'T I o/V : 5 12i; au I ae�c V le:71N A-L� ff-A)r-) A6- P E,SYma41 T'ti eea s(2- 1t02-L (Z-� tc D D L,,l A PPYzOac�0 � 9� S7_ D --1 l0 2 - C eIe F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc 861/2017 ^ City of Newport Beach Page 3 of 11 6:34:24AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/11/2017 Inspection Type: ENCROACH Inspection Area:. PW Site Address : 2315 MARGARET DR AIP1D Information - Activity : N2017-0370 SubType Status <!PJI1I 1 Description Item: Requested Time: NEW APPROVED MELUM THOMAS A Phone : 949-645-0748 REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD 162-L. 10250 FINAL - PW 8/11 /2017 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: Inspector: Comments: Requestor: IN THE R.O.W. NBIVR 9492893863 Date: L3Li I7 Time: b /r) l�M ll G/ ,dry' Logged Refile F: \Users\PBW \Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet. doc 8/21;1017 City of Newport Beach Page 1 of 6 4:30:23PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08122/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2315 MARGARET DR SubType: NEW Status: APPROVED OWNER: MELUM THOMAS A Phone : 949-645-0748 Description: REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD 162-L. REMOVE ALL NON-STANDARD IMPROVEMENTS IN THE R.O.W. Item: 10250 FINAL - PW Requested Time: 8/22/2017 12:00:OOAM Requestor: NBIVR 9492893863 Entered By: NBIVR Comments: AM Assigned to: Inspector: ®`�l Date: t? Time: y� A PM Comments: alzA i' 7z F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018