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N2017-0272
,wr e m ' City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 II�III�II�II�I�III��II�II���I� (I Permit No: N207�-07Z H ' Permit Counter Phone Project No: 2039-2016 N E -: (949)644-3311 _ Online Inspection Request- www.newportbeachca.gov/Online r'rLernu�' Services Inspection Requests Phone (949)644-3255 Job Address : 621 MALABAR DR NB Thomas:Guide: 919D1 Description: PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB DRAIN PER STD 184-L, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L AND 182-L. REMOVE ALL PRIVATE IMPROVEMENTS IN THE ROW AND PLANT LOW GROWING GROUND COVER IN PARKWAY. Parcel#: 0502-911-3 - Legal Desc : N TR 1701 LOT 75 Owner: ZAHEDI PEGGY & MOSHEN r ! _ Contractor : INSTANT LANDSCAPES Phone: 1� Phone: 949-347-0700 Address: 621 MALABAR DR Address: 28562 OSO PKWY #D-243 CORONA DEL MAR, CA 92625 RSM CA 92688 Contractor State Lic: 842586 Applicant: INSTANT LANDSCAPES License Expire : 07 31, 2018 Phone: 949-347-0700 [ Address : 28562 OSO PKWY #D-243 ' RSM CA 92688 Business License: BT30011792 Business Expire : 10 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier: WESCOINSURANCE Policy No: WWC3226863 W. C. Expire: 08 15, 2017 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee : $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $736.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $0.00 Inspection Fee : $495.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box : $0.00 Street Tree Fee : $0.00 Adjustment: $0.00 Processed By : Date: _/_/ Other Department: Date Utilities Approval : Date : _/_/ Permit Denied Date : j % ©J ��3 Traffic Approval : Date: _/_/ Issued Permit : Date: / General Services Approval : Date °' ORKSH ET FOR ENCROACHMENT PERMIT — CITY OF NEWPORT•IBEAOH PUBLIC WORKS OlEPAFiTIIfI NT,; .......... .... PROJECT ADDRESS: �Zl✓3� `L D AILED DE CRIPTION OF PROPOSED W RK: - ln/ Lj U n ✓J (J� `/ 'TZ/�� Y'' U 04 C rra L i `rYL-- C , APPLICANT: (L((jI� Phone: Email Address: Mailing Address: CitylStatelZip: 2$ �-z C�-a '�KWY � D Z4 zs GtF� �4Z�ss� OWNER: O 5El? 0(�6 l Z-(-W00l I Phone:':--k L� Email Address: Mailing I�Ir�t6 �1Z- Cityr�Ip. e otZEi2j (oZ-1 ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: `pM Office Phone: �l`l� 1�� —G bt/t Company (if different): JJobsite Phone: Other Phone: Email Address: Mailing Address: �l Y �2�3 City/LS5A�\ : State License Number & Class: C� Expires:G2 City Business License Number: Expires:IU' ��_ WORKERS COMPENSATION INSURANCE -Certificate of Insurance (((Section 3800 Labor Code) company: we5co Le— Polic No: Wi ' 32Z5( spires: Cf6 EFL1 DA6<...........,ITi1N: R'71....,......... ....::::::::........::::.:.............,..-:........:....... R... _�4... _4 E.44P.4?5......E4.. MA.. 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IVla'il:Ftiefiiriil To :':: i :8i............. i:::: ii:::: ..... :2`; `.; :: ;::: ::::;:::::;:;::: :::::> :;:_:::;::: FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Traffic: Fire: 0 General Services: Other: Engineering Technician: Public pecialist: Date: Ll 17 Permit No. L .1_ flusers/pbwhharetllenaaactVmaslerslepvorksheetxie _— e on • Public Works Department 949-644-33 E Permit Processing Fee: Inspection Fee: ie Public Works Only $241.00r j )� Public Works Field Inspection $165.0 Other Department $275.00 Utilities Field Inspection $121.0 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: TBDP Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk 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 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%ofhrlyover4hrs) $1,022.00 Street Tree Fee ($700 Planting Fee) Hi-91 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/masterslep front and back masters/ - Rev. 1/5/2017 epfeesheetxls-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 dt 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 140-11, 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 (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. 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 Callrans 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, WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code), I certify that 1 have a Certificate of consent to se 'insure, Certificate of Worker's dompensation Insurance, or a Ce ffied Copy the o . Date: ✓—Z�7' ��ignature: CERTIFICATE OF EXEMPTION (Section 3885II'Labe&C.odl 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 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 no' r Encroachment Permit Inspection is required by calling ks a 49Z4-3311. Any above 1ground 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 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. i 11 il1UI LI lnI LIB m I"" rUoUV L BE PERFORMED BY A C-42 LICENSED CONTRACTOR OR AN A LICENSED SIG CONTRACTOR. uum I wU I �, I F IL r, LINV rMT CASE rER 50IL5 REPORT RECOMMENDATIONS -DRIVEWAY PROFILE TO CONFORM TO ER CITY 5TD-160-L-C (TYPE B); DRIVEWAY APPROACH SHALL BE CONSTRUCTED PER CITY STANDARD #162-L. 13 NEW PROPERTY LINE WALL (mAx ( '-O" ABV N.G.) EXTERIOR FIN15H AND TREATMENT PER ARCHITECTURAL PLAN AND DETAILS. 52 WN571;ZUCT NEW i STANDARD DETA 33 CONSTRUCT PR" 14 NEIN LANDSCAPE PAVING PER ARCHITECTURAL PLAN AND DETAILS. ig CONSTRUCT CONCRETE CAISSON PILES PER STRUCTURAL PLANS (5-1 AND 5-RA) 11T I Is ig uu 70 Q 65 tti 60 34 PROVIDE LOW V • I� fi T..GGi: 55 SECTION A -A 6A1RA,CGE 4 PRIVEINAY SECTION S-B (TRANSVERSE) I I II EXISTING GRADE l \ CONO V-DITCH RETAINING WALL/CAISSON PILE FOUNDATION PER STRUCTURAL PLANS TIN \ 65.50 FS POOL 8 (#,> UNDER SEPA6 PERMIT SECTION X-X SCALE 1 iTES: 1200 WITH GRATE OR CITY APPROVED EQUAL ND5 640 OR EQUAL GRATE, ND5 50 OR EQUAL B EQUAL :AL PLANS. TERMINATE ABOVE THE FLATWORK. N5. TERMINATE ABOVE THE FLATWORK. -ION) WITH NON -PERMEABLE kIL 5HEET. ETE FLATWORK (5=0.5%) /EL TRENCH WRAPPED WITH 6EOTEXTILE AT BOTTOM :ER 5RADE PER SOILS REPORT RECOMMENDATION5 PER 501L5 REPORT RECOMMENDATIONS - ER CITY 5TD-160-L-C (TYPE 5); DRIVEWAY 'ER CITY STANDARD #162-1-. ABV N.G.) EXTERIOR FIN15H AND TREATMENT PER CTURAL PLAN AND DETAILS. i FER STRUCTURAL PLAN5 (5-1 AND 5-RN We 55 5E(7I0N A -A OFF -SITE: 21 REMOVE ALL EXISTING LANDSCAPE ELEMENTS (WALL, BRICK STEPS ETC.) O EX15TINO PROPERTY LINE WALL TO REMAIN - PROTECT-N-PLACE 25 EXISTING CONCRETE 510BNALK - PROTECT -IN -PLACE 24 EXISTING STREET TREE - PROTECT IN PLACE 25 REPAIR EXISTING DAMAGED CURB, GUTTER AND SIDEWALK 5TD-180-L ;PER CITY STANDARD STD 182-L. SEE GENERAL NOTE I 26 EXISTING SEWER LATERAL TO BE ABANDONED AND SHALL BE GUT AND G GAPPED AT THE PROPERTY LINE. INCLUDE VERTICAL R15ER 2l EXISTNG WATER METER 5ERVICE; PROTECT -IN -PLACE 28 REMOVE AND RE -INSTALL NEW GAS METER PER GA5 COMPANY STANDARDS 2q PLUG AND ABANDONED EXISTING DRIVEWAY APPROACH PER CITY OF NENPORT BEACH STANDARD DETAIL 5TV-165-L 51 CONSTRUCT NEW 5EWER LATERALS AND CLEANOUT5 PER CITY OF NEWPORT BEACH STANDARD DRAWING STD-406-L WITH TRAFFIC BOX AND LID 52 CONSTRUCT NEW DRIVEWAY APPROACH PER CITY OF NEWPORT BEACH STANDARD DETAIL 1624L 95 CONSTRUCT PRNATE CURB DRAIN PER CITY OF NEAPORT BEACH STANDARD DETAIL 154-L 54 PROVIDE LOW GROWING 6ROUND COVER CGARA67E 4 PRIVIA Y 22-0" 51DEWALK SCALE -15 64 RETAINING HALL PER STRUCTURAL 6/31/2017 City of Newport Beach YPage 7 of 19 4:30:16PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/01/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 621 MALABAR DR Activity : N2017-0272 SubType: NEW Status : APPROVED OWNER: ZAHEDI PEGGY & MOSHEN Phone: APPLICANT: INSTANT LANDSCAPES Phone 949-347-0700 instantiandscape@aol.com Description : PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB DRAIN PER STD 184-L, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L AND 182-L. REMOVE ALL PRIVATE IMPROVEMENTS IN THE ROW AND PLANT LOW GROWING GROUND COVER IN Item: 10200 PRE JOB - Requested Entered By: WEBUSER Inspegpip:ments: AM- )'V Assigned to : zzzzuzuzz' Comments: 1. /:00 9-'W-4 Requestor: WEBUSER 949-795-0648 Date: �l i Time: %= AM PM ! 91,C—'i w/ 'l L 1-1:9 ln4"O 0 r2 T S 11-v 4 G+ kZ 4 1C . 7 ` ;-C-Vt'�� S Lle5-L �02 Li lLq-'L -L& - u 13 a -- L lout--,m c' o l w'� REPT131. Run Id: 4018 f '$/6/2015 City of Newport Beach Page 1 of 14 4:30:69PM INSP160`- Daily Inspection Request Report Requested Inspection Date : 06/0712017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 621 MALABAR DR Activity : N2017-0272 SubType: NEW Status : APPROVED OWNER.: ZAHEDI PEGGY & MOSHEN Phone: APPLICANT: INSTANT LANDSCAPES Phone: 949-347-0700 - - - instantlandscape@aol.com Description : PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-LINEW CURB DRAIN PER STD 184-1-,,NEW CURB, GUTTER AND SIDEWALK PER STD 180-L AND 182-L. REMOVE ALL PRIVATE 9 IMPROVEMENTS IN THE ROW AND PLANT LOW GROWING GROUND COVER IN PARKWAY. Item: 10100 FORMS WITH COMPACTION- PW Requested Time: 6/7/2017 12:00:00AM Requestor NBI 9497950648` Entered By: NBIVR G CA Comments: AM, Assigned to: 6/8/2017 City of Newport Beach Page 2 of 15 16:34:58AM INSPI50 - Daily Inspection Request Report Requested Inspection Date : 06/08/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 621 MALABAR DR AIPID Information:- Activity : N2017-0272 SubType: NEW Status: APPROVED OWNER: ZAHEDI PEGGY & MOSHEN Phone: APPLICANT: INSTANT LANDSCAPES Phone : 949-347-0700 instantiandscape@aol.com Description : PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB DRAIN PER STD 184-L, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L AND 182-L. REMOVE ALL PRIVATE IMPROVEMENTS IN THE ROW AND PLANT LOW GROWING GROUND COVER IN PARKWAY. Requested Inspections) ' Item: 10100 FORMS WITH COMPACTION - PW (le "--vArno Requested Time: 6/8/2017 12:00:OOAM Requestor: NBIVR 9497950648 Entered By: NBIVR Comments: AM , / Inspector: IliV Date: zr% Time: w = AM M Assigned o Comments: G `c li /7�G� /SP A Ad � le'j F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doe .------ _.... _._ _—.. _.. ....----- __._.. REPT131 Run Id 4018 8/15/2017 City of Newport Beach 4:30:37PM INSPI50`- Daily Inspection Request Repor Requested Inspection Date : 08/16/2017 Inspection Type : ENCROACH Inspection Area : PW i MEMO Site Address : 621 MALABARDR Activity: N2017-0272 SubType: NEW Status : APPROVED OWNER: ZAHEDI PEGGY & MOSHEN Ph APPLICANT: INSTANT LANDSCAPES Ph instantlandE Description : PLUG EXISTING DRIVEWAY APPROACH PER STD 165- DRIVEWAY APPROACH PER STD 162-L, NEW CURB DI CURB, GUTTER AND SIDEWALK PER STD 180-L AND 1 IMPROVEMENTS IN THE ROW AND PLANT LOW GROV PARKWAY. , Page 4 of 13 ne : ne 949-347-0700 ape@aol.com CONSTRUCT NEW UN PER STD 184-L, NEW 2-L. REMOVE ALL PRIVATE UG GROUND COVER IN - Requested Time: 8/1.6/2017 12:00:OOAM Requestor: NBIVR Entered,By: NBIVR 9497950648 - merits: AM / ��'/-7 ' 1 / r � Inspe Date: i Time: PM Comments-,'., ,Assigned to: CCU` `fZ //17R 1.1 ZG . f'�( 2oy i 55 cle� b 1G/ I GOMD9 fCTCI'1 - I F: B d \Users\P W1Share \ENCROA H\MA TER F R 1 r C S S\ O MS1 ns ecto SheeEdoc 0 REPT131 Run Id: 4018