HomeMy WebLinkAboutN2018-0016City of Newport Beach IIII�'IIIIIII�Illll��llll�llllllll�lll II Permit No: N201$-001 s:
o `r� Perm t Counter Phone (949)644-9 11 Beach, Civic Center Drive, Newport CA 92660 N 2 0 1 a 0 0 1 6 Project NO
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's Online Inspection Request- www.newportbeachca.gov/Online
=rr„ Services
Inspection Requests Phone (949)644-3255
01
Job Address :
1456 KEY VIEW NB
Thomas:Guide:
919G2 L._
Description:
Install new sewer cleanout on existing sewer lateral per City Standard #406-L. Sidewalk restoration per City Standards.
SCANNED
Parcel # :
4582-311-2 -
Legal Desc :
N TR 6152 LOT 53
Owner:
CHAN KAM-KEE VICTER
Contractor:
CHASE GENERAL ENGINEERING CONTRACTOR INC
Phone:
0Phone:
/g �p
714-914-6345
Address:
1456 KEY VIEW
;� 3 Address:
�
15332 NEWCASTLE LANE
CORONA DEL MAR, CA
HUNTINGTON BEACH CA
Applicant: CHASE GENERAL ENGINEERING CONTRACTOR INC.
Phone: 714-914-6346 [
Address: 16835 ALGONQUIN ST
HUNTINGTON BEACH, CA
Special Cond.: Pre -job inspection required.
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Agreement Fee:
$0.00
4717 Box Cover:
$64.00
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:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval
Traffic Approval:
General Services Approval
Date:
Date:
Date:
Date:
Contractor State Lic: 906147
License Expire: 11 30, 2019
Business License: BT30054273
Business Expire :
08 07, 2018
Workers' Compensation Insurance - -
Carrier:
STATE COMP INSURANCE
Policy No:
9047185-16
W. C. Expire:
03 01, 2018
Total Fee
$635.00
Paid:
$635.00
Balance:
$0.00
Receipt No:
R-$11ogZ_
Other Department : Date : /_/_
Permit Denied Date : _/_/_
Issued Permit : v Date: fl /G / 11T
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 Perrmittee 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 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.
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 maybe 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 verity 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 daysbycalling 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 I have a Certificate of consent to self -ins a, Certifi to of Worker's-
Compensgition insurance, or a Certified Copy there
Date: J Signatur l4r .
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
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. '=
s�
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 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.
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Allfees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
PERMIT
N2018- C70110
),156 Key V;evv
NUMBER:
APPLICANJ:
(',hose Cs>.ppvtvirol
Er\9;�neer;n�
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/Alley/Walk Closure:
Traffic Control Plan Check
8-1/2" x 11"
24" x 36"
Additional
Q
Inspection Fee:
Q
$241.00
Public Works Field Inspection
$165.00 2
$275.00P
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Water Quality/Artificial Turf Inspection
$108.00
$817.00
$192.00
Refundable Deposit:
TBD
$502.00
Improvements
TBD
$65.000
Newspaper Rack Inspection
$108.00
$65.00
Sewer Connection Fee
$250.00
$143.00B
4TT Box & Cover
$64.00 i
I
[Water Meter:
ky.
Installation Charge
.,r.y.
$528.00= ;1
[3X' Meter
$50.25
`.
11"Meter
$12150
Water
Meter Boxes:
I
11 112" Meter
$285.00
1"
DFW Meter Box
$96.66
I
11 1/2`f Turbine Meter
$700.00
2" DFW Meter Box
$203.24
12" Meter
$425.00
12" Turbine Meter
$845.40
[
13" Meter
$3,310.00
f4" Meter
$4,730.00
r6" Meter
$7.190.00
Certificate of Compliance Fee (+100 of hrly over 3 hrs)
Development Services Fee (Plan check hourly)
Final Tract Map Checking Fee
Final Parcel Map Checking Fee - Moderate
Lot Line Adjustment Fee
Park Dedication Fee Zone _
Street Easement/Vacation Fee (+1o0% of hriy over 4 hrs)
Street Tree Fee ($700 Planting Fee)
--------------------------------
$288.00
$155.00
$2,488.00
$2,488.00
$1,079.00
TBD
$1,022.00
TBDI
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
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Permit Specialist
Receipt No.
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Rev. 12/18/2017
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PROJECT"ADDRESS:
DETAILED DESCRIPTION OF OSED
y�`P Pe ate'
APPLICANT: > hone:/
Email Address: _ J
L'�u3i'1�lst
Mailing Address: v — -C--`— Cityl ate/Zip:
.
OWNER: Phone:
Email Address.,
Mailing Address: Cit /State/Zip:
CONTRACTOR: s p
Mice Phone: 711
Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
Mailinci Address:
Cl /State/Zip:
State Licenseliquinder & class:
Ex Tres
City Buskless License Number:
Expires: %
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: 672w-e Policy No: = Expires: 3�/
I�EFU4iDA 1E PEPS3SITtNFORMA3IQN.flfApp/rcaf leT.. ............ .: ....
(iePWtld Etayable T.o .. i .: _ ......: :. . ; .....:..: .. .::..... ..... ; ........ ... ...; . .
ail Refupd To:..:.:.. ;........ ....
Special Conditions of Permit: Pre -'>b ins e4Ai vH r aired -
";'- ADDITIbNAL APPRbNkL'REQUIRE[J PI�bM TH;FQ� OfhlfigG DPk)�jIP1N�S, ,_?,,„ ,
Utilities: Traffic: Fire:
General Services: Other:
Engineering Technician:
`,a;
Public Works Specialist:
tea,
Date:
p Ci ice
Permit No.
N2.0vT-601(o I.
ENser pbv[shoved/enemaWmasWrs/epwarksheat. s
Public Works Department 949-644.3311
o,
(E)DRIVEWAY ItN ► DEPUTY
SPECIAL INSPECTION
REQUIRE®
36.347 RUpp CTURAL y�
OBSERVATION
REQUIRED
f(N)SEWER LATERAL W/ CLEANOUTCITY STANDARD STD-406-L
TRATCT TO APPLY FOR "ENCROACHMENT
MIT" THRU PUBLIC WORKS
KEY VIEW
3TMENT ENCROACHMENT PERMIT
BEFORE THE BUILDING DEPARTMENT PERMIT
[ THE TIME OF PUBLIC WORKS DEPARTMENT
HE EXISTING PUBLIC IMPROVEMENTS
S DAMAGED BY THE PRIVATE WORK,
:, CURB AND GUTTER AND ALLEY
RED AND 100% PAID BY THE OWNER.
THE EXTENT OF THE REPAIR WORK SHALL
OF THE PUBLIC WORKS INSPECTOR.
ENCROACHMENT PERMIT IS REQUIRED FOR
A PUBLIC EASEMENT & PUBLIC RIGHT-OF-WAY
BY THE CITY OF NEWPORT BEACH DOES NOT RELIEVE APPLICANTS
ISERVE COVENANTS, CONDITIONS AND RESTRICTIONS WHICH MAY BE
4TIONS PRIOR TO COMMENCEMENT OF ANY CONSTRUCTION
SCALE-
1'-10'-0'
CONSTRUCTION NOTE
0
0
THE DISCHARGE OF POLLUTANTS TO ANY STORM DRAINAGE SYSTEM IS
PROHIBITED. NO SOLID WASTE, PETROLEUM BYPRODUCTS, SOIL
PARTICULATE, CONSTRUCTION WASTE MATERIALS, OR WASTEWATER
GENERATED ON CONSTRUCTION SITES OR BY CONSTRUCTION
ACTIVITIES SHALL BE PLACED, CONVEYED OR DISCHARGED INTO THE
STREET, GUTTER OR STORM DRAIN SYSTEM.
PLANNING NOTE
1. POOLS, SPAS, WALLS, FENCES, PATIO COVERS AND OTHER
FREESTANDING STRUCTURES REQUIRE SEPARATE PERMITS.
ORK IN THE CITY RIGHT-OF-WAY AN ENCROACHMETN PERMIT MUST
Jr WADVC nVDADTIICKM
A /10/2018
6:34:20AM
City of Newport Beach
INSP150 - Daily Inspection Request Report
Requested Inspection Date :
01/10/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
1456 KEY VIEW
Page 10 of 10
Activity :
N2018-0016
SubType;
Status :
APPROVED
OWNER:
CHAN KAM-KEE VICTER
Phone: 0
APPLICANT:
CHASE GENERAL ENGINEERING
CONTRACTOR
Phone : 714-914-6346
Description :
Install new sewer cleanout on existing sewer lateral per
City Standard #406-L. Sidewalk
restoration per Citv Standards.
Item:
10030 CLEAN -OUT
Requested Time:
1/10/2018 12:00:OOAM
Requestor:
WEBUSER
714 914-6346
Entered By:
WEBUSER
Comments:
ANY-
Assigned to:
zzzzzzzzzzz`
Inspector:
.JDate:
L /O 19
Time: Z` AM PM
Comments:
L,/tfob.
,N GMCnDN
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F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc.
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