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Home My WebLink AboutN2017-0450City o Newport Beach ortBh11111111111111111111111111111111111111111111111111111110civcenter DBeach, CA 9266) Permit Counter Phone (949)644-3311 w Online Inspection Request - www.newportbeachca.gov / Online n"�L.rYsrk*� Services Permit No: N2017-0450 Project No: 0218-2016 �e AAAy�1M7� Inspection Requests Phone (949)6 4�255 NE' Job Address : 1521 SEACREST DR NB Thomas:Guide: 919G1 Description : INSTALL TWO (2) CURB DRAINS PER CITY STANDARD STD-184-L. INSPECTION OF PUBLIC ROW Parcel # : 4582-220-7 - Legal Desc : N TR 6152 LOT 112 Owner: YORK V KELLEY Phone: 0 Address : 1310 WATSON AVE COSTA MESA, CA Applicant: YORK V KELLEY Phone: [ Address Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Contractor: Phone : SHOWALTER CONSTRUCTION 949-673-1645 Address : 1791 WHITIER AVE COSTA MESA CA 92627 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 : $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 Date: Date : Date: Date: Contractor State Lic: 654380 License Expire : 09 30, 2018 Business License: BT30043547 Business Expire : 05 31, 2018 Workers' Compensation Insurance - - Carrier : W/C EXEMPT Policy No: (NO EMPLOYEES) W. C. Expire: Total Fee $406.00 Paid: $406.00 Balance: $0.00 Receipt No: Other Department : Date : _/_/ Permit Denied : Date : Issued Permit : Date : 7 WOR SHEET FOR ENG OACHMENT F RMIT" CITY OF NF--WPORT BEACH . PlIBLIG WORKS±REP,AR- i'A ; .,. .;:.: PROJECT ADDRESS: ljw DETAILE ESCRIPTIO OF PRO OSEQ ORK: irJ STo-�$ c51 FJP� 7rw- �blis^ K APPLICANT: Phone: Email Address: �- Mailing Ad ress: r City/S te/ i OWNER: Phone: Email Address: Mailing Address: City/StatelZip: ALL CONTRACTOR 15EORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: Office Phone: Company (if different): Jobsite Phone: % 9 lG S Other Phone: Email Address: p� dG>✓g �� - <� M 1H 41ddres� ! - !/ City/Staj�/Zip: G State License Number & Class: Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Compan Policy No: Expires: ...... DA. ....,......,..........................:........:::.::: ,:.:.:: ::::.:::.:::.:::.:., ...........:....::.•::::. REF:LINQAI.P.8P.49S.IT:INFORMRIQ%t:fRA/7R/ica4/e):;::::::5::::::::i`;:;`<':'<is`::?>i:5i`»`i>:':'`'i::i;>::?t ReFurid Fla ... a .. ,... .......... ......... .......... INa(IiRefund Toi i>ii i i i i i i>:... ::2 ;i<;: r :.. ... t.........::....::..:i i': i . i ... i ... . i i i$ FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: gin T nician: Public Works Specialist: Datg� Gqt Permit No. ww'Z—OtA50 rlu�ptn015ha2tllancloachhnaslerslep�wrksheetxis Public Works Department 949-644-3395 2. 3. 4. 5. TERMS AND CONDITIONS OF ENCROACHMENT PERMIT Encroachment Permits may be taken out by the owner of benefited properly 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, Iiatifty, 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 Class C-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 hatr-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. 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. 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 tie: 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 lariats) 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 daysby 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 I have a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy thereof. Date: Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) I certify that in the performance of the work under 's p it, hall not employ any person so as to become subject to California or r' o ensation Laws. If, after signing this certificate I become subje to the er's Compensation provisions of the State Labor Code, I must co I with provisions of Section 3700 or thi ermit shall be deem revoked. �tp tqn p- _ed j/ 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 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 AgreementVberecessed. 21. Permit is valid for "description' of work noted on front itional work performed may require issuance of a separate permjgandlores. CITY OF NEWPORT BEACH CASH RECEIPT FINANCE DEPARTMENT 100 Civic Center Drive, Newport Beach, CA 92660 P.O. BOX 1768, Newport Beach, CA 92658-8915 Permit Number: N2017-0450 Plan Check Number: 0218-2016 Today's Date : Sep 01, 2017 Receipt Number: Job Address: 1521 SEACREST DR NB Description: INSTALL TWO (2) CURB DRAINS PER CITY STANDARD STD-184-L. Owner: YORK V KELLEY Applicant: YORK V KELLEY Date Paid : Total Paid : Notation: Initial: Description Payment Type Check Number FOR PLAN CHECKS ONLY: TARGET DATE: Card Type Tendered For status, please log on to www.newportbeachca.gov/building, and select PLAN CHECK STATUS or call (949) 644-3255 NOTICE: PLAN CHECK EXPIRES 180 DAYS FROM DATE OF SUBMITTAL 9289 v A 20 .70INV 5 21 V \ 2 'N 8 720 N 20 16 \\ZlV i rA---- ---- , , vw,... - D5 :REPLACED NCE . GARAGE WALL �11 3 - \.- ... Vmp 99.38FL-TG 99 - 99 8 1mv TG C3n 1-84-21KIV , 6 NOTES: 9834 20 25 20 ko,;pature- i 0 6 GRAPHIC SCAl SCALE.- /',_ I 25 CONSTRUCT VWID6 CONCRETE V-DITCH PER DETAIL 7, SHEET C-3 26 INSTALL FLO GARD T-SERIES INLET DRAIN IN.qppT AAnn,. WITH Wvnnn,. -- - I NUUTION M 8.-'-- ��W STiiUCTURE ADDIMN IOTEif\jr)cn 9MM7 City of Newport Beach Page 10 of 11 6:34:25AM INSP150 - Daily Inspection Request Report Requested Inspection Date,: 09/05/2017 Inspection Type: ENCROACH, Inspection Area: PW Site Address : 1521 SEACREST DR Activity : N2017-0450 SubType: Status : APPROVED OWNER: YORK V KELLEY Phone 0 Description: INSTALL TWO (2) CURB DRAINS PER CITY STANDARD STD-184-L INSPECTIOIN OF PUBLIC ROW Item: 10250 FINAL - PW Requested Time: 9/5/2017 12:00:00AM Requestor: WEBUSER LZ4 c— Entered(By: WEBUSER - 9492945545 Comments: PM -Remodel project near, completion Assigned to:' 7777777777Z*; Inspector: Date: f % Time: p "[� A PM Comments: 1=Iyof - L 5s7,Q MAAD CALI D. 74 A-i .o B 4y g> 5 C.A_e Loa6ed Defile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheetdoc _ - _.