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N2017-0399
City ivof Newic Center Dport Beachort Beach, CA 92660 II�I�I�I II���III IIII�� III �II I�ID�III II Permit No: N2017-0399 .' - 100 Permit Counter Phone (949)644-3311 Project No: 1103-2016 -u Online Inspection Request-www.newportbeachca.gov/Online Services Inspection Requests Phone (949)644-3255 Job Address : 223 LARKSPUR AVE NB Thomas:Guide: 919E3 Description : CURB CORE PER CITY STANDARD, PLANT 36-INCH RUSSET MAGNOLIA, CURB, GUTTER AND SIDEWALK AS REQUIRED PER PW INSPECTOR PER CITY STANDARDS Parcel#: 0521-111-8 - Legal Desc : RESUB OF CORONA DEL MAR LOT 23 BLK 137(AND NELY 5 FT LOT 21(AND SW LY Owner: 223 LARKSPUR LLC Phone: 949-723-1800 Address : 15 CORPORATE PLAZA #150 NEWPORT BEACH CA 92660 Applicant: PATTERSON CUSTOM HOMES Phone: 7142779198 [ Address : 15 CORPORATE PLAZA SUITE 150 Special Cond.: PRE CONSTRUCTION MEETING REQUIRED WITH PUBLIC WORKS INSPECTOR 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 : $495.00 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 SCANNED Contractor: PATTERSON CONSTRUCTION Phone: 949-723-1800 Address : 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 Contractor State Lic: 802367 License Expire : 07 31, 2018 Business License: BT02110534 Business Expire: 09 30, 2017 Workers' Compensation Insurance -- Carrier: STATE COMP Policy No: 9065406 W. C. Expire: 08 31, 2017 Total Fee $736.00 Paid : $736.00 Balance : $0.00 Receipt No: Q_<1000l Date : _/_/_ Other Department : Date Date : _/_/ Permit Denied Date Date : _/_/ Issued Permit : Date Date OOMPLETEIT14E.BELOW, INFORMATION DETAILED YESCRIPTION OF PROPOSED W R v/ 1.0 ea6 4 5(14e usse /eta lip erg S APPLICANT: �A / Phone: 7/ - 2 F/' 7 - P _/ � Email Address: ® /Sr^-Cim�.i c¢ nP5 -C vt— Ma� ing It Us ` C ity/State/Zip: �� n OWNER::G+a/ Phone: N-2-77 -715V Email Address: J Ao"s C crL- Mailing Addr ss: Ci /State/ ip: �s$pt p ':iY SYR. r$ a .,..iA{ Ijr EP $..ftt $� CONTRACTOR: Office Phone: Company (if different): _ n Jobsite Phone: Other Phone: Email Address: Mailing Address: City/State/Zip: tale License Number & Class: X5�Z-3 Expires: City Bus iness icense Number: wffo Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Munici al Op erati ris: 949-644-3065 Utilities: 949A444011 { Urban Forestry: 949 64rt-3083 Special Conditions of Permit: UV\ . ,. ItIfS `. -,a. � 'Polly G: , ts) li 43 .= I t, E L$�V-1 ` $�k lib, _�fltl):IQ1 ` _ .. , 4', Utilities: Traffic: Fire: Municipal Operations Other: Engineerin Technician: Permit Specialist Date: Permit No. N2017- 03ql f.lusers/pbw/shared/encroach/mastem/epwmksheatxls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 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, IiabiGty, 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 whenhazardous 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 (is: 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 $10.0Q' 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 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) y that I have a Certificate of consent to self -insure, Certificate of Worker's ms4tion Insurance, or a Certified Copy_tbereof. _ Date: CERTIFICATE OF EXEMPTION Pection 3800 Labor Code) I certify that in the performance of the wgft 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 %s 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: R4-hour notice for Encroachment Permit Inspection is required by calling Public Works at 949-644-33N1�i� \ �C 15. Any above ground utility faci ties will require documented approval from the adjacent affected property owner(s). 16. Homeowner, contractors, and subcontracotis 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 Stale 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. 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" --Q Inspection Fee: $241.00 %� 1 I Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $.00� $192192.00 Refundable Deposit: $502.00 Improvements $65.00= Newspaper Rack Inspection .er• $50.25 $121.50 r ` 285 0 Sewer Connection Fee 4TT Box & Cover ;,a $ . 0 I rvi rbine Meter $700.00 2: MI $426,00 e Meter $845,00 For i $3,310.00 1" M+ $4,730.00 2" Mi v7190 OD '_ Q . $165.00 2 $121.00 $165.00 1 $108.00 TBDP]TBD $108.00 0 $.00 B $64 $64.00 Revenue ptvtsion 1 Approval: I Q e $528 00 a: I 13.00 + 37.00 Q . $165.00 2 $121.00 $165.00 1 $108.00 TBDP]TBD $108.00 0 $.00 B $64 $64.00 Revenue ptvtsion 1 Approval: I Q e $528 00 a: I 13.00 + 37.00 $50.00 1 27,00 + 61.25 $88.25 ,1 c & Alley Areas (Box * Cover = Cost) 1 13,00+38.00 $51.00� I 27.00 + 162.00 $189.00 I r Certificate of Compliance Fee (+100% of hrly over 3 hrs) $286.00 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% of hrly over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Total Amount Due: For Finance use only Permit Specialist Receipt No. fdusers/pbw/shared/encroach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheet.xls-revised 10/21/2016 I GENERAL NOTES: AN ENCROACHMENT AGREEMENT IS REQUIRED FOR ALL NON-STANDARD IMPROVEMENTS WITHIN THE PUBLIC RIGHT OF WAY. ALL NON-STANDARD IMPROVEMENTS SHALL COMPLY WITH CITY COUNCIL POLICY L-6 AND L-18. 2. A PUBLIC WORKS DEPARTMENT ENCROACHMENT PERMIT INSPECTION IS REQUIRED BEFORE THE BUILDING DEPARTMENT PERMIT FINAL CAN BE ISSUED. AT THE TIME OF PUBLIC WORKS DEPARTMENT INSPECTION, IF ANY OF THE EXISTING PUBLIC IMPROVEMENTS SURROUNDING THE SITE IS DAMAGED, NEW CONCRETE SIDEWALK, CURB AND GUTTER, AND ALLEY/STREET PAVEMENT WILL BE REQUIRED. ADDITIONALLY, IF EXISTING UTILITIES INFRASTRUCTURE ARE DEEMED SUBSTANDARD, A NEW I -INCH WATER SERVICE, WATER METER BOX, SEWER LATERAL AND/OR CLEANOUT WITH BOX AND LID WILL BE REQUIRED. 100 % OF THE COST SHALL BE BORNE BY THE PROPERTY OWNER (MUNICIPAL CODES 14.24.020 AND 14.08.030). SAID DETERMINATION AND THE EXTENT OF THE REPAIR WORK SHALL BE MADE AT THE DISCRETION OF THE PUBLIC WORKS INSPECTOR. 3. PRIOR TO PERFORMING ANY WORK IN THE CITY RIGHT-OF-WAY AN ENCROACHMENT PERMIT MUST BE OBTAINED FROM THE PUBLIC WORKS DEPARTMENT, 4, ALL WORK RELATED TO WASTEWATER IN THE PUBLIC RIGHT-OF-WAY SHALL BE PERFORMED BY A C-42 LICENSED SANITATION SEWER CONTRACTOR OR A LICENSED GENERAL ENGINEERING CONTRACTOR 5. SEPARATE PERMIT FOR WALLS AND FENCES SHALL BE OBTAINED AT THE SAME TIME AS THE BUILDING PERMIT. CONSTRUCTION NOTES: lJ CONSTRUCT 5" MIN CONCRETE DRIVEWAY. CONSTRUCT 4" MIN CONCRETE HARDSCAPE STD GREY ONLY & NO REBAR IN PUBLIC R/W. 3� INSTALL 6" SO GRATE DRAIN ® INSTALL 4" ATRIUM GRATE e INSTALL 3" WIDE CHANNEL DRAIN © INSTALL 4" PVC SDR 35 DRAIN LINE, S=0.01 MIN �7 CONSTRUCT 3"0 DRAIN THRU CURB PER CNB STD PLAN 184-L ® INSTALL TRENCH DRAIN PER DETAIL ® INSTALL PERFORATED DRAIN TRENCH PER DETAIL 10 REMOVE CONCRETE WALK AND PLANT SOD TO MATCH EXISTING. 11 PLANT 1-RUSSETT MAGNOLIA 36" BOX STREET TREE �4 i PROTECT GM IN PLACE ' FS Ca cj' 12 I Wlto 0 106.7 z FS I >f A PROTECT Aq„c WATER METER I LOT AREA = 4719 I IMPERVIOUS AREj w Fw � Z N rD M N Q d' (n N k 10T55 TC r�07.2 ' FS 1.3% FP=106.28 FS FG TYPICAL 0 0 H W 0 O t7 O o Q a- .- 106.80 PA FG T— 105,90 i 3 106.81[1, TO 105.94:IE �� IN —2%d IN 106.80 TG i I �:..`�. : 1'65.84IE IN 'ram � PA 105.781E 2Y► )W85• 106.85 • f 1 Lv '106.80 TG PA I o g 105.881E WALL-107.5 105.94 IE PILASTER w PILASTER ro 1 N I m In z; RECONSTRUCT DAMAGED SIDEWALK/CURB/GUTTER, EXTENT OF REPAIR SHALL BE DETERMINED BY PUBLIC WORKS INSPECTOR. Iw nG (I If of dM, l[111111 Vl101II wI HI MikIMNdI 8/8/2017 City of Newport Beach Page 2 of 7 ' 6:34:32AM INSP15O - Daily Inspection Request Report Requested Inspection Date : 08/08/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 223 LARKSPUR AVE A/PID Information:: Activity : N2017-0399' SubType: Status : APPROVED OWNER: 223 LARKSPUR LLC Phone : 949-723-1800 APPLICANT: PATTERSON CUSTOM HOMES Phone : 7142779198 Description : CURB CORE PER CITY STANDARD, PLANT 36-INCH RUSSET MAGNOLIA, CURB, GUTTER AND SIDEWALK AS REQUIRED PER PW INSPECTOR PER CITY STANDARDS Requested lnspection(s), Item: Requested Time: 8/8/2017 12:00:OOAM Requestor: f NBIVR �, 7142779198Fi Entered By: NBIVR Comments: AM Assigned to: 1' / �pwi� g . C,Obt,q Inspector: �� `I Date: / 7 Time: �t : 5-6 A pPM Comments: ✓"L fi G i� �'F FF ITS vi„9.21G O L i r I L� D lk .A--Y t .R' 9C— L- Logged Refit F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018 9/11/2017 City of Newport Beach Pagel ofa 4:30:15PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 09/12/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 223 LARKSPUR AVE Activity : N2017-039E SubType: NEW Status: APPROVED MAW `� �I,✓U�LI z 6 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018