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HomeMy WebLinkAboutN2017-0401err, City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 4 0 1 �r Permit Counter Phone (949)644-3311 Online Inspection Request- www.newportbeachca.gov/Online ' a s Services Permit No: N2017-0401- Project No : Inspection Requests Phone (949)644-3255 Job Address : 2912 BROAD ST NB Thomas:Guide: 888H6 Description : Install 20 LF of 3-inch conduit in alley for new electical service. Alley restoration per City Standards. Parcel # : 0490-210-2 - Legal Desc : FIRST ADDITION TO NEWPORT HEIGHTS BLK 22 LOT 2 AND POR ABAND STIR Owner: ORTLIEB MICHEAL A Phone: 0 Address : 2912 BROAD ST NEWPORT BEACH, CAS Applicant: CHASE GENERAL ENGINNERING CONTRACTOR, INC Phone: 714-914-6346 [ Address : 16835 ALGONQUIN ST#329 HUNTINGTON BEACH, CA 92649 Special Cond.: Pre -job inspection required. 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 : $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: CHASE GENERAL ENGINEERING CONTRACTOR INC Phone : 714-914-6345 Address: 15332 NEWCASTLE LANE HUNTINGTON BEACH CA Contractor State Lie: 906147 License Expire: 11 30, 2017 Business License: BT30054273 Business Expire: 08 07, 2017 Workers' Compensation Insurance -- Carrier : STATE COMP INSURANCE Policy No: 9047185-16 W. C. Expire: 03 01, 2018 Total Fee Paid: Balance Receipt No: $571.00 $571.00 $0.00 Other Department : —Date: _/ /_ Permit Denied Date : Issued Permit : Date: 8 /-I / 1� i� y{k�°' f ^. i a • r "+�,� ' r� y^�', a�fr��1'�''g� COMPLETE THE BELOW INFORMATION 77777, DETAILED DESCRIPTION OF PROPOSED WORK: ' APPLICANT: Phone: Email Address: Mailing Address: City/ tate/Zip: OWNER: .� v j Phone: % —% Email Address: ^ Mail' g Address: j City/State/Zip: %y R _..2 QIs,N1=F51fA4Q ',`:..., ` CONTRACTOR: 1ILS C Pi_Nsl 43 Y Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing ss: City/ tate/Zip: �J _ /.3'z:-Zx State License Number & Class: Expires: City Busirfts License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Operations: 949.644 3055 Utilities; 940-644-3011 Urban Fore : 049-644-3063 i ,4i 5 , �. ,. . .. _ . ., f W!(.. �1 • e. Special Conditions of Permit: 'Pre-'ob 'tns C:SAY% a u; cL �A'j +�'Y`�14 �3F.M�fh��rA;4 f R .�;'41f�' Utilities: Traffic: Municipal Operations Other: Fire: Engineering Technician: R� Permit Specialist I 920d: Date: I $•1,-1% Permit No. N2017- 0401 f:/usem[pbw/shamd/encroach/masters/epwotsheat.xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 ZA12 r3mod SF N2017- OH D 1 Permit Processing Fee: Qty. Inspection Fee: Qt . Public Works Only $241.00B Public Works Field Inspection $165.00 Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $166.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreer ent $817.00 Document Recordation Fee $192.00 Refundable Deposit: TBDB Monitoring Wells $502.00 Improvements TBD Street/AlleylWalk Closure: $65.00= Newspaper Rack Inspection $108.00 0 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 •I-- — ---—FO—LL—OW—I—Nf—ITEMS— REQUIRE APPROVAL—A—L —R—M 'fHIr RevenpeDivision---^ � I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1 Qty. Qty• IWater:Meter: Installation Charge ' $528.00 J 1 13/4" Meter $50,25 Water Meter Boxes: 1 11" Meter $121,50 For Parkway & Sidewalk Area (Box + Cover = Cost) 11 1/2" Meter $285.00 1" Meter: 13.00+ 37.00 $50.00F ) 11 112" Turbine Meter $700.60 2: Meter: 27.00 + 61.25 $88 25 12" Meter $425,00 1 12" Turbine Meter 13" Meter $845.00 $3,310.00 For Traffic & Alley Areas (Box + Cover= Cost) 1 1" Meter. 13 00 + 38.00 $51,00 14" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00 0' Meter $7.190.00 i Certificate of Compliance Fee (+t00% 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/VacationFee (+100%ofhriyover4hrs) $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. ��• F 000B -z) SI I f:/users/pbw/shared/encroach/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 night 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 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 tie: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot clearance over or under existing City -owned utilities. Sewer deanouts 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 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. 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. D BAIC,ENSE©yfiONTi2AGTOR tfi _�!.���#��Katlorv�t,8O1k422>4133 - - 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 ther , Date: Signature: 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..-�" 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 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 Backill 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. CO: 1-3" (65') — H423A TO NEW MTR IN: 65' 1/0 CLP PNL. 41 . L 200AMP PANEL 1201 M 1PHASE 6AM 4TON vo=2.30% FL-4.1096 EX: 50KVA 12KV 120/240V iP3W IN: 1- MTR KWH 30A 120/240 iP 3W (MSR# 7877721) 423E TO H423A 50' 350 CLP 1� / 2912 BROAD NEWPORT BEACH CA GIM / /CI: H423 17"00"08" TRAFFIC RATED Cl: 1- S HH POLY 17"X30" X18" LT TRAFFIC P L CF: 1— SS TAX EXCV CST FOR PLASTIC HH IN: 1— CNN BAR INS LT DUTY #8— 350 1P 6—WAY IN: 65' — 2-1/0 1#2 CLP 65' (1 runs) (H423A TO NEW MTR PNL) / , , / / y 5 8/17/2017 City of Newport Beach Page 4 of 6 i 4:30:43Pm INSP150 - Daily Inspection Request Report ;Requested Inspection.Date : 081,18/2017 Inspection Type : ENCROACH Inspeetioa Area : PW Site Address : 2912 BROAD ST Activity : N2017-0401 . Subtype: status : APPROVED ` OWNER: ORTLIEBMICHEALA Phone: o APPLICANT: CHASE GENERAL ENGINNERINCrCONTRACT,OR Phone: 714-914-6346 Description : Install'20 LF of 3-inch conduit in alley for new, electical service. Alley, restoration per City Standards. Item: 10200 PRE JOB -'P Requested Time: 8 Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: AM -Like to meet Friday @ 9.00am on sit Assigned to : zzizzzzzzzz* Inspector: CJDate: �1 7 time: `!=� M. Comments: Ann KA STMv F:\Users\PB W \S hared\ENCROACH\MASTERS\FORMS\InsoectorS heel.doc REPT131; Run Id: 4018 8/21 . 12017 City of Newport Beach 6:34:26AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/21/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2912BROAD ST Activity : N2017-0401 SubType: Status: APPROVED OWNER: ORTLIEB MICHEAL A 1;21 =-, 7 Page 1 of 5 APPLICANT: CHASE GENERAL ENGINNERING CONTRACTOR Phone : 714-914-6346 Description: Install 20 LF of 3-inch conduit in alley for new electical service. Alley restoration per City Standards. on s, Re -ques Item: 10000 EXCAVATION & PIPE INSTALL-UTIL Requested Time: 8/21/2017 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: AM -Begin Edison conduit Monday Assigned to zzzzzzzzzzz- Inspector: Date: 5/7-1 1 1-7 Time: PM Comments: G ASr Sr?V2-T-&!=0 ,LfCe, %/ -2- N d PC-7g k"-�trH Logged Re Trile F \UserskPBW%Shared%ENCROACHkMASTERS\FORMS\InSDeGtorSheet.doc ra go 8/7J12017 City of Newport Beach Page 8 of 8 ,.6:34:17AM INSP150 - Daily Inspection Request Report SubType: Status: APPROVED OWNER: ORTLIEB MICHEAL A Phone APPLICANT: CHASE GENERAL ENGINNERING CONTRACTOR Phone : 714-914-6346 Description : Install 20 LF of 3-inch conduit in alley for new electical service. Alley restoration per City Standards Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 8/23/2017 12:00:OOAM Requestor: WEBUSER Entered s: WEB USER 2 Comments: AM -Prep alley section for concrete wor /0_-7_��T�� Assigned to : "AV ay , �-� Inspector:\l� Date: �3 l Time: /Z= (S�A PM Comments: e—�� If 1 1,0 Z— c ©6va)rc, r-����ci �. - e E F:\Users\PBW\Shared\ENCROACH\rvIASTERS\FORMS\InspectorSheet.doc a/24/2017 City of Newport Beach Page 19 of 19 6:34:55AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/24/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2912 BROAD ST AMID, Activity : N2017-0401 SubType: Status: APPROVED OWNER: ORTLIEB MICHEAL A Phone: 0 APPLICANT: CHASE GENERAL ENGINNERING CONTRACTOR Phone : 714-914-6346 Description : Install 20 LF of 3-inch conduit in alley for new electical service. Alley restoration per City Standards. Requested'Inspecboinn(s)" Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 8/24/2017 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: AM -Per our discussion gam pour Assigned to: zzzzzzzzzzz* / Inspector: �� �/ Date: Z� 1 % Time: F. M PM Comments: Logged Refile F: \Users\PBW \Sh a red\ENCROACH \MASTERS\FORMS\In soectorSheet.doc S/ 1 30/2017 City of Newport Beach Page 9 of 9 6:34:07AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/30/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2912BROAD ST Activity : N2017-0401 SubType: Status: APPROVED OWNER: ORTLIEB MICHEAL A Phone APPLICANT: CHASE GENERAL ENGINNERING CONTRACTOR Phone: 714-914-6346 Description Install 20 LF of 3-inch conduit in alley for new electical service. Alley restoration per City Standards. ke1qu *p6c# Item: Requested Time: 10250 FINAL - PW 8/30/2017 12:00:OOAM Entered By: WEBUSER Comments: AM- Assigned to : zzzzzzzzzzz Inspector: Aq Date: P 10 Lt -7 — Requestor: WEBUSER 714 914-6346 Time: S �a 1' PM —T— I Comments: l &/pI- L Pe5-4-1 D"C7 1454 sty-A2- bf- G F:\UsersNPBW\Shared\ENCROACH\MASTERS\FORMS\InspeGtorSheet.doc -8/31/2017 City of Newport Beach Page 19 of 21 6:34:58AM INSPI50 - Daily Inspection Request Report Requested Inspection Date : 08/31/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address: 2912 BROAD ST Activity: N201I7-0401 SubType: Status: APPROVED OWNER: ORTLIEB MICHEAL A Phone APPLICANT: CHASE GENERAL ENGINNERING CONTRACTOR Phone : 714-914-6346 Description Install 20 LF of 3-inch conduit in alley for new electical service. Alley restoration per City Standards. R J, Item: 10250 FINAL - PW Requested Time: 8/31/2017 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: AM - Assigned to : z777 zzzzzz` Inspector: J W Date: 12, 131 1 (1 Time: 12-- trAM Comments: 7n r11V1q-7'— / Zr::--; F:\Users\PBW\Shared\ENCROACH\PAASTERS\FORMS\InspectorSheet.doc