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HomeMy WebLinkAboutN2017-0529� varra too City o Center Beacrive, Newporth Beach, cn 9z66o II�IIIIIIIIIII�IIIIIIIIIIIII�I��I��IIIIII�II�III II Permit No: NZO1 T-052 Permit Counter Phone (949)644-3311 Project No : 0833-2016 ' s"r Online Inspection Request- www.newportbeachca.gov/Online ����` €. Services arrxu�'k Inspection Requests Phone (949)644-3255 Job Address : 527 HAZEL DR NB Thomas:Guide: 919F3 Description: CONSTRUCT NEW DRIVEWAY APPROACH PER CITY STD 162-L, INSTALL 2 NEW CURB DRAINS PER STD 184-L. NEW 36" STREET TREE. Parcel # : 4591-220-6 - Legal Desc : N TR 673 BILK B LOT 19 Owner: PROUGH STEPHEN W Contractor : ENGLISH SCOTT GC Phone: Phone: 949-355-6228 Address: 527 HAZEL DR Address: 1561 ORCHARD DRIVE CORONA DEL MAR, CA 92625 fp_�}�jp��j T COMPLEX SANTA ANA HEIGHTS CA 92707 v Contractor State Lic: 784484 Applicant: ENGLISH SCOTT GC License Expire : 09 30, 2018 Phone: 949-355-6228 [ Address : 1561 ORCHARD DRIVE SANTA ANA HEIGHTS CA 92707 Business License : BT30056763 Business Expire : 10 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : W/C EXEMPT Policy No: (NO EMPLOYEES) W. C. Expire: Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee : $571.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $571.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $0.00 Inspection Fee : $330.00 Water Meter Connection : $0.00 Receipt No Refundable Deposit: $0.00 Total Water Meter Box : $0.00 Street Tree Fee : $0.00 Adjustment: $0.00 Processed By: Date: _/_/ Other Department : Date : _/ / Utilities Approval : Date : Permit Denied Date: / Traffic Approval _/_/ Date : Issued Permit : _/ �9 Date 1012Q 9—ot-7 : _/_/ : General Services Approval : Date : _/_/ I 1�.:.. .t1r : 3-. c. •, a .. tIIYi .... .u. r.Now L o..l :: PRO.IECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: -;4 APPLICANT: � 7' Phone: Email Address: Mail'n pAddress: //_T ICI 1p: n / y/ K� OWNER: �� © Phone: Email Address: Mai - Ad' ress:. City/)State/Zip: �l�L' C CONTRACTOR:lOffice Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: Mail(n Address p l C-r G City/$Zip: St e " ense N ber & ss: q Expires: / , city Bus- ess License Number - Expires: WORKERS COMPEN SURANCE - Certificate of Insurance (Section 3800 Labor Code)' Company: Policy No: Expires: EFUf.�(9.AB# E DEPS)S7T tM�i?i21VIA3.1.N.(lfApp/rcaS..Te) ..... . E �fundE'avable.Tsr...: ....::.:..... ..:: ............ ................ .......... -- ....... allfZefupdTo:.:..: "..:.._.>;..:: �;<. ,� J''. • .-: t:•'.., s=tr":'..,.� ,`� ,.. �.. , !T r�ORQFfI ., 5,�0(�IL,`: ?.;: .,' ,: ��� ' xaa `-`.�•`�';�`.`+.�„?`,sx. Special Conditions of Permit: r 7kDDIT"PPR01lAL REQl1IRED FROM THE,Fp�LOWING DEPARIVIENTS v , „ ,'",t ; Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Publ s Specialist: Date: Permit No. FJuserslpi vhhared/enc uhtmaslers/apmrk heetx Public Works Department 949-644-3311 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 Inspection Fee: $241.00[ 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 $65.00 = Sewer Connection Fee $143.001 1 4TT Box & Cover $165.0 $121.00 $165.00 $108.00 TBD TBD $108.00 $.00 $6464.00 Certificate of Compliance Fee (+100% of hriy 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/VacaticnFee (+100%ofhriyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 1 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only `�7�i^Yh 157 i . -06 Permit Pesiolist Receipt No. f /usem/pbw/shamd/encroach/masters/ep front and back masters/ WJRev. 1/5/2017 epfeesheet.xis-revised 10/21/2016 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT 1. Encroachment Permits may be taken out by the owner of benefted 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, 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. Permitte , 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 Slate 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 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 tenets) 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 Coae) . I certify that I have a Certificate of consent to self -insure, Certificate of Worker's Compensation nsurance, or a Certified Copy thereof Datk.r l Signature: , i 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 Encroachmerrryrrryyyyyttt Per iY k+spection is required by calling Public Works at 949-644-331 15. Any above ground utility facilities will require docu - approval from the adjacent affected property ownens). 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 Work^, 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. 0 161g312017 City of Newport Beach Page 16 of 16 6 34t,2 ►A n . INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/23/2017 Inspection.Type : ENCROACH Inspection Area : PW Site Address : 527'HAZEL DR Activity : N2017-0529 SubType: NEW Status : APPROVED OWNER: PROUGH STEPHEN W Phone: APPLICANT: ENGLISH SCOTT GC Phone : 949-355-6228 scoftenglish@gmail.com Description : CONSTRUCT NEW DRIVEWAY APPROACH PER CITY STD 162-L, INSTALL 2DNEW CURB DRAINS PER STD 184-L. NEW 36" STREET TREE. Item: 10200 ePRE JOB - PW Requested Time: 10/23/201 Requestor. ` . WEBUSER 949-244-4178 Entered; By: WEBUSER F�f V44 r64 Comments: AM- t Assigned to : zzzzzzzzzzz' Inspector: `3 Date: Time: �9=� AM PM` Comments: c_o rr dcr2mas a) 7 p ".e 7Z> Sit --- �i �-✓/y r ts�b% �h Logged ia-,fPlca F:\Users\PBW\Shared\ENCROACHWiASTERS\FORMS\Ihs�oectorSheet doc 10126/2017 City of Newport Beach Page 1 of 8 1.43o:20PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/26/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 527 HAZEL DR Activity : N2017-0529 SubType: NEW Status: APPROVED OWNER: PROUGH STEPHEN W Phone : APPLICANT: ENGLISH SCOTT GC Phone : 949-355-6228 scottenglish@gmaii.com Description : CONSTRUCT NEW DRIVEWAY APPROACH PER CITY STD 162-L, INSTALL 2 NEW CURB DRAINS PER STD 184-L. NEW 36" STREET TREE. Item: 10200 PRE JOB - PW Requested Time: 10/26/2017 12:00:OOAM Requestor: WEBUSER 949-244- 1=78 ei Entered By: WEBUSER Comments: AM -Tree Meeting with Kevin Pekar Assigned to: zzzzzzzzzzz* _�_ PA—/-V Inspector: Date: kt912(�_PTime: AM PM Comments: F:\Users\PBV\I\Shared\ENCROACH\MASTERS\FORMS\inspectorSheet.doc REPT131- Run Id: 4018 2/13P2018 City ,of Newport Beach Page 1 of 13 4:30:57PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/14/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 527 HAZEL`DR Activity : N2017-0529 SubType: NEW Status : APPROVED OWNER: PROUGH STEPHEN W Phone: APPLICANT: ENGLISH SCOTT GC Phone, : '949-355-6228 scoftenglish@gmaii.com Description : CONSTRUCT NEW DRIVEWAYAPPROACH PER CITY STD 162-L, INSTALL 2 NEW CURB DRAINS PER -STD 184-L. NEW 36" STREET TREE. Item rI Goy rT �D —cJcdB Requested Time: 2/14/2018 12:00:OOAM Requestor NBIVR i 9492444178 Entered By: NBIVR Comments: AM Assigned to Inspector: Date: `Z/ (� Time , A PM Comments: t." DMZ i-7 TJIS Lta S 5' r,)Z�-,> !!�2GD S l D ID' W-10-6- ti)Ao pvu ,� . 42qjQ A - 3 DN l"Ae 0 f'I(04;17-r Sl Legged F:\Users\PBV%AS hared\ENC ROACH\MASTE RS\FORMS\I nsoectorS heet.doc REPT131. Run Id. 4018 211612018 City of Newport Beach Page 2 of 10 4:30:43PM INS13150 - Daily Inspection Request Report i Requested Inspection Date : 02/16/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : --527 HAZELDR Activity • N2017-0529. SubType : Status : NEW APPROVED OWNER. PROUGH STEPHEN W Phone: APPLICANT: ENGLISH SCOTT GC Phone : 949-355-W28 scottenglish@gmaii.com Description : CONSTRUCT NEW DRIVEWAY APPROACH PER CITY STD;162-L, INSTALL 2 NEW CURB DRAINS PER STD 184-L`NEW 36";STREET 'TREE. Item: 10020 PERMANENT PAVING- PW Requested Time: 2/16/2018 12:00:OOAM Requestor. NBIVR 9492444178 Entered By: NBIVR Comments: AM Assigned to: � Inspector:/l/ Date: / Time: AM PM Comments; ef4 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 2'r20/201$' City of Newport Beach 6:34:12AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/20/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 527 HAZEL DR SubType: NEW Status: APPROVED Page 2 of 11 OWNER: PROUGH STEPHEN W Phone : APPLICANT: ENGLISH SCOTT GC Phone : 949-355-6228 scottenglish@gmail.com Description: CONSTRUCT NEW DRIVEWAY APPROACH PER CITY STD 162-L, INSTALL 2 NEW CURB DRAINS PER STD 184-L. NEW 36" STREET TREE. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 2/20/2018 12:00:OOAM Requestor: Entered By: NBIVR Comments: AM Assigned to: NBIVR 9492444178 fttt, ' f 3/9/2018 City of Newport Beach Page 1 of 8 6:34:58AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/09/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 527 HAZEL DR ,, :9@w refer n A08-1., >II'. 2`s,yi5'a}k r'^'''It ta'✓,sit �.... L ., ; c.,,`k Activity : N2017-0529 SubType: NEW Status: APPROVED OWNER: PROUGH STEPHEN W APPLICANT: ENGLISH SCOTT GC Description: CONSTRUCT NEW DRIVEWAY CURB DRAINS PER STD 184-L. Item: 10250 FINAL - PW Requested Time: 3/9/2018 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: Phone: Phone : 949-355-6228 scoftenglish@gmaii.com APPROACH PER CITY STD 162-L, INSTALL 2 NEW Requestor: NBIVR 9492444178