HomeMy WebLinkAboutN2018-0055w1v� City'of Newport Beach
Permit No: N2018-0055
o 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 6 5
M Permit Counter Phone (949)644-3311 Project No:
�1.. Online Inspection Request - www.newportbeachca.gov / Online
�"�GYgyy4�} Services 'i.
'. Inspection Requests Phone (949)644.3255
Job Address:
412 DAHLIA AVE NIB
Thomas:Guide: 919E2
Description:
24-inch high wall encroaching 1-foot into the Dahlia Avenue right-of-way. Encroachment agreement required.
Parcel # :
4591-150-4 -
Legal Desc :
CORONA DEL MAR BLK 332 LOT 14
SCANNED
Owner:
ESPINOSA STEVEN JAMES
Contractor: LANDCRAFTERS INC
Phone:
Address :
0
412 DAHLIA AVE
CoMpaTiD
Phone: 949-249-1086
Address : N
CORONA DEL MAR, CA
LA512
GU ANIGUEL CA 9 6�7
-
Contractor State Lic: 754071
Applicant:
STEVEN ESPINOSA
License Expire: 09 30, 2018
Phone:
714-936-5923 [
Address :
412 DAHLIA AVENUE
NEWPORT BEACH, CA 92625
Business License: BT30039467
Business Expire : 05 31, 2018
Special Cond.:
ENCROACHMENT AGREEMENT REQUIRED
Workers' Compensation Insurance --
Carrier : EMPLOYEE SERVICE GROUP
Policy No: WC589703104
W. C. Expire: 12 01, 2018
Permit Processing Fee: $0.00
Sewer Connection : $0.00
Total Fee : $982.00
Agreement Fee:
$817.00
4TT Box Cover: $0.00
Paid: $982.00
Traffic control Plan Check : $0.00
Total Water Meters : $0.00
Balance: $0.00
Inspection Fee :
$165.00
Water Meter Connection : $0.00
Receipt No:
Refundable Deposit: $0.00
Total Water Meter Box: $0.00
' 143 Ltd
Street Tree Fee :
$0.00
Adjustment: $0.00
Processed By: Date : —/_/_ Other Department : I Date: _/_/
Utilities Approval :
Traffic Approval :
Date : /—/—
Date:
General Services Approval: Date:
Permit Denied :
Issued Permit :
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- TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
1.
Encroachment Permits may be taken out by the owner of benefited property, or a licensed contractor. A licensed
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
Compensation Insurance, or a Certified Copy thereof.
permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuat7cffinlil
3_ p _
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days -
Date: [ 77 Signatur
after date of issuance.
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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
I certify that in the performance of the work under this permit, I shall not employ
or damage to persons or property occurring as a result of work undertaken under this permit.
any person so as to become subject to California Worker's Compensation Laws. If,
3.
All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
after signing this certificate I become subject to the Worker's Compensation
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances,
provisions of the State Labor Code, I must comply with the provisions of Section
4,
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
3700 or this permit shall be deemed revoked.
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
Date: Signature:
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
CONTRACTOR LICENSE EXEMPTION
connection to sewer lines a valid State Contractor License Class required.
6.
All trenching and/or resurfacing shall conform to City Standard 105-L 05-L for parkway/roadway and City Standard 140-L,
As the Owner of the benefiting property, I certify I am personally performing all
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
work in the Public Right -of -Way.
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Date: Signature:
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.
HOLD HARMLESS STATEMENT
7.
The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
I understand that I am locating minor encroachments within the City Right -of -
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
Way/Easement. As property owner it is my responsibility to maintain the
inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities
encroachments. I will be responsible for replacing the improvements if the City
Department or General Services Department inspections may be required depending on scope of work performed.
removes them for maintenance of utilities or other public need. I shall indemnify
8.
All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
and hold the City harmless for any liability associated with the minor
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
encroachments.
existing City -owned utilities fe: 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
Date: Signature:
4TT box over the riser.
Y4-hour notice for Encroachment Permit Inspection is require Iling
9. Property lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
"Manual
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of
Public Works at 949-644-3311.
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
15, Any above ground utility facilities will require documented approval from the adjacent
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.
affected property ownens).
10.
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
Quality Laws. Best Management Practices will be enforced. It is against the law to
11,
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
discharge construction debris into the gutter and storm drain. Felony violations of Water
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
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,
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
17, If a refundable deposit was paid, applicant must submit a Soils Compaction
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
Certificate or Evidence of a Slurried Backflll and request a final inspection from the
the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way
Public Works Department. Monies may be held for six months after final inspection
will require a Caltrans Permit. All vehicles shall be lawfully parked.
before a refund will be processed.
12.
This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure.
without approval from the General Services Department.
13.
Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
19. All work in the public right-of-way must meet the approval of the Public Works
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
Department or corrections will be required (i.e. removals, exposing connections,
14,
Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City
etc.). Additional inspection fees may be required.
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up daysby calling 949-644-3066
20. Permit is for standard materials in the public fight -of -way only, unless previously
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreement has been processed.
Temporary Street Closure Permit must be obtained from the Public Works Department,
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:
Qty.
Inspection Fee:
ty.
Public Works Only
$241.00�
Public Works Field Inspection
$165.00 I
Other Department
$275.00
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$192.00
Refundable Deposit:
TBDE
Monitoring Wells
$502.00
Improvements
TBD
Street/AlleyfWalk Closure:
$65.000
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"
$143.0!H
4TT Box & Cover
$64.00
Additional
•----------------- -- FROM THE — ----�
� THE FALLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division
I REVENUE DIVISION PRIOR TO PAYMENT OF FEESApproval:
[
Qty.
I
[Water Meter:
Installation Charge:
$528.00 J
=
{3/4' Meter
$50,25 `
1
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285 00
1" DFW Meter Box
$96.66
11 1/2"Turbine Meter
$700.06
2" DFW Meter Box
$203.24
12"' Meter
$425 00
'
12" Turbine Meter
$845 00
1
1 .,Meter
$3,310 00 [
1
1
Meter
$4,730.00 s
16" Meter
$7,190.00
1
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/Vacation Fee (+100 /o of hrly over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
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Permit Specialist
Receipt No.
Rev. 12/18/2017
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COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: t..(1). ` (� AV
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: Phone:
Email Address:
Mailing Address:
City/State/Zip:
OWNER: ->�0V\ S \,I OS
Phone:
Email Address: S l h"/j (f1iM 6Y1 , h '
Mailin Address, City/State/Zip:
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RE.�? BASE. % IWRL. gTE
CONTRACTOR: GN�L/4 �C,
Office Phone:
Company (if different):
Jobsite Phone: N /�
Other Phone: 7�%s' ZzLr
Email Address: M� ayC�CP4 s, Cp/ry I�;
Mailing Address: y�
30/ 0v 7';WAS �4'4� .4. *,-- O - 2 S1
City/State/Zip:
Z!t up,-1 ?m* eA 77
State License Number & Class:
d- 7 '7$ 0?/ Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company., afhw cV45,Policy No: WC 56' 1-6311-OS Expires: /7— /8
Municipal Oerations: 945-644-3055
Utilities_ 949644-3011
Urban Forestry: 949-644-3083
Special Conditions of Permit: FN orb
-AP kAPP,RQV/9L RE4U)REn F,ItOM T,HE FOLLOWING DEPAR`FMENTS
Utilities:
Municipal Operations
Traffic: 0 Fire: 0
Other:
Engineering Technician:
dab
Permit Specialist
I Zw 7
Date:
t'LR-'&'T
Permit No.
N2018- uo557
f/users/pb /shamd/encmach/master epwa ksheetxls
7N4
Public Works Department949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
EXHIBIT A
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ENCROACHMENT FOR
FAGS c= STEVE AND KIM ESPINOSA
GORE 412 DAHLA AVF- GORONA DEL MAR GA 92525
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Fr. FROM F.C.C.; OF CURS
3/12/2018 City of Newport Beach Page 6 of 9
6:34:15AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 03/12/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 412 DAHLIA AVE
Activity : N2018-0055
SubType:
Status: APPROVED
OWNER: ESPINOSA STEVEN JAMES Phone : 0
APPLICANT: STEVEN ESPINOSA Phone : 714-936-5923
Description : 24-inch high wall encroaching 1-foot into the Dahlia Avenue right-of-way. Encroachment
Item: 10250 FINAL - PW
Requested Time: 3/12/2018 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to : zzzzzzzzzzz* �76 k4
Requestor: WEBUSER
949-795-2268