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Permit No: N2U17-0588 -
Civic cNewenter ortBhach, CA92660
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rs
Permit Counter Phone (949)644-3311
Online Inspection Request- www.newportbeachea.gov/Online
Project No:
SCANNED.
"
Services
assu`
3265 .
Inspection Requests Phone (949)644-3255
Job Address:
1930 IRVINE AVE NB
Thomas:Guide:
889C3
Description:
REMOVE EXISTING DRIVEWAY APPROACH AND SIDEWALK, INSTALL
NEW DRIVEWAY APPROACH AND SIDEWALK PER CITY STD.
Parcel # :
1176-010-3 -
Legal Desc :
N TR 3801 LOT 57
Owner:
GREG OBERG
Contractor:
CAPACI ENTERPRISES INC
Phone:
Address:
1930 IRVINE AVE
Phone:
Address:
949-945-8362
11841 KENSINGTON RD
is§8
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NEWPORT BEACH, CA 92660
LOS ALAMITOS CA 90720
Contractor State
Lic: 868248
Applicant:
CAPACI ENTERPRISES INC
License Expire :
07 31, 2018
Phone:
949-945-8362 [
Address:
11841 KENSINGTON RD
LOS ALAMITOS CA 90720
Business License
: BT30040251
Business Expire
: 07 31, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation
Insurance --
Carrier :
STATE COMP
Policy No:
9126663
W. C. Expire:
03 06, 2018
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 :
r//_' J
Date / / 9 017
Traffic Approval :
Date: _/_/_
Issued Permit:
:!
General Services
Approval :
Date: _/_/�
PR ilECT Afl RESS:
DE /prE..D/ yDESCRIPTION OF P�ROPi7/SED RK: n �� Ct����
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APPLICANT:
jPhone:
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Email Address:
Mails Addre s:
CitylStatel ip:
Phone:
OWNER: /L
Email Address:
Mailing Address: city[ tate/Zlp:
Office Pho : /?
CONTRACTOR:
C p y (if differjnt)'
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Jobsite Phone:
Other Phone:
mail Address:
Mailing Address:
City/statelzip:
Sta f nse Number & Class:
Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 tabor Code)
Company: Policy No: Expires:
SFt1C 0flatE.D*E�SITINF RMA'nON.(fFAPpIEcable}
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Special Conditions of Permit:
irOY�S(ry l
'EMY
Utilities: Traffic: Fire:
General Services: Other:
Engineering Technician: Public Specialist: Date: Permit No.
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F.Nserslpinv/sheretl/encroacfifmaslers/ep�rotkaheeLrJs �_
Public Works Department 949-644-3311
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Rev.1
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/tine. 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. 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 ClassC-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 ashoring 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 (le: 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 ata 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 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 days by 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
I certify that I pave 0 Certificate of consent toA�
Compensation' Insy nce. or a Certified Copv Me
Code)
of Worker's.
CERTIFICATE OF EXEMPTIORt-(Se-ction 3800 L#Kcr Code)
I certify that in the performance of the work under this rmit, 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 publicpeed. I shall indemnify
and hold the City harmless for any liability as fated with the minor
encroachments.
Date: Signature
24-hour notice for
Public Works at 94
is
15. Any above ground utility facili es wi equire docurWnted approval from the adjacent
affected property owner(s).
16. Homeowner, contractors, and subcomracotrs 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 Agreemen has been cessed.
21. Permit is valid for "description" of work not on f t nly, itional work
performed may require issuance of a separate pelt d/o addifi fees.
• 11129/2017
City of Newport Beach Page 5 of 12
" 6:34:1OAM
INSP150 - Daily; Inspection Request Report
Requested Inspection Date : 11/29/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1930IRVINE'AVE &N17A140
Activity :
N2017-0588
SubType:
NEW
Status :
APPROVED
APPLICANT:
CAPACI ENTERPRISES INC Phone : 949-945-8362
OWNER:
GREG OBERG Phone:
Description :
REMOVE EXISTING DRIVEWAY APPROACH AND SIDEWALK, INSTALL NEW
DRIVEWAY APPROACH AND SIDEWALK PER CITY STD. <
Item:
10 0 PRE JOB - PW
Requested Time:
11/29 Requestor: WEB E
714-345-9371
Entered By:
WEBUSER
Comments:
AM
Assigned to:
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Inspector:
���I Date: \I(1-1 1 Time: AM PM
Comments:
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City of Newport Beach Page 3 of 10
11/3012
INSP150 -Daily Inspection Request Report
6:34 26AM
Requested Inspection Date: 11/30/2017
Inspection Type: ENCROACH
- -
Inspection Area: PW
Site Address: 1930'IRVINE AVE
Activity :
N2017-0588
SubType :
NEW
Status :
APPROVED'
APPLICANT:
CAPACI ENTERPRISES INC Phone : 949-945-8362
OWNER:
GREG OBERG Phone:
REMOVE EXISTING DRIVEWAY, APPROACH AND SIDEWALK, INSTALL NEW
Description :
DRIVEWAY APPROACH AND SIDEWALK PER CITY STD. .
III
Item:
10100 FORMS WITH COMPACTION - PW
•
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Requested Time.
11/30/2017 12:0O:OOAM Re uestor: NBIVR
7143459371
Entered. By:
Comments-
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Assigned to :
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Inspector:
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Comments:
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12/4/2017 -
City of:Newport Beach Page2of11
s :3a:�sAM
INSP150 - Daily inspection Request Report
Requested Inspection Date : 12/04/2017
Inspection Type: ENCROACH'
Inspection Area : PW
Site Address : 1930 IRVINE AVE
Activity :
N2017-0588'
SubType:
NEW
Status :
APPROVED
APPLICANT:
CAPACI ENTERPRISES INC Phone : 949-945-8362 i
OWNER:
GREG OBERG Phone:
Description :
REMOVE EXISTING DRIVEWAY APPROACH AND SIDEWALK, INSTALL NEW
DRIVEWAY APPROACH AND SIDEWALK PER CITY STD.
Item:
10100 FORMS WITH COMPACTION - PW
Requested Time:
12/4/2017 12:00:OOAM Requestor: NBIVR
Entered By:
NBIVR
Comments:
AM
Assigned to:
�S Z 7 Time: 7 .2 U PM
Inspector:
Date:
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11&2018 City of Newport Beach Page 4 or 20
4:30:31PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 0,1/30/2018
Inspection Type: ENCROACH
Inspection Area: PW'
Q. Add 1930 IRVINE AVE
ate AAA-
.
Activity :
N2017-0588
SubType:
Status :
NEW
APPROVED
APPLICANT:
CAPACI ENTERPRISES INC Phone : 949-945-8362
OWNER:
GREG OBERG Phone:
Description :
REMOVE EXISTING DRIVEWAY APPROACH AND SIDEWALK, INSTALL NEW
DRIVEWAY APPROACH AND SIDEWALK PER CITY STD_
Item:
10250 FINAL - PW
Requested Time:
1/30/,2018 12:00:OOAM Requestor: NBIVR
7143938543
Entered By:
NBIVR
Comments:
AM
Assigned to
Inspector: Date:- \ Time: TOO A PM
Comments: —D,&)3
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211212018 City of Newport Beach Page 1 of 12
4:30:47PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 02/13/2018>
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1930 IRVINE AVE
Activity : N2017-0588
SubType: NEW
Status : APPROVED
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
OWNER : GREG OBERG Phone:
Description: REMOVE EXISTING DRIVEWAY APPROACH AND SIDEWALK, INSTALL NEW
DRIVEWAY APPROACH AND SIDEWALK PER CITY STD
Item: 10250 FINAL - PW
Requested Time: 2/13/2018'12:00:OOAM Requestor: NBIVR
7143459371
Entered By: NBIVR
Comments: AM
Assigned '
to:
: r v
Inspector: 1� .V- Date: L Time: o ,Q 61 PM
Comments:01� - h-
In