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N2017-0191
port Beacriive, oitylvofic II�IIIIIII�IIIII IIIIII III�IIIII IIIIII�I I II Permit No: N2O1 %-0191 cNewenter Newporth Beach, cnszsso Permit Counter Phone (949)644-3311 Project No: 1382-2016 a, Online Inspection Request- www.newportbeachca.gov/Online ' nab 4� SeNICRS Inspection Requests PhonSMAHNE® Job Address: 113 VIA LIDO SOUD NB Thomas:Guide: 888H7 Description : Remove and replace existing concrete driveway, remove backyard patio within public ROW, remove portion of brick planter in public ROW Parcel#: 4231-311-9 - Legal Desc : TR 907 LOT 882 ALL -EX NWLY 9.25 FT- THEREOF(AND ALL -EX SELY 10 F Owner: NEIDLINGER JOHN Contractor : A M CUSTOM CONCRETE & DESIGN INC Phone: 0 Phone: 951-445-9224 Address: 17570 POSETANO RD Address: 32800 WOODHAVEN COURT PACIFIC PALISADES, CA LC Contractor State Lic: 1002871 Applicant: NATHAN MAWHINNEY License Expire Phone: 951-545-4564 [ Address : 183 LYDIA LANE Business License Business Expire: Special Cond.: Preconstruction meeting required with Workers' Compensation Insurance - - PW inspector. Carrier : Contractor to provide property corners Policy No: for patio location field verification W. C. Expire: Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $736.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance : $0.00 Inspection Fee : $495.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 R-7 V42- Processed By: Date : _/_/ Other Department : Date Utilities Approval : Date : _/_/_ Permit Denied Date Traffic Approval : Date: _/_/_ Issued Permit : Date : General Services Approval : Date : _/ / WORKSHEET FOR ENCROACHMENT PERMIT F77-CITY OF NEWPORT BEACH = PU,�L1C WORKS D,EPARTIVIEN�'•. E :E<T E 6 LO I A ION PROJECTADDRESs: ,\ 0' DUAILED DESCRI TION OFPROPOSED WORK: Lnn Sf ,i 1 -4m kn �A%c Itt+t -of -turn Phone: 545 L45 C APPLICANT: (� l4� Email Mailing�A dress: ; \„ lU C (� Phone: �� — 03ci OWNER: Asce N Email Address: \}Jq( OC�✓C N�0 aCOfn Mailing Address: 3rj SH�� City/State/Zip: raga S I—CK VgAaS V '69 CWET-' . f `, " =,ALA CONTRAG :Q}2• IN—M-RMAMON:IS REgU(12W,PPAM CONTRACTOR: ureU-0 610h m OffioePhone: IC31 41gS —i Company if diff rent): `_ � -'^ - NC 9 CC6i 'l WVtC(e�t� ��QS h Jobsite Phone: 5k LA a Other Phone: Email Address; y,YzC4y.) Mailing Address: 0© U04 C-T City/StatelZip: 1 G l r\nore -15 30 State License Number& Class: of Expires: City Business LicenseNumber: Expires: 44 0 WORKERSCOMPENSATIONINSURANCE - Certificate of Insurance (Section 3800 Labor Code) j Company: �on Vat, Policy No: �MWc7�T�V Expires: REFUNDABLE OEPQ$SIT:tNFORMATION.:(I(App/!Cable.)::: .,: ". •' ..._.,. . i.;;;i.iasi.`i.::::i.::i::::::::::.................................. :: ................i.... i .....:i: t 5::::: i'i i:i....................: Refund F'ay k e ..o....... i ::i ::: 5::::i i:: MaiI:Refund'To i :?`::.i:?.<:.:`>::?:;iii::22:::::::::::::::::::: FOR OFFICE USE ONLY Special Conditions of Permit: W I ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public Works Specialist: Date: �/isslr Permit No. 142-07—ON I I:Nsem[pbwfshare0/encroach/masters/epworkshoot xis lj rC— ,# i5%2--OM(p (EL) Public Works Department 949-644-3311 5 All Fees Are Nan -Refundable Unless Otherwise Stated PROJECT ADDRESS: t�3 \1 1-A sou6t PERMIT N2017- NUMBER: APPLICANT: n M �S, Vrv� ��k T Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Street/AlleylWalk Closure: Traffic Control Plan Check 8-1/2" x 11" 24" x 36" Additional Inspection Fee: $241.00 Public Works Field Inspection $275.00P Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817.00P $192.00 Refundable Deposit: $502.00 Improvements $65.000 Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover Cltv- $165.00 $121.00 $165.00 $108.00 TBDBTBD $108.00 0 $.00" $64 $64.00 Certificate of Compliance Fee (+100%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 EasementlVacationFee (+100%ofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Total Amount Due: For Finance use only K . A-C- -4 � 3 v oo FoA AC 4/p/17 Permit Specialist Receipt No. -7W�g2_ fluserslpbw/shared!encroach/masterslep front and back masters/ Rev. 11WO17 `_ epfeesheat.xis-revised 10/212016 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 issuanceraf a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence withi(Ftlays after date of issuance. 2. The Perini 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 whenhazardousground 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 backflling, 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 at a charge of per barricade per day, with a minimum charge of $35.00. It is the responsibility of the applicant to place ba dt`sete 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 flaw 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 lanes) 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 (Section 3800 Labor Code) I certify that I have a Certificate of consent to self -insure, Certificate Worker's Compens�ati- I`'n urance, or a Certified Copy thereo . - - Date: (j —7 p �Of Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor C 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. / /i(// 15. Any above ground utility facilities will requiredocumented 15. Any above ground utility facilities will require ted approval from the adjacent approval from the adjacent affected property owners). 16. Homeowner, contractors, and subcontracons 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 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. S N ✓F�^ .iy JD 0 if V !y > N m I 0 y �! a o x ° x c�COD 1 NIQ cocN Z ` 1 C/1 VJ bi to ►�°"' M l 1� r _ LINE EXIST, ;;a0 SECOND FLOOR LINE EXIST. l BALCONYlot �� I i . r Via Lida Soud - ©2016 Eric F. Mossmor LER1CT • MO S [� /� N expressly reserves its c 1 F. ...LLLi+..¢` 999��� Lf�lll copyright and oth rights in these plans ` are not to be _W_ changed or aopiec �) 0AIA RAIC NCARB manner whatsoew " to be assigned to� (949) 675-1252 without first obta' written permissic 25 W. BALBOA BLVD. SUITE B, NEWPORT BEACH, CA 92663 Eric F. Mossman, Arcr,.,_ L_ JINDOWS AND DOORS TEAR & SIDE SET BACKS ,ULE PROVIDED SLEEPING ROOM. .ECTLY TO THE D.IN.) �. IN.) I" FROM PROPERTY LINE. _AZED. OVE THE FLOOR GREATER THAN 9 SQ. FT; IALKING SURFACES WITHIN LORE THAN 36" ABOVE )PEN OVER TO THE EXTERIOR 3 THAN THE DOOR ION OF TRAVEL AND CRC R314.1 AND R315.2 'FCcaw1rucw rc�G 7 w LINE EXIST. TRELLIS ~-- '� \ CUTBACK TO 5'-0" J z0 LINE EXIST TRELLIS -- BTWN 1ST & 2ND FLOORS I fevnoye or vJl OU 1 Al W/ k�l -------= EXIST. HOUSE >----�-- EXIST. 2-STORY HOME 3-CAR GARAGE I EXIST. BUILDING AREA 1ST FLOOR 1,686 S.F. I 2ND FLOOR 1,858 S.F. ` GARAGE _ 528 S.F TOTAL STRUCTURAL AREA (APPROX.) 4,072 S.F 90.6 EXIST. HOUSE a J l co Z� I EXISTING ' l TE PLC 5/412017. City of Newport Beach Page 2 of 12 4:30:3OPM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/05/2017 Inspection Type: ENCROACH Inspection Area: Pw Site Address : 113 VIA LIDO SOLID Activity : N2017-0191 SubType: Status: APPROVED 9514459224 QC{/zv Entered By: NBIVR Comments: AM Assigned to: J Date: 6M PM Inspector: � � Time: �. Comments: i✓Lf� ✓/ 4 P/4�--v lu-,> . OL,5-I/jLj /(o.e/- X k G e mac. t/i e Au �r— F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131. Run Id 4018 .}, Permit Processing Fee: Q Public Works Only $241.00 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.00F Document Recordation Fee $192.00 Monitoring Wells $502.00 Street/Alley/Walk Closure: $65.000 Traffic Control Plan Check x 11" $65.00� 24" x 2436" $143.00 Additional Inspection Fee: Q Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover TBDBTBD $108.00 0 $250.00 $64.00 Certificate of Compliance Fee (+100% of hrly over 3 hrs) Inspection Fee: Q Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover TBDBTBD $108.00 0 $250.00 $64.00 Certificate of Compliance Fee (+100% 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/Vacation Fee (+1o0%ofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Total Amount Due: 5 0 I`d For Finance use only ilc1� �J� Permit Specialist Receipt No. / f./us/p / armdlencroach/masters/ep front and back masters/ Rev. 1/5/2017 _ I -C_. I tQq epfeesheetxls- evised 10/21/2016 N /lsizol� City of Newport Beach Page 6 of 13 4:30:37Pnn 1NSP150 -Daily inspection Request Report Requested Inspection Date : 08/16/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address . 113 VIA LID O SOU D HE Activity : N2017-0191 SubType: Status : APPROVED APPLICANT: NATHAN MAWHINNEY ` Phone : 951-545-4564- NATHAN. MAWH INNEY@Gh OWNER: NEIDLINGER JOHN - Phone: 0 Description : Remove and; replace existing concrete driveway, remove backyard patio within public ROW, remove ortion of brick hinter in public ROW' Item. anp6o �xrnyeTlnni pW 'E�21M rj (/D I Requested Time: 8/16/2017 12:0O:OOAM Requestor: NBIVR f Entered By: NBIVR Comments: AM ? 4 • vo' Assigned to Inspector: Date: 0 U l Time: �/ - / A PM / Comments:lG�lr7 Gmt Gr a' V GGZ —L %82- Logged R6flle Gt3��r�DD( oNyot t-117o sbwD F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InscectorSheet.doc - ------------ REPT131. Run Id:`4018