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Home My WebLink AboutN2017-0093City of Newport Beach I 111�111111111111la1111111111111p1lp111111111111 Jill N2017-0093 Permit No: 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 0 9 3 '�. Permit Counter Phone (949)644-3311 Project No: 2732-2013 u.-. Online Inspection Request- www.newportbeachca.gov/Online 'ery�xx4'�' Services Inspection Requests Phone (949)644-3255 Job Address : 4541 BRIGHTON RD NB Thomas:Guide: 919F4 Description : Abandon exitsting driveway approach with new curb and gutter, install 2 driveway approaches, install 2 curb drains, and remove and replace any damaged curb, gutter, and sidewalk per City Standards. Parcel # : 4750-410-1 - Legal Desc : N TR 3357 LOT 151STkl Owner: LEE DONALD L INir Contractor: MATA'S CONSTRUCTION CO Phone: 0 Phone: 714-393-6358 Address : 4541 BRIGHTON RD Address : P.O. BOX 3749 CORONA DEL MAR, CA SANTA ANA CA 92703 Contractor State Lic: 861880 Applicant: MATA CONSTRUCTION License Expire : 07 31, 2018 Phone: 714-393-6358 [ Address : 910 E. 4TH STREET SANTA ANA, CA 92701 Business License : BT30015664 Business Expire : 04 30, 2018 Special Cond.: PRE -JOB INSPECTION REQUIRED Workers' Compensation Insurance -- BRIGHTON RD - MORATORIUM STREET Carrier: WESCO INS CO Policy No: WWC3251945 W. C. Expire: 02 01, 2018 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee $1,461.89 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $1,461.89 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 : $725.89 Adjustment : $0.00 Processed By: Date: _/_/ Other Department: Date: Utilities Approval : Date: _/_/ Permit Denied -Date: Traffic Approval: Date: _/_/ Issued Permit : Date: General Services Approval : Date: _/_/ W , City of Newport Beach *N2017-0093* �r{ - 100 Civic Center Drive, Newport Beach, CA 92660 N sr. Permit Counter Phone (949)644-3311 u. Online Inspection Request- www.newportbeachca.gov/Online r- Services Permit No: N2017-0093. - Project No: Inspection Requests Phor"MYSID Job Address : 4541 BRIGHTON RD NB Thomas:Guide: 919F4 Description : Abandon exitsting driveway approach with new curb and gutter, install 2 driveway approaches, install 2 curb drains, and remove and replace any damaged curb, gutter, and sidewalk per City Standards. Parcel#: 4750-410-1 - Legal Desc : N TR 3357 LOT 151 Owner: LEE DONALD L Phone: 0 Address: 4541 BRIGHTON RD CORONA DEL MAR, CA Applicant: MATA CONSTRUCTION Phone: 714-393-6358 [ Address : 910 E. 4TH STREET SANTA ANA, CA 92701 Special Cond.: PRE -JOB INSPECTION REQUIRED BRIGHTON RD - MORATORIUM STREET I= 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 : $495.00 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: Date Utilities Approval : Date Traffic Approval : Date General Services Approval : Date Contractor : MATA'S CONSTRUCTION CO Phone: 714-393-6358 Address: P.O. BOX 3749 SANTA ANA CA 92703 Contractor State Lic: 861880 License Expire : 07 31, 2017 Business License: BT30015664 Business Expire : 04 30, 2017 Workers' Compensation Insurance - - Carrier: WESCO INS CO Policy No: WWC3183916 W. C. Expire: 02 01, 2017 Total Fee Paid: Balance Receipt No Other Department: Permit Denied : Issued Permit $736.00 $736.00 $0.00 COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: r--� DETAILED DESCRIPTION OF PROPOSED WORK: fimay/ APPLICANT: Phone: Email Address: Mailing Address: v t� Ci /State/ ip: OWNER:YL- Phone: Email Address: MaL n Address: l C' /State/Zip: CL` Lora -No, 'bal m° r,..ly,>A14 Q , TRAM fb ;, , I,N tR IH7 �Qhl l .iUfF 71 1�,� S3 MPLEI Er " w CONTRACTOR: Office Phone: Company (i differ nt): Co. TAIC • Jobsite Phone: Other Phone: Email Address: Address, �� 5+ Ci State/Zip: a D [Mailing e ice Number&Class: d Ex ires: City Business Licens umber: Ex ires: RKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) mpany: Policy No: Expires: Municipal Oerations: 949.60.3065 Utilities: 949-644. 011 Urban Forestjq: 949-6414-3y08a3 Special Conditions of Permit: —YrJ=- 1V^r='=e el r" n, r ss- tf6v�r1 Utilities: Municipal Operations Traffic: 0 Fire: 0 Other: Engineering Technician: Permit Specialist Date: Permit No. f.Nsem/pbw/shamWencroach/mastere/epmo sheat.xls Public Works Department 949-644.3311 100 Civic Center Drive, Newport Beach, CA 92660 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 Q Inspection Fee: $241.00 1 I 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 Sewer Connection Fee 4TT Box & Cover Certificate of Compliance Fee (+100%of hrly over 3 hrs) 4iYtlt5.UU Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.00 Final Parcel Map Checking Fee - Moderate $2,488.00 Lot Line Adjustment Fee $1,079.00 Park Dedication Fee Zone _ TBD Street Easement/VacationFee (+1o0%ofhrlyover 4hrs) $1,022.00 Street Tree Fee ($700 Planting Fee) TBD ur . $165.010 3 $121.00 $165.00 $108.00 TBD .TBDI $108.00 $.00 $64P 64.00 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470_ 5200-5031 030-2284 ._.._.._.._.._.._.._.._.._.._.._.._.------------ Engineering Tech: Total Amount Due: For Finance Use only Permit Specialist Receipt No. P-15-440 fluser�/pbw/shared/encroach/maslers/ap front and back masters/ 9-0� Rev. 1/5/2017 , epfeesheat.xls-revised 10/21/2016 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT 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 copA%haN, 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 rejectionffme. City reserves the right to void permit if work does not commence within 30 days after date of issuance, The Penniftee 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. 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. 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. 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 Stale Contractor License Class C-42 is required. 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 halFalley width resurfacing shall be provided, unless otherwise directed by the Pubkc 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 shoringsystem, 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. 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 inspections by the Municipal Operations Department may be required depending on scope of work performed. 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 utilifies, unless approved by the Public Works Department. Locate and pothole existing City -owned utilities (is: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot clearance over or under existing City -owned utilities. Sewer ceanouts require VCP or PVC SDR35 be used with a 4TT box over the riser. Property 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. 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. 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. 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. 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. All USA marks shall be removed prior to Final Public Works Inspection. 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 1 have a Certificate of consent to self -insure, Certificate of Worker's_ -Compensation Insl rance, or a Certified Copy Date: Z �28 17 Signal CERTIFICATE OF EXEMPT (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: 15. All above ground facilities shall comply with the icipal Code, including but not limited to Chapter 13.20. 16. Homeowner, contractors, and subcontractors 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 stone 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 nght-of-way shall be planted, removed, trimmed, or relocated without approval from the Municipal Operations Department, Parks and Street Trees Division. 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. 0 FIP 3/11/2017 City of Newport Beach Page 14 of 15 14 6:34:08AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/01/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 4541 BRIGHTON RD Activity : N2017-UUUJ SubType: Status : APPROVED OWNER: LEE DONALD L Phone: 0 APPLICANT: MATA CONSTRUCTION Phone : 714-393-6358 Description : Abandon exitsting driveway approach with new curb and gutter, install 2 driveway approaches, install 2 curb drains, and remove and replace any damaged curb, gutter, and Item: Requested Time: 10200 PRE JOB - PW 6 V® 3/1/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz' Inspector: J V Comments: 714-393-6358 \lc5;& lGRY�•LcP Date: / /7 Time: 7Z 4W AM 3— ` F \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131_ Run Id: 4018 !3/1%'/i017 City of Newport Beach Page 6 or 6 4:30•,07PM INSP150 - Daily Inspection Request Report Requested Inspection Data: 03/17/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : 4541 BRIGHTON RD SubType Status : APPROVED OWNER: LEE DONALD L Phone: p APPLICANT: MATA CONSTRUCTION Phone : 714-393-6358 Description : Abandon exitsting driveway approach with new curb and gutter, install 2 driveway approaches, install 2 curb drains, and remove and replace any damaged curb, gutter, and sidewalk er City Standards. Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 3/17/2017 12:00:OOAM Requestor: WEBUSER 714-393-6358 ` f 0 5 Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz* 1 37 /7 Time: 6or A M Inspector: Date: Comments: h't % L Reffle -- F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\insoectorSheet.doc - --__.__ ... ...._ --.. ....__ ......... -----.. ....---..._.. REPT131. - Run Id: 4018 101 41,2017 City of Newport Beach Page s of 9 6:34:44AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/24/2017, Inspection Type: ENCROACH; Inspection Area: PW " Site Address : 4541 BRIGHTON RD Activity : N2017-0093 SubType: Status : APPROVED OWNER: LEE'DONALD L Phone: 0 APPLICANT: MATA CONSTRUCTION Phone : 714-393-6358 Description : Abandon exitsting driveway approach with new curb and gutter, install 2 driveway approaches, install 2 curb drains, and remove and replace any damaged curb, gutter, and sidewalk per Ci Standards. Item: 10250 FINAL - PW Requested Time: 10/24/2017 12:00:OOAM Requestor: VVEBUSER 714-393-6358 —� Entered By: WEBUSER Comments: ANY Assigned to: zzzzzzzzz Inspector: Date: f0L Time: A PM Comments: JA) ft- p , rL Lam.. '�24✓ A-10P)MA-C A 2 1-4 A -a- , le'"42 e 4C4� 2 �r�avw- A-►ao .v 6-Ct4f3; P/2AAAJ 19 Lowed Refle F-\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsdectorSheet.doc