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N2017-0475
�vzv, City of Newport Beach III�III II'lIIIIIIIIII II III III�I4 IIII II� II Permit No: N2U 1 T-0475 ` 100 Civic Center Drive, Newport Beach, CA 92660 N 2 '- Permit Counter Phone (949)644-3311 Project No: 2856-2014 U. Online Inspection Request- www.newportbeachca.gov/Online Services Inspection Requests Phone (949)644J255 Job Address: 1611 BAYSIDE DR NB Thomas:Guide: 919D1 Description: CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB CORE PER STD 184-L, REPLACE CURB, GUTTER AND SIDEWALK PER CITY STD. Parcel # : 0504-013-1 - Legal Desc : N TR 6927 LOT 12 Owner: GASKILL III JAMES R Contractor : GRADY-O-GRADY CONSTRUCTION Phone : Phone : 949-472-8025 Address : 1611 BAYSIDE DR NEWPORT BEACH CA 92625 kk ru Address : 9279 RESEARCH DRIVE IRVINE CA 92618 Contractor State Lic: 485749 Applicant: GRADY-O-GRADY CONSTRUCTION License Expire : 08 31, 2018 Phone: 949-472-8025 [ Address: 9279 RESEARCH DRIVE IRVINE CA 92618 Business License: BT30045763 Business Expire: 11 30, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance -- Carrier : STATE COMP Policy No: 9121352 W. C. Expire: 01 01, 2018 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 Processed By: Date: _/_/ Other Department : Date Utilities Approval : Date: _/_/ Permit Denied -Date: Traffic Approval: Date : _/ / Issued Permit : Date: General Services Approval : Date �04 City of Newport Beach *N2017-0475* permit No: N2U1-047rJ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Project No: 2856-2014 +b Online Inspection Request - www.newportbeachca.gov / Online SCANNED e � Services Inspection Requests Phone (949)6443255 Job Addess : 1611 BAYSIDE DR NB Thomas:Guide: 919131 Description: CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB CORE PER STD 184-L, REPLACE CURB, GUTTER AND SIDEWALK PER CITY STD. Parcel # : 0504-013-1 - Legal Desc : N TR 6927 LOT 12 Owner: GASKILL III JAMES R Contractor: GRADY-O-GRADY CONSTRUCTION Phone: Phone: 949-472-8025 Address : 1611 BAYSIDE DR Address: 9279 RESEARCH DRIVE NEWPORT BEACH CA 92625 IRVINE CA 92618 Contractor State 5749 Applicant: GRADY-O-GRADY CONSTRUCTION License Expire: 08 31, 2018 Phone: 949-472-8025 [ Address: 9279 RESEARCH DRIVE IRVINE CA 92618 Business License : BT30045763 Business Expire : 11 30, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance -- Carrier: STATE COMP Policy No: 9121352 W. C. Expire: 01 01, 2018 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 Processed By: Date: _/ / Other Department : Date Utilities Approval : Date : _/ / Permit Denied Date: Traffic Approval : Date : _/_/ Issued Permit : Date :�/--r7 !�6 / 7 General Services Approval : Date: _/ / WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS QIE _RTIVIENT' , ..., PROJECT ADDRESS: Rp 11 A ysi pl� DETAILED DESCRIPTION OF PROPOSED WORK: Vow Phone: tJ - APPLICANT: t Email Address: 10 M Mailing Address: Y ' cJ City/State/Zip: OWNER: Nt Phone:9 j 'Z 2'Z Email Address: 6-1 , o�-A Mailing Address: City/StatelZip: ( I s ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: lOffice Phone: Company (if different)Tt l Jobsite Phone: chill - 1 Other Phone: Email Address: Ky�� Mr✓ CaM Mailing Address: City/State/Zip: State License Number & Class: y 1 441 Expires: City Business License Number: I Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: ( BGE . P SIT:1.....R.. ?I..... _..::..... e .:..... R...UN........RE..O..... NFQ.. MA.. QI'!.(/fApR /cabl........... ........ .....: i ' S ..... s i`':::. ?:: ii ` ii5`i> :::::::::: i::_ :�c'�ii:: ;'_Si2: i 5>i.:::j:2 ; `: 2;::`: �`::::::: FidPurrd P.a:':able ..o,.................. _ _ ... _ .:....:... - ........ - .. . �.. ,. Ma I Refund Toi': r>:::::::;:::C<: :>`. >:2:;::` : : i s i : i5: :< ii: : is Si FOR OFFICEUSE ONLY Special Conditions of Permit: 42 c ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public WNorks Specialist: Dej,: y Permit �� . l f.fuselsfpbiv/shamd[onttaachfmaslelsiepwoMsheeUts Public Works Department 949-644-33 t i Permit Processing Fee: Public Works Only $241.00 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Street/Alley/Walk Closure: $65.000 Traffic Control Plan Check 8-1/2" x 11" $65.00 24" x 36" $143.00 Additional Inspection Fee: Public Works Field Inspection $165.00 TTI Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBD Newspaper Rack Inspection $108.00 0 Sewer Connection Fee $250.00 4TT Box & Cover $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 405470_ Street Easement/VacationFee (+100%ofhriyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDJ 030-2284 Engineering Tech: Total Amount Due: For Finance use only Permit Specialist Re eipt No. fusers/pbw/shared/encroachlmesters/ep front and back masters/ Rev. 1/5/2017 epfeesheetAs-revised 10121/2016 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 issuanpezp[ 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. 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 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 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 (ie: 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 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 (Section 3800 Labor Code) I certify that I have a Certificate of consent to self -insure Certifi to of Worker's Compensation Insurance, or a Certified Copy there Date: /� � Signature: CERTIFICATE OF EXEMPTION (Section 3800 abor 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 1 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 requi d by calling Public Works at 949-644-3311.- --- s / � 15, Any above ground utility facilities will require document. W4LaLuam-tl a adjacent affected property owner(s): 16. Homeowner, contractors, and subcontracotis 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. NO. DESCRIPTION 1. A. A.F A& SAWCUT &REMOVE EXISTIN CURB B:F, BA a.rd' 810. a.V. B.W C.a GUTTER. TACK COAT ALL JOINT SURFACES PRIOR TO PATCHBACK : C.F. C.I.P C CONSTRUCT STONE PAVING. SET ATOP 5" THICK CONCRETE, /4 C.L. C. c.0: co D/A D LANDSCAPE ARCHITECT.L1 D.S; D.s D E.0 REINFORCED WITH #4 BARS AT 18" O.C. BOTH WAYS AND . EN Ex: F STYLE, PATTERN, COLOR AND TEXTURE -SHALL BE PER .F FH LANDSCAPE ARCHITECT'S SPECIFICATIONS. FL. F4 FT G.B REINFORCED WITH f4 BARS AT 18" O.C. BOTH WAYS AND ' G.F. G.m H. H. LANDSCAPE ARCFII'IECT'S SPECIFlCATIONS. P INV, LP, K CONSTRUCT 18" HIGH MMIAM. o,H 0 P/ >, ` PART ALL PER PLUMBING PLANS &PERMIT. RIGHT 19 INSTALL TRAFFIC RATED SEWER CL.EANOUT PER STD-406—L. LICEN EXISTING GAS METER TO BE RELOCATED. LICEN; BAYS 24 PROTECT IN PLACE. MANHOLE LIDS TO BE EXPOSED. MQR 25 EMERGENCY OUTLET: CORE DRILL THREE 4"0 ALL yr. ...—--...... "_ —. , WA) (60 F ) z a i 1 I f ! 1 g 1 V t fi 3- f; i j� 1J ) �'hese plans o repo V ijj the phcable r a 0 to Le in Su tz-_ "l coCOmI' e Ci of l�tewpolt Beach. grading codes adopted Uy t issuance pending Approval is asiended plicabagencies.e rCi departments and approval 10aill'aal permitte s all ure that all plans, `on c nducted hereunder specifications and constru shall comply the appliea le co es and ordinanances fy Czty and it's and to agreo release an inde consultant frc!ul and again any c de violations in the complet wor . Date SYG1 8� i I ,1 tswp�. '' @ttffSSdp�,�! `4Q C>.\NRNGC Fy No. 54011 2 * Exp.12-31-15 I �� CiVII- �l`COF CA L\F I I =� DESIGNED BY: ' w w r w 0 IL■ A M%■ A i■ 9/19/2017 City of Newport Beach Page 5 of 20 4:30s11PM INSP150- Daily inspection Request Report Requested Inspection Date : 09/2012017 Inspection TYP e : ENCROACH Inspection Area: PW Site Address : 1611 BAYSIDE DR ' Activity : N2017-0475 SubType: NEW a us: OWNER: GASKILL III JAMES R Phone APPLICANT: GRADY-O-GRADY CONSTRUCTION Phone: 949-472-8025 Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB CORE PER STD 184-L, REPLACE CURB, GUTTER AND SIDEWALK PER CITY STD. Item. 10200 PRE JOB - PW f tS Requested Time: 9/20/2017 12:0O:OOAM Requester: N Entered By: NBIVR 9493711386 --L i Comments: AM Assigned to: PMIns Inspector: VDate 9Zvd Time: /l6AM Comments.,Gr//i% w/ L�13L 2 Gvajt Goivc air `S a \ J ® lg z -L i e�eynArl Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131'- Run Id: 4018 COAST GEOTECHNICAL INC. 1200 W. Commonwealth Ave., Fullerton, CA 92833 ■ Ph: (714) 870-1211 ■ Fax: (714) 870-1222 ■ Email: coastgeotec@sbcqlobal.net NV. Daily Observation Report HRS. W.O. 0 Datef Name Client Address ❑ Footings Key ,rJ ,. ❑ Swim Pool ❑ Trench ❑ Other Test Elev. Moisture Dry % Test Soil Location or Content Density Relative T e e Type No. Depth % p.c.f. Compaction YP "CJ44�'r`..L. 9 /ltir.p`/��JFFr..n..^ %�•'��) , '�. ..� fJ �",'� Y��%"�� ..R� pw PR: 1 Job Progress and Activity: Comments: F� ..7 A 2 Ay ,r 9p +.i i Er --Acceptable ❑ Unacceptable Page 1 of Received By: t /.^ ,,;, t"'; By: , 0/26/2017 City of Newport Beach Page 1 of 16 4:3118PM INSP150 - Daily, Inspection Request Report Requested Inspection Date: 09/2612017 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1611 BAYSIDE DR Activity : N2017-0475 SubType: NEW Status : APPROVED - OWNER : GASKILL III JAMES R ` Phone: APPLICANT: GRADY-O-GRADY CONSTRUCTION Phone : 949-472-8025 Description : CONSTRUCT NEW DRIVEWAY' APPROACH PER STD 162-L, NEW CURB CORE PER STD 184-L, REPLACECURB, GUTTER AND SIDEWALK PER CITY STD._..,,.�, Item: W -�0 fi'�L Requested Time: 9/26/2017 12:00:0OAM Requestor: NBIVR 9493711386 Entered By: NBIVR Comments: AM Assigned to Inspector: V Dater ct=4 '7 Time: 8= A© PM Comments: k 6J/�I�t Wit' ca<Yrr.o�7 �✓ ,6�2'!� COA5 T 44;o rtc-e� t 49 L 6NG , ReivX r PE.r- . s77> j(Cxl'yg.r..'sl 81017 :PIun2i T£TSd�iI 10/1112017 City of Newport Beach Page 2 of 6 4:31:21PM INSP150 - Daily Inspection Request Report o0p7aa4RJo7Oa SUI\RWNOa\CTi=IIRHwW'1VON'1N7\oaeeu5\Ana.l\sJasnV Requested Inspection rate - 10/1212017 Inspection Type: ENCROACH Inspection Area: PW SiteAddress: S%bType : NEWPROVED OWNER: GASKILL III JAMES R Phone: APPLICANT: RA - - RADY CONSTRUCTION Phone : 949472-8025 Description: CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB CORE PER Item: 10250 FINAL - PW RPquPCtPd Time• 10/12/2017 12'00'OOAM RPtniestor- NBIVR r Entered • NBIVR Comments: AM Assigned to: :a;ea 9493711386 sluaLutuoo :aoloedsul \� L D /l -z—/ 1-7 vL}- &t74-tZ \ D/05�K-1 F�-- u� y �,D W"ETE