HomeMy WebLinkAboutN2017-008900 9ovCe tteDpOrt Newport
eB Beach
CA 92660 IIIIIII IIIIII IIIII III7 III�I IIIII IIII IIIII III II
Permit Counter Ph one 1
Online Inspection Requestest- www.nww.newportbeachca.gov /Online
r Services
Job Address : 3030 CLAY ST NB Thomas:Guide:
Description : Plug existing driveway approach on Catalina and replace with new curb and gutter per City Std.
Parcel # : 4250-940-1 -
Legal Desc : FIRST ADD TO NEWPORT HEIGHTS BILK 31 LOT 1
Owner: SERDAN ASHLEIGH AND METIN
Phone: 949-205-9663
Address : 3030 CLAY ST
NEWPORT BEACH, CA 92663
Applicant: SERDAN ASHLEIGH
Phone: 949-205-9663 [
Address: 3030 CLAY ST
NEWPORT BEACH, CA 92663
Special Cond.: Pre -construction meeting required
Permit No: N2017-0089 "
Project No : 2270-2016
Inspection Requests r6�4-325is
888H5
Contractor :
P C M CONSTRUCTION INC
WOODPhone:
Address :
24612 LA A STREET
LAGUNA HILLSILLS CA
Contractor State Lic: 924379
License Expire
: 10 31, 2018
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 :
$330.00
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:
Utilities Approval
Traffic Approval :
General Services Approval
Date
Date
Date:
Date :
Business License: BT30057665
Business Expire : 01 31, 2018
Workers' Compensation Insurance - -
Carrier : EXEMPT
Policy No
W. C. Expire:
Total Fee $571.00
Paid : $571.00
Balance: $0.00
Receipt No:
Other Department : —Date:
Permit Denied Date:
Issued Permit: Date i�'!?
PROJECT ADDRESS: rg O a-:r / 'Lb
V
DETAILED DESCRIPTION OF PROPOSED WORK:12
APPLICANT:
Phone; l
Email Address: �Crco \gbc�`� ^- `t t�0.. . C o's----
Mailing Address: 7 1 �� i- `a "�"^ y City/StatelZip:
OWNER: POS\�, z Phone:
Emaii Address:
Mailing Address: 3 �" o c G City/State/Zip: eD Gd�
iggpilgily
CONTRACTOR: QcM corgi o ^� Office Phone:
Company (if differsnt):g -
Jobsite Phone:
Other Phone:
Email Address: q er-,Co+NC ' M-67 1c-r^
Mailing Address: 2 Lt 1, a CitylstaI:! I II: L• C
State License Number & Class: City Business License Number. 1
gqj-1 n>-1 ., r Expires: t o $ T p �5"1 le Expires: l l
ORKERS COMPENSjZTION'INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
rnmnanv. -'3 A- Policy No: Expires:
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of
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
k
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
6. .ant Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed
corn,. jr 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 rejectiontfine. City reserves the right to void permit if work does not commence within 30 days
after date of issuance.
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.
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 Slate 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 tines a valid State Contractor License Class C42 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 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.
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 utilities, unless approved by the Public Works Department. Lewis 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 cleanouts 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
Wanting Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by that\
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 $36.00. It is the responsibility of the applicant to place barricades to I
protect the general public. Access to fire hydrants must be maintained at all limes.
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 16, 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 lariats) 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 I have a Certificate of consent to self -insure, Certificate of Worker's
Compensation Insurance, or a Certified Copy thereof.
Date: Signature:
CERTIFICATE OF EXEMPTION (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
or t�his permit shall be deemed revoked.
Date Z i—
Date: • t` 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:
INITIALS:
15. AN above ground facilities shall comply with the Municipal 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 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 Mollies may be hell for sec 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 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 Pudic 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.
Permit Processing Fee:
cktv.
$241.00
inspection rev.
Public Works Field Inspection
$165.00
Public Works Only
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
Document Recordation Fee
$817.00
$192.00�
Refundable Deposit:
TBDB
TBD
Monitoring Wells
$502.00
Improvements
Strest/AlleyNValk Closure:
$65.bo=
Newspaper Rack Inspection
$108.00
Traffic Control Plan Check
8-1/2" x 11"
$65.00
Sewer Connection Fee
$250.00
$64.00"
24" x 36"
$143.00
4TT Box & Cover
Additional
— —
ITEMS FtBtiUIRE
Rt3HPiL FRAM THE —'. Revenue brvfsiGn
APP—
THE FOLLOW
REVENUE DIYISI(3t4 PRIOR T RAyMENT QF FEES: Ap rovAl:
ty'
r..e«�rt�«sKri rh�rera
552$.00 1
Certificate of Compliance Fee (+100% of hrly over 3 hrs) $288.00
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
v� • — I —•-
5200-5015
5200-5026
5200-5027
5200-5028
405-470_
5200-5031
030-2284
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3/1/2017 City of Newport Beach Page 1 of 15
6:34:08AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/01/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 3030 CLAY ST
Activity : N2017-0089
-SubType: NEW
Status : APPROVED
OWNER: SERDAN ASHLEIGH AND METIN Phone : 949-205-9663
APPLICANT: SERDAN ASHLEIGH Phone : 949-205-9663
Description : Plug existing driveway approach on Catalina and replace with new curb and gutter per City
Std.
Item:
10200 PRE JOB - PW 171 F®1 •®
Requested Time:.
3/1/2017 12:00:OOAM
Requestor:
NBIVR
7142404550
Entered'By:
NBIVR
Comments:
AM
Assigned to:
Inspector:
V
Date: t t -7_ Time:
`z'. M
Y
Comments: 7-? %I'I 4 U
- (,�lSCLr-s
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F:\Us rs\PBW\Shared\ENCROACH\MASTERS\FORMSVnsoectorSheel doc
REPT131 Run Id: 4018
i
3%30/2017 City of Newport Beach Page 1 of 20
6:34:47AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/30/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 3030 CLAY ST
Activity : N2017-0089
SubType: NEW
Status: APPROVED
OWNER: SERDAN ASHLEIGH AND METIN Phone : 949-205-9663
APPLICANT: SERDAN ASHLEIGH Phone : 949-205-9663
Description : Plug existing driveway approach on Catalina and replace with new curb and gutter per City
Std.
item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 3/30/2017 12:00:OOAM Requestor: NBIVR
7142404550
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: 1, Date: hJC� Time: A PM
Comments: CJG j�j� pr"�z cy—y
Loggeo
F:\Users\PB W \Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheet.doc
REPT131. Run Id 4018
7113/2017
City of Newport Beach
Page 9of 14
4:31:01PM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 07/14/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 13030CLAYST
Activity :
N2017-0089-
SubType:
Status :
NEW
APPROVED'
OWNER:
SERDAN ASHLEIGH AND METIN
Phone : 949-205-9663
APPLICANT:
SERDAN ASHLEIGH
Phone : 949-205-9663
Description:
Plug existing driveway approach on Catalina and replace with new curb and gutter per City
Std.
Item:
10250 FINAL - PW
Requested Time:
7/14/2017 12:00:OOAM Requestor:
WEBUSE#,, y►��/
714-240-4e50
Entered By: BUSER'
Comments:
PM-
8* 30 116
Assigned to:
zzzzzzzzzzz'
Inspector:
Date: '7
Time: y� AM M
iComments:
Div
COMPLETED
F:\Users\PB W \S hared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131.
Run Id: 40'18