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HomeMy WebLinkAboutN2017-0465gWzf ¢ Oiymoic cNe DportBeachport ach,CA92660 IIIIllIII11illill olp111111111111111111�Jill H Permit Counter Phone (949)644-3311 sa Online Inspection Request- www.newportbeachca.gov / Online n`�tiu'+g1" Services Job Address : 2908 OCEAN BLVD NB Thomas:Guide: Description : CONSTRUCT SIDEWALK PER STD 180-L, NEW CURB CORE PER STD 184-L. Parcel # : Legal Desc : LOTS 5/ 6 Owner: Phone: Address 0520-621-5 - RESUB OF CORONA DEL MAR LOT 4 BLK 35 FOR OF LOT(AND FOR OF 2908 OCEAN LLC 1 CORPORATE PLAZA#110 NEWPORT BEACH CA 92660 Applicant: NICHOLSON CONSTRUCTION CO Phone: 949-872-6637 [ Address: 1 CORPORATE PLZ #110 NEWPORT BEACH CA 92660 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED SIM 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: Date Utilities Approval : Date Traffic Approval : Date: General Services Approval : Date : Permit No: N2017-0465 Project No: 2478-2015 Inspection Requests Phone (ACe I � E® 919E3 Contractor : NICHOLSON CONSTRUCTION CO Phone: 949-872-6637 Address : 1 CORPORATE PLZ #110 NEWPORT BEACH CA 92660 Contractor State Lic: 660295 License Expire: 12 31, 2018 Business License : BT98032850 Business Expire: 04 30, 2018 Workers' Compensation Insurance - - Carrier: STATE FUND Policy No: 9074265 W. C. Expire: 10 01, 2017 Total Fee : $571.00 Paid: $0.00 Balance: $571.00 Receipt No: Other Department: Date Permit Denied Date Issued Permit : Date _9/_ff�7 WOR SHEET FOR ENCROACHMENT P MI CITY OF NEWPORT;BE;AOH , < , PUBLIC WORKS REPl+RTI)fIENT- O, li :E. L. , I PROJECT ADDRESS: c)C— DETAILED DESCRIPTION OF PROPOSED WORK: G� C \ W ha APPLICANT Phone: ,�i I �— Email Address: Mailing Address: SU\-r-E 11 13City/State/Zip: lA� d�C OWNER:, Email Address: Mailing Address: \ N6 \� City/State/Zip: C = ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COM LETE CONTRACTOR: 4,01fice Phone:S(o— Company (if different); Jobsite Phone:�6s — pO - .�S Other Phone: Email Address: t:,\ � �jI G� U C I Mailing Address: \ ( C) City/State/Zip: \\ State License Number & Class: Ex Tres: Na:S - ( lCity Business License Number• T ' $ Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: -i� c F L)3U� Policy No: Expires:ld—I— .... _ ....I....::.:::. 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FOR OFFICE USE ONLY Special Conditions of Permit: , ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities, Traffic: 0 Fire: 0 General Services: Other: Engineering Technician: Publi orks Specialist: Date: Permit No. flusersfphvvlshava0/encmachhnasle�s/epvvaekshes�ls �—� (oa ?-6 Public Works Department 949.644-3311 Permit Processing Fee: Inspection Fee: Public Works Only $241.0 Public Works Field Inspection Other Department $275.00 Utilities Field Inspection General Services Inspection Agreement Fee: Water Quality/Artificial Turf Inspection Preparation of Report/Agreement $817.00[ Document Recordation Fee $192.00 Refundable Deposit: Monitoring Wells $502.00 Improvements Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection Traffic Control Plan Check 8-1/2" x 11" $65.00= Sewer Connection Fee 24" x 36" $143.00H 4TT Box & Cover Additional Qty. $165.00 $121.00 $165.00 $108.00 TBD TBD $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 EasementfVacation Fee (+100% of hrly over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Total Amount Due: For Finance use only 9 Permit Specialist Receipt No. f./users/pbw/shared/encroach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheet.As- evlsed 10121MO16 f f � I t i i �Yi t N k "Y ' 3,%"f3 S t'. R i' : xxs ^vi. k v.- ♦,a. U 'S£ ty, ""SAC i ,� '� -y j � _. sa i- -, Jnrt�c'alndGrignou mif �r4?^fl, G��`Cxp rZZ riLt? 3 �- n .7 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 1. Encroachment Permits may be taken out by the owner of benefited property.or a licensed contractor. A licensed I certify that I have a Certificate of consent to self -insure, Certificate of Worker's contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the Compen7ation Insurance, or a Certified Copy there permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of ) C1 �..� a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days Date Signature: after date of issuance. 0 CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 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 I certify that in the performance of the work under this permit, I shall not employ or damage to persons or property occurring as a result of work undertaken under this permit. any person so as to become subject to California Worker's Compensation Laws. If, 3. All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings after signing this certificate I become subject to the Worker's Compensation of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances. provisions of the State Labor Code, I must comply with the provisions of Section 4. Permiftee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall 3700 or this permit shall be deemed revoked. 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 Date: Signature: 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 CONTRACTOR LICENSE EXEMPTION 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, As the Owner of the benefiting property, I certify 1 am personally performing all in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public work in the Public Right -of -Way. Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of Date: Signature: 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 whemhazardous ground movement may be expected. HOLD HARMLESS STATEMENT 7. The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must I understand that I am locating minor encroachments within the City Right -of - be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be Way/Easement. As property owner it is my responsibility to maintain the inspected and approved before backfiliing, or applicant may be required to excavate site. Separate Utilities encroachments. I will be responsible for replacing the improvements if the City Department or General Services Department inspections maybe required depending on scope of work performed. . removes them for maintenance of utilities or other public need. I shall indemnify 8. All trench restoration must be inspected by the Public Works Department. No utility installations) shall be allowed and hold the City harmless for any liability associated with the minor over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole encroachments. existing City -owned utilities tie: 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 Date: Signature: 4TT box over the riser. 24-hour notice for Encroachment Permit Inspection by calling 9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of - Public Works at 949-644-331 Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways', issued by the eissrrequired Qq California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00 «L 15. Any above ground utility facilities ill require documented approval from the adjacent 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. affected property owner(s): 10, Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day 16, Homeowner, contractors, and subcontracolrs may each be liable for violations of Water weekend, summer between June 15 and September 15, and during the holiday season from December 19 to Quality Laws. Best Management Practices will be enforced. It is against the law to January 1, unless approved by the Public Works Department. discharge construction debris into the gutter and storm drain. Felony violations of Water 11. Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to Quality Laws are punishable by fines up to $25,000 and/or up to three years in State acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and prison plus the full cost to clean up an illegal discharge or spill. emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 17 If a refundable deposit was paid, applicant must submit a Soils Compaction Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure Certificate or Evidence of a Slurried Backfll and request a final inspection from the 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 Public Works Department. Monies may be held for six months after final inspection will require a Caltrans Permit. All vehicles shall be lawfully parked. before a refund will be processed. 12. This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of 18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. without approval from the General Services Department. 13, Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant 19. All work in the public right-of-way must meet the approval of the Public Works must notify all affected residents 24 hours in advance of restricted access and any inconveniences. Department or corrections will be required (i.e. removals, exposing connections, 14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City etc.). Additional inspection fees may be required, may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up daysby calling 949-644-3066 20. Permit is for standard materials in the public right-of-way only, unless previously for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a approved by Public Works and an Encroachment Agreement has been processed. Temporary Street Closure Permit must be obtained from the Public Works Department. 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. j .. a ..y "<.. .. ti ffmT+iyrrrelateip3#fiis erfaro'acFMrntiftge[nif��eYprzt'o,{$aUrti/tktj.. tu'!i-*'f ,�q, .:. a L_ ,.. .J3 1 ti: 4 i.. �` ... g , S r5fa eut 0? de OIB t:,fr!`�'a." i r ' �rh r t rco¢d%tet��ns h1 "hinftlant tlfif he a9Ree fof r ejp�Y, h'. f, pa _," I rs frfe'S3}swo l sj" iRl�t7 n� 61 Gikk'-' `. � ra v,'� , I e . .� to- v - r' ,' a I. d er f « k' " §4r. " k 5 x#N,' r , 3/12/2018 City of Newport Beach Page 3 of 9 6:34:15AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/12/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2908 OCEAN BLVD Activity : N2017-0465 SubType: NEW Status: APPROVED OWNER: 2908 OCEAN LLC Phone: APPLICANT: NICHOLSON CONSTRUCTION CO Phone: 949-872-6637 Description: CONSTRUCT SIDEWALK PER STD 180-L, NEW CURB CORE PER STD 184-L. Item: 10020 PERMANENT PAVING- PW Requested Time: 3/12/2018 12:00:OOAM Requestor: NBIVR 2088002058 Entered By: NBIVR Comments: PM Assigned to: 4/4/2018 6:34:15AM City of Newport Beach Page 4 of 14 INSP150 - Daily Inspection Request Report Activity : SubType: Status OWNER APPLICANT Description Item: Requested Time: Requested Inspection Date : 04/04/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2908 OCEAN BLVD NEW APPROVED 2908 OCEAN LLC Phone: NICHOLSON CONSTRUCTION CO Phone : 949-872-6637 CONSTRUCT SIDEWALK PER STD 180-L, NEW CURB CORE PER STD 184-L. 10250 FINAL - PW 4/4/2018 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: Requestor: NBIVR 2088002058 o LOGGED City, of Newport Beach Page 3 of 5 aso:asPm INS P150 Daily,;;anspection Request.Report