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
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WOR SHEET FOR ENCROACHMENT P MI
CITY OF NEWPORT;BE;AOH , < ,
PUBLIC WORKS REPl+RTI)fIENT-
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PROJECT ADDRESS: c)C—
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT
Phone: ,�i I �—
Email Address:
Mailing Address: SU\-r-E 11 13City/State/Zip:
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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—
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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 �—�
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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.
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Rev. 1/5/2017
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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.
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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