HomeMy WebLinkAboutN2017-0121o"t
a'�s�•.
Beach, CA 92660
oo cfivof Newic port Beacorth
Permit Counter Phone (949)644-3311
Online Inspection Request- www.newportbeachca.gov/Online
Services
N 2 0 1 7
0 1 2 1II Permit No: N201 %-U121-. �5
Project No: 0731-2014
'
Inspection Requests Phone (949)644-3255
Job Address :
2001 PORT BRISTOL CIR INS
Thomas:Guide: 889135
Description :
Three (3) curb cores, new drive approach per STD-162-L, plug
of existing drive approach
per STD-165-L, new curb ramp per STD-181-L (A-D), protect all
trees, new sewer
cleanout per STD-406-L, public right-of-way inspection.
Parcel # :
4580-812-5 -
�,p
SCAN14EID
Legal Desc :
N TR 6623 LOT 78
Owner:
SHOAII PARVIZ
Contractor: WEILER DON R
Phone:
0
Phone: 714-842-5800
Address :
2001 PORT BRISTOL CIR
Address : 17451 GRASS CIRCLE
NEWPORT BEACH, CA
HUNTINGTON BEACH CA
Contractor State Lic: 586459
Applicant:
WEILER DON R
License Expire : 01 31, 2018
Phone:
714-842-5800 [
Address :
17451 GRASS CIRCLE
HUNTINGTON BEACH CA
Business License : BT30051169
Business Expire : 05 31, 2017
Special Cond.:
Preconstruction meeting required with
Workers' Compensation Insurance - -
Public Works inspector.
Carrier: EXEMPT
Policy No:
W. C. Expire:
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Total Fee
$1,207.00
Agreement Fee,
$0.00
4TT Box Cover:
$64.00
Paid :
$1,207.00
Traffic control Plan Check:
$0.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee :
$902.00
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
1 ?/ 17
Traffic Approval :
Date : _/_/_
Issued Permit : L
Date :
—'%/
General Services Approval :
Date
Public Works Department 949-644-3311
20 * too Civic Center Drive, Newport Beach, CA 92660
i
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
StreeVAlleylWalk Closure:
Traffic Control Plan Check
8-1/2" x 11"
24" x 36"
Additional
$.00�
$192192.00
$502.00
$65.00=
$143.00
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
Newspaper Rack Inspection
Sewer Connection Fee
4TT Box & Cover
Certificate of Compliance Fee (+t00% 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
Park Dedication Fee Zone_
TBD
Street EasementlVacation Fee (+100% of hrly over 4 his)
$1,022.00
-
Rtroot Trae Fee ($700 Planting Fee)
TBD
TBDBTBD
$108.00
$250.00
$64.00 1
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
�. w� A kI9.0 1 -oo
Permit Specialist Receipt No.
C/userslpbw/sharetl/eneroecNmasters/ep front and beck mastarsl
Rev, 1/5/2017 epfeesheatxis-revisetl 10/212016
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 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 rejection/fine. City reserves the right to void permit if work does not commence within 30idays,
after date of issuance.
The PerniUee 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-waY5136F
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.
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 shag 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 feel 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 she. 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. 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 cleanouts require VCP or PVC SDR35 be used with a
4TT box over the riser.
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 bynthe
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 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 Callrans 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 1.500.227-2600 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 3300 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.
Rate: 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 Co pensation
provisions of the State tabor Code, I must comply with7therovisf of Section
3700 or this permit shall be deemed rev
;Pats! " - (3:! � 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:
INITIALS:
15. All 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 Slurred 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 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/
LOT 78
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CONCRETE 5 DRAIN
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CURB AND GUTTER
CORE DRAIN LINE 3"
SLAB TO 12"
i
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GROWING GROUND
STD-406-L, SEE
SHT G1.2 INSTALL
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FROM WM
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TRAFFIC GRADE
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THRU CURB PER STD-164-
(E) CATCH BASIN
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NEW CURB RAMP, /
SEE DETAILS:
STD-181-L-A
THRU
STD-181-L-D �
SHEET G1.2
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g `, 4_ PERtunAlw__,==
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nA GATWE i (E ST 7 E
NEW 2—• p�TE IN E
SINGLE FAMILY HOME DNE OF DECK ABOVE
PAD ELEV: 102.5
7 I
SLpg SHALL BE UNDERLAIN By
MIN. 4 GRADED GRAVEL OR
CRUSHED STONE
WOOD COLUMN �B, /PH` )
Lu
LINE OF BEAM ABOVE --\ °% i I .
S
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� No.54(
* EXP-12
r/9 C 1V
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NORTH
31142,0174 City of Newport Beach Page S of 21
4k30:43PM . INSP150 - Daily Inspection Request Report
y Requested Inspection Date : 03/15/2017`
Inspection Type: ENCROACH
Inspection Area: PW
!, Site Address : 2001 PORT BRISTOL CIR
Activity : N2017-0121
SubType:
Status : APPROVED
OWNER: SHOAII PARVIZ Phone: 0
APPLICANT: WEILER DON R Phone : 714-842-5800
Description : Three (3) curb cores, new drive: approach per STD-162-L, plug of existing drive approach
perSTD-165-L, new curb ramp per STD-181-L (A-D), protect all trees, new sewer cleanout
per STD-406-L, public right-of-way ins ection.
Item: 10200 PRE JOB - PW
Requested Time: 3/15/2017 1'2:00:OOAM Requestor: NBIVR
Entered By: NBIVR 7146127915
Comments: AM
Assigned to
Inspector: Li Date: (3 4S//- Time: $:.30 AM PM
Comments: 0&VA/00- Gli t-o / ccG«,r- r D OAt4 r•,r
12 f•✓ irAv� Dua yT- tJ*AAA�'a oL�PP kj40('b (j)
T- 00A IAA A- S
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorShee[doc
REPT131. Run Id. 4018
3/27M017
4:3fi26PM
City of Newport Beach ,
INSP150 Daily Inspection Request Report
Requested Inspection Date: 03/28/2017
Inspection Type: ENCROACH
Page 3 of 11
SubType:
Status : APPROVED
OWNER: SHOAII PARVIZ Phone p
APPLICANT WEILER DON R Phone : 714-842-5800
Description : Three (3) curb cores, new drive approach per STD-162-L, plug of existing drive approach
per STD-165-L, new curb ramp per STD-181-L (A-D), protect all trees, new sewer cleanout
per STD-406-L, public right-of-way inspection.
snnwa.�n
Item: 10030 CLEAN -OUT
Requested Time: 3/28/2017 12:00:OOAM Requestor: NBIVR
7146127915
Entered By: NBIVR pz l: c3o pv'Le'
Comments:AM
Assigned to: I
Inspector: \1 Date: /.-79 47 Time: (AM M
C/Z_3o—
Comments: 60kv t72G4 /�"0YL �/1/ � L �� oi✓ G
ogged
Reffle
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F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
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REPT131 Run Id: 4018
� 6
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Inspector: 6/ { % Date: / ('�/d 7 Time: PM
Comments: �iL .'�tt >L rl .a c— r�i 07
TL S° -P-z
Logged
Refile
F:\Users\PB\PAShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
411712017 City of Newport Beach Page 3 of 14
4:30:12PM , ;a INSP150 = Daily Inspection Request'Report
Requested Inspection Date : 04118/2017
Inspection Type: ENCROACH
Inspection Area: Pw
H,
Site Address : 2001 PORT BRISTOL CIR
NA
Activity : N2017-0121
OWNER: SHOAII PARVIZ Phone: p I
APPLICANT : WEILER DON R Phone : 714-842-5800
Description : Three (3) curb cores, new drive approach per STD-162-L, plug of existing drive approach
per STD-165-L, new curb ramp per STD-181-L (A-D), protect all trees, new sewer cleanout
per.STD-406-L, ublic ri ht-of-wa ins ection.
&.
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 4/18/2017 12:00:OOAM Requestor: NBIVR
7146127915
Entered By: NBIVR
Comments: ANI'
Assigned to: �/ H D
Inspector: , ` L�` Dater nl Time: 0 AM PM
Comments: L�11
Logged'
eflte
F:\Users\PBW\Shared\ENCROACH\MASTERSXFORMS\InspectorSheet.doc
... ....... - - ._... r..:.... _.:- --... -. _.._.... .... ...... ----
REPT131 Run Id: 4018
4/19I2017
City of Newport Beach Page 1 of 11
4:31:oopM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 04/20/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2001 PORT BRISTOL CIR
Activity :
N2017-0121
SubType
Status :
APPROVED
OWNER:
SHOAII PARVIZ Phone: p
APPLICANT:
WEILER DON R Phone : 714-842-5800
Description :
Three (3) curb cores, new drive approach per STD-162-L, plug of existing drive approach
per STD-165-L, new curb ramp per STD-1,81-L (A-D), protect all trees, new sewer cleanout
er STD-406=L Qublic right-of-way inspection.
Item:
10110 CONCRETE PUBLIC WORKS
Requested Time:
4/20/2017 12:00:OOAM Requestor: NBIVR
7146127915
Entered By:
NBIVR
Comments:
AM
Assigned to
Date: qj 7-0 /7 Time: '�t ' Od A PM
Inspector:
I Comments:
G 01�VUcsl9W ca�c, s7�s A�
e
PC—A)Q
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc.
REPT131.
—--- ------ ..._ ..... ........_
Run Id. 4018.
12
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