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.e, Newport Beach, CA 92660
none (949)644-3311
,,ction Request - www,newportbeachon.gov I Online
Is
Jo "Tress:
2351 BAY FARM PL NB
Description :
Curb core per City Std 406-L.
Parcel # :
4390-415-1 -
Legal Desc :
N TR 6407 LOT 28
Owner;
PETERS JOHN PATRICK
Phone :
0
Address:
2351 BAY FARM PL
NEWPORT BEACH, CA
Applicant: WEST HILLS MASONRY
Phone:
714-271-4585 [
Address :
1390 N HUNDLEG ST
ANAHEIM CA 92806
Special Cond.:
Pre -construction meeting required
Permit No: N2O1 Y-0663
Project No: SCANNEE
Inspection Requests Phone (949)644.3266
Thomas:Guide: 889E2
Contractor : WEST HILLS MASONRY
Phone: 714-271-4585
Address: 1390 N HUNDLEG ST
ANAHEIM CA 92806
Contractor State Lie: 920870
License Expire: 09 30, 2018
Business License: BT30057728
Business Expire:
01 31, 2018
Workers' Compensation Insurance - -
Carrier :
FALL LAKE FIRE
Policy No:
FLA000657
W. C. Expire:
08 01, 2017
Permit Processing Fee:
$241.00
Sewer Connection:
$0.00
Total Fee $406.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid: $0.00
Traffic control Plan Cheek:
$0.00
Total Water Meters:
$0.00
Balance : $406.00
Inspection Fee :
$165.00
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:
Utilities Approval:
Traffic Approval :
General Services Approval:
Date
Date
Date:
Date:
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Other Department —Date: !_!_
Permit Denied : P Date_ _! _!
Issued Permit: ✓C Datec%16/ _26
PROJECT ADDRESS: !
DETAILED DESCRIPTION OF PROPOSED WORK:
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Email Address: C m00% e werr� ccsw �s aM em
Mailing Address:
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City/State/Zip:
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Email Address: Gam . e'�,aFo . cow
Mailing Address:
City/State/Zip:
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Public Works Department 949-644-3311
10o Civic Center Drive, Newport Beach, CA 92660
as may be taken out by the owner of benefited property or a licensed contractor. A licensed
u , ovtde a "Letter of Authorization' to allow another parry to pug a permit. An approved copy of the
pe,, struction plan shall be kept at the job site at all times. Work, which has been done prior t _ of
a per. ,subject to rejection/fine. City reserves the right to void permit if work does not commence within 3, sys
after da., of issuance.
2. The Fatalities agrees to defend, indemnity 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.
t. Families 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.
i. 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.
3. All trenching and/or resurfacing shag 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 backtiilgng, or applicant maybe required to excavate site. Separate inspections by
the Municipal Operations Department may be required depending on scope of work performed.
3. 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 cendufts) to verify locations, Maintain a one -foot
clearance over or under existing City -owned utilities. Sewer cleanouts require VCP or PVC SOR35 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", fss y 1he
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $1,0,06°
per barricade per day, with a minimum charge of $36.00. 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,
It. 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 Hghway'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.
11 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.
14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If hot removed, the City
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 94 4-3066
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right- ayja
Temporary Street Closure Permit must be obtained from the Public Works Department �'
WORKER'S COMPENSATION INSURAN ( ctior 860 L?bor Code)
1 certify the 1 have a Certificate of consent o s -ins a, Ce lcate of Worker's
Compensat n surance, or a Certified C It of.
Signatu
CERTIFICATE OF EXEMPTION (Section 3800 L r Code)
1 certify that in the performance of the work under is pe it, 1 shall not employ
any person so as to become subject to California or is Compensation Laws. If,
after signing this certificate 1 become sub- to he Wor is pensation
provisions of" he State Labor Code, 1 must pl ith th v' f s of Section
3700 or this j5erwA shall be deemed revoke
Date7 Signature
CONTRACTOR LICENS EMPTIOf,
As the Own of t a benefiting property, 1 rti 1 amp
nail performing all
work in the uflli igbt-of-Way.
Date: (p ! Signature•
HOLD HARMLESS STATEMENT
1 understand that I am locating minor encroachments withi the City Right-of-
WayfEasement. As property owner it is my ponsibilft to maintain the
encroachments. I will be responsible for replac the imp emants if the City
removes them for maintenance of utilities or of r public I shall indemnify
and hold a Cf harmless for any Ila If asso a of the minor
encroachme s.
Date: (P f Signature:
16. 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,
IT 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 fight -of -way shall be planted, removed, trimmed, or relocated
without approval from the Municipal Operations Department, Parks and Street Trees
Division,
19. Ail work in the public night -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 dght-of-way, only, unless previously approved
by Public Works and an Encroachment Agreement has been processed.
21. Permit is valid for"description" of work noteiiI on front only. Additional work performed
may require issuance of a Separi imit i
tiler a Monal fees.
5
D BY TL 4G TO
ATER, MARINE
if STRENGTH.
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E HEAD JOINTS IN
A UNIT LENGTHS.
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ATURAL SOILS.
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ICENSED
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FILED WITH THE
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I PART OF
tOpMENTDEPARTMF_NT
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SITE PLAN
SCALE: 1/e"=V-0"
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