Loading...
HomeMy WebLinkAboutN2017-0037City of Newport Beach II�I��I��uIIIIIII��I�I�III��VI����� II ' d 1 100 Civic Center Drive, Newport Beach, CA 92660 F kb Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online Services Job Address: Description: PW INSPECTOR. Parcel # : Legal Desc : Owner: Phone : Address Applicant: Phone: Address: Permit No: N2017-0037 Project No : 2852-2014 Inspection Requests Phone (949)644-3255 1115 GOLDENROD AVE NB Thomas:Guide: 919171 REMOVE AND REPLACE EXISTING DRIVWAY APPROACH, (1) CURB DRAIN, REMOVE BRICK FROM PARKWAY, R/R CURB,GUTTER AND SIDEWALK PER 4586-710-4 - N TR 2202 LOT 43 TOBIS JEROME S EXEMP 0 TOBIS JEROME S EXEMP Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED 177. 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 : $495.00 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 : / / Contractor : MATA'S CONSTRUCTION CO Phone: 714-393-6358 Address: P.O. BOX 3749 SANTA ANA CA 92703 Contractor State Lic: 861880 License Expire: 07 31, 2018 Business License: BT30015664 Business Expire: 04 30, 2018 Workers' Compensation Insurance - - Carrier: WESCOINS CO Policy No: WWC3251945 W. C. Expire: 02 01, 2019 Total Fee Paid: Balance Receipt No: Other Department : $736.00 $736.00 $0.00 Permit Denied : Date : / / Issued Permit : Date: / / �r City of Newport Beach 'N2017-0037 N2017-0037 s Permit No: 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Project No: U Online Inspection Request- www.newportbeachca.gov/Online cwr,4,. Services Inspection Requests Phone (949)644-3255 SGAN Job Address : 1115 GOLDENROD AVE NB Thomas:Guide: 919F1 Description: REMOVE AND REPLACE EXISTING DRIVWAY APPROACH, (1) CURB DRAIN, REMOVE BRICK FROM PARKWAY, R/R CURB,GUTTER AND SIDEWALK PER PW INSPECTOR. Parcel # : 4586-710-4 - Legal Desc : N TR 2202 LOT 43 Owner: TOBIS JEROME S EXEMP Phone: 0 Address : Applicant: TOBIS JEROME S EXEMP Phone: [ Address Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED c^wv>� a a 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 : $495.00 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: _/_/ Contractor: MATA'S CONSTRUCTION CO Phone: 714-393-6358 Address: P.O. BOX 3749 SANTA ANA CA 92703 Contractor State Lic: 861880 License Expire: 07 31, 2017 Business License: BT30015664 Business Expire: 04 30, 2017 Workers' Compensation Insurance - - Carrier: WESCOINS CO Policy No: WWC3183916 W. C. Expire: 02 01, 2017 Total Fee $736.00 Paid : $736.00 Balance : $0.00 Receipt No: Other Department : Date : _/_/. Permit Denied —Date: _/_/_ Issued Permit : Date: / /2V/L- 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 rejectionifine. City reserves the right to void permit if work does not commence within 30 days after date of issuance. The Permitiee 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. I 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. Perniftee 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 lines a valid Slate 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 shall obtain permits to perform excavation or trench work from the California Division of Industrial Safely 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. 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 Wanting Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the 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 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 Highway's traffic or within the Slate Highway right-of-way will require a Cahrans 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 al Certificate of consent to self -insure, Certificate of Worker's Compensation InsuFance, or a Certified Copy them CERTIFICATE OF EXEMP');IE'N (Section 3800 Labor Code) 1 certify that in the performance of the work under this permit, 1 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 3700 or this permit shall be deemed revoked. Date: As the Owner of work in the Public Date: I understand that 1 Way/Easement. A encroachments. 1 % removes them for n and hold the City encroachments. Date: Signature: CONTRACTOR LICENSE EXEMPTION benefiting property, I certify I am personally performing all Signature: HOLD HARMLESS STATEMENT n locating minor encroachments within the City Right -of - property owner it is my responsibility to maintain the be responsible for replacing the improvements if the City ntenance of utilities or other public need. I shall indemnify harmless for any liability associated with the minor Signature: 15. All above ground facilities shall complyli8fthe 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. 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 fort' -description" of work noted on front only. Additional work performed may require issuance of a separate permit and/or additional fees. Permit Processing Fee: Q Public Works Only $241.00 a Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Street/Alley[Walk Closure: $65.000 Traffic Control Plan Check x11" $65.00� 24"x 2436" $143.00 Additional Inspection Fee: City. Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover TBDBTBD $108.00 0 $.00B $64 $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 Easement/Vacation 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 Permit Specialist Receipt No. f./users/pbw/shared/en=ach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheet.xls-revised 10/21/2016 {T14��lMk WRq-T COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: _ i� (/� ) b-, DETAIL D DESCRIPTION 11044/11�)I;V Nnhn) OF PROPOSED WORK: F-3NPU &JA (rpy� KJ,; (1 0 r k) r aLLJ 'PG 2�52"�►`� Phone: -KL6 APPLICANT: , Email Address: Mail'ng A ress: z- Ci /StatelZ'p: OWNER: Phone: Email Address: Mailing Add ss: C'✓y/State/ ip: TLYG ALL'.CONTRACTOR INFORMATION,' IS REQUIRED-PL'EASE'.C.QMpLET CONTRACTOR: Office Phone: Compan (if different): -a lJobsite Phone: Other Phone: Etnail Address: Maing Address: Ci /Stae/ ip: n' �3 State License Number & Class: ` Expires City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Operations: 949-644.3055 Utilities: 949-644-3011; Urban Forestry: 949-644-3083 Special Conditions of Permit: (�►°�5 Q1A1J p(1 tJv (PJ �� ALIDITIgNpI , F!PFIOVAL REClUIREU ;FROM THE.FOLLOWING DEPARLMENTS.' Utilities: Municipal Operations Traffic: 0 Fire: Other: Engineering Technician: Permit Specialist Date: Permit No. N2017-1D304 tlusers/pbwlsherecVencroachtmesterelepwor sheet.xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 IC 'S 'WALK, 'AID BY BE MADE MENTS 3MPLY I INTO ''PAIR WORK. LRTMENT. POR ARR1l RV A CONSTRUCTION NOTES: lO CONSTRUCT ON -SITE PATIO/WALKWAY, SEE LANDSCAPE ARCH. PLANS FOR MATERIAL TYPE. O CONSTRUCT ON -SITE DRIVEWAY. SEE LANDSCAPE ARCH. PLANS FOR MATERIAL TYPE, SUBGRADE SHALL BE SOIL ENGINEER'S RECOMMENDATIONS. O3 CONSTRUCT 6" DIA. AREA DRAIN INLET (DOMED GRATE). NDS MODEL 80. 4 4° -3 R SCH. 40) DRAIN RIPE AT I.0% MIN. SLOPE. 5.5. CONSTRUCT 4" CURB DRAIN PER CITY OF NEWPORT BEACH STD. 184-L (PUBLIC WORK PERMIT REQ'D.) 6. CONSTRUCT PROPERTY LINE WALL (RETAINING WHERE NECESSARY) (6' TOTAL HEIGHT) O CONSTRUCT 3" DIA. DECK DRAIN INLET (FLAT GRATE). O CONSTRUCT 12" SQUARE BOTTOMLESS BROOKS PRODUCTS CATCH BASIN NO. 1212 FOR WATER QUALITY CONTROL PER DETAIL SHOWN HEREON. OCONSTRUCT 3" DIA. P.V.C. (SDR-35 OR SCH.40) SUMP PUMP OUTLET PIPE 10 CONNECT ROOF DOWNSPOUT TO UNDERGROUND DRAIN SYSTEM OR OUTLET ONTO CONCRETE SURFACE 11 INSTALL SINGLE ROW OF SANDBAGS (2 BAGS HIGH) FOR EROSION CONTROL. TALL NEW SEWER CLEANOUT ON EXISTING SEWER LATERAL PER CITY STD. 406-L NSTRUCT RESIDENTIAL DRIVEWAY APPROACH TYPE I PER CITY STD 162-L SAW -CUT & REMOVE BRICK/CONC. IN PARKWAY AND SOD/LANDSCAPING. EXISTING 16 RELOCATE THE EXISTING GAS METER TO PRIVATE PROPERTY 17. CONSTRUCT 6" DIA. AREA DRAIN INLET (FLAT GRATE). 18. INSTALL SUMP PUMP (DUEL PUMP SYSTEM ----- 0.44 CFS, 7.8' TDH, L=108') --- SPECS TO BE PROVIDED BY OTHERS. 19. CONSTRUCT 4" DIA PERFORATED PVC (SCH 40 OR SDR 35) DRAIN PIPE AT I % MIN. SLOPE PER DETAIL HEREON. 20, CONSTRUCT DEEPENED FOOTING (WITHIN IY OF PERFORATED PIPE) PER RECOMMENDATIONS OF THE SOILS ENGINEER AND/OR STRUCTURAL ENGINEER. PROP. EXISTING WALL WOOD DECK - PROPOSED WALL -� EXISTING GRAD 13' NEW RESIDENCE CONSTRUCT FOUNDATION CURB AS NEC. TO MAINTAIN 6" MIN. 4), � 3 PROPERky 4� ( ft71 C9) (1 MR BE= 0 (103.09) / 0 (10 29) (IO2,.�10 p FS o (102.77) 03.01 EAVE 20 0t5 F USH1 TO DNm3 b00.Z ao8 eF:,' BUSH TOP f- 1 (113.2) 3.02) PALM TO OL F.F. = 101.1 �— PAD = 100.18 12.3 PALM I� 1 01 (103.01) �9 FS (i 02 99 4 FS IC, 3.G2 (r1 (103.22) it 1 � IUI.bb) (101.36) 101.90) p a EG TS (101.76)TC cep 4 GRASS (101.25)FL (102 29,/ T I 6 AC Q y (101 .6 18' --- -- � Tv y 128.00' cri 8.00' ,I pj 101.45 TC 5 (103.0 �- �- co y o S 101.00 OUTLET O 100.98 FL 10 _.. 101.35 a 0063) 6 CN II - 1m©I`m'.F• - • 00 U (101.31) (100.8"` 18 AC (1 0.87) L a CURB & GUTTER FS D TREE 15 M (100.50)TC d o 99.98)FL I'' Z 0.61) (100.17) F EG of (1 .58) 14 c I 11 III � f (100.82) J ° C U y o Q i U (n U y < J 4 /S5 ~ n C a EG 0 0 o oa ) (100.00)TC ,_ ._N TRIM �(�99.99 NZO17- 00 3 7 Inspector: Comments: � 9:�s-cttEcr� - G GfG 1 1 S 4 00>6N ROD AVb AM /0 /ov - FOROW owl comp . - Pjj 7 /N -'39 3 - G 3 S'8 jos�- JV Date: I l 7o l 7 Time: 9: m� AM PM G'p s4Pc � o�r C.. F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131. Run Id: 4018