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Wrr, City of Newport Beach I����I�IIII111 II 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request- www.newportbeachca.gov/Online w"bnt's' Services Job Address: 9 RUE DEAUVILLE NB Description : NEW SEWER CLEANOUT PER STD-406-L Parcel # : 4422-210-1 - Legal Desc : N TR 7809 LOT 1 Owner: VERTICAL PARTNERS LLC THE Phone: 310-871-4146 Address : 20 RUE GRAND VALLEE NEWPORT BEACH, CA 92660 Applicant: PLUMBING BROTHERS & ROOTER SERVICES INC THE Phone: [ Address Special Cond.: PRE CON MEETING WITH PW INSPECTOR Thomas:Guide: Contractor sa r' Phone: 6t Address Permit Processing Fee : $241.00 Sewer Connection: $0.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 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: $0.00 Processed By : Utilities Approval Traffic Approval : General Services Approval Date: _/_/_ Date Date Date Permit No: N201$-0124 Project No: 1693-2016 SCANNED Inspection Requests Phone (949)644-3255 889F5 WI WE® PLUMBING BROTHERS & ROOTER SERVICES INC (818) 255-5700 7049 VINELAND AVENUE Contractor State Lic: 986635 License Expire : 09 30, 2019 Business License: BT30062745 Business Expire : 04 30, 2019 Workers' Compensation Insurance - - Carrier : STATE FARM FIRE AND CASUALTY Policy No: 92ELB9899 W. C. Expire: 10 04, 2018 Total Fee : $635.00 Paid : $635.00 Balance: $0.00 Receipt No: Other Department : —Date: _/ / Permit Denied Date: Issued Permit: Date : 1L12 2019 dai I v ri'. WY,�y 4ia •� _ T �# � F�a i COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: e, DETAILED DESCRIPTlin OF PROPOSED WORK: APPLICANT: 42 Phone: U— 3 Email Address: G MaO ng Address: Cityl tat IZi � plI/p t OWNER: Phone: Email Address: Mai�ngAdd rel� Ci /w to/Z' h L YJ ... MM r _ k CAN CTQ1 FG�I IGF�r t�f.N lei_ FdEf , tRE I PLEME IP WP4ETE CONTRACTOR: Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing Address: City/State/Zip: S t�Licr tuber & Class: l �� Expires: 7I30 ( Ci e$ sins License Number: JJr� 30OU2 QU Expires: 3�l WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Oerations: 949-644-3066 Utilities: 949444.3011 Urban Forestry: 949-644-3083 Special Conditions of Permit: ADDITIOfjtAL,APPROYAL REQUIRE© FROM THE FOLLOW1, DEPARTMENTS Utilities: Municipal Operations Traffic: 0 Fire: 0 Other: Engineering Technician: Per ' ecialist Dat Permit No. N201a- flusers/pbwfsharediencroach/masters/epwoBsheet,xls - Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Street/Alley/Walk Closure: Traffic Control Plan Check 8-1/2" x 11" 24" x 36" $241.00� $275.00I MI $.00[ $192192.00 $502.00 $65.00 = $65.00 $143.00 Inspection Fee: Q 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 mstammon t,narge.: ra _ a. r• rr _ $.00� $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/VacationFee (+1o0%ofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) ----------------------------------------------------------------- TBDI 030-2284 Engineering Tech: Total Amount Due: For Finance use only AQ-- � 63b-°") Permit S Receipt No. f /users/pbwtshamd/encroach/masters/ep front and back masters/ Rev. 12/18/2017 epreesheetxls-revised 11/8/17 2. 3. 4, 5. 10. T. 12. 13. 14. 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 30 days after date of issuance. 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 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-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. 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 Safety prior to commencing underground construction as required by State law. Walls and faces of all excavations over 5feet 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 Utilities Department or General Services Department inspections 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 fie: 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. Property lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All signs, flags, lights and other warning and safely 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 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 Slate Highway's traffic or within the State Highway right-of-way will require a Caltrans 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. 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 daysby 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 a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copythereof. i --? r,Y- /,? Signature: CERTIFICATE OF EXEMPTION (Section 38`00 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 Compensation provisions of the State Labor Code, I must comply with the provisions of Section 3700 or this permit shall be deemed revoked. Date: 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: 24- ur notice for Encroachment Permit Inspection is required by calling P b c Works at 949-644-3311. 15. Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). 16. Homeowner, contractors, and subcontmcotrs 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 Slate 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 General Services Department. 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. ,.- - I -tj !a , T;, � B W 4112/2018 City of Newport Beach 4:30:48PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 04/13/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 9 RUE DEAUVILLE Activity : N2018-0124 SubType: NEW Status: APPROVED OWNER: VERTICAL PARTNERS LLC : NEW SEWER CLEANOUT PER STD-406-L Page 3 of 13 Phone : 310-871-4146 AHADRA@MAINSTREAMPi Item: 10250 FINAL - PW Requested Time: 4/13/2018 12:00:OOAM Requestor: WEBUSER 310-871-4146 Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz* Inspector: ZEtL C-, Date: i 3 l i� Time: ?,-Oa AM(9 Comments: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131- Run Id: 4018 ALL EXISTING LANDSCAPE/HARDSCAPE 1 ALL DRAINAGE TO TIE INTO EXISTING SITE PLAN KEY NOTES / 1. ALL EXISTING TO REMAIN UNLESS 2. NEW LIGHT WEIGHT TILE ROOF CL "A" 3. NEW FLAT ROOF CLASS 4. LOCATION OF NEW DECK 5. EXISTING FLAT ROOF TO REMAIN 6. NEW SKYLIGHT /, , 7. NEW GAS ONLY DIRECT VENT FIRI AND SPARK ARRESTOR �/ V / 9. EXISTING 6' BLOCK STUCCO WALL 10. LOCATION OF NEW AC UNIT LOCATION OF EXISTING AC UNIT 11. 12. EXISTING CONCRETE PATHWAY 13. NEW BAY WINDOW POP OUT J 14. MODIFIED KITCHEN POP OUT Q / 15. EXISTING 30" BLOCK STUCCO W 16. LOCATION OF NEW UPSTAIRS LI` NEW TRENCH DRAIN CAPTURNIP