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HomeMy WebLinkAboutN2018-0146City of Newport Beach c� G 100 Civic Center Drive, Newport Beach, CA 92660 N 2 9 1 6 9 1 4 6 Permit No: N2U 1 H-0146 N +. Permit Counter Phone (949)644-3311 Project No: ' a era Online Inspection Request- www.newportbeachca.gov/Online Services Inspection Requests Phone (949)644-3255 Job Address: 6001 COAST BLVD NB Thomas:Guide: 888E5 Description: Install sewer cleanout on existing sewer lateral. Restoration by others. � VIEWED Parcel # : 0451-141-5 - SCANNED Legal Desc : RIVER SECTION LOT 11 BLK 160(AND LOTS 12 & 13 BLK 160 Owner: FOLEY DANNY P Contractor : CHASE GENERAL ENGINEERING CONTRACTOR INC Phone: 0 Phone: 714-914-6345 Address: 4680 VIEJA DR Address : 15332 NEWCASTLE LANE SANTA BARBARA, CA COMPILED � HUNTINGTON BEACH CA Contractor State Lie: 906147 Applicant: CHASE, INC License Expire: 11 30, 2019 Phone: 714-914-6346 [ - Address: 16835 ALGONQUIN ST #329 HUNTINGTON BEACH,CA 92649 Business License: BT30054273 Business Expire: 08 07, 2018 Special Cond.: Pre -job inspection required Workers' Compensation Insurance - - Carrier: STATE COMP INSURANCE Policy No: 9047185 W. C. Expire: 03 01, 2019 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee $635.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid: $635.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance: $0.00 Inspection Fee : $330.00 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 Traffic Approval : Date : _/ /_ Issued Permit : Date: 3 / 22/ uT General Services Approval : Date 2. 3. 4. 5. III 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 issuanee=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, 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. 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 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 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 (ie: 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 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 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 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 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 a Certificate of consent to self -in re, Certificate of Worker's Compensation Insurance, or a Certified Copy the J Date: 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 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. 1 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: r notice for Encroachment it ilnspection is required by calling Public Public 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 subconnacotrs 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 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. Permit Processing Fee: Q Public Works Only $241.00 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 8-1/2" x 11" $65.00 24" x 36" $143.00 Additional :ter: Certificate of Compliance Fee (+100% of hrly over 3 hrs) Development Services Fee (Plan check hourly) Final Tract Map Checking Fee Final Parcel Map Checking Fee - Moderate Lot Line Adjustment Fee Park Dedication Fee Zone _ Street Easement/Vacation Fee (+100% of hrly over 4 hrs) Street Tree Fee ($700 Planting Fee) ------------------------- 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: TBD Improvements TBD Newspaper Rack Inspection $108.00 Sewer Connection Fee $250.00 4TT Box & Cover $64,0011 :ter: Certificate of Compliance Fee (+100% of hrly over 3 hrs) Development Services Fee (Plan check hourly) Final Tract Map Checking Fee Final Parcel Map Checking Fee - Moderate Lot Line Adjustment Fee Park Dedication Fee Zone _ Street Easement/Vacation Fee (+100% of hrly over 4 hrs) Street Tree Fee ($700 Planting Fee) ------------------------- 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: TBD Improvements TBD Newspaper Rack Inspection $108.00 Sewer Connection Fee $250.00 4TT Box & Cover $64,0011 0 $288.00 5200-5029 $155.00 5200-5015 $2,488.00 5200-5026 $2,488.00 5200-5027 $1,079.00 5200-5028 TBD 405-470_ $1,022.00 5200-5031 TBDI 030-2284 Engineering Tech: Total Amount Due: For Finance use only ffi(P,a, — PA-lfl 9 -22� 1$ Permit Specialist Receipt No. p _ ` ; M1Od Rev. 12/1812017 ' -I p sci r3 1-0 V f.lusers/pbwlshared/encmach/masters/ep front and back masters/ epfeesheeUls-revised 1118117 W u»z" Flv E' kr i.;a. PROJECT AD RESS DETAILED DESCRIPTION OF PROPOSED WORK: APPLICANT: . ye Phone: Email Address: Mailing Address: Y Cit ! tatefZip: OWNER: G o Phone: 5 ,;M Email Address: Z = 47 Mailing Address: Cit /statelZip: r Sav x l 'K ✓ALL 111,01 T9A0' r-` R-" ... ,13"1A VQ,R. MflR�D??� ,:? ��.,r ' MPLffFM.. ` CONTRACTOR: Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing Address: # 5 ®av City statelZip: State License Ntkfnberf& Class: Expires: City Busirfa&s License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: J Expires: / __: 4 EFU(�DABLE,...... S771NF.0.??MA.... (/fApp/rcaHle). IefarrdFa'ableT.cr :i:,;1.':::'.. .:... ...:..,.: ..... . Melt Refupd To ...:. ..... Special Conditions of Permit: lee- iob osFeciian r�°iW wd ACIbITFOI%lL AF?PROVAL REQUIRED FROM T,FIE FOL) OWI�IGpEP/tFi fIVIENTv'`, , ,r ,,. W Utilities: Traffic: Fire: General Services: Other: Engineering Technician: RD Public Works Specialist: t�wd Date: 3-22 . IQ6 Permit No. N201t -ON+(O Efuwmfpb Wsheredlenemach/masfers/epworhheat. s Public Works Department 949-644-3311 3/26/2018 6:34:41AM City of Newport Beach Page 17 of 19 INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/26/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 6001 COAST BLVD A/P/D Information: Activity : N2018-0146 SubType: Status : APPROVED OWNER: FOLEY DANNY P Phone: 0 APPLICANT: CHASE, INC Phone : 714-914-6346 Description : Install sewer cleanout on existing sewer lateral. Restoration by others. Item: 10000 EXCAVATION & PIPE INSTALL-UTIL Requested Time: 3/26/2018 12:00:OOAM Requestor: Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz' WEBUSER 714 914-6346 3/26/2018 City of Newport Beach Page 19 of 19 6:34:41AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/26/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 6001 COAST BLVD A lb Information: Activity : N2018-0146 SubType: Status : APPROVED OWNER: FOLEY DANNY P Phone: 0 APPLICANT: CHASE, INC Phone : 714-914-6346 )escription : Install sewer cleanout on existing sewer lateral. Restoration by others. Requested Inspection(s) Item: 10050 EXCAVATION- PW Requested Time: 3/26/2018 12:00:00AM Entered By: WEBUSER Comments: AM- Assigned to: zzzzzzzzzzz" Requestor: WEBUSER 714 914-6346 3/26/2018 City of Newport Beach Page 18 of 19 6:34:41AM INSP15O - Daily Inspection Request Report Requested Inspection Date: 03/26/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 6001 COAST BLVD A(P/D Information: " , Activity : N2018-0146 _ SubType: Status : APPROVED OWNER: FOLEY DANNY P Phone : 0 APPLICANT: CHASE, INC Phone : 714-914-6346 Description : Install sewer cleanout on existing sewer lateral. Restoration by others. Requested Inspection(s) Item: 10030 CLEAN -OUT Requested Time: 3/26/2018 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzuzzz' '3 Per M I' �- 7 ��F> 3/27/2018 City of Newport Beach Page 10 of 10 6:34:08AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/27/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 6001 COAST BLVD . >aif,PlDtnfcirmatrori:'. ;j Activity : N2018-0146 SubType: Status : APPROVED OWNER: FOLEY DANNY P Phone: 0 APPLICANT: CHASE, INC Phone: 714-914-6346 )escription : Install sewer cleanout on existing sewer lateral. Restoration by others. Item: 10255 FINAL - Utilities Requested Time: 3/27/2018 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to: zuzzzzzuz` Requestor: WEBUSER 714 914-6346 ME, 4'. 4/11/2018 City of Newport Beach 6:34:04AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 04/11/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 6001 COAST BLVD Activity : N2018-0146 SubType: Status: APPROVED Page 19 of 19 OWNER: FOLEY DANNY P Phone: 0 APPLICANT: CHASE, INC Phone: 714-914-6346 Description: Install sewer cleanout on existing sewer lateral. Restoration by others. Item: 10255 FINAL - Utilities Requested Time: 4/11/2018 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzzzzzz* Requestor: Ewa H8I 1 OF LIi M WEBUSER 714 914-6346 f City of Newport Beach 11111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 . Permit Counter Phone (949)644-3311 Online Inspection Request- www.newportbeachca.gov/Online �rraaa+ly„ Services Job Address Description: Parcel # : LegalDesc Owner: Phone: Address: 3804 SANDUNE LN NB INSTALL NEW SEWER CLEAN OUT PER STD 406-L. 4580-610-5 - N TR 6425 LOT 65 REDDY NAVEEN S 3804 SANDUNE LN CORONA DEL MAR, CA 92625 Applicant: COAST WATER & POWER Phone: 949-548-0106 949-289-0078[ Address : P 0 BOX 3341 NEWPORT BEACH CA 92659 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED 'EV 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 Permit No: N2018-0159 Project No : 0252-2017 Inspection Requests Phone (949)644-3255 Thomas:Guide: 919G2 ,�I Contractor: COAST WATER & POWER Phone: 949-548-0106 949-289-0078 Address: P 0 BOX 3341 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 License Expire : 07 31, 2019 Business License: BT96014951 Business Expire: 12 31, 2018 Workers' Compensation Insurance -- Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2018 Total Fee : $635.00 Paid : $635.00 Balance: $0.00 Receipt No: Date: _/ / Other Department : Date : _/_/_ Date: Date: _/_/_ / / Permit Denied Issued Permit Date : _/7_//cl 41 Date :3 K— / Date: / / INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ^" TIME RECEIVED REMOTE CSID DURATION PAGES STATUS march29, 2018 at 8:51:43 Am PDT 99 3 Received C Jo" ✓LJ f ( Public Works Department 9494"4311 100 Civic Center Drive, Newport Beactr, CA 92660 LEGEIVD E =J —TREE r = POWER POLE: Z� =UWE a CLEa NOUT 0 WATER NW -MR BOX �.4 1 15� } M44KoZ •0V40 Cis" 8 GTIr-1 --f CITY OF PiEWPORT BEACH ENCROACHMENT PERMIT Permit No.W2 (6 LSq i ADDRESS 1 3o Li APPUCANTIOLBIL"be OWNER DESCRIPTION OF WORK �� f 414/2018 City of Newport Beach Page 5 of 6 4:30:31PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 04/05/2018 - Inspection Type: ENCROACH Inspection Area: PW Site Address : 3804 SANDUNE LN Activity : N2018-0159' SubType: NEW Status : APPROVED OWNER: REDDY NAVEEN S Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L. Item: 10030 CLEAN -OUT Requested Time: 4/5/2018 1200:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: u7777777zz. Inspector: Q-SILIA- Date: �I Time: �S- Z)-rA�PM Comments: Co2C-Y-e-Gk, w O&JIncl';I!q C it2l s.naed R-e F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131, Run Id: 4018 �t Y �I i I ( I I vK J j m {L� T W e IM - i Y t3 4 4 ;4 � 9 f t ; g 1 I x ;I C I it 11 �y1 < I �IIGI f. c 4/9/2018 City of Newport Beach Page 2 of 10 6:34:39AM INSP15O - Daily Inspection Request Report Requested Inspection Date : 04/09/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 3804 SANDUNE LN A/P/Mriformatiori: Activity : N2018-0159 SubType: NEW Status : APPROVED OWNER: REDDY NAVEEN S Phone : APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 4/9/2018 12:00:OOAM Requestor: WEBUSER 714-397-0085 Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz* q 30 pow