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HomeMy WebLinkAboutN2018-0131'City of Newport Beach - 1pII IIIII1IIIIIIIIIIIII1III1IIIIIIIIIII IIIIIIII Permit No: N201 s-0131 O 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Project No : 0188-2018 - - Online Inspection Request - www.newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address : 206 29TH ST NB Thomas:Guide: 888G7 Description : CONSTRUCT NEW 2ND 1" WATER SVC PER STD 502-L, INSTALL NEW 2ND SEWER LATERAL AND CLEAN OUT PER STD FBNEANED Parcel # : 0471-010-7 - Legal Desc : LAKE TR BLK 128 LOT 4 Owner: SHIRLEY BRYAN Contractor : CHASE GENERAL ENGINEERING CONTRACTOR INC Phone: Phone: 714-914-6345 Address : 206 29TH ST NEWPORT BEACH CA 92663 Q¢., Address: 15332 NEWCASTLE LANE HUNTINGTON BEACH CA Contractor State Lic: 906147 Applicant: EDMONDSON PHILIP LEE License Expire : 11 30, 2019 Phone: 949-675-9468 [ Address : 2600 NEWPORT BLVD #114 NEWPORT BEACH CA 92663 Business License : BT30054273 Business Expire : 08 07, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INSURANCE Policy No: 9047185 W. C. Expire: 03 01, 2019 Permit Processing Fee : $241.00 Sewer Connection : $250.00 Total Fee $1,796.16 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid: $1,796.16 Traffic control Plan Check : $0.00 Total Water Meters : $649.50 Balance: $0.00 Inspection Fee : $495.00 Water Meter Connection : $528.00 Receipt No: o �rjyg g Refundable Deposit: $0.00 Total Water Meter Box: $96.66 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By : Date: _/_/ Other Department : Date Utilities Approval : Date: _/_/_ Permit Denied Date: 3 10/ 11 Traffic Approval : Date : _/ / Issued Permit : Date: / General Services Approval : Date: _/ / 6. I 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 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 b he Public Works Department. Locate and pothole over or within 5 feet of an City utilities unless approved t Y Y �Y P P existing City -owned utilities (ie: water, sewer, or street lighting conduits) to verify locations. Maintain aone-foot clearance over or under existing City -owned utilities. Sewer cleanouts require VCR 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 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 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 -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy thereof.' ® - 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. I will be responsible for replacing the improvements if the City removes them for maintenance of utilities or other public need. 1 shall indemnify and hold the City harmless for any liability associated with the minor encroachments. Date: Signature: 24-hour notice for Encroachment Per 't ln!ppction is ired by calling Public Works at 949-644-3311.r:® Ll i 15, Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). 16. Homeowner, contractors, and subcontracotrs 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 $25,000 and/or up to three years in State prison plus the full cost to clean up an illegal discharge or spill. 17, If a refundable deposit was paid, applicant must submit a Soils Compaction Certificate or Evidence of a Slurried Backfill and request a final inspection from the Public Works Department. Monies may be held for six months after final inspection before a refund will be processed. 18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated without approval from the General Services Department. 19. All work in the public right-of-way must meet the approval of the Public Works Department or corrections will be required (i.e. removals, exposing connections, etc.). Additional inspection fees may be required. 20. Permit is for standard materials in the public right-of-way only, unless previously approved by Public Works and an Encroachment Agreement has been processed. 21. Permit is valid for "description' of work noted on front only. Additional work performed may require issuance of a separate permit and/or additional fees. g.'kYV COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: /(�P�t1JP�Si Out' APPLICANT: Phone Email Address: 1teW1 1 .cow Mailing Address City/St to/Zip: OWNER: ufCE Phone: Email Address: Mailing Address: City/State/Zip: .. ��� �"�����;�..'�Ir��T>Q12 tL�EF.�71t�NfATt�JI�.;E$ �i��f��RE�• PLE,45E CQM�?LE'�E . � , s ;.:= CONTRACTOR:lak-n Sa-kg Office Phone:!!e) 1110`43 40 Company Cif different): 11tL G Jobsite Phone: Other Phone: Email Address: ggo, M ilin Addres : 1&s• � t* ul a sf City/StatelZip: ZCI i e:f' State License Number0& Class: aL&-zq 7= Expires: City Business License Number: I 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 "y a EAR tFEICE tJ�E'�NLI, < ..• . Special Conditions of Permit: AQDITIONALAPPi; VALREgU1REDFROMTHE,FOLLOWINGDEPARTMENTS Utilities: Municipal Operations Traffic: 0 Fire: Other: Engineering Technician: Permi pecialist Date (0 Permit No. N2018- f lusers/pbw/shamd/encroach/masterslepwomsheet.xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 1d�'"`Y�tq�i�A�•"'f��3s$"�'14����t _ Ra r°r\��+ C� r�tr�' ��A>�k� '� a e 4� .' li: .:.1 � 2 ��` f 9 L' J PV0JECTADDRESS. geg� .29 / g-- DETAILED DESCRIPTION OF PROPOSED WORK: a r APPLICANT: Phone: l Email Address: Mailin Address: City/ tatelZip: OWNER: r'lll,,.�-i,,I,,41ilZeAPhone:Cl,&Z)1-B0- Email Address: Mailing Addre� City/StatelZip: ,23 67,E 5,-- / az CONTRACTOR: Office Phone: el Company (if different): lJobsite Phone: pr Other Phone: Email Address: Mailing Address: 3 D< i Ci lState(2ip: rT State License Ndmbet & Class: / Expires: 11LJOL19 City Busi ess License Number: rj,TjC05e12Ex ires: J WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: 510174f, — u Policy No: ,'y f -/ Expires: REPUNDA¢(EE1Ef 3SIT)N ORIyIATIi N(lfAap/r�afiAgl ......... . FteRand Payable Yo .:: ... . ati 12efupd Ta.:.... Special Conditions of Permit: ?m -job Ins �+i " re ro t . �1ppITfON4�°ApPRQUAL RECIUIR,EU FRAM, fHE FOL40W,ING DEPAItT1y�EN(S Utilities: General Services: Traffic: 0 Fire: 0 Other: Engineering Technician: tea, Public Works Specialist: I F-CA; I Date: S-22-116 Permit No. N2012. -0131 Elusers/pbw/shared/enomachimasWrslepwark heetws Public Works Department 949-644.3311 M �Y�'�'k`M-1- .Jyy,A{'TA,�u�Ts 31CM1 ;Fa•'a'.:'e�."+ AH«^,�L Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: y �� VV I N2018- �I I tJ� NUMB R: APPLICANT: d 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" Additional 44�� Inspection Fee: $241.00 Public Works Field Inspection $165.0 $275.00 Utilities Field Inspection $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $817.00 $192.00 Refundable Deposit: TBDP $502.00 Improvements TBD $65.000 Newspaper Rack Inspection $108.00 $65.00 Sewer Connection Fee $250.00 $143.00 4TT Box & Cover $64.00 later- er $54.25 $121.50' eter $285.00 irbine Meter $700.00' $425.00 1e Meter $845.00 $3,310.00 $4,730,00 t $7.190.00' Certificate of Compliance Fee (+t00% of hriy 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 405470_ Street EasementNacation Fee (+100%of hriy over hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Total Amount Due: For Finance use Only A -;iq&.1 Peen ecialist Receipt No. C W '4T/Y R y.7 y T` fdusers/pbw/shared/encroach/masters/ep front and back masters/ Rev. 12/18/2017 epfeesheetAs-revised 1118/17 4/11/2018 6:34:04AM City of Newport Beach Page 18 of 19 INSP150 - Daily Inspection Request Report Requested Inspection Date : 04/11/2018 Inspection Type: ENCROACH Inspection Area: PW Address : 20ryry6 29TH ST �Si�te/� 3 £ l E'er ✓V�TfYi��©s�., Activity : N2018-0131 SubType: NEW Status : APPROVED OWNER: SHIRLEY BRYAN Phone: APPLICANT: EDMONDSON PHILIP LEE Phone : 949-675-9468 pca@dslextreme.com Description : CONSTRUCT NEW 2ND 1" WATER SVC PER STD 502-L, INSTALL NEW 2ND SEWER LATERAL AND CLEAN OUT PER STD 406-L. u Item: 10040 SEWER LATERAL Requested Time: 4/11/2018 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: ANY - Assigned to: zzzzzzzzzzz` 13C1i+f�,-60LZa+'3wD 4 NEWPanr igwb 'M Ctr-- k, . 1 , L, CAU o o TD Ti0 CA-C% s ve RRQk 6t46,s- 4-11- 18 2',7.0?N 4/1212018 City of Newport Beach Page 10 of 11 6:34:15AM INSP15O - Daily Inspection Request Report Requested Inspection Date: 04/12/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 206 29TH ST Activity : N2018-0131 SubType: NEW Status: APPROVED OWNER: SHIRLEY BRYAN Phone: APPLICANT: EDMONDSON PHILIP LEE Phone: 949-675-9468 pca@dslextreme.com Description: CONSTRUCT NEW 2ND 1" WATER SVC PER STD 502-L, INSTALL NEW 2ND SEWER LATERAL AND CLEpAN' OUT PER STD 406-L. t -,t °12equested iInsperhon(s) Item: 10050 EXCAVATION- PW Requested Time: 4/12/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: ANY- Assigned to: zzzzzzzzzzz* LOGGED 714 914-6346 m 4/18/2018 City of Newport Beach 6:34:54AM INSP15O - Daily Inspection Request Report Requested Inspection Date : 04/18/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 206 29TH ST Activity : N2018-0131 SubType: NEW Status: APPROVED Page 14 of 14 OWNER: SHIRLEY BRYAN Phone : APPLICANT: EDMONDSON PHILIP LEE Phone : 949-675-9468 pca@dslextreme.com Description: CONSTRUCT NEW 2ND 1" WATER SVC PER STD 502-L, INSTALL NEW 2ND SEWER LATERAL AND CLEAN OUT PER STD 406-L. Item: 10255 FINAL - Utilities Requested Time: 4/18/2018 12:00:OOAM Entered By: WEBUSER Comments: ANY - Assigned to: zzzzzzzzzzz` Requestor: WEBUSER Q j.J C6 714 914-6346 4/18/2018 City of Newport Beach Page 13 of 14 6:34:54AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 04/18/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 206 29TH ST Activity : N2018-0131 SubType: NEW Status: APPROVED OWNER: SHIRLEY BRYAN Phone: APPLICANT: EDMONDSON PHILIP LEE Phone : 949-675-9468 pca@dslextreme.com Description: CONSTRUCT NEW 2ND 1" WATER SVC PER STD 502-L, INSTALL NEW 2ND SEWER LATERAL AND CLEAN OUT PER STD 406-L. Item: 10250 FINAL - PW Requested Time: 4/18/2018 12:00:OOAM Entered By: WEBUSER Comments: ANY - Assigned to: zzzzzzzzzzz* M 4I-Is-IR (I'.4S at-\ Requestor: WEBUSER 714 914-6346 I , fM,�g