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N2017-0286
VV.c CeneWter Cport Beach rive. NewportBach. CA92660 1N 20 17 0 2 8 6�� .fit Counter Phone (949)644-3311 ,aline Inspection Request - www.newportbeachea.gov / Online Services Permit No: N2017-0286 Project No: 0978-2016 sCA 0 NED : Inspection Requests Phone (949)644-3255 Job Address : 1701 PORT BARMOUTH PL NB Thomas:Guide: 889G6 Description: NEW DRIVEWAY APPROACH PER STD 162-L, REMOVE EXISTING CONCRETE WALK AND PLANT SOD, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L, INSTALL 2 NEW CURB DRAINS PER STD 184-L. Parcel # : 4581-311-2 - Legal Desc : N TR 6622 LOT 84 Owner: WAGNER DAVE & BROOKE Phone : Address: 1701 PORT BARMOUTH PL NEWPORT BEACH, CA 92660 Applicant: VALLEY MASONRY Phone: 714-488-6393 [ Address: 264 NORTH SHAFFER ORANGE CA 92866 Contractor : VALLEY MASONRY Phone: 714-488-6393 Address: 264 NORTH SHAFFER ORANGE CA 92866 Contractor State Lic: 390882 License Expire: 01 31, 2019 Business License: BT30063500 Business Expire : 09 30, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : EMPLOYERS COMP Policy No: EIG157791603 W. C. Expire: 10 01, 2017 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee : $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $0.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance: $736.00 Inspection Fee : $495-00 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 : _� j Traffic Approval : Date: _/_/ Issued Permit: t/ Date: -� /30 General Services Approval : Date: _/ / DPJAILCUUI70%.,M1 ,""'a,•nvr�.,.... S� y� w�/. APPLICANT: Phone: Email Address: Mailing Address: C� S / r Cityistpe OWNER: Phone: Email Address: Mailing Address: n CityiStatei A�°GQi`�FRY IfPi°iF CONTRACTOR: �c �fovrtz-r Office Phone: Company (if different): bsite Phone: 71 V y 6 S Other Phone: Email Address: Mailing Address: Ciry/StatelZip: �� �? �B� G ,��y� Sties State License Number & Class: City Business License Number: Expires: Ex Tres: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an Policy NO: Expires: NEi liNoPi�l 4EPQSIT INFORMAOWN' Rt�Eurrd;k"a atilt Tc ; allRefund To, FORF�iGE US ? �N F. Special Conditions of Permit: CCSYL "� ADDITIONAL APPROVAL REQUIRED FROM THE FALLOWING DEPARTMEF1iS Utilities: Traffic: = Fire C� General Services. Other: Engineering Technician: Publi ks Specialist: Date_ `� Perm4i�No. -OT slpbv/snerea/encrnach/masleaepworksneetxie � �✓1 /'] .—% o i (/y. ,�Z W .64g-33'r'i Public Works Department 949 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of ReporUAgreement Document Recordation Fee Monitoring Wells Street/Alley/Walk Closure: Traffic Control Plan Check 8-1/2" x 11" 24" x 36" Additional inspection Fee: $241.00 Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $.00 � $192192.00 $502.00 $65.00= Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover Certificate of Compliance Fee (+100% of hrly over 3 hrs) $288. Development Services Fee (Plan check hourly) $155. Final Tract Map Checking Fee $2,488. Final Parcel Map Checking Fee - Moderate $2,488. Lot Line Adjustment Fee $1,079. Park Dedication Fee Zone _ T Street EasementlVacationFee (+1o0%of Myover 4hrs) $1,022. Street Tree Fee ($700 Planting Fee) T , .Engineering Tech:Total QAmount �Due: $165.00 $121.00 $165.00 $108.00 TBDl TBD $108.00 $$64.00" $64 .00 00 00 5200-5029 5200-5015 00 5200-5026 00 5200-5027 00 5200-5028 BD 405-470_ 00 5200-5031 BDI 030-2284 For Finance Use Only ,p front and back masters! TERMS AND CONDITIONS OF ENCROACHMENT PERMIT 1. 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. 2. 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. 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. 4. 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. 5. 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. 6. 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. 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 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. 8. 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. 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", 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. 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. 11, 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. 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. 13. 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. 14, 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) ry that I have a Certificate of consent to s sure, Certificate of Worker's ansation Insurance, or a Ce ified Copy th reof " -3 G 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. 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: �4-hour notice for Encroachment Permit Inspection is required by calling uVi`c_Works at 949-644-3311. 15. Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). Homeowner, contractors, and subconlracotrs 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. FG 1L" �y x w� „k \ Al No, X 3" CONCRETE GUTTER SUBDRAIN FOUR —INCH DIAMETER SCH 40 OR SDR 35 PERFORATED PIPE SURROUNDED WITH ONE CUBIC FOOT, PER LINEAL PIPE FOOT, OF 3/4—INCH GRAVEL. THE GRAVEL SHALL BE WRAPPED IN FILTER FABRIC. SWALE DETAIL j"-4'�— AS SHOWN INLET L" PIPE .TER EXIST GROUNC EXIST..GROUND_, n CATCH BASIN KRI' W FOSSIL FILT Nis I -WI 2� CONSTRUCT 4" MIN CONCRETE HARDSCAPE BY SE 0INSTALL 6" SO GRATE DRAIN @ INSTALL 4" ATRIUM GRATE DRAIN @ INSTALL 9" SO GRATE DRAIN WITH FILTER INSERT © INSTALL 4" PVC SDR 35 DRAIN LINE, S=0.01 MIN 7O CONSTRUCT TRENCH DRAIN PER DETAIL ® CONSTRUCT YO DRAIN THRU CURB PER CNB STD PLAN 184-L 9J REMOVE EXISTING CONCRETE WALK AND PLANT SOD. 10 INSTALL NEW SEWER CLEANOUT PER STD-406-L ON EXISTING SEWER LATERAL. FIELD VERIFY 11 REMOVE AND REPLACE EXISTING CONCRETE DRIVEWAY APPROACH PER STD PLAN 162-L. @ REMOVE AND REPLACE ASPHALT WITH 12"W x 12"D FULL DEPTH A.C. PATCHBACK. TACK COAT ALL JOINT SURFACES PRIOR TO PLACEMENT. 13 INSTALL PERFORATED DRAIN/TRENCH PER DETAIL @ INSTALL 3" CHANNEL DRAIN @ INSTALL 12" CONC CATCH BASIN WITH FILTER AND FOSSIL POUCH BY KRISTAR ENTERPRISES PROP BY SE GENERAL NOTES: EXIS 1. AN ENCROACHMENT AGREEMENT IS REQUIRED FOR ALL NONSTANDARD IMPROVEMENTS WITHIN THE PUBLIC RIGHT OF WAY. ALL NONSTANDARD IMPROVEMENTS SHALL COMPLY WITH CITY COUNCIL POLICY L-6 AND L-18. 2. A PUBLIC WORKS DEPARTMENT ENCROACHMENT PERMIT INSPECTION IS REQUIRED BEFORE THE BUILDING DEPARTMENT PERMIT FINAL CAN BE ISSUED. AT THE TIME OF THE PUBLIC WORKS DEPARTMENT INSPECTION, IF ANY OF THE EXISTING PUBLIC IMPROVEMENTS SURROUNDING THE SITE IS DAMAGED, NEW CONCRETE SIDEWALK, CURB AND GUTTER, AND ALLEY/STREET PAVEMENT WILL BE REQUIRED. ADDITIONALLY, IF EXISTING UTILITIES INFRASTRUCTURE ARE DEEMED SUBSTANDARD, ANEW 1-INCH WATER SERVICE, WATER METER BOX, SEWER LATERALAND/OR CLEANOUT WITH BOX AND LID WILL BE REQUIRED. 100 % OF THE COST SHALL BE BORNE BY THE PROPERTY OWNER (MUNICIPAL CODES 1424.020 AND 14.08.030. SAID DETERMINATION AND THE EXTENT OF THE REPAIR WORK SHALL BE MADE AT THE DISCRETION OF THE PUBLIC WORKS INSPECTOR. 3. PRIOR TO PERFORMING ANY WORK IN THE CITY RIGHT-OF-WAY AN ENCROACHMENT PERMIT MUST BE OBTAINED FROM THE PUBLIC WORKS DEPARTMENT 4. SEPARATE PERMIT FOR FENCES AND WALLS SHALL BE OBTAINED AT THE SAME TIME AS THE BUILDING PERMIT. 5. ALL WORK RELATED TO WASTEWATER IN THE PUBLIC RIGHT -OF- WAY SHALL BE PERFORMED BY C-42 LICENSED SANITATION SEWER CONTRACTOR OR A LICENSED GENERAL ENGINEERING CONTRACTOR. F.F. 5" CONCRETE 1... LI. 2" SAND PLASTIC FILM FILTER CLOTH 4" CRUSHED STONE N �b TYPICAL EXTERIOR FINISH GRADE NTS EXISTING GROUND PROVIDE APPROPRIATE TRANSITION BETWEEN STABILIZED CONSTRUCTION ENTRANCE AND STREET CONSTRUCTION ENTRANCE NTS V MIN HEIGHT_ 2 BAGS MIN, 5/30/2017 City of Newport Beach Page 4 of Ili 4:30:48PM INSP150 - Daily Inspection Request Report - Requested Inspection Date : 05/31/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 1701 PORT BARMOUTH PL Activity : N2017-0286 SubType: NEW Status : APPROVED R-DAVE A-BROOKE -_ - --------------Phone : APPLICANT: VALLEY MASONRY Phone : 714-488-6393 Description : NEW DRIVEWAY APPROACH PER STD 162-L, REMOVE EXISTING CONCRETE WALK AND PLANT SOD, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L, INSTALL 2 NEW CURB DRAINS PER STD 184-L 10200 PRE JOB - Requested Entered By: WEBUSER Comments: AM - Assigned to: zzzzuuzzz- Inspector: ')y Comments: Requestor: WEBUSER /®� 7147824805 Date: (3 / <7 Time: 41 r /L5- �O PM [n/r� I c d ` z 4" r n 7 Ag'/ Df/ -f" To 5A-o isUT R�wry F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InspectorSheet.do c e u3--- s /GJ REPT131 Run Id: 4018 6/1/2017 City of Newport Beach Page 5 of 11 4:30:25PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/02/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1701 PORT BARMOUTH PL SubType: NEW Status: APPROVED OWNER: WAGNER DAVE & BROOKE Phone: APPLICANT: VALLEY MASONRY Phone : 714-488-6393 Description: NEW DRIVEWAY APPROACH PER STD 162-L, REMOVE EXISTING CONCRETE WALK AND PLANT SOD, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L, INSTALL 2 NEW CURB DRAINS PER STD 184-L. Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 6/2/2017 12:00:OOAM Requestor: WEBUSER Entered By:. 1B�1S R Commen�PMv v�'-- Assigned to: zzzzzzjzzz/z'z` Inspector: �` ( Date: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do 7147824805 Time: / . 30 A PM REPT131 Run Id: 4018 6/20/2017 City of Newport Beach Page 6 of 14 4:30:44PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/21/2017 Inspection Type: ENCROACH Inspection—A—rea :---PW. Site Address : 1701 PORT BARMOUTH PL Activity : N2017-028E SubType : NEW Status: APPROVED OWNER: WAGNER DAVE & BROOKE Phone: APPLICANT: VALLEY MASONRY Phone: 714-488-6393 Description: NEW DRIVEWAY APPROACH PER STD 162-L, REMOVE EXISTING CONCRETE WALK" AND PLANT SOD;`NEW CURB, GUTTER AND SIDEWALK PER STD 180-LlNSTALL 2 NEW CURB DRAINS PER STD 184-L. item: 10250 FINAL - PW Requested Time: 6/21/2017 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzzuzz` Inspector: 1 Requestor: Date: Comments: '` )� e1PA-L / n'5 -- F:\Users\PB W \S hared\ENCROACH\MASTERS\FORMS\I nsoectorS heet.doc WEBUSER 7147824805 Time: ` r 2 M REPT131- Run Id: 4018