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Home My WebLink AboutN2017-01671bCity ofNewport Beach 1pil1111111111111111111111111111111111111111111 o 100 Civic Beach, CA s266o Permit Counter Phone (949)644-3311 u.. Online Inspection Request- www.newportbeachca.gov/Online E - Services Job Address : 1601 MARINERS DR NB Thomas:Guide: Description: One (1) curb drain per STD-184-L. Parcel # : 1174-230-7 - Legal Desc : N TR 3004 LOT 42 Owner: ALEXANDER MARILYN G Phone: 0 Address : 711 N BAY FRONT NEWPORT BEACH, CA Applicant: ALEXANDER MARILYN G Phone: [ Address: Special Cond.: Preconstruction meeting required with Public Works inspector. 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 : $165.00 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 : Permit No: N2017-0167 Project No : Inspection Requests Phone (949)644-3255 889B5 Contractor: LORD JOHNW Phone: 949-235-1655 Address : 33552 PALO ALTO DANA POINT CA 92629 Contractor State Lic: 776370 License Expire: 03 31, 2018 Business License: BT30058605 Business Expire : 03 31, 2018 Workers' Compensation Insurance -- Carrier: STATE COMP Policy No: 9072096 W. C. Expire: 09 13, 2017 Total Fee Paid : Balance Receipt No: R()--7 $406.00 $406.00 $0.00 M_ Other Department: —Date: / / Permit Denied Date: / / Issued Permit : Date :/ /j--L 11 E14PERMIT: S '�12 �) � � � �� r �W��]p�/Ka��y(�i' �y�yJ ��y ♦� �yy�� 4� V4 a p.3f1 9 I V f t�r COMPLETE: THE BELOW INFORMATION PROJECT ADDRESS: 16o l DETAILED DESCRIPTION OF PROPOSED WORK: �JR-R76 ✓LZ_ j'Jl2.. yj(1�/NA?orL /}Ji-�Y jPhone: APPLICANT: Email Address: Mailing Address: 37552 PA-i-D bra gr- City/State/Zi 'bA,^t- OWNER: 5r2 � V(4c E&6lV-4-"3 Phone: Email Address: Mailing Address: City/State/;Zip: L6 6 O ( WJL rN `I! S D/L, /l/ 5 4A— 9 J AL,LC,QNTRAGT(��R INFORAMA7101Vr IS, REtUIRg0 FLEASE';C.QMpLET l CONTRACTOR: �q.L/� Office Phone: V 5 /655 Company (if different): Jobsite Phone: ` Other Phone: Email Address: H-,j L @ Cox. �Joj- i Mailing Address: �j4vvty 42 -NPPL-IL1(/-/J City/State/Zip: State License Number & Class: 6-27 7'74 37® Expires: City Business License Number: T OD " 3405 Ex ires:3 )017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Munici al Operations: 949-644.3056 Utilities: 949644-3011 Urban Forestry: 949-644-3083 ,�r 't77�.`. FOR,QFFK`xE"IJSEpNLY 7'77 Special Conditions of Permit: P—f erhS�—liG �a ty ' r ei gDD)TIQN,AL APP,R01/AL REQU'RED FRdM-T,HiQLLOWtNG DEPARTMENTS Utilities: Municipal Operations Traffic: 0 Fire: Other: Engineering Technician: Permit Specialist Date: Permit No. N2017- M1 f/users/pbw/shamcVencmeoh/mesters/epwor sheet.xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: 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/AlleyMalk Closure: $65.000 Traffic Control Plan Check 8-1/2" x 11" $65.00 24" x 36" $143.00 Additional Inspection Fee: Inspection Fee: 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 $64.00 Certificate of Compliance Fee (+100% 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 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 Imo! pe, �4OG . 4G Permit Specialist Receipt No. f.fusers/pbw/shared/encroach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheet.xis-revised 10/21/2016 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 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 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 backflling, 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 (le: 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 tM 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 ail 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 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 Compens tion Insurance, or a Certified Copy the of. !Date: f7 Signature, - t'�V'��•t/ 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: 24-hour notice for Encroachment Permit Inspection is required by calling Public Works at 949-644-3311. �✓tL 15. Any above ground utility facilities will require documented approval from the adjacent affected property owners). 16. Homeowner, contractors, and subcommootrs 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. '� JACARANDA yREE t- 9R] 31' IIENt DEPARTIIAENT ,LL.. 'UTE Et,Rc S OR I' I 'yG It O ,4T0N A IIS POLiG«o Or IJE I U ARAh EE HAT THESE i.l Gt CITY BU L I' dG, AIJD . j PSI G;i > OF IlEVt. Cr.' REACH RE' /,f PEP',, , , C THE EULbING S' RUGTi ll" D 6/ 6HfORE. DURMJG OR rjESSAP V PLI VJ THE O' IIVAN S, PLA F FTI f'IfYOF IVEVVPOT , P� LSAGKNOVVLEDGEMENT_ / . IhnE.T 'UP.'...IC 1;Vli`, APPROVAL w V IU y� VVV\\ Q� WNW zZ� <�� Wow viz 4/10/2017 City of Newport Beach 6:34:41AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 04/10/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1601 MARINERS DR A/P/D Informations Activity : N2017-0167 SubType: Status: APPROVED OWNER: ALEXANDER MARILYN G Phone: 0 Description: One (1) curb drain per STD-184-L. Requested Inspection(s) Item: 10200 PRE JOB - PW Requested Time: 4/10/2017 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: Comments: 940T Date: q/ 1 0 l /- 7 F:IUsers\PBMSharedlENCROACH\MASTERS\FORMS\InsoectorSheel doc aC- Page 2 of 9 9492351655 —JO*I�q Time: '1: Y(5- M PM 7-D REPT131. Run Id 4018 6/1312017 City of Newport Beach 4:30:12PM INSP15O - Daily Inspection Request Report Requested Inspection Date: 06/14/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1601 MARINERS DR Activity : N2017-0167 SubType: Status: APPROVED OWNER: ALEXANDER MARILYN G scription : One (1) curb drain per STD-184-L. Item: 10250 FINAL - PW Requested Time: 6/14/2017 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: Requestor: Phone : 0 NBIVR. 9492351655 Page 1 of 13 Inspector: Date: Time: AM PM l-nmmnnfc F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do MPT131. Run Id: 4018