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HomeMy WebLinkAboutN2017-0235City of Newport Beach �I���� II�III�� ���� �� II Permit No: NZ017' 0235 100 Civic Center Drive, Newport Beach, CA 92660 '-� Permit Counter Phone (949)644-3311 Project No : 0174-2016 is �a p 6 SCANNED Online Inspection Request- www.newportbeachca.gov/Online 4"ceS4-." Services Inspection Requests Phone (949)644-3255 Job Address: 4505 SEASHORE DR NB Thomas:Guide: 888G6 Description: Repair damaged curb and gutter per City STD. *UPDATED 6/6/17 - NEW DRIVEWAY APPROACH PER CITY STD 164-L* Parcel # : 4244-420-4 - Legal Desc : THIRD ADD TO NEWPORT BEACH BLK 45 LOT 3 * ��./ a Owner: WARDY AMEN III/TRACI A Contractor: PARKER PACIFIC WEST INC Phone: Phone: 949-306-3757 Address: 445 ISABELLA TER Address: P.O. BOX 12B CORONA DEL MAR CA 92625 BALBOA ISLAND CA 92662 Contractor State Lic: 609295 Applicant: JAMES PARKER License Expire : 01 31, 2019 Phone: [ Address: P O BOX 12B Business License: BT30040970 Business Expire: 10 31, 2017 Special Cond.: PRE -CON MEETING REQUIRED WITH PW Workers' Compensation Insurance -- INSPECTOR Carrier : W/C EXEMPT Policy No: (NO EMPLOYEES) W. C. Expire: Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $736.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $0.00 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 : Traffic Approval Date Issued /1_- o t -7 : : _/_/_ Permit : Date : rCJ 14pxR General Services Approval : Date : _/_/_ City of Newport Beach llu��ll�ll��lll�ll��lll��u II 100 Civic Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online Services Job Address: 4505 SEASHORE DR NB Description : Repair damaged curb and gutter per City STD Parcel # : 4244-420-4 - Legal Desc : THIRD ADD TO NEWPORT BEACH BLK 45 LOT 3 Owner: WARDY AMEN III/TRACI A Phone: Address: 445 ISABELLA TER CORONA DEL MAR CA 92625 Applicant: JAMES PARKER Phone: [ Address: P O BOX 12B Special Cond.: PRE -CON MEETING REQUIRED WITH PW 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 : $495.00 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: N2'017-0235 " Project No : 0174-2016 Inspection Requests Phone (949)644.3255 888G6 y Contractor : PARKER PACIFIC WEST INC Phone: 949-306-3757 Address: P.O. BOX 12B BALBOA ISLAND CA 92662 Contractor State Lic: 609295 License Expire : 01 31, 2019 Business License: BT30040970 Business Expire : 10 31, 2017 Workers' Compensation Insurance - - Carrier : W/C EXEMPT Policy No: (NO EMPLOYEES) W. C. Expire: Total Fee $736.00 Paid: $736.00 Balance: $0.00 Receipt No: i2_ 4S3 Other Department : Date Permit Denied Date Issued Permit : Date: 15-/ 9 { �� dotVOR ` pp^'"r+�aF'-�4� °�L }c^`Y 3` �. k } l ,r'r��T6L��i���•.r,. id'^T�TiG) s .•i i`i _�i S •. �l Fri. �v COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: .50, j— y C?A / U DETAILED DESCRIPTION OF PROPOSED WORK: (2 PK I r v+-t P- -e- C u t (J APPLICANT: SP"L < 113hone: all Address: 1 < c�✓1 Mailing Address: 'PC-" (axDX Iz;s City/State/Zip: 13ar-e'VZC�6z OWNER: r�) wasLp jPhone: GIgH �t3 �h3 Email Address: �G./ A'-'J e Mailing Address: City/StatelZip: �5�5COIST;Iwo36 [�✓10✓h c�c vK tit&ZS' -4L CONTRgCTOR'�NF�RMATIQN ;Iu� `"RQ(JIED�PIEASE:`R`sOMRLETE CONTRACTOR: p t/<(� 1 lac l c% WrsT J"c . Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: P-,Ac,C0—A Mailing Address: Po 03�x City/State/Zip: 9-SLIn�t State License Number & Class: 6c �Ifl Expires: City Business License Number: 'uT 5ooq-c)1,76 Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Operations: 949-W 3b66 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 FOR'bFFIGEUSEQNLN ?i Special Conditions of Permit: ADDITIONAL A PROVA41REQUI"RED"FROM'THE f OLLOWING �)EPARTMENTS Utilities: Municipal Operations Traffic: 0 Fire: 0 Other: Engineering Technician: Permit Specialist Date: Permit No. N2017- 023S f:fusemipbwlshemdtencroach/masterslepwar sheet.As Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 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 Permitted 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. Foy 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 installations) 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 (is: 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 Clty'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 1 have a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy thereof. 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. te: `�^ f 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 Per it I pection is required by calling bIic Works at 949-644-3311. i 15. Any above ground utility facilities will require documented approval from the adjacent affected property owneds). 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. Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Street/AlleyANalk Closure: Traffic Control Plan Check 8-1/2" x 11 24" x 36" Additional Inspection Fee: $241-00 Public Works Field Inspection $275.001 1 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $.00� $192.00 Refundable Deposit: 192 $502.00 Improvements $65.00= Newspaper Rack inspection $65.00= Sewer Connection Fee $143.001 1 4TT Box & Cover Certificate of Compliance Fee (+100%of hriy 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 EasemenWacation Fee (+100% of hrly over 4 hrs) Street Tree Fee ($700 Planting Fee) $165.00 $121.00 $165.00 $108.00 11 TBDBTBD $108.00 $.00" $64 $64.00 $288.00 $155.00 $2,488.00 $2,488.00 $1.079.00 TBD $1,022.00 TBDI 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470 5200-5031 030-2284 Engineering Tech: Total Amount Due: For Finance use only -AO 00 Permit Specialist Receipt No. f./users/pbw/sharedfencroach/masters/ep front and back masters/ Rev. 1/5/2017 I,_. 1 epfeesheetAs-revised 10/212016 n vlvl II I LVVI X. I I.ou 'ION PER CBC 1808.7.4: 10.03' + 12" = 11.03' 1.43' GARAGE: 11.03' PUBLIC RIGHT OF WAY SHALL BE SEWER CONTRACTOR OR AN "A" )R 1 1 1 DRAIN —� STD-406-L D COVER 1-f AAIl1 MAA11"1 �gEo ARC; V�. ERNESp TfB� 11 30-17RE NEWAL \\Q 9, OATE �\ F of cw� l 03-3®-16 CLIENT: MR. AMEN WARDY PROJECT: NEW SINGLE FAMILY RESIDENCE 4505 SEASHORE DRIVE NEWPORT BEACH, CA. 92663 SHEET TITLE: SITE PLAN THESE DRAWINGS AND SPECIFICAIMSARE THESOLE PROPERTYANDCOFYRIGHTOFMARCELOE LISCHE, ARCHITECT,AIA, AND SHALL NOT BE USEDOMAAY OTHER WORK EXCEPT BY WRRTEN AGREEMENT WIM THE ARCHITECT. WRITTEN DIMENSIONS SHALL SUPERSEDE SCALED DIMENSIONS AND SHALL BE VERIFIED ON THE AOBSITE. ANY DISCREPANCIES SHALL' BE INMEDIATELY BROUGHT TO THE ATTENTION OF THE ARCHITECT PRIOR TD THE COMMENCEMENT OF ANY WORK. MARCELO E. LISCHE,ARCHITECT, A.IA„ALL RIGHTS RESERVED. JOB #: DRAWN BY: P.L. CHECKED BY: M.L. SCALE: 1/4" DATE: 12-15-15 REVISIONS: Aplan check 03-21-16 SON -STANDARD IMPROVEMENTS fl ,AORE DRIVE PUBLIC RIGHT OF WAY. 5/3112017 City of Newport Beach Page 11 of 19 4:30:16PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/01/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 4505 SEASHORE DR Activity : N2017-0235 SubType : Status : APPROVED APPLICANT: JAMES PARKER OWNER: WARDY AMEN III/TRACI A )escription : Repair damaged curb and gutter per City STD Item: 10250 FINAL - PW Requested Time: 6/1/2017 12:00:OOAM Entered By: WEBUSER Comments: ANY - Assigned to : zgzzzzzzzzzzz7* r Inspector: `-� ( I I / Requestor: Phone: Phone: WEBUSER 9493063757 Date: VAAV� S Time: AM PM Comments: rCAr i� FIVt4rL-IZOi F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018 r s/6/2017 City of Newport Beach Page 11 of 14 C30 59PM INSP150 - DailyInspection Request Report ' Requested.lnspection Date-: 06/07/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : 4505 SEASHORE DR M17/2017 City of Newport Beach Page 11 o112 4:30:50PM INSP150 - DailyInspection Request Report Requested Inspection Date: 06/08/2017 Inspection Type : ENCROACH Inspection Area: PW _ Site Address : 4505 SEASHORE DR; Activity : N2017-0235' SubType : Status; NEW APPROVED APPLICANT: JAMES PARKER Phone: OWNER: WARDY AMEN iiifrRACI A Phone Description : Repair damaged curb and gutter per City STD. 'UPDATED 616117 - NEW DRIVEWAY APPROACH; PER CITY STD 164-L' Item; 10210 PUBLIC WORKS Requested Time: 6/8/2017 12:00:OOAM Requestor: WEBUSER 9493063757' Entered By: WEBUSER Comments: ANY - Assigned to: zzzzzzzzzzz' Inspector: �Ij V Date: /�� ! `-7 Time: 0© PM Comments: IED F:\Users\PBW\SharedkENCROACHkMASTERS\FORMS\InspectorSheet.doe REPT131. ... ... .... ._ _ __--- .._....----..._ ......_ . _ .._. ........ Run Id. 4018