HomeMy WebLinkAboutN2018-0087City of Newport Beach - -I 11pil 1111111111111111111111111111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660
N " Permit Counter Phone (949)644-3311
$`a - Online Inspection Request- www.newportbeachca.gov/Online
cap. Services
Permit No: N2018-0087
Project No : 2982-2016
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Inspection Requests Phone (949)644-3255 "
Job Address : 2807 BLUE WATER DR NB Thomas:Guide: 919F1
Description: INSTALL NEW SEWER CLEAN OUT ON EXISTING SEWER LATERAL PER STD-406-L.
Parcel # :
4580-721-1 -
Legal Desc :
N TR 6385 LOT 46
Owner:
WOOD JAMES
Phone:
9496405804
Address :
2807 BLUE WATER DR
CORONA DEL MAR, CA
Applicant: WOOD JAMES
Phone: [
Address
Special Cond.: PER CONSTRUCTION MEETING REQUIRED
Contractor : FAITH UTILITY INSTALLATIONS, INC
Phone: 800-380-4177
R q, Address : 26025 NEWPORT RD #A434
MENIFEE, CA 92584
Contractor State Lic: 988105
License Expire: 10 31, 2019
Business License: BT30062324
Business Expire:
02 28, 2019
Workers' Compensation Insurance - -
Carrier:
STATE COMP INS FUND
Policy No:
9158460
W. C. Expire:
05 06, 2018
Permit Processing Fee :
$241.00
Sewer Connection : $0.00
Total Fee :
$635.00
Agreement Fee € 1
$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 � % _,;V l
General Services Approval : Date: _/ /
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PROJECT ADDRESS: <4�iL1
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT: ; C
Phone: q .. C
Email Address:
Mailing Address:
ity/State/Zip:
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OWNER: Mt. N—Upl Phone: - q z z,
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Ma• ing Address: tylState/Zip•
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CONTRACTOR: F Office Phone: , 3- L117-2
Company (if different): Jobsne Phone:
Other Phone:
Email Address: v hQ , C C
Mailing Address:
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IStatelZip:
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State License Numb r &Class:
City Business L cerise Number:
pis Expires:
3 Ex iresP"�
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
tiEPUN4A�1 E.DEPC3$7 i 1NfORIVIA?ION.(/fApp/tt afile) „ ,
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Special Conditions of Permit: — ZQj - rJ � 117•
AQDITtONALAPPROVALREOUIRED,,F.ROM`THOWIt1GpEP/t(tTI1JIEN�S
Utilities: Traffic: Fire:
General Se iFes: Other:
J dering clinician:
Public Specialist:
Dat :
Permit No.
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Public Works Department 949-644-3311
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All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS: PERMIT N2018-
9-SDI NUMBER: rD
APPLICANT:
Permit Processing Fee:
Qty.
Inspection Fee:
Qty.
Public Works Only
$241.00�
Public Works Field Inspection
$165.00
Z
Other Department
$275.00
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report(Agreement
$817.00
Document Recordation Fee
$192.00
Refundable Deposit:
TBDF]
Monitoring Wells
$502.00
Improvements
TBD
Street/Alley/Walk Closure:
$65.000
Newspaper Rack Inspection
$108.00
Traffic Control Plan Check
8-1/2" x 11"
$65.00
Sewer Connection Fee
$250.00
24" x 36"
$143.00�
4TT Box & Cover
$64.00
Additional
f REVENUE D11/ISION PRIOR TO PAYMENT OF FEES:
JAPproval- 1
F
QtY•
1
Water Meter:
'.Installation Charge $528.00
=
13/4"
Meter
$50,25
`
l
11" Meter
$121,50
Water
Meter Boxes:
11 112" Meter
$28&00
V
DFW Meter Box $96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24P
12" Meter
$425.00
12" Turbine Meter
$845
00
13" Meter
$3,310 00'
4" Meter
$4,730.00
16" Meter
$7,190.00
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(VacationFee (+100%ofhriyover4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
1 030-2284
OU
Total A n/t
For Finance Use Only
757k
JDue:
10?6,
Perms pecialist
Receipt No.
/users/pbwlshamd/encroach/masters/ep front and back masters)
2/13/2�17
epfeesheeUls-revisal 11/8117
heck A License - License Detail Page 1 of
Contractor's License Detail for License # 988105
)ISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this
information, you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the
link or button to obtain complaint and/or legal action information.
Per S&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
Due to workload, there may be relevant information that has not yet been entered onto the Board's license database.
Business Information
FAITH UTILITY INSTALLATIONS INC
26025 NEWPORT RD #A434
MENIFEE, CA 92584
Business Phone Number:(800) 380-4177
This license is current and active.
All information below should be reviewed.
GENERAL ENGINEERING CONTRACTOR
Entity Corporation
Issue Date 10/30/2013
Expire Date 10/31/2019
License Status
Classifications
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY.
Bond Number: 100233571
Bond Amount: $15,000
Effective Date: 01/01/2016
Contractor's Bond History
Bond of Qualifying Individual
The qualifying individual ADAM ANTHONY YTURRALDE certified that he/she owns 10 percent or more of the voting
stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required.
Effective Date: 10/30/2013
Workers' Compensation
This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND
Policy Number:9158460
Effective Date: 05/06/2016
Expire Date: 05/06/2018
Workers' Compensation History
Other
Personnel listed on this license (current or disassociated) are listed on other licenses.
ips://www2.cslb.ca.gov/OnlineServices/CheekLicenseII/LicenseDetail.aspx?LicNum=988105 02/20/201
4.
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. Farms 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 the Public Works Department. Locate and pothole
over or within 5 feet of an City utilities unless approved
Y YY 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 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 Slate 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. �y
Date: .—Zl�8 SignaturL�
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 I�is required by calling
Public Works at 949-644-331yc
15, Any above ground utility facilities will require documented approval from the adjacent
affected property ownens).
16. 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 stone 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.
gj26/2018 City of Newport Beach Page 1 of 3
4:30:25PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 02/27/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2807 BLUE WATER DR
ACtIVIty :
NLU ItS-UUi5r
SubType:
NEW
Status:
APPROVED
OWNER:
WOOD JAMES
Phone : 9496405804
Description: INSTALL NEW SEWER CLEAN OUT ON EXISTING SEWER LATERAL PER STD-406-L.
Item: 10200 PRE JOB - PW
Requested Time: 2/27/2018 12:00:OOAM Requestor: NBIVR
9518503105
Entered By: NBIVR
Comments: AM
Assigned to:
11
'?14 �✓;�-7
Inspector: �E% Date: Time: AM PM
Comments: W e-A-t a ✓f�-er e uA i9N ly
F:\Users\P61MShared\E N C ROACH\MASTERS\FORMS\I ns oectorS heet. doc
REPT131. Run Id: 4018
2,12812018 City of Newport Beach Page 2 of 6
4:30:64PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/01/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2807 BLUE WATER DR
Activity :
N2018-0087
SubType:
NEW
Status:
APPROVED
OWNER:
WOOD JAMES
Phone : 9496405804
: INSTALL NEW SEWER CLEAN OUT ON EXISTING SEWER LATERAL PER STD-406-L.
Item: 10030 CLEAN -OUT
Requested Time: 3/1/2018 12:00:OOAM Requestor: NBIVR
9518503105
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: %%� Date: / Time:
Comments:
F:\Usem\PBV\t\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
AM PM
REPT131. Run Id: 4018
v
s
e, 3102' 18
City. of Newport Beach
Page 3 of 13
q:3o:zoPnn
INSP150 - Daily Inspection Request.Report
Requested" Inspection Date : 03106/2018
Iuspectiou Type : 'ENCROACH
InspeUion Area PW,'
Site Addre9s . `2807BLUE WATER DR=
Activity.:
"N2018-0087
SubType:
NEW
Status :
APPROVED
OWNER :
W60D JAMES', Phone ;
9496405804
Description":
INSTALL NEW.. SEWER CLEAN OUT ON EXISTING.SEWER LATERAL PER-STD-406-L.
Item;
1'g030" CLEAN .OUT
Requested Time:
�316/2018 12:0O:OOAM Reguestor:. NBIVR
"
951"8503105
Entered By:
ABIVR ,
Comments:
AM
Assigned to
Inspector: /VA
Date: Time:
AM PM
I
..Comments:
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NCJNEER: GRADING PLAN
2807 BLUE WATER DRIVE
2GH AVENUE, SUITE 230
WNGA, CA 91730
MAX BWOW IN THE CITY OF NEWPORT BEACH, CALIFORNIA
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CH, CA 92660
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(ITY ASSOCIATION
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'd slope at 2807 Blue Water D
the manner depicted on the
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ntact me at the phone
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CONSTRUCTION NOTES
U1 CONSTRUCT DRIVEWAY APPROACH PER CITY OF NEWPOI
R�2 PLUG EXISTING DRIVEWAY PER CITY OF NEWPORT BEACH
O3 MSTALL BOTTO AIN PER GffY STANDAR
® IN IT EyYER G77!
PROP SE TRUC L PERMIT. {SEI
NOT USED
CONSTRUCT SLOT DRAIN PER DETAILS ON LANDSCAPE PL,
INSTALL NOS 4" DIA. INLET WITH PEDESTRIAN GRATE, OR A
INSTALL 4" SCHED. 40 PVC STORM DRAIN PIPE @ 1916 MIN. SI
INSTALL 4" SCHED. 40 PERFORATED PVC STORM DRAIN PIP
CONSTRUCT GRAVEL PERCOLATION TRENCH PER CITY STP
INSTALL 6" NDS SPEE-D DRAIN BASIN PER MANUFACTURER;
INSTALL 120 NOS CB AND GRATE WITH FLOGARD CB FILTER
INSTALL WATER QUALITY INFILTRATION TRENCH PER CITY E
INSTALL 6" SCHED. 40 PVC 3TORM DRAIN PIPE
i
c LOT 45 285 —
- - - (285).