HomeMy WebLinkAboutN2017-0454City of Newport Beach
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Permit No: N2O1T-0454
�" Og
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3311
Project No: 0516-2016
Online Inspection Request- www.newportbeachca.gov/Online
Services
Inspection Requests Phone (949)644-3255
Job Address :
605 MARIGOLD AVE NB
Thomas:Guide:
919F2
Description :
CONSTRUCT CURB CORE PER STD 184-L, CONSTRUCT CURB & GUTTER PER STD
182-L, TYPE "A, 8" C.F., CONSTRUCT SIDEWALK PER STD 180-L, AND
PLANT NEW 36"
BOX
MAGNOLIA (LITTLE
GEM) STREET TREE.
Parcel # :
4590-641-3 -
Legal Desc :
CORONA DEL MAR BLK 639 LOT 5
Owner:
605 MARIGOLD LLC
Contractor :
T B S CONSTRUCTION
Phone:
Address :
23 OBSERVATORY
Phone:
Address:
714-715-7545
30111 HAPPY HUNTER DR
NEWPORT COAST CA 92657
CANYON LAKE CA 92587
Contractor State
Lic: 1012469
Applicant:
DAVID SMITH
License Expire :
03 31, 2018
Phone:
714-487-7337 [
Address:
5452 OLD PIRATE DR
HUNTINGTON BEACH, CA 92649
Business License: BT30056740
Business Expire
: 10 31, 2017
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier:
NONE
Policy No:
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 Permit :
Date:
General Services
Approval :
Date
t,> City of Newport Beach *N2017-0454* Permit No: N201 %-0454-
100 Civic Center Drive, Newport Beach, CA 92660 '
H ` Permit Counter Phone (949)644-3311 Project No : 0516-2016
.`.x. Online Inspection Request- www.newportbeachca.gov/Online -•'�
e g - Services
'��rema Inspection Requests Phone (949)644-3255 -
Job Address : 605 MARIGOLD AVE NB Thomas:Guide: 919F2
Description: CONSTRUCT CURB CORE PER STD 184-L, CONSTRUCT CURB & GUTTER PER STD 182-L, TYPE "A, 8" C.F., CONSTRUCT SIDEWALK PER STD 180-L, AND
PLANT NEW 36" BOX
MAGNOLIA (LITTLE GEM) STREET TREE.
Parcel # :
a?MA•1NlME®
Legal Desc :
CORONA
CORONA DEL MAR BLK 639 LOT 5
Owner:
605 MARIGOLD LLC
Contractor: T B S CONSTRUCTION
Phone:
Phone: 714-715-7545
Address:
23 OBSERVATORY
Address : 30111 HAPPY HUNTER DR
NEWPORT COAST CA 92657
CANYON LAKE CA 92587
Applicant:
DAVID SMITH
Phone :
714-487-7337 [
Address :
5452 OLD PIRATE DR
HUNTINGTON BEACH, CA 92649
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
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:
Contractor State Lic: 1012469
License Expire: 03 31, 2018
Business License: BT30056740
Business Expire: 10 31, 2017
Workers' Compensation Insurance - -
Carrier: NONE
Policy No:
W. C. Expire:
Total Fee
$736.00
Paid:
$736.00
Balance:
$0.00
Receipt No:
,W;?-
Other Department :
Date : _/_/_
Permit Denied :
Date : / /
Issued Permit : Date :a
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TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) '
1. Encroachment Permits may be taken out by the owner of benefited property, or a licensed contractor. A licensed
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
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
Comt{eation Insurance, or a Certified Copy th reof. -
xr}s
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Date:V 7 ` Signature: �i4^•�— _
after date of issuance.
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
2. The Pennittee 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
I certify that in the performance of the work under this permit, I shall not employ
or damage to persons or property occurring as a result of work undertaken under this permit.
any person so as to become subject to California Worker's Compensation Laws. If,
3. All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
after signing this certificate I become subject to the Worker's Compensation
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
provisions of the State Labor Code, I must comply with the provisions of Section
4. Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
3700 or this permit shall be deemed revoked.
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
Date: Signature:
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
CONTRACTOR LICENSE EXEMPTION
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,
As the Owner of the benefiting property, I certify 1 am personally performing all
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
work in the Public Right -of -Way.
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Date: Signature:
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 guardedwhen hazardous ground movement may be expected.
HOLD HARMLESS STATEMENT
7. The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
I understand that 1 am locating minor encroachments within the City Right -of -
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
Way/Easement. As property owner it is my responsibility to maintain the
inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities
encroachments. I will be responsible for replacing the improvements if the City
Department or General Services Department inspections may be required depending on scope of work performed, .
removes them for maintenance of utilities or other public need. I shall indemnify
8. All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
and hold the City harmless for any liability associated with the minor
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
encroachments.
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
Date: Signature:
4TT box over the riser.
24-hour notice for Encroachment Permit Inspect' IS re uired by calling
9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
"Manual
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways', issued by the
public Works at 949-644-3311.
California Department of Transportation. If needed,barricades can be obtained from the City at a charge of $10.00
15. Any above ground u
utility facilities will require documented approval from the adjacent
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.
affected property ownility
10. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
Quality Laws. Best Management Practices will be enforced. It is against the law 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
discharge construction debris into the gutter and storm drain. Felony violations of Water
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
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.
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
17, If a refundable deposit was paid, applicant must submit a Soils Compaction
Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
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
Public Works Department. Monies may be held for six months after final inspection
will require a Caltrans Permit. All vehicles shall be lawfully parked.
before a refund will be processed.
12, This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure.
without approval from the General Services Department.
13. Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
19. All work in the public right-of-way must meet the approval of the Public Works
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
Department or corrections will be required (i.e. removals, exposing connections,
14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City
etc.). Additional inspection fees may be required.
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days.by calling 949-644-3066
20. Permit is for standard materials in the public right-of-way only, unless previously
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreement has been processed.
Temporary Street Closure Permit must be obtained from the Public Works Department,
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.
Nc v{4rk relateaho I s en.ano'aghtryi:frY Pp4m1 s„.r t, i);t ' ;Ret orma untiLttie-pa}bttb' .yr,k a Ln n `�a nt) ',,
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COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: . y- joyl e , t
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT:
Email Address: S .
Mailing Address: City/S)atel ip:
f"L/S—L 6iJ P v e v 6,4 7
OWNER: C_ 1j lPhone: `V ' ,. t-/-
Email Address:
Mailing Address:di City/StatelZip: n
r ,.�y 4YGx✓
CONTRACTOR - -
('�v.,e.ti'� i1 - _ ' Office Phone:
Company (if different): lJobsite Phone:
Other Phone:
Email Address: _ '_ _
Mailing Address: - City/State/Zip. - - - -- --
1
State License Number & Class: Ciry Busines ; License Number:
p012141041 - - Expires: 3-3`-tb 67T Expires:
WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code)
Company: Polic No: Expires:
Municipal Oerations: 00-644-3055
Utilities_ 949-644-3011
Urban Fores 949-6443083
p ry5 r U "'.� .• tea- -
s����..�.x�
Special Conditions of Permit:
c
Utilities: Traffic: Fire: 0
Municipal Operations Other:
Engineering Technician: Per alist Date: Permit No.
�cd 7Gil N2017-
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
$817.00P
Document Recordation Fee
$192.00
Monitoring Wells
$502.00
Street/Alley/Walk Closure:
$65.000
Traffic Control Plan Check
x 11"
$65.0�
24" x
24" x 36"
$143 00
Additional
___
TIRE FOLLOWING I?EMS REQUIRE APPRO'
1 REVENUE DIVISInN
PRIM Tn PAvmrp
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:
Improvements
Newspaper Rack Inspection
Sewer Connection Fee
4TT Box & Cover
TBD
TBD
$108.00 0
$.00" $64
$64.00
1
Qty.
Qty. 1
Water Motor:
Installation Charge$528.00=
13/4" Meter
$%25
Water Meter Boxes: 1
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost) 'I
11 1/2" Meter
$285.00
1"Meter, 13,00 + 37.00 $50.00
_
11 112" Turbine Meter
$700.00
2: Meter: :27.00 + 61.25 $88.25=
12" Meter
$425,00
1
12" Turbine Meter
13"
$845,00
For Traffic & Alley Areas (Box +Cover = Cost) 1
Meter
$3,310.00
1 ' Meter: 13 00 + 38.00 $51.00
14" Meter
$4,730.00'
2" Meter: 27.00 + 162.00 $189,00
)
16" Meter
$7.190.00
Certificate of Compliance Fee (+t00% of hrly 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 EasemenWacation Fee (+100%ofhrlyover4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDJ
030-2284
Engineering Tech:
Total Amount
For Finance use only
20d't
„Due:
t/ 0'73ICJ ."4O
Nriv
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f./users/pbw/sharetl/encroach/masters/ep front and back masters/
epfeesheet.xis-revised 10/21/2016
Permit atist
(, Jl
Rev. 1/5/2017
Receipt No.
�' 2,�Ct G
It��-' J
["M 2- cl o �� c¢
Y�
116.63 TG
EXISTING BUILDING 115.68 INV
116.77 TG 116.59 FIL
115.95 INV 6 G. B.
4
4
14 .
-.010 0'
Q.J..0.5%
Ile
16.74 FSj I F77`9`<` ac
66.33'
605 MAR/GOLD AVENUE
,
A.P.N. 459-064-1.3
LOT 5, BLOCK 639
M.M. 3, POS. 41-42
17.03 FS
FS 16.93 FS
16.43 FS
6"STE
1 1 Q 41
11
1-5-FS' 6
r
S= 00
1w 118.06'
.....................
6 4 ...... .... ..16 ........ 7 . ........ . i;6 ., , \
116.20 L 4 '15.98 FL
G.B.
3RE) A VE7.
20'
'--v 23'
d".
16.71 FS 6"STEP
-16.21 FS
ri
r,
25'
15'
4' :5'
116�1B S*il 5.96 TC
115.29 FL
Li
0
. .. .... "Ix
b.
s .3
15 O < Lij
co
0
114.70 INV
Y1 Im
d
7 9
115.33 T
FL114. 6 F
115.5111 BSW
25'
15'
CONSTRUCTION NOTES & ESTIMATED QUANTITIESAU
WAN1177ES ARE EFRMAIM THE COWTACWSlIAU MFYALL OVAN7777ESPRIOR TO SUBUIrWO A BID
(D
DEMO EXIS77NC BVV�IAIGS AND OTHER STAUC7_,RES.
LUMP S
20
PROTECT IN PLACE EXISTING U 77LI 17ES.
--LUMP
CONST J 112" THICK CONCRETE (MIN.) WALKWAYS & PA770S
- 714 S.f
CONSTRUCT 6' FENCE PER ARCHITECTURAL PLANS, DETAIL 3 AND
- 186 L. F
CITY OF NEWPORT BEACH STANDARDS (UNDER SEPARATE PERMIT)
CONSTRUCT PERFORATED DRAINMENCH PER DETAIL 1 , LENGTH = 7'
1 EAch
INSTALL 6' ATRIUM GRATE INLET NDS 80 OR APPROVED EQUAL
8 EA Ch
CONSTRUCT 4" P. V C, (SCH40) RESIDEN77AL DRAIN LINE
186 L.1
CONST 5" THICK CONCRETE (MIN.) DRIVEWAY
-238 S,
O
CONSTRUCT PRIVATE DRAIN THROUGH CURB PER CITY STD-184-L
- 2 EACt
10
CONSTRUCT PERFORATED DRAIN17RENCH PER DETAIL 1, LENGTH = 15'
-3 EAC;
11
CONSTRUCT 8- P.C.C. CURB AND GUTTER PER CITY OF NEWPORT
-- JO L.F.
BEACH STANDARD DWG. NO. STD-128-L, TYPE "A- 8- C.F.
@
CONSTRUCT 4" P.C.C. SIDEWALK PER CITY OF NEWPORT REACH
-120S,
STANDARD STD-180-L.
@
CONNECT PROPOSED WA 7ER LA 7ERAL TO EXIS77NG WATER METER
- 1 EACI
PER CITY OF NEWPORT BEACH STANDARD PLAN STD-506-L.
CONNECT TO EXIS77NG SEWER LATERAL, INSTALL NEW CLEAN -OUT PER
- 1 EACI
NEWPORT BEACH STANDARD PLAN STD-406-L, WITH A TRAFF7C-GRADE
BOX AND COVER. CONTRACTOR TO VERIFY LOCA 77ON OF EXISTING
SEWER LA 7ETAL.
@1
PLANT 36-INCH BOX LITTLE GEM MAGNOLIA STREET TREE PER
-1 E40
CHAPTER 13 OF 774E CITY MUNICIPAL CODE SEE CITY COUNCIL
G- 6 (ATTACHMENT 2).
16
TIE ROOF DRAIN INTO 4" PVC UNDERDRAIN
- 10 EA,
RECONSTRUCT P.C.C. PAVEMENT ALLEY SHALL BE RECONSTRUCTED TO
210S.
MATCH EXIS77NG CONDIT70NS PER CITY STANDARD STD-141-L
NOTE: AN APPROVED ENCROACHMENT PERMIT IS REQUIRED FOR ALL WORK AC77WTIES
WITHIN THE PUBLIC RIGH T- OF- WA Y
THE FOLLOWING 17EMS REQUIRE A PUBLIC WORKS ENCROACHMENT PERMIT
I W(ZD 12 14 15 17
N. T.S.
23'-lo
1112712017 City of Newport Beach Page 1 of 12
6:34:27AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 11/27/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 605 MARIGOLD AVE
AlftI i[fottnation:"-
Activity :
N2017-0454
SubType:
NEW
Status :
APPROVED
OWNER:
605 MARIGOLD LLC Phone:
APPLICANT:
DAVID SMITH Phone : 714-487-7337
Description :
CONSTRUCT CURB CORE PER STD 184-L, CONSTRUCT CURB & GUTTER PER STD
182-L, TYPE "A, 8" C.F., CONSTRUCT SIDEWALK PER STD 180-L, AND PLANT NEW
36" BOX MAGNOLIA (LITTLE GEM) STREET TREE.
Requested' inspections)
Item:
10200 PRE JOB - PW Q
Requested Time:
11/27/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
Comments: /M
J Y Date: 1( / � -7 /1-7
L, To P�, 1 44 iJdA
/So -I- , /92-L 4 /9-
2c�—C/
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsuectorSheet doc
7144877337-\2�I.C--- `
Time: S : 3 0 6PM
12/4/2017 City of Newport Beach Page 10 of 11
6:34:13AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
12/04/2017
Inspection Type :
ENCROACH
Inspection Area :
PW
Site Address :
605 MARIGOLD AVE
A/PID Information:
Activity : N2017-0454 ,
SubType: NEW
Status: APPROVED
OWNER: 605 MARIGOLD LLC Phone:
APPLICANT: DAVID SMITH Phone : 714-487-7337
Description: CONSTRUCT CURB CORE PER STD 184-L, CONSTRUCT CURB &'GUTTER PER STD
182-L, TYPE "A, 8" C.F., CONSTRUCT SIDEWALK PER STD 180-L, AND PLANT NEW
36" BOX MAGNOLIA (LITTLE GEM) STREET TREE.
Requestedlnspection(s)
item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 12/4/2017 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzuzzuz'
WEBUSER
714-487-7337
1122/1,018, City of Newport Beach Page 8 of 10
6:34:40AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
01/22/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
605 MARIGOLD AVE
A/P/D Information:
Activity :
N2017-0454
SubType:
NEW
Status:
APPROVED
OWNER: 605 MARIGOLD LLC Phone :
APPLICANT: DAVID SMITH Phone : 714-487-7337
Description : CONSTRUCT CURB CORE PER STD 184-L, CONSTRUCT CURB & GUTTER PER STD
182-L, TYPE "A, 8" C.F., CONSTRUCT SIDEWALK PER STD 180-L, AND PLANT NEW
36" BOX MAGNOLIA (LITTLE GEM) STREET TREE.
Requestedlnspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/22/2018 12:00:OOAM Requestor: WEBUSER
714-487-7337
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzz�zz/zzzzz"
Inspector: r�� V Date: l t Time: M
Comments:V`�
Kev
7 �' %_
5
F:\Users\PBVAShared\ENCROACH\MASTERS\FORMS\InspectorSheet.do
REPT131. Run Id 4018