HomeMy WebLinkAboutN2017-0422City of Newport Beach IIIIII111111111111111111111111111111111IIII11IIII
4. Perm Civic Center
er Drive,
a (Newport Bea h' CA 92660 II N 2 0 1 7 0 4 2 2 II
v Online Inspection Request- www.newportbeachca.gov/Online
Services
Job Address : 1806 SANTIAGO DR NB
Description: Curb drain per City Standard #184-L.
Parcel # : 1176-510-3 -
Legal Desc : N TR 4224 LOT 291
Owner: KAYAJANIAN JACK J
Phone: 0
Address : 1806 SANTIAGO DR
NEWPORT BEACH, CA
Applicant:
KABAH CONSTRUCTION INC
Phone:
951-318-8311 [
Address :
39582 CEDARWOOD
MURRIETA, CA 92563
Special Cond.: After -the -fact permit
Permit No: N2017-0422
Project No:
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889C4
Contractor:
KABAH CONSTRUCTION INC
/® MI8T7771
b€�,tag
Phone:
Address :
951-318-8311
25100 VISTA MURRIETA RD #1222
MURRIETA CA 92562
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:
Utilities Approval
Traffic Approval:
General Services Approval
Date:
Date:
Date :
Date:
/
/
Contractor State Lic: 989462
License Expire : 12 31, 2017
Business License: BT30057988
Business Expire : 02 28, 2018
Workers' Compensation Insurance - -
Carrier : NO EMPLOYEES
Policy No:
W. C. Expire:
Total Fee $406.00
Paid : $406.00
Balance: $0.00
Receipt No:
Other Department : —Date: _/_/_
Permit Denied : Date : / /
Issued Permit : Date : / /_
City of Newport Beach *N2017-0422*
c >r 100 Civic Center Drive, Newport Beach, CA 92660
y Permit Counter Phone (949)644-3311
Online Inspection Request- www.newportbeachca.gov/Online
n Services
'44;pciP`��
Job Address : 1806 SANTIAGO DR NB
Description: Curb drain per City Standard #184-L.
Parcel#:
1176-510-3 -
Legal Desc :
N TR 4224 LOT 291
Owner:
KAYAJANIAN JACK J
Phone:
0
Address :
1806 SANTIAGO DR
NEWPORT BEACH, CA
Applicant:
KABAH CONSTRUCTION INC
Phone:
951-318-8311 [
Address:
39582 CEDARWOOD
MURRIETA, CA 92563
Special Cond.: After -the -fact permit
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:
Utilities Approval
Traffic Approval :
General Services Approval
Date
Date
Date
Date
Permit No: N2017-0422
Project No :
Inspection Requests Phone (949)644.3255
Thomas:Guide: 889C4
�
Contractor: KABAH CONSTRUCTION INC
Phone: 951-318-8311
Address: 25100 VISTA MURRIETA RD #1222
MURRIETA CA 92562
Contractor State Lic: 989462
License Expire: 12 31, 2017
Business License: BT30057988
Business Expire : 02 28, 2018
Workers' Compensation Insurance - -
Carrier : NO EMPLOYEES
Policy No:
W. C. Expire:
Total Fee
$406.00
Paid :
$406.00
Balance:
$0.00
Receipt No:
, 1024,�
Other Department : Date : _/_/
Permit Denied Date:
Issued Permit: Date: 11
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 fie: 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 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.
D'B1G 9 sL1(."�NSEQ jfl1UTRACTOR
Ince of Arfr=Exaua#ionat8U0 42 4133
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. ,
Date: Signature:
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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. 1 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.
15. Any above ground utility facilities will (require documented approval from the adjacent
affected property owneds).
16. Homeowner, contractors, and subconiracotrs 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 additignal fees.
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/Alley/Walk Closure:
Traffic Control Plan Check
8-1/2" x 11"
24" x 36"
Additional
THE FOLLOWING I
RFVFNt IF nivi:
$241.00
Q
t I
Inspection Fee:
Public Works Field Inspection
Qt .
$165.00
$275.00
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Water Quality/Artificial Turf Inspection
$108.00
$817.00
$192.00
Refundable Deposit:
TBD
$502.00
Improvements
TBD
$65.000 Newspaper Rack Inspection $108.00 0
$65.00 Sewer Connection Fee $250.00
$143.00 4TT Box & Cover $64.00
SQUIRE APPROVAL FROM THE Revenue Division j
IOR TO PAYMENT OF FEES JApprovak
1
Qty.
, c1�Y• 1
(Water Meter:
Installation Charge ` $528.00
I
13/4n:Meter
$%25
Water Meter Boxes 1
11" Meter
$121.50
For Parkway & Sidewalk Area (Sox + Cover = Cost)
111/2"'Meter
$285.00
1"Meter: .13.00+37.00 $5000F
1
11 1/2"Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88 25
12" Meter
$425.00
12" Turbine Meter
$845,00
ForTraitiq & Alley Areas (Box + Cover = Cost)
13" Meter
$3,810.00
1" Meter: 13.00 + 38.00 $51.00
�4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00"
1
16" Meter
$7.190.00
1
Certificate of Compliance Fee (+100% of My 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 (+10o%ofhrlyover 4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
uza&i
*460t/. o
?A-VV)
C6>1-1-117
Permit Specialist
Receipt No._
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In
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C/users/pbw/shared/encroach/masters/ep front and back masters/
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epfeesheet.xls-revised 10/21/2016
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PRO'JECT'ADDRESS Q ge4
DETAILED DESCRIPTION OF PROPOSED WORK:
Cur, epr-Z!f_
APPLICANT: a yi U Phone: V T/ 77
Email Address: k-a bQ f V L [ U-w L&j
Mailing Address:3,e/s S* Z d �U
City/Sfater P= 4
dew T
OWNER: p C Gl 111 C8
Phone:-�-I 'S F57— 9bO
Email Address:
Mailing Address: City/State/Zip:
M6 e4 /4 A / R
E-00 R140 -1OR:
01 ice Phone:
different):
rEmailAddress:
Jebsite Phone:
Other Phone:
Mailing Address:
City/State/Zip:
State License Number& Class:
Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
fEFUNDABIEDEPq$1TlNfORMATIQN.(lfAp
R®Iund Pa able Yor..: ...........::.:....... .. ........._
NIa+I Refund To .. .:.
Special Conditions of Permit:
AQPITIQ,IAL APFI$OUAL REQUIRED FRElIII TIjE Ft7LLiJIII(IyGEI?y4kiTIV1ENFS„r, 3'
Utilities: Traffic: 0 Fire: 0
General Services: Other:
Engineering Technician:
IZo�.
Public Works Specialist:
rZo&,
Date:
%..IR
Permit No.
t420V2--0,42Z.
Husers/plmlshareslenemachlmasrerslepwatltsheaLrJs
Public Works Department 949-644-3311
8/1412017 City of Newport Beach Page 3 of 9
4:30:48PM INSP150 - Daily inspection Request Report
Requested Inspection Date : 08/15/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address: 1806 SANTIAGO DR
Activity: N2017-0422`
SubType:
Status': APPROVED
OWNER: KAYAJANIAN JACK J Phone: 0
APPLICANT: KABAH CONSTRUCTION INC Phone: 951-318-8311
Description : Curb drain per City Standard #184-L.
It 10200 PRE rr JOB - P
Requested Ti 8/15/201712:00:00 Requestor: NBIVR
9513188311
Entered By: NBIVR
Comments: AM
Assigned to,:
Inspector: Dater I� Time:aAPM
Comments: % ,Q '7-1
L/1�/ .
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
. _.:---
REPT131. Run Id: 4018