HomeMy WebLinkAboutN2018-0020�r W%Vly City of Newport Beach 11111111111111111111111111111111111111111111
0 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 2 0
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachea.gov / Online
Services
Permit No: N 2018-0020
Project No: 2313-2017
SCANNE[.,�
Inspection Requests Phone (949)644-3255
Job Address:
2854 CAROB ST NB
Thomas:Guide:
889E3
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L. PURCHASE 1" METER AND 1" BOX/COVER.
Parcel # :
4400-740-2 -
Legal Desc :
N TR 5018 LOT 117
Owner:
Phone:
ACOSTA JONATHON
714-730-2723
` �.�' Contractor :
�''Phone:
COAST WATER & POWER
949-548-0106 949-289-0078
Address :
2854 CAROB ST
Address :
P 0 BOX 3341
NEWPORT BEACH, CA 92661
NEWPORT BEACH CA 92659
Applicant: COAST WATER & POWER
Phone : 949-548-0106 949-289-0078[
Address : P 0 BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License: BT96014951
SCANNED
Business Expire:
12 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire:
10 01, 2018
Permit Processing Fee:
$241.00
Sewer Connection :
$250.00
Total Fee
$1,796.16
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid :
$1,796.16
Traffic control Plan Check:
$0.00
Total Water Meters :
$649.50
Balance:
$0.00
Inspection Fee:
$495.00
Water Meter Connection:
$528.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$96.66
$0.00
0
�— + I
Street Tree Fee :
$0.00
Adjustment:
Processed By:
Date: / /
Other Department: Date
Utilities Approval : Date: ! ! Permit Denied Date
Traffic Approval : Date: I / Issued Permit: Date
General Services Approval : Date: / /
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
January 8, 2018 at 3;31:18 PM PST 114 4 Received
PLEASE COMPLETE THE FOLLOWING INFOR A I N
PROJECT ADDRESS; 6� $ � y Ct V.
Oto
DESCRIPTION OF WORK:
SeWite
C(e&A-o%A r=e '4010 « L .
APPLICANT: MIKE KILBRIDE
Mailing Address:
Phone: 949-289-0078
City/Statelzip;
PO BOX 3341
N EWPORT BEACH, CA 92659
OWNER:
Phone:
Mailing Address:
City/Statelzip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (it different):
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
COAST WATER AND POWER
Mailing Address;
CitylState/Zip:
PO BOX 3341
NEWPORT BEACH, CA 92659
State License Number & Class:
City Business License Number:
738400 A, B, C-10 BT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: STATE FUND
PoI c No: 9087110-142 Expires: 10/1f2018
DEPOSIT INFORMATION (lfAp licable)
fMRIEFUNDABLE
ade Pa able To: MIKE KILBRIDE Vendor No: 9833
ailin Address: F0 BOX 3341, NEWPORT BEACH CA 92659
Special Conditions of Permit:
Utilities:
General Services:
Engineering Technician: Pubii
Traffic:
Other;
Specialist: Date: Permit No,
N201 a -
vermit NroCessing Fee;
Inspection Fee;
Public Works Only
$241.00
Public Works Field Inspection
$165. co I
Other Department
$275.00
Utilities Field Inspection
$121.0
General Services Inspection
$165.00
Agreement Fee:
Water Quality1Artlficial Turf Pnspection
$10$.00
Preparation of ReporVAgreement
$817.00
Document Recordation Fee
Monitoring Wells
$192.00
$502.00
Refundable Deposit:
Improvements
TBD
T130
Street/Alley/Walk Closure:
$65 00
Newspaper Rack Inspection
$108.00
Traffic Control Plan Check
8-1/2" x 11"
24" x 36"
$65.00
$143.00
Sewer Connection Fee
4TT BOX & Cover
$250.00
$64_00
Additional
I� TIC FOL ' WIN ITEMS REQUlRTE APPROVAL rOff If WE _ — Re enue oivislon
REVENUE DIVISION
PRIOR TO PAYMENT
OF FEES Approval:
1
(Water Meter:
13/4r Meter
Qty.
Installation Charge
4qv�. 1
$528,00
11" Meter
$50.25
1
11 1/2" Meter
$121.60
Water Meter Boxes:
$285.00
1" DFW Meter Box
$95.6 1
1 1/2" Turbine Meter
$700.00
2" DFW Meter Box
$243_24 1
12 Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
14" Meter
$4, 730.00
16" Meter
..�s�� ..fWl.i •f'fF1 "!1'i.::/ilr . _ ........r . ..
$7,190.00
.. .... ... ...._ �.-- _
_ I
Certificate of Compliance Fee (4-100% of hrly over 3 hrs)
0
$288.00
Budget Number
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 h rty over 4 hrs)
$1.022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
1�far rrr■ r���rrarl�r ��w-� rrr�rr r�-wrrr�ri
TBD
030-2284
Engineering Tech:
--�r-�-rw�
Total Amount (Due:
-�-�
r •rrr •w.�.
■�r� �r�--r�r r �.--•.err �.r
For Finance the Only
I
Permit $pecj tt
-
Rec 7 v.
�t:1:.e�rslpew�phAf6tl7�ffc�cachlmast8f7l4p 1 i /ai2o1 7_ front and back rniRetero1
e�ian-ha9t.:d4•,�vlaed 11:dt�7
it
LEGEND
TREE
= POWER POLE
=SEWE.R CL,EANrOUT
J
= WATER METER BOX
�I I
''
S/w
i
CURB ti GLlTER -�
CENTER ENE
CITY OF NEWPORT BEACH
AbDR,_.SS �g �
ENCROACHMENT PERMI`f AAPPLICgNT � I L'BK j
OWNER
I- DESCRIPTION OF WORK
E P ermit No.
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED 13Y— Ad& ide—
(entity who is requesting meter andlor would get hydrant
MAILING ADDRESS RECEIPT#
CITY/STATEIZIP
SERVICE ADDRESSgg5q OOL
PHONE #
Chock 4*
( ) Hydrant Meter ( ) New Meter
Deposit required New service address
(tapping order) (tapping order)
New Meter at existing service address
(tapping order)
Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location (Residential Location () Fire Connection Fee $
r
Meter Size I Fee $t*V. 5 p (.4/4TT Box Fee $
(V
4eter box & Lid - Allay/Traffic Area Fee $ or Parkways/Sidewalk Fee
Total Fees $ Encroachment Permit Number. /) Z of ram ocZ.1-6
Customer Name (property owner) Q
Billing Address2$54 61r*6 S f CItY1ZIp ICA df"�o 0
Residence Phone #
E-Mail Address
Social Security # or CA Drivers License
Business Phone #
FOR OFFICE USE ONLY
CLERK DATE BUS LIC # MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER
WORK/TAPPING ORDER NUMBER
f/usershevlshared/wateNwater meter sere app 05/21/16
NOTES
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133
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 backfilting, 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 cleancuts 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.
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
certify that I have a Certificate of consent to self -insure, Certificate of Worker's
Coin sat n Insur ce, or a Certified CoMereylyo.✓l'
Date A � 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.
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
encroa h enits. (� �
Date:10 QA 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 owners).
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 dram. Felony violations of Water
Duality 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 Work,
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.
No work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant hereby cknowledges he/she W.s read and understands the terms and
conditions of this permit and he/she agrees to abide by them. Permit is void If work Is not commenced within 30 days after. Issuance. tit?
. 1
Permit fees are nonrefundable. DatC:1 _Signature��
33.64288ON 117.87006'W ± 5 m WGS84
215 deg(T), 48 m, 2019-03-18 11:11:21-07:00
9
IVP
2854 Carob St.
3/18/2019 City of Newport Beach Page 11 of 24
6:30:43AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/18/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 2854 CAROB ST
A/P/D Information:
Activity : N2018-0020
SubType : NEW
Status : APPROVED
OWNER: ACOSTA JONATHON Phone : 714-730-2723
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L. PURCHASE 1" METER AND 1"
BOX/COVER.
Requested Inspectkm(s)
Item: 10250 FINAL - PW
Requested Time: 3/18/2019 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz*
e-AAU
COMPLETED