HomeMy WebLinkAboutN2017-0051r�
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City of Newport Beach IIIIIII (IIIIIII IIIIIII IIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
N~ . Permit No:2017-0051
0 0 5 1
Project No : 2328� ,� I
: ' N F r
Inspection Requests Phone (949)644-3255
Job Address:
418 FERNLEAF AVE NB
Thomas:Guide: 919E2
Description :
ABANDON EXISTING SEWER LATERAL AT THE WYE AND INSTALL 2 NEW SEWER LATERALS AND CLEAN OUTS PER STD 406-L; ABANDON EXISTING 3/4"
WATER SVC AND
INSTALL
2 NEW 1" WATER
SREVICES PER STD 502-L.
Parcel # :
4591-160-1 -
Legal Desc :
CORONA DEL MAR BLK 333 LOT 20
Owner:
SAVAGE DEWEY M
Contractor : WEST END ENGINEERING INC
Phone:
Phone: 714-231-8216
Address :
2127 YACHT JULIA
Address : PMB 246
NEWPORT BEACH, CA 92660
2942 E CHAPMAN AVE
ORANGE CA
Contractor State Lic: 587219
Applicant:
SAVAGE DEWEY M
License Expire : 01 31, 2018
Phone:
[
Address
Business License : BT20070701
Business Expire : 06 30, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMPENSATION FUND
Policy No : 9163091
W. C. Expire: 05 21, 2018
Permit Processing Fee :
$241.00
Sewer Connection :
$500.00
Total Fee
$2,930.00
Agreement Fee :
$0.00
4TT Box Cover :
$128.00
Paid :
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$1,299.00
Balance :
$2,930.00
Inspection Fee :
$660.00
Water Meter Connection :
$1,056.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$102.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Date : / /
Other Department :
Date
Utilities Approval :
Date : / /
Permit Denied
Date
ffi
Traffic Approval :
Date : / /
Issued Permit : J
Date : / ' 7
1_!n J
General Services Approval :
Date : / /
A 72, 91 'Y 3
. _
Fri
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PROJECT ADDRESS: qla,LZA-F
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
OWNER: D P6 LSL LL
Phone:
Email Address: .2, ( S If ZL.L ,?{4d_
Mailing Address:
City/State/Zip:
/VZAJ?6-A QW57-
�LLCONTRACTORINFORMATION.IS�REGZ�IIRE�3-PLF-A G�?NiP ..T
FCONTRACFT'OR:WIST
Office Phone:
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: (iJ iS Z_.4i
Mailing Address:�U�
Y
City/Stat Zi
�35Z
State License Number Sz Class:
S8 72.1 Expire / / f8
City Business License Number:
2- -7 Expires: Gt
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: q t (- �o � Expires: 26
..............'...........................'.......
I EF.U�fDAS R:QED'4SIT�INFORMA* "T* 104't#-. PAli�ab/e.:::....:::::....::::::::=::::::::::::::::::::::::::::::::::::::::: :
......................................................
ail: Rel iiiid fo...:....:::::::::::::::::-:::::
................:::............. ..................................
FOR OFFICE USE ONLY _: {
Special Conditions of Permit:
04
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMEWS ..-
Utilities: Traffic: Fire:
General Services: Other:
Engineering Technician:
PubliSVJQrks Specialist:
Date:
bi
Permit No.
AJ)- I�-�
f'/users/pbwishared/encroactVmasters/ep%vorksheet.xis �_ r
Public Works Department 949-644-3311
Permit Processing Fee: Pftn
Public Works Only $241.00
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee:
Public Works Field Inspection $165.0
Utilities Field Inspection $121.0
3
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection $108.00 0
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
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval:
I
oty-
-
Water Meter.
Installation Charge $528.00
13/4" Meter
$50.25
Water Meter Boxes:
11" Meter
$121.50
9z
For Parkway & Sidewalk Area (Box + Cover = Cost)
11 1 /2" Meter
$285.00
1 " Meter: 13.00 + 37.00 $50.00
11 1 /2" Turbine Meter
$700.00
2: Meter. 27.00 + 61.25 $88.25
12" Meter
$425.00
�2" Turbine Meter
$845.00
For Traffic & Alley Areas (Box + Cover = Cost)
3" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00
�4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00
Meter
$7,190.00
QtY.
Budget Number
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 (+100% of My over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
030-2284
Engineering Tech: Tot I Amount Due: For Finance Use Only
Perm" ecialist Receipt No.
f:lusers/pbw/shared/encroach/masters/ep front and back masters/
Rev. 1 /5/2017 epfeesheet.xis-revised 10/21/2016
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
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-' i ertific�e of Worker's
contractor must provide a Letter of Authorization' to allow another party to pull a permit. An approved copy of the
Compe sation I uran , or a Certified Copy there
permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of
%b / 7
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Date: Signature:
after date of issuance.
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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
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 I 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 guarded when 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 I 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 In a ion is required 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 safely devices shall conform to the requirements of the current of
Public Works at 949-644-3311.
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
utility 15. Any above ground 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 own er
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
11.
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
discharge construction debris into the gutter and storm drain. Felony violations of Water
andsto
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
Quality Laws are punishable by fines up to 0 and/or up to three years in State
prison plus the full cost to clean fines
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
on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
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.
No work related to this encroachment permit $hall be performed until the Public Works Department has Issued thls permit. Applicant hereby acknowledges fie/she has ead a ders is 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 after1ssuance:
Permit
fees are nonrefundable.
Dat /0 �'1 Signature.
OFF -SITE:
GREMOVE ALL EXISTING LAN05GAPE ELEMENT 5 (WALL, BRICK STEPS ETC.)
22 EXISTING PROPERTY LINE WALL; PROTECT—IN—PLA
GE
23 EXISTING CONCRETE 51DEPNALK — PROTEGT—IN—PLACE
G
PLANT NEW 36" BOX MAGNOLIA GRANDIFLORA 'LITTLE GEM' 5TREET TREE
COUNCIL POLICY G-6 PER CHAPTER 13 OF THE CITY MUNICIPAL CODE PER GNB
25 REPAIR EXISTING DAMAGED GURB,GUTTER AND SIDEWALK PER CITY
5TANDARD 57,D 182—L. 5EE GENERAL NOTE 7
GEXI5TING 5EWER LATERAL TO BE ABANDONED AND SHALL BE CUT ANAT THE WYE. EXISTING BOX, COVER, R15ER d WYE SHALL BE REMOVEDGAPPED
REMOVE EXISTING WATER METER SERVICE
D
TO BE GAPPED AT MAIN WITH CORPORATION 5TOP
28 IN5TALL (2) NEW WATER METER 5ERVICE TO UNIT "A" $ UNIT "B"
AND IN57ALL PER CITY OF NEWPORT BEACH STANDARD # 502—L.
2q REMOVE EXISTING GA5 METER PER 6A5 COMPAN
Y 5TANDARD5
INSTALL (2) NEW GAS METER PER 6A5 COMPANY STANDARDS
FOR UNIT "A" $ UNIT
CONSTRUCT (2) NEW NEW SEWER LATERALS AND CLEANOU75 FOR UNIT "A" "
31
PER CITY OF NEWPORT BEACH STANDARD DWG STD_406—L WITH TRAFFIC BOX A B
32 REMOVE EXI5TING DAMAGED PAVEMENT IN ALLEY AND RECON ND LID
STANDARD 5TD 140—L, 5EE GENERAL NOTE 7 STRUGT ALLEY PER CITY
33 CONSTRUCT PRIVATE CURB DRAIN PER CITY OF
NEWPORT BEACH STANDARD DETAIL 184—L
GCONSTRUCT NEW SIDEWALK ,ALONG FIRS T AVENUE PER CITY OF NEWPORT BEACH DETAIL STD-180—L
1-00 ------
r PLANS PREPARE
407/N
d'zn engin
166 MAT155E
AL150 VIEJO, c
TEL: ((q49) 3C
CLIENT:
FERNLEA
428 OLD NEWPOR
CORONA DEL MAR,
TEL: (q49) 300.
CONTACT:
DAVID DAVUTG
SHEET TITLE:
Z
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' 10/18/2017 City of Newport Beach Page 4 of 21
4:30:10PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/19/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 418 FERNLEAF AVE
Activity : N2017-0051
SubType : NEW
Status : APPROVED
OWNER: SAVAGE DEWEY M Phone :
Description: ABANDON EXISTING SEWER LATERAL AT THE WYE AND INSTALL 2 NEW SEWER
LATERALS AND CLEAN OUTS PER STD 406-L; ABANDON EXISTING 3/4" WATER SVC
AND INSTALL 2 NEW 1" WATER SREVICES PER STD 502-L.
item: 10200
Requested Time: 10/19/
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
J1/
Requestor:
9495332337 10- &-/ / q,/0t4t
&W r-V Z4
Date: `D !g �7 Time:=J�A PM
Comments: 'i - w� (,r/ �''� D/�,%C? 7`0
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131
Run Id: 4018
10/23/2017 City of Newport Beach Page 1 of 16
6:34:24AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/23/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 418 FERNLEAF AVE
ti 1�1 S;
Activity : N2017-0051
SubType : NEW
Status : APPROVED
OWNER: SAVAGE DEWEY M
Phone :
Description: ABANDON EXISTING SEWER LATERAL AT THE WYE AND INSTALL 2 NEW SEWER
LATERALS AND CLEAN OUTS PER STD 406-L; ABANDON EXISTING 3/4" WATER SVC
AND INSTALL 2 NEW 1" WATER SREVICES PER STD 502-L.
111 Jill
Item: 10040 SEWER LATERAL
Requested Time: 10/23/2017 12:00:OOAM Requestor: NBIVR
7142318216
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
Date: /0 3 / Time: =ZS AM M
Comments: z & 6,e,
,. j ged
w.efile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
10/23/2017 City of Newport Beach Page 3 of 7
4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/24/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 418 FERNLEAF AVE
2'�''t'{± "
Activity : N2017-0051
SubType : NEW
Status : APPROVED
OWNER: SAVAGE DEWEY M Phone:
Description : ABANDON EXISTING SEWER LATERAL AT THE WYE AND INSTALL 2 NEW SEWER
LATERALS AND CLEAN OUTS PER STD 406-L; ABANDON EXISTING 3/4" WATER SVC
AND INSTALL 2 NEW 1" WATER SREVICES PER STD 502-L.
Item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 10/24/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: L Date: �� Z� % Time: - A PM
Comments:
7-4s7L 14
1.2taf ea.. —
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
419 trertNu�►.� a*iem.
+� '1/28/2019 City of Newport Beach Page 1 of 7
4:30:21PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/29/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 418 FERNLEAF AVE
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Activity : N2017-0051
SubType : NEW
Status : APPROVED
OWNER: SAVAGE DEWEY M Phone:
Description : ABANDON EXISTING SEWER LATERAL AT THE WYE AND INSTALL 2 NEW SEWER
LATERALS AND CLEAN OUTS PER STD 406-L; ABANDON EXISTING 3/4" WATER SVC
AND INSTALL 2 NEW 1" WATER SERVICES PER STD 502-L.
Item: 10250 FINAL - PW Wr f l l
Requested Time: 1 /29/2019 12:00:OOAM Requestor: NBIVR Je
9492790949
Entered By:
NBIVR
Comments:
PM
Assigned to:
1JV
L
F/Z-
COMPLETED
f.
1/28/2019 City of Newport Beach Page 2 of 7
4:30:21PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/29/2019
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 418 FERNLEAF AVE
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Activity : N2017-0051
SubType : NEW
Status : APPROVED
OWNER: SAVAGE DEWEY M Phone:
Description : ABANDON EXISTING SEWER LATERAL AT THE WYE AND INSTALL 2 NEW SEWER
LATERALS AND CLEAN OUTS PER STD 406-L; ABANDON EXISTING 3/4" WATER SVC
AND INSTALL 2 NEW 1" WATER SERVICES PER STD 502-L.
Item: 10255 FINAL - Utilities
Requested Time: 1/29/2019 12:00:OOAM Requestor: NBIVR
9492790949
Entered By: NBIVR
Comments: PM
Assigned to: