HomeMy WebLinkAboutN2017-0426i
L
City of Newport Beach III IIIII IIIII 111111111111111111111111111111111 Permit No: N2017-0426 ' A`
100 Civic Center Dave, Newport Beach, CA 92660 N 2 0 1 7 0 4 2 6
'j Permit Counter Phone (949)644-3311 Project No : 2604-2016
j `* Online Inspection Request - www.newportbeachca.gov / Online
-'_ Services
Inspection Requests Phone (949)644-3255
Job Address:
261 EVENING CANYON RD NB
Thomas:Guide:
919F3
Description :
ABANDON EXISTING 3/4" WATER SERVICE AT MANIFOLD AND INSTALL NEW
1" WATER SERVICE PER
STD 502-L. REPLACE SEWER LATERAL AND
INSTALL CLEAN OUT PER STD
406-L.
Parcel # :
0521-911-5 -���
SCANNED
Legal Desc :
TRACT NO 1116 LOT 135 AND POR ABAND STIR(GLEhT�'RIVE)'
Owner:
261 EVENING CANYON LLC
Contractor :
COAST WATER & POWER
Phone:
949-756-8393
Phone:
949-548-0106 949-289-0078
Address :
1 CORPORATE PLAZA
Address :
P O BOX 3341
NEWPORT BEACH, CA 92660
Applicant: COAST WATER & POWER
Phone : 949-548-0106 949-289-0078[
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$241.00
Sewer Connection :
$250.00
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$649.50
Inspection Fee :
$660.00
Water Meter Connection :
$528.00
Refundable Deposit:
$0.00
Total Water Meter Box :
$50.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Utilities Approval
Traffic Approval :
General Services Approval
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License :
BT96014951
Business Expire :
12 31, 2017
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire:
10 01, 2017
Total Fee $1,914.50
Paid : $1,914.50
Balance: $0.00
Receipt No
Date : / / Other Department : Date
Date : / / Permit Denied Date
Date : / / Issued Permit : � Date : i
Date : / /
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY YY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
August 15, 2017 2:02:57 PM PDT 171 5 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
261 EVENING CANYON
DESCRIPTION OF WORK;
ABANDON EXISTING 3/4" WATER SERVICE AT MANIFOLD
& INSTALL 1" WATER SERVICE PER 502-L.
REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
APPLICANT: MIKE KILBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
CitylState/Zip;
NEWPORT BEACH, CA 92659
OWNER:
Phone:
Mailing Address:
City/State/Zip:
CONTRACTOR: MIKE KILDRIDE
Office Phone: 949-548-0106
Company (if different):
COAST WATER AND POWER
Jobsite Phone; 949-289-0078
Other Phone: FAX: 949-548--1616
Mailing Address:
PO BOX 3341
CitylState/zip:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, B, C-10
City Business License Number:
BT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE -
Compan : STATE FUND
Certificate of Insurance (Section 3800 Labor Code)
Policy No: W87110-14-2 Ex Tres; 1011/2017
REFUNDABLE DEPOSIT INFORMATION If Applicable)
Made Payable To; MIKE KILBRIDE Vendor No: 9833
Mailin Address: PO BOAC 3341, NEWPORT BEACH, CA 92659
�1'�- -
Special Conditions of PeLmIt,RIP
Utilities:
General Services:
FrInFlux
Traffic:
Other:
Engineering Teghnlcian:
public r
Specialist:
D e:
�('
Permit No.
N2017- ,
G-C cI I r - -) c ��,
rermii 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
..gig3 i
F •REVENtiE.-DtVV
$241.00
$275.00
$817.00
$1 92.00
$502.00
$65, 04 t
Inspection Fee:
Public Works Field Inspection $165,00
Utilities Field Inspection $121.00
General Services Inspection $165,00
Water Quality/Artif[cial Turf Inspection $108.00
Refundable Deposit:
Improvements
Newspaper Rack Inspection
$65,00 Sewer Connection Fee
$143,00 4TT Box & Cover
11�3 ftttla 1ARUJV{i- E " R,
IOU PR101at- T-0-PAYMENT. -b0. PEES : Al
TeD
TBD
$108.00 u
$250.0
$64.00
�_ �.
�I.
�VlTate� 1Neter, .:• : : '. • 'Q�/r .:-.. , ., •' _ .: .1 '. : - : • .: t :I
tnS`t4Md6n- C11aj�ge 28:0
f" f
Mker I�At91r..Qxes' • .
2:t.S 1`o_r arf<uv y & .S de�v6hc A e • .eax_t ay.�r = . 1
1.1.�2".Atleter .$285:t7D 1
f'afjit��. _etQr $76_�Q='Meer<' • '2? b0 61.25
-Q ; dr -Fia
�3`�•f��ter . � . • - • . ::.$�;•�1�:DU • �- _
4" Meter
$411�(3�rQy�.f�J�'[j ":Meter �00 .t�i .00.
Certificate of Compliance Fee (+100% of hriy over 3 hrs)
$288.00 Q
BudgetNumber
Development Services Fee (Plan check hourly)
$155.00
5029
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
6200-5028
Perk Dedication Fee Zone
TBD
405-470
Street Easement/Vacation Fee (+100% of hriy over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
To0al Amount Due:
1� .. . ..
. .. . ..
1 .. - . - 7 . ■ - . - 7 ■
For Finance use only
I � L
list I Receipt o.
r:uzgr;�ppwleflarad..�encroec�lmsat�stcp f n�.t anback _aaterat
Rev. 10/7112016 W99shaet.xlc-rQvirga Jar_1/20Ja
LEGEND
i = POOR POLE
=SEWER CLEA.L'gOLrr
Q = WATER METER BOX
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ADDRESS
ZLCIVCI)�9 Fyn
PemiitNo,U20i,�- r,,q2-4,
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY E i Lfi�A L16 1 M
(entity who is requesting meter and/or would get hydrarrt deposit refund)
MAILING ADDRESS
RECEIPT#
CITY/STATEMP PHONE #
r
SERVICE ADDRESS Z(01 L1,)Uw)R c4N40n k449
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
Now service address
(tapping order)
(v4ew Meter at existing service address
(tapping order)
( ) Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location (Residential Location ( ) Fire Connection Fee $
t;
(Meter Size I
Fee $ ( ) 4TT Box Fee $
(VIMIP eter box & Lid - Ee:y/T=rafficAreFee $ or Parkways/Sidewalk Fee $
Total Fees $
Encroachment permit Number: Lj 1
Customer Name (property owner) -,t4 l E V Uln I t\q __C %nq Qrj IL` C
Billing Address ctal bzkQ ikh-m 4 1k lz" City/Zip ! V • � ' �ZGGO
Residence Phone # Business Phone # � I ` -7 66 — B � q 3
E-Mail Address
Social Security # or CA Drivers license
CLERK
FOR OFFICE USE ONLY
DATE BUS LIC # MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORK/TAPPING ORDER NUMBER
flusers/rev/sharedl/water/water meter sere app 05/23/16
k
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.
5. 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.
B. 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 0e: 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.
1 1. 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)
I certify that I have a Certificate of cons nt to self -insure, Certificate of Worker's
Com�ns tipn Insurin , or a Certified y ere f.
Date. l Signatur
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
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 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 owner(s).
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 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 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 acknowledges he/sheM__
ad and understands the terns 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 lsyance. +�
Permit fees are nonrefundable. i. DatX5_AVl1 _...._Signature
5/31/2018 City of Newport Beach Page 13 of 15
4;20:52PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/01/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 261 EVENING CANYON RD
Activity: N2017-0426
SubType : NEW
Status : APPROVED
OWNER: 261 EVENING CANYON LLC Phone : 949-756-8393
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : ABANDON EXISTING 3/4" WATER SERVICE AT MANIFOLD AND INSTALL NEW 1"
WATER SERVICE PER STD 502-L. REPLACE SEWER LATERAL AND INSTALL CLEAN
1.?s*a
OUT PER STD 406-L.
Item: 10040 SEWER LATERAL
Requested Time: 6/1/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -SOS to line
Assigned to: 7777777777
r
Inspector: Date: / Time: 076Aj,PM
rIf
Comments:
V,
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsaectorSheet.doc
REPT131 Run Id: 4018
1.
6/4/2018 City of Newport Beach Page 14 of 15
6:34:11AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 06/04/2018
Inspection Tvpe : ENCROACH
Inspection Area : PW
Site Address : 261 EVENING CANYON RD
A/P/D Information:
Activity :
N2017-0426
SubType :
NEW
Status :
APPROVED
OWNER:
261 EVENING CANYON LLC Phone : 949-756-8393
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description :
ABANDON EXISTING 3/4" WATER SERVICE AT MANIFOLD AND INSTALL NEW 1"
WATER SERVICE PER STD 502-L. REPLACE SEWER LATERAL AND INSTALL CLEAN
OUT PER STD 406-L.
Requested Inspection(s)
Item:
10215 ROUGH UTIL
Requested Time:
6/4/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to :
zzzzzzzzzzz*
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2/11/2019 City of Newport Beach Page 7 of 18
6:30:39AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 02/11 /2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 261 EVENING CANYON RD
AIP/D Information:
Activity :
N2017-0426
SubType :
NEW
Status :
APPROVED
OWNER:
261 EVENING CANYON LLC Phone : 949-756-8393
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description :
ABANDON EXISTING 3/4" WATER SERVICE AT MANIFOLD AND INSTALL NEW 1"
WATER SERVICE PER STD 502-L. REPLACE SEWER LATERAL AND INSTALL CLEAN
OUT PER STD 406-L.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
2/11/2019 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to zzzzzzzzzzz*