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Home My WebLink AboutN2018-0095L o,, 4 eac City of Newport Beach *N2018-0095* No: N2018-0095 Permit . °1!— ;* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Project No : 0398-2017 , Online Inspection Request - www.newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address: 531 VIA LIDO SOUD NB Thomas:Guide: 888J7 Description : INSTALL NEW SEWER CLEAN OUT IN PUE PER STD 406-L. INSTALL NEW EDISON CONDUIT. Parcel # : 4232-160-7 - Legal Desc : N TR 907 LOT 443 Owner: LITTLEFAIR ANDREW & KAREN Contractor : KISLING DONOVAN M Phone: Phone: Address : 1221 W COAST HWY APT #113 Address : 25571 VESUVIA AVE NEWPORT BEACH, CA 92663 MISSION VIEJO CA Contractor State Lic: 873678 Applicant: KISLING DONOVAN M License Expire : 03 31, 2018 Phone: [ Address : 25571 VESUVIA AVE MISSION VIEJO CA Business License : BT30056485 Business Expire : 09 30, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE FUND Policy No : 91747727 W. C. Expire: 12 19, 2018 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $800.00 Agreement Fee : $0.00 4TT Box Cover: $64.00 Paid : $0.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $800.00 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 : $0.00 Processed By: Date : / / Other Department : Date Utilities Approval Traffic Approval : Date: / / Date : / / Permit Denied Date Issued Permit: Date C-)- /� � : General Services Approval : Date : / / PROJECT ADDRESS: 3 �— v DETAILED DESCRIPTION/OF PROPOSED WORK: ,SC'- v� �� r f' r�V' ew �' � of T ✓' �`� � Ga,.t t;��c E co-m 6>_S ( L /�vtit 5� APPLICANT: Phone: — Email Address: Mailing �dresp; L od City/State/Zip: OWNER: Ae-*N 1 rej✓ fe1cz'j Phone: e6jct - 3 0 " q/ Ci Email Address: K I-, Tf (c--, . o ' e, c:0u', Mailing Address: City/State/Zip: ,L `OITRAGTOR NORMATlOt1t ;tS'REQUIRED-P:E4SE �G3MPLTE �Y NTRACTOR: S F Office Phone: �y�1 " 3 ompanyl(if different): C(_ c!r� Jobsite Phone: Other Phone: 63i49 Email Address: �C;,.,� �( �5 , �ct v C' c'-- Mailing Address: City/State/Zi State icense Number & Class: .7 Expires: 3 ' Ci Business License Number: Expires: rORKERS COMPENSATION INSURANCE - Certificate of Insurance(Section3800 Labor Co ) : S tc -- cLc il` Polic No: I ,'' — � o� v .......................................................................... EF:�JI�iQA�f:E:D�'O$IT:tNQi�VIATIO:(�fAPP/iail:::::::::::::::.:::.::::::::::::::::::::::::::::::::::::::::::::::::. .:.:.:.:.:.:.: .............................................. ....-...------....-.................-.............-.-....-.-... ...-.... .-.....-.... cr. . .. . .. . .................................................................. FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public W cialist: Date: C__2 2j3ig Permit No. F/users/pbw/shared/encroachlmasters/epworksheet.xls 01 zo1 �? Public Works Department 949-644-3311 �.` * 'tif -'f S Y v4y •w T S` Mr r.I FV i �� £aR T; L. All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT N2018- �� f v L-1 �j c<GQ NUMBER: v APPLICANT: - 4TO - BE COWL ET ... _ Permit Processing Fee: 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 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBD Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00 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 ___ _ ___ __ ___ _____ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: [ Qty- Qty. 1 [Water Meter: Installation Charge $528.00 1 13/4" Meter $50.25 1 11 " Meter $121.50 Water Meter Boxes: 1 11 112" Meter $285.00 1" DFW Meter Box $96.66 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 1 12" Meter $425.00 1 12" Turbine Meter $845.00 1 1 13" Meter $3,310.00 1 14" Meter $4,730.00 1 0" Meter $7,190.00 - 1 Q - Budget Number Certificate of Compliance Fee (+100% 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 Easement/Vacation Fee (+100% of hrly over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD1 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only 1+ UCQ.I Pe cialist Receipt No. f:/users/pbw/shared/encroach/masters/ep front and back masters/ Rev. 12/18/2017 epfeesheet.xls-revised 11/8/17 n3cl1s- 2�c-7 7` 5 � ti � 'i.. �. •� M�.•r �� •+wr.w. 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Ifwl rg, • raw Soma ara me L41 was NEW Y K wruw r N wwr% WY 1: OLMN � tIMYe t:o� Ilt Somr t�mtsr.`t�affl�A1A-1� r r Mawal N M1M s 1r �� ■ "Man A cam) I.r Y x Odf' l S ma war rtlN s r IIO� Sol. • is xm► Ld t. 6•'So1 -_ - tk: `AWN / et %7M Itw '1r/1f1 P 7�_ r Aftpk7t Hcz1 Sodom '� '� • , I f r �w\Y Y rt art r/.rr�111\I f f O\.rr ��r\ Iwr .wNi r ■�\��rly�� - _��• I w\ ■ .r1 • •rwr M .� r M Irrr I / . ri Or•• 1rr ..1 w aar•4 pto�n A wmer f � 1 i witlM�oo�ow�are��r 0 • trr\wr •rum•• `~ �� f/ EDISON TYWAL ';;ftM 6dk4K SE:TIGA =aw r1.2w an in JI& CcA4 I - ►iE Uta I77 170 L=pf uvW l sum ® �� rule M r4.ML ..,g :•A�T «it "�^ � if. 1. orra ucaul® vl_ 1�4FlG tA101 +m vAm Dare, tan %l I �Id1N1�1 YtMt lC7 t, t ` I\r\r rr. v r .n.\ , r• tear. fWLONtYI\. e.Lnlelat eun r. .... I I alo ' d two Kee g - ( ��►'M! �. rt>tew rail _ _ T 1-r e►u : erfwet in IM 'AT \:N --- - - Mh y� Saimaa Na h•, Ile f \', 112) !Z<_� 1 _ MiA. _ eltsoa�T+n� WN Y� VA4A ewfs' . 1:M — MA ►foo L ah ma lwVtl 1)ly,Ol e>de.s tftrp LAi -r ernt 0 •1•r - w +Sou I hauNrf collarN Low I 87MY, 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 E:ncroachrnent 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 perrnit. 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 1 he Perrnittee 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. 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. 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 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. 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. 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, 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 (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 41- I box over the riser. 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. 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. Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to acquire a l ernpoiary 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 niafor 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. 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. 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. 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 consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy there r-� Date: �� 23 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 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 Encroachmen Permit Inspection is req ired by calling Public Works at 949-644-3311 15 Any above ground utility facilities will require documented approval f 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 Stale 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 `r"Forks 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 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. M Permit fees are nonrefundable. acknowledges he/she has read and understands the terms and �_8lgnature:'`-�___ ._ Xrv.)N:� - f Ate[ J ems.- - �.�:�.i ' vL i9`r'. 1'«`r-'.- �•1. yacf l 1' t , '1 - 1 M� �� ;,c ,a. n . r r . • ,. K20� yF 1 �- •n`, IXI' � ` `,•„L r+��'i - 3 p ,00- We �y r�cte,rnr flp JY..•n --, ` ,?vs s zx _.� N •.� �w�~'►..as�•�• p...w • •,. •,.. 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[. bLlr�;l1{1.1►'W�`.]ON++•s u y1T � � jp.i rr- Z e.�„ _ .rv�.•Vi�:• i 1�11i�-��t..)( iF} �. ; li .x -� 1 i[(.+"r'Ut1Y1if. UPT of ! Mon �yYeT«•e'y: ,,w r CX7Un T• urM,RM r�� - - "A' fw Il.b P�1"'7uUlL •f�.bN ' - t+il+�►tb""Ic"['"' vM��wrw .iNR"rMw+ i �1"'.ra a�.a.t�, •r F�3••'i�' bN i !► ANC - .� 1• � 7.,.�.,. � � � �� i 1 r . •� ItMe ' arm AM YS-' R�S1�£r� ici t o Y A rY .a .• i 441 •••••#a is cF • ••. .. .. . • ��•r (. ` is • . r • ► . 'OP. ��•.• .r ( .`�Ir 1 - _ r ram, lk e. L LAT",46A tow ♦ • •t ••. • • A • � .%� • ! •��: • • � � ,, it •:t • . •. • �- AAAPPI MIMP dkdp WS lb- fe • •ram ' 't I q7 I Irh •r • ♦ • w M•� �%!M ` ar .. `` Al 10 p. • .• ' 6 2/2,6."!018 6:34:50AM City of Newport Beach Page 7 of 7 INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/26/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 531 VIA LIDO SOUD AMID Information: Activi►y : N2018-0095-- SubType : NEW APPROVED f Status : OWNER: LITTLEFAIR ANDREW & KARENT1one s APPLICANT: KISLING DONOVAN M Phone: Description : INSTALL NEW SEWER CLEAN OUT IN PUE PER STD 406-L. INSTALL NEW EDISON CONDUIT. Requested Inspection(s) Item: 10200 PRE JOB - PW Requested Time: 2/26/2018 12:00:OOAM Requestor: WEBUSER 9493742941 Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzzzzzz* '3/12/2018 City of Newport Beach Page 9 of 9 6:34:15AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/12/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 531 VIA LIDO SOUD AMID 11M011na6m: Activity : N2018-0095 SubType : NEW Status : APPROVED OWNER: LITTLEFAIR ANDREW & KAREN Phone: APPLICANT: KISLING DONOVAN M Phone: Description : INSTALL NEW SEWER CLEAN OUT IN PUE PER STD 406-L. INSTALL NEW EDISON CONDUIT. Requested Mspectiorrsj Item: 10030 CLEAN -OUT Requested Time: 3/12/2018 12:00:OOAM Requestor: WEBUSER 9493742941 Entered By: WEBUSER Comments: ANY - Assigned to : zzzzzzzzzzz * Ik ``` - WE 3/,13/2018 City of Newport Beach Page 3 of 4 4:31:01PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/14/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 531 VIA LIDO SOUD Activity : N2018-0095 SubType : NEW Status : APPROVED OWNER: LITTLEFAIR ANDREW & KAREN Phone: APPLICANT: KISLING DONOVAN M Phone: Description : INSTALL NEW SEWER CLEAN OUT IN PUE PER STD 406-L. INSTALL NEW EDISON CONDUIT. Item: 10030 CLEAN -OUT Requested Time: 3/14/2018 12:00:OOAM Requestor: WEBUSER 9493742941 Entered By: WEBUSER Comments: ANY - Assigned to: 77777777777* Inspector: Comments: Date: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsvectorSheet.doc Time: AM PM REPT131 Run Id: 4018 low fA" A 4 .4 1/1P/2019 City of Newport Beach Page 3 of 17 6:30:16AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/18/2019 Inspection Type: ENCROACH Inspection Area : PW Site Address : 531 VIA LIDO SOUD A/P/D Information: Activity : N2018-0095 SubType : NEW Status : APPROVED OWNER: LITTLEFAIR ANDREW & KAREN Phone: APPLICANT: KISLING DONOVAN M Phone: Description : INSTALL NEW SEWER CLEAN OUT IN PUE PER STD 406-L. INSTALL NEW EDISON CONDUIT. Requested Inspection(s) Item: 10255 FINAL - Utilities Requested Time: 1/18/2019 12:00:OOAM Requestor: Entered By: NBIVR Comments: NP Assigned to A/6( NBIVR 7146420105