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HomeMy WebLinkAboutN2018-0285s j. City of Newport Beach mJ 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 2 8 5 Permit Counter Phone (949)644-3311 x Online Inspection Request - www.newportbeachca.gov / Online Services Permit No: N2018-0285 Project No : 2245-2016 1SCANNED � Inspection Requests Phone (949)644-3255 Job Address : 1421 W BAY AVE NB - TkLomas:Guide: 918J1 Description : INSTALL SEWER CLE N_QLILP R.SL Y184-L. Parcel # : Legal Desc 0472-230-4 N TR 626 BLK 10 LOT . J �� ii Lylb J Z- �l� (Y t Owner: BRYSHA ANDRE Contract LANE COMPANY THE Phone: 949-254-3296 714-775-6905 Address : 1421 1/2 W BAY AVE Address : 14629 PLACID DR NEWPORT BEACH CA 92661 WHITTIER CA 90604 Applicant: LANE COMPANY THE 4 Phone : 714-775-6905 Address : 14629 PLACID DR WHITTIER CA 90604 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Permit Processing Fee : $241.00 Sewer Connection : $0.00 Agreement Fee : $0.00 4TT Box Cover: $64.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Inspection Fee : $330.00 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: 542050 License Expire : 09 30, 2018 Business License: BT30029596 Business Expire : 12 31, 2018 Workers' Compensation Insurance - - Carrier : STATE FUND Policy No: 1860194 W. C. Expire: 10 11, 2018 Total Fee $635.00 Paid : $0.00 Balance : $635.00 Receipt No Other Department : Date : / / Permit Denied -Date:(Clw) Issued Permit : Date: / COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: j 2 i w. AeVt5 q u& j DETAILED DESCRIPTION OF PROPOSED WORK: APPLICANT: 1Phone: Email Address: Mailing Address: City/State/Zip: OWNER: pr�,��-���� ,�j t-,� Phone: Email Address: Mailing Address: � � City/State/Zip: CONTRACTOR: L- - - - Company (if different): 7� - - Office Phone: y � Jobsite Phone: Other Phone: Email Address. - Mailing Address: City/State/Zip: _ d State License Number & Class: City Businecc I ironcP Number: Expires: Expire WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) ,II Compan : Policy No: Expires: Municipal Oerations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 OL ecial Conditions of Permit: F VAL ADDIT1OKAL APFVWAL REQUIRED FROM THE FOLLOWING DEPARTIWJTS Utilities: Traffic: Fire: Municipal Operations Other: Engineering Technician: reMecialist Date: �� IS Permit No. N2018- Q-5-_ f /users/pbw/shared/encroach/masters/epworksheet. xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Qty. Inspection Fee: Public Works Only $241.00 Public Works Field Inspection $165.0 Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: TBD Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk Closure: $65.00 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 [a Additional I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE ]Approval: Revenue Division 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES I Qty. Q [Water Meter: Installation Charge $528.00 13/4" Meter $50.25 11" Meter $121.50 Water Meter Boxes: 1 11 1/2" Meter $285.00 1" DFW Meter Box $96.66 11 /2" Turbine Meter $700.00 2" DFW Meter Box $203.24 „1 2 Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 14" Meter $4,730.00 6" Meter $7,190.00 . a i p "_'':d - ♦ .ram ^ Q IMV QtY. 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 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: PerT&SKciallist Rev. 12/18/2017 To Amount Due: Receipt No. For Finance Use Only front and back masters/ a)-` s - D of !o' ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR •. Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800422-4133 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANCE de) 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 sef Worker's contractor must provide a 'Letter of Authorization to allow another party to pull a permit. An approved copy of the MCert' Compen ation Insurance, or a Certified Copy t e 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 Date;: `'" <' Signature: after date of issuance V CERTIFICATE OF EXEMPTION (ec ion 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 be corrected within two weeks after notification to the satisfaction of the Public Works Director. 3700 or this permit shall be deemed revoked. 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 connection to sewer lines a valid State Contractor License Class C-42 is required. CONTRACTOR LICENSE EXEMPTION 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 rneans. 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 (i& 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: Signatu 4TT box over the riser 24-hour notice for Encroac e t Per it In on is required by calling 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 p Warning Signs. Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the Public Works at 949-644-33 California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00 15. Any above utility faci ies ill r uire d tic' approval from the adjacent per barricade per day with a minimum charge of S35.00. 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. ground affected owner(s). 10 Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day property 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 January 1, unless approved by the Public Works Department. discharge construction debris into the and storm drain. Felony violations of Water 11 Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to gutter Quality Laws fines to $25,000 to three in State by ffup acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and are punishable up and/or up years prison plus the full cost to clean an 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 applicant must submit a Soils Compaction Handbook (WATCH) No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure paid, Certificate Evidence Slurried Backfill final inspection from the on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by or of a and request a 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 GVJorks 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 cnllection 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 y. ditional work performed may require issuance of a separate permit and r ions ee . No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant herej>y acknowledges he/she has rea understa s e 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. p �>_�%v Permit fees are nonrefundable. Date.�J_ Signatures_ consisting of a urface area drains tee water to the tun gradient of 2 waters should not the level areas of :pouts should be )uts and down -spouts ald be connected to inage systems should 0 0 ti WEST BAY AVENUE E- - 15 1 SITE PLAN KEYNOTES -- SEE EXISTING CONDITIONS -TOPOGRAPHIC SURVEY SHT A0.2 FOR EXISTING SITE CONDITIONS AND ADDITIONAL INFORMATION. COORDINATE WITH ADDITIONAL INFORMATION FROM SOILS REPORT. EXISTING DEMOLITION PLAN, ARCHITECTURAL DRAIAIINGS, STRUCTURAL DRA1,11IN3S. ETC FOR FURTHER DIRECTION. FOOTPRINT OF REMAINING PROPOSED TO BE MODIFIED EXISTING FRONT UNIT ONE STORY PRINCIPAL BUILDING SHOWN WITH DIAGONAL LINES. EXISTING RAISED FLOOR FOUNDATION STRUCTURE TO BE MODIFIED AS APPLICBLE, SEE STRUCTURAL FOUNDATION PLAN. EXISTING FLOOR ELEVATION HEIGHT TO BE MAINTAINED. FOR EXISTING SITE AND FLOOR ELEVATION SE;. EXISTING CONDITIONS -TOPOGRAPHIC SURVEY, SHT A0.2. VERIFY EXISTING CONDITIONS. 721 11 SHOWN 16 12 7� PLANTER SHOWN BY 7 JJJ SHADED DIAGONAL LINES 4 I S 80 deg 16' 30" E -77 I 30.00' I o I. o - J--J SIM. 13 6 7 8.59'`— - — +, 9 1 - - I IT-0„ o I� HARDSCAPE 0 0 o I0) I w - 0 MI MI I 9.88 I 13 i 8 - 8.44 3 \� - -A 10 n/2' T-0"I I �! 13 / 7] I j HARDSCAPE // i 1 d 0 / C) I0) 5 A16 _z S'"' , NOTE DEFERRED SUBMITTALS: POOLS, SPAS, , �' WALLS FENCES PATIO w COVERS AND OTHER FREESTANDING STRUCTURES, AND FIRE SPRINKLER SYSTEM REQUIRE SEPARATE REVIEWS AND PERMITS. _ HARDSCAPE I � ' 3DEFERRED SUBMITTALSARE TO BE REVIEWED BY PROJECT ARCHITECT > AND/OR ENGINEER OF RECORD, DEPENDING ON SCOPE OF WORK, AND REVIEWED PRIOR TO SUBMITTAL TO CITY OF NEWPORT BEACH SEE EXISTING CONDITIONS -TOPOGRAPHIC SURVEY FOR EXISTING UTILITY METERS LOCATIONS, REMAINING EXISTING 2-CAR GARAGE WITH REAR UNIT ABOVE. NOT APART OF PROPOSED REMODEL. EXISTING BUILDING SETBACK DIMENSIONS. FIELD VERIFY SITE PROPERTY LINE PROPOSED IN -GROUND WHIRLPOOL/SPA LOCATION. POOL EQUIPMENT LOCATION TO BE DE''ERMINED. POOL CONTRACTOR TO PROVIDE DRAWINGS AND COORDINATE ALL WITH MUNICIPALITY. ALL PER SEPARATE REVIEW AND PERMIT. COORDINATE AND CONFIRM DESIGN, LAYOUT AND ALL EQUIPMENT TYPE AND LOCATION WITH OWNER. LANDSCAPING! HARDSCAPE i SITE DRAINAGE PER SOILS REPORT RECOMMENDATION. VERIFY DESIGN DIRECTION WITH OWNER. SEE DRAINAGE PLAN, A0.3.2 FOR ADDITIONAL INFORMATION SUBJECT STRUCTURE TO BE EQUIPPED WITH FIRE SPRINKLER SYSTEM IN ACCORDANCE WITH NFPA 13D. FIRE SPRINKLER PERMIT TO BE OBTAINED PRIOR TO CALLING FOR ROOF_' SHEATHING INSPECTION. PER SEPARATE REVIEW AND PERMIT.. . . . . . . "ESTABLISHED -GRADE TOPOGRAPHICAL ELEVATION POINT. PER EXISTING CONDITIONS TOGRAPHICAL SURVEY. SEE BUILDING HEIGHTS FORMULATION, GENERAL INFORMATION, SHT. A0.1. VERIFY WITH OWNER FOR ANY PROPOSED 6'-0" TALL PROPERTY LINE WALL AND/OR FENCE. PER SEPARATE PERMIT AND REVIEW. NAT. GRD = 8.637 T.O.W.=14.63' PROPOSED FRONT MASONRY WALL_ 5 FEET MAXIMUM HEIGHT W! UPPER 3FT = 40% VISUALLY OPEN. SEE IMAGE (2 i A0.1 ) FOR CONCEPT DESIGN. ALL WALLS PER SEPARATE PERMIT. VERIFY WITH OWNER. NAT. GRD = 8.63'/ T.O.W.=13.63' PROPOSED 2 FEET HIGH FRONT MASONRY WALL. SEE IMAGE (7 ,' A0.1 ) FOR CONCEPT DESIGN. ALL WALLS PER SEPARATE PERMIT. VERIFY WITH OWNER NAT. GRD = 8.63'/ T.O.W.=10.63' ENTRYSTOOPAREA WITH STEPS. CONFIRM WITH OWNER DESIGN DIRECTION. VERIFY EXISTING CONDITIONS. ENTRY STOOP OVER GRADE OR PAVING BELOW. SEE DRAINAGE PLAN, SHT A0.3.2 EXISTING WATER METER LOCATION. PROTECT IN PLACE ANTICIPATED EXISTING SEWER LATERAL LOCATION VERIFY PER CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT. INSTALL A NEW SEWER CLEAN OUT ON THE EXISTING SEWER LATERAL PER CITY OF NEWPORT BEACH STANDARD, STD-4C6-L. PER CITY OF NEWPORT BEACH PUBLiC WORKS DEPARTMENT, INSTALL DROUGHT TOLERANT PLANTING BETWEEN EXISTING SIDEWALK AND PROPERTY LINE. GENERAL INFORMATION OWNER: C 1 n s a ARCHITECT: 4 C 9 1V J( PROPERTY ADDRESS: 1. N ASSESSOR PARCEL # : p'd LEGAL DESCRIPTION: TI PROJECT DESCRIPTION: REMODEL AND ADDTION TO AN REMODEL OF EXISTING SINGLE SECOND LEVEL LIVING SPACE) DECK AREA WITH ACCESS TO.4 CODE ANALYSIS OCCUPANCY R2 CONSTRUCTION VE CODE 20 20 20 GENERAL PLAN LAND USE: RT ZONING DISTRICT: R BUILDING HEIGHT FORMULA' ESTABLISHED GRADE SLOPE ESTABLISHED GRADE ELEVA 8.59' + 8.44' + 8.79' + 8.70' = 3� MAX HEIGHTS: (Above Establi FLAT ROOF = 24' SLOPED ROOF (3:12 min) = 29' FLAT ROOF MAX ELEV POINT 24' + 8.63` = 32.63' MAX HEIG 816/2618 City of Newport Beach Page 4 of 19 4:30:12PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/07/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 1421 BAY AVE W Activity : N2018-0285 SubType : NEW Status : APPROVED OWNER: BRYSHA ANDRE Phone : 949-254-3296 APPLICANT: LANE COMPANY THE Phone : 714-775-6905 Description : INSTALL SEWER CLEAN OUT PER STD 184-L. Item: 10200 PRE JOB - PW Requested Time: 8/7/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: Comments: 9496770322 S.o 4 Date: <Z7 _ (g Time: AM PM AA— A4 �+ -4-;b �1 D ©� cr S fv�c-� �,✓ar �r v✓. � � L Q `� � 7 `o r, d��r-, F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 11/5/2018 City of Newport Beach Page 7 of 15 7:38:�OAM INSP150 - Daily Inspection Request Report Requested Inspection Date : 11 /05/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1421 BAY AVE W A/P/D Information: Activity : N2018-0285 SubType : NEW Status : APPROVED OWNER: BRYSHA ANDRE Phone : 949-254-3296 APPLICANT: LANE COMPANY THE Phone : 714-775-6905 Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10030 CLEAN -OUT Requested Time: 11/5/2018 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: ANY - Assigned to : zzzzzzzzzzz*-,,_� V i/VS - LL > -� `�C 1�7 6 X)Xwz_ -) c� -T---: �-� C2- • 11/6/2018 City of Newport Beach Page 13 of 15 6:30:21AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 11/06/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1421 BAY AVE W AMID Information: Activity : N2018-0285 SubType : NEW Status : APPROVED OWNER: BRYSHA ANDRE Phone : 949-254-3296 APPLICANT: LANE COMPANY THE Phone : 714-775-6905 Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10010 BACKFILL / COMPACTION- PW Requested Time: 11/6/2018 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: ANY - Assigned to : zzzzzzzzzzz *,�� SVA 6Ae-rA K 6atA�-� A- kA 12` 6? llv,sf6c..T.'N� , pte A "^ �,. J r.f iillL a SAM I� - I . "It rti J � I �1, •i1/7/2018 City of Newport Beach Page 11 of 13 6:30:05AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 11/07/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1421 BAY AVE W AMA) Information: Activity : N2018-0285 SubType : NEW Status : APPROVED OWNER: BRYSHA ANDRE Phone : 949-254-3296 APPLICANT: LANE COMPANY THE Phone : 714-775-6905 Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 11/7/2018 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: ANY - Assigned to: zz7777777zz" * ST. SWPQ Sjt,&j P40 Jq9A,, S0C0o#,s;44rA-