HomeMy WebLinkAboutN2018-0403City of Newport Beach ICI II� II�II III�I II��I IIII III9I ��III �I�II ��II� III
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 4 0 3
Permit Counter Phone (949)644-3311
4« Online Inspection Request - www.newportbeachca.gov / Online
Services
Permit No: N2018-0403
Project No : 2803-2017
Inspection Requests Phone (949,?4 -�
Job Address :
3921 SANDUNE LN NB
Thomas:Guide:
919G2
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
"*UPDATED 12/17/18: REPLACE LATERAL`*
Parcel # :
4580-611-7 -
Legal Desc :
N TR 6425 LOT 76
Owner:
FORSHEIM JON & PENNY
Contractor :
COAST WATER & POWER
Phone:
949-632-5067
Phone:
949-548-0106 949-289-0078
Address :
3921 SANDUNE LN
Address :
P O BOX 3341
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92659
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 :
$257.00
Sewer Connection :
$250.00
Agreement Fee :
$0.00
4TT Box Cover :
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$528.00
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
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License :
BT96014951
Business Expire :
12 31, 2018
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110-18
W. C. Expire:
10 01, 2019
Total Fee $1,099.00
Paid : $635.00
Balance : $464.00
Receipt No
Date:
/
/ Other Department :
Date
Date:
/
/ Permit Denied
Date
:
/
/ Issued Permit :
i Date :0�- / / 7/
/ (SDate
Date :
/
/
11
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City of Newport Beach III�
Jill Permit No:N2018-0403
o 100 Civic Center Drive, Newport Beach, GA 92660 N 2 1 a 0 4 8 3
PeFMH Counter Phone (949)644-3311 Project No : 2803-2017
Online lnspecUon Request - www.newportbeachca.gov I Online
if�ttx4a Services
fnspectiori Requests Phone (949)644-3255
•
Job Address: 3921 SANDUNE LN NB homas:Guide: 919G2
Description : INSTALL SEWER CLEAN OUT PER STD 408-L. ��
Parcel # :
4580-611-7 -
Legal Desc :
N TR 6425 LOT 76
Owner:
FORSHEIM JON & PENNY
Phone :
949-632-5067
Address :
3921 SANDUNE LN
CORONA DEL MAR, CA 92825
Applicant COAST WATER & POWER '
Phone : 949-W-0106 949-289-0078[
Address : P 0 BOX 3341
NEWPOiRT BEACH CA 92669
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Pee :
$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.W
Processed By :
Date: _I I
Utilities Approval:
Date : —/ I
Traffic Approval : Date �I I
General Services Approval : Date ; _I_l,
Contractor
Phone:
Address
COAST WATER & POWER
940-64S-0106 949-289-0078
P0BOX 3341
NEWPO RT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License:
BT96014961
Business Expire :
12 31, 2018
Workers' Compensation Insurance --
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire,
10 01, 201 B
Total Fee $635.00
Paid : $635.00
Balance : $0.00
Receipt No.
Other Department: —Date: I
Permit Denied Date : I I
Issued Permit UX Date :T�5761_3
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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
ncroachnlent' Penn its ngay he taken out by the owner of benefited property or a licensed contractor. A licensed
,ulnllac:tul ngust provide a I utter of Authorization" to allow another party to pull a permit. An approved copy of the
eilnit and constuction plan shall be kept at the job site at all tinges. Work, which has been done prior to issuance of
pernut, Is sulf to rejection/tine. City reserves the right to void permit if work does not commence within 30 days
ti date of lSbLlanCt'
he l'emutleei ayr'ees to defend, indemnify and hold the City, its authorized agent, officers, representatives and
ngployees harmless troni any responsibility, liability, suit or action of any description arising out of any accident, loss
)r damage to persons uI property occurring as a result of work undertaken under this permit.
\11 work shall be clone In accoldance with the approved plans, Starnlar(l Special Provisions airs! Stdodaul Drawings
)f the City of Newport Heach, and in compliance with all applicable State laws and (,fly ordinances.
-'ernllttee yuanantees all work pertorrned under this permit to be free of hidden and latent defects. Any failures shall
e corrected within two weeks after notiticalion to the satisfaction of the Public Works Director.
valid State Ilcensed contractor must perform all construction within the public right-ot-way, unless waived by the
'ublic. Works Director. A valid State Contractor License Class A can pertonn any work in the public right-of-way. For
:orls(ructlorl or connection to water fines a valid State Contractor License Class G-34 is required. For construction or
mimection to sewer lines a valid State Contractor L-icense Class C-42 is required.
It Ueii(Jimy and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L,
n (lie alley, wllnere a nuninnung half -alley width resurfacing shall be provided, unless otherwise directed by the Public
oaks Dept. (,ontiactors shall obtain permits to perform excavation or trench work from the California Division of
lydustrial Safety prior to Coll Inlencing underground construction as required by State law, Walls and faces of all
xcavatrons over 5 feel in depth shall be protected by a shoring system, sloping of the ground, or other equivalent
nears -1 renchesiless than 5 feet in depth shall be guarded when hazardous ground movement may be expected.
I he Public, Works Uepartiment Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
ge 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
)epartinent or General Services Department inspections may be required depending on scope of work performed.
II tench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
wel or within ) feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
xistiny City -owned utilities 0e: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot
learance over of cngder existing City -owned utilities. Sewer cleanouts require VCP or PVC SDR35 be used with a
4 1 1 box over the eisel.
Properly lighted banicades must be provided and maintained around all trenches, excavations and obstructions. All
iyns, flays, lights' and other warning and safety devices shall conform to the requirements of the current "Manual of
WLilning Siyn�, Sights and Other Devices for the Use in Performance of Work Upon Highways', issued by the
C;alifonrla Deparlrnent of I ransportation. If needed barricades can be obtained frorn the City at a charge of $10.00
per bamcade per day, with a nunlnium charge of $35.00. It is the responsibility of the applicant to place barricades to
plotec.t the general public Access to fire hydrants nnlst be maintained at all times.
Work within of near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
weekend, surruner between June 15 and September 15, and duriny the holiday season frorn 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
dcgune a I edlipcirary Steet Clusuie Pernnit frorn the Public Works Department. Access for fire, police and
enleryency vehicles Must be maintained at all tinges. I raffic Control must be per Work Area Traffic Control
Handbook (WA i g_,H) No nighttinie 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.rn. (Monday thru Friday), unless approved by
the Puhhu Works Department Any work affecting the State Highway's traffic or within the State Highway right-of-way
will reguirr, a U;altilans Permit. All vehicles shall be lawfully parked.
I his perngit sloes not duthunze the closure of sidewalks, streets, or alleys for construction access, storage of
ngi.itenals, or plarkirny of construction vehicles unless detailed on an attached Temporary Street Closure.
Applicant must notity USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
niusl notify all affected residents 24 hours in advance of restricted access and any inconveniences.
F?efuse c.lr unc(sec) materials shall be removed within 24 hours after completion of the work. If not removed, the City
ngay remove a'nd bill the applicant Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
for the collecting schedule so service is not interrupted. to place a durnpster or materials in the public right-of-way, a
I enipordry 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 -ins re, Certificate of Worker's
Corn r � � ir �a, or a Certified Copy f.
Date -• `�`. `% Signature:_ --
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certifythat in the performance of the work under this permit, I shall not employ
any per4on so as to become subject to California Worker's Compensation Laws. If,
after si ning 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 his permit shall be deemed revoked.
i
Date: �Signature: �^ _
CONTRACTOR LICENSE EXEMPTION
As the 6wner of the benefiting property, I certify I am personally performing all
work in khe 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 held the City harmless for any liability associated with the minor
encroa iments.
Date:
Signature:
24-hour notice for Encroachment Pe it Inspection is required by calling
Public Works at 949-644-331 �-
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 subn-iit a Soils Compaction
Certificate or Evidence of a Slu►ried Backfill and request a final inspection frorn 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, trimnied, 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, Pel-ruit is for standard materials in the public right-ot-way only, unless previously
approved by Public Works and an Encroachment Agreement has been processed.
21. Permit is valid for "description" of work rioted on front only. Additional work
performed may require issuance of a separate permit and/or additional fees.
ark related t4 this encroachment permit ghall be performed until the Public Works; pepartment has,lssued this,pormit. Applicant horsby°acknowledges he►she hash ead a d;u
s,ndersitands'th'e terms and
itions of this Permit and he/she agrees to abide by them. Permit is void Ifworkis not commenced withirl.30 days .after Isipancol-,, '1�r� -, ��I
1 ll� 0 Ri inna+uipa-
�I
flow�j—FLP
aw
City of Newport Beach �11�i III 1111111111111111111111111111111111111111 111
t 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 4 0 3
Permit Counter Phone (949)644-3311
t Online Inspection Request - www.newportbeachca.gov / Online
c` Services
Job Address :
3921 SANDUNE LN NB
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4580-611-7 -
Legal Desc :
N TR 6425 LOT 76
Owner:
FORSHEIM JON & PENNY
Phone:
949-632-5067
Address :
3921 SANDUNE LN
CORONA DEL MAR, CA 92625
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 :
$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
Permit No: N201 3 '
Project No : 2803-2017 ''' �' , ED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919G2
Contractor : COAST WATER & POWER
Phone : 949-548-0106 949-289-0078
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License : BT96014951
Business Expire :
12 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110
W. C. Expire:
10 01, 2018
Total Fee $635.00
Paid : $635.00
Balance : $0.00
Receipt No
Other Department : Date
Permit Denied Date
Issued Permit : Date
SUCCESSFULLY INBOUND NOTIFICATION ; FAX RECEIVED
. ,TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
August 9. 2018 at 12:04:44 PM PDT 113 3 Received
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PROJECT ADDRESS:
MMLED DESCRIPTIM OF -P--R--O-P--O--SED -VVORK:
-i'7 ---
Nq
A
MI-Ttfia-11. MA,
Mailing Address:
Emaii AddWss-.--
;UN I-RACTOR: t .. r !
kkr-,k &A , 4,1-0--- — I -h . ? # 010
10 �,-f—Plfwne-
riziny (It different):
i J,)kjs0te Pho. ne:
Other Phone: f5* C? (4!j. 5
Wailing Address:
jCity1St3t0FZJn1*
07
JI
0� Ucc
rYf>-*'�FRS V)MPENSATION NSURANCE Certificate of lnstxrarlcw Lasilor Co%lra)
lompany: 54 c�l& PoliSL.No - 3.r'�.YF Expires:
- - - - - - - - - -
ilEngh%,twing'fochnician: lftrmitSpsc Permit No.
All Fees Are Non-Refyn—dab a Unless Otherwise Stated '! I
ROJECT ADDRESS: 3� Pi~RMiT
{ NUtME3ER: N2a1
PPLICANT: L
,E
Pemit Processing Fee: low. Inspection Fee:
Public Works Only $241.00 Public Works Field Inspection $165. _
Other Department P $275.00 Utilities Field inspection $121.
General Services Inspection $165.00
Agreement Fee; Preparation of RepoWAgreeinent $817.0Water Quality/Artificial Turf inspection $108.00
DOGUI R rIr F: G,�r :�tiOn F ' `� 91`1 n0 R$trd.r le Deposit:
TBO
$.uU1L--,
t I.
improveirtenis T6D
StxeeuAlloyfWalk Closure: $65.00 Newspaper Rack Inspection $108.00
Traffic 'Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00It
24" x 36" $143.00 4TT Box & Cover $$4.
Additional
I T}-fE�Q1..L01fOO�NG lT�YI�REQ�.IIRE AP�t�QYAL FROAA 1rHE � � Revenue nivon
REvENLIE DMSION PRIOR, TC PAYMENT OF FEES I
proval- I
1Water Meter: oY.
1314" Meter IristalEa4�on Charge
rg $528.00 �l 1
$50.25
11 "1!2$ Mter Meter $121.50 Water Meter Boxes:
$285.00 1 DFW Meter qox $96.66
111,r2" Turbine Meter $700,00 2" DFW Meter Box
12,.Meter $425.00 $203.24 I
12" Turbine Meter $&.45.00 1
13" Meter $3, 310.00
14" Meter $4,730.00 1
16" Meter $7,190.00 I
' , 1
Certificate of Compliance Fee (+104°% of terry over 3 hrs) $288.00 Budget Number
29
Develapment Services Fee (Plat': check hourly) $155.00 5200-5015
Finai Tract Map Checking Fee 6200-50 6
Final Parcel Map Checking Fee - Moderate $2,488.00 5200-5027
Lot Line Adjustment Fee �2,488.00 520�0-5027
Park Dedication Fee d$"1,079.00 5200-502$
Zone TBD 405-470
Street Fa ''mentNacation Fee (+t00% of hny; ovor 4 hrs) 1.OK'_� .00
520G-5Q31
Street Tree Fee
($700 Planting Fee) TBD 030-2284 '
�:-tw wn rrs..war awl—w w�.r�-. wr
w - t� r w •� - r w� w . M.w w v -rr r � qr � w a +
EngineeringTech:---,--•------,_.-._...�..
Total Amount Due: For Finance Use only
Permit pe-cla ist Recei t No. J
i L �Atatst/� }y�gyt��lap trprrt d py� mal"Cal
Rev. 11 /$/2017 an
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11 i WATER N4:ETER BOX
�I I I 3921 �d�
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CURB &
UTY Of NEWPORT BEACH
ENCROACHMENT PERMIT
Permit No.
N201�
z
APP� I LB
OWNS
D SCR'PTi4N OF WORK _
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11/27/2018 City of Newport Beach Page 12 of 12
4:30:21PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 11/28/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 3921 SANDUNE LN
Activity : N2018-0403
SubType : NEW
Status : APPROVED
OWNER: FORSHEIM JON & PENNY Phone : 949-632-5067
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item:
10030 CLEAN -OUT
Requested Time:
11/28/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to:
Z77 777 777
jV
• 12/11/2018 City of Newport Beach Page 9 of 18
4:30:54PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/12/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 3921 SANDUNE LN
Activity : N2018-0403
-- Su bType -NEW---
Status : APPROVED
OWNER: FORSHEIM JON & PENNY Phone : 949-632-5067
APPLICANT: COAST WATER & POWER Phone: 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
MA IRIM
Item: 10215 ROUGH UTIL
Requested Time: 12/12/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 777777777Zz'
all 6
n
Velasco, Julio
From: mike@mikekilbrideltd.com
Sent: Tuesday, January 08, 2019 12:08 PM
To: Velasco, Julio
Cc: St. Clair, Mike
Subject: RE: N2018-0403 3921 Sandune Ln - Final
Sorry about that, Julio. Customer will be replacing sidewalk.
Nila
-----Original Message -----
From: "Velasco, Julio" <JAVelasco@newportbeachca.gov>
Sent: Tuesday, January 8, 2019 11:39am
To: "Mike Kilbride - NB" <mike@mikekilbrideltd.com>, "Nila - NB Mike Kilbride" <nila@mikekilbrideltd.com>
Cc: "craig.wheeler@nv5.com" <craig.wheeler@nv5.com>, "St. Clair, Mike" <MSt.Clair@newportbeachca.gov>
Subject: N2018-0403 3921 Sandune Ln - Final
Hello Mike and Nila,
The subject permit was called in for final. Per the photo attached, the sidewalk and driveway restoration is not
complete. Please advise if the General Contractor will complete this work or if you will come back to complete this
restoration.
[cid:C0321 D81-D F2C-4C24-94A8-53 B9CE DAEA24]
Thank you,
Julio A. Velasco
Newport Beach Public Works Contract Inspector
Mobile: 714-315-4860 Email: javelasco@newportbeachca.gov<mailto:javelasco@newportbeachca.gov>
wimp -
"T T. T 110
1/7/2019 City of Newport Beach Page 4 of 21
4:30:47PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/08/2019
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 3921 SANDUNE LN
-M-
a
�yir.
.Z'i4.
Activity : N2018-0403
SubType : NEW
Status : APPROVED
OWNER: FORSHEIM JON & PENNY Phone : 949-632-5067
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L. **UPDATED 12/17/18: REPLACE
LATERAL**
c - oq
Item: 10250 FINAL - PW
Requested Time: 1/8/2019 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777*
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