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HomeMy WebLinkAboutN2017-0320�,.vt•{, City of Newport Beach *N2017-0320* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online Services Job Address : 1801 PORT STANHOPE PL NB Description : SEWER CLEANOUT PER STD-406-L Parcel # : 4584-321-5 - Legal Desc : N TR 7032 LOT 25 Owner: ELZOHEIRY SHADY Phone: Address : 1801 PORT STANHOPE PL NEWPORT BEACH, CA 92660 Applicant: HADY ELZOHEJIRY Phone: 7142992500 [ Address : 2901 COAST HIGHWAY WEST Special Cond.: PRECON MEETING WITH PW INSPECTOR REQUIRED Thomas:Guide Contractor 4 Phone Address Permit No: N2017-032© Project No : 2385-2015 Inspection Requests Phone (949)644-3255 889F6 ,.!CANNED DVO CONSTRUCTION SERVICES INC 714-878-0036 6186 GARDEN GROVE BLVD Contractor State Lic: 995336 License Expire : Business License: BT30059486 Business Expire : 06 30, 2018 Workers' Compensation Insurance - - Carrier : WESCO INSURANCE COMPANY Policy No: 04WBO84467 W. C. Expire: Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $571.00 Agreement Fee : $0.00 4TT Box Cover: $0.00 Paid : $571.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $330.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: Street Tree Fee $0.00 $0.00 Total Water Meter Box: Adjustment : $0.00 $0.00 R_ -7g44 9 : Processed By: Date : / / Other Department : Date Utilities Approval : Date : / / Permit Denied Date Traffic Approval : Date : / / Issued Permit : C1U Date General Services Approval : Date: COMPLETE THE BELOW INFORMATION ETAILED DESCRIPTION OF PROPOSED WORK: C 1 ep,. ®rn - r 1 Lw t" APPLICANT: 14qAv El - Phone: R -- 2 ;c; Email Address: �L_ Mailing Address: O .. `` 5k8* f o�, St �{l City/State/Zip: !V &Lc i4ct ZCoG OWNER: LL-C jPhone: L9LAft)2-7o-Z;?72- Email Address: Cxj KAZ_ Mailing Address: I 240 W • `` rrrr CoaSr m�nw 3Go City/State/Zip: �1 rVewp��- Np"L, •, cA9za EJ CONTRACTOR: G j �' Office Phone: / Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing A dr-ess: Ci /State/zip: S ate i ense_ Number lass: Ci Business Lice se Numb er: ' 1 ' ,,Ex Tres: a Expires: ORKERS COMPENSATION INSURANCE - C rtificate of Insurance (Section 3800 Labor Code) Com an : Policy No: Expires: Municipal Orations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 I. Special Conditions of Permit: W No IV) $ oer ipy2. AQQ ; l l� LL W1N t PARTI EWE Utilities: Traffic: Fire: Municipal Operations Other: Engineering T chnician: Permit Specialist Date: Permit No. U h2 h-7 IN2017- S ZD flusers/pbw/sharin sters/epworksheetAs Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 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. 6. 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. 8. 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 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. 11. 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 ode) I c94�ify that I have // C a Certificate of consent to self-insure,�61�1 of Worker's CbnVoensation Insy�rance, or a Certified MWt_hereof. _ Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 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: I; -hour notice for Encroachment Permit Inspection is required by calling blic 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 Wafer 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 thF 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 Vvlork=: 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 ad/ional fees. No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days after issua Permit fees are nonrefundable. rDate: :knowledges a read and n rst ds the terms and [� /7Signature: FEE .1NpRK&.HEFT FQR ENCrROA,C�A�NT PER�IAIT pER�FNT 11PROJEC1ADDRESS: All Fees Are Non -Refundable Unless Otherwise Stated �0 �ROV `4' S�AAk0 � I PERMIT N2017- 032D NUMBER: APPLICANT: TO 150=1PLETED BY PUBLIC WORKS 0 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: Qty. Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBD Street/AlleyfWalk 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 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 I REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: -1 1 Qty Q (Water Meter: Installation Charge $528.00 13/4" Meter $50.25 Water Meter Boxes: 11" Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost 11 1 /2" Meter $285.00 1" Meter: 13.00 + 37.00 $50.00 1 1 /2" Turbine Meter $700.00 2: Meter: 27.00 + 61.25 $88.25 2��Meter $425.00 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 3 Meter $3,310.00 1 Meter: 13.00 + 38.00 $51.00 14" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00 16" Meter $7,190.00 Qty. Budget Number Certificate of Compliance Fee (+100% of hriy 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 EasementNacation Fee (+100% of hriy over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDJ 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only �51 db Permit Specialist Receipt No. _ �� f:/users/pbw/shared/encroach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheet.xls-revised 10/21/2016 SECTION ("WORST CASE" BUILDING FOUNDATION SETBACK FROI TOP OF SLOPE) m " �` 13 X=5.5' r -n R=15.00' 6`9Q �, X=14.6' L=27.58' T=19.67' r. / DELTA=105° 19'45" 3.0% O �5 �g 6 23b (3 �i \ •9 .N J 10 �o \ � =� 400, /1 �; a le / 1� j WALL g r" j �� 3g$ 14 . 236 6g t2 X� ,, , -� `v ? ti 69 �� CONS T1Z l�C {-A _ -- G ` - ( 41.06 NG) 2A�'V j "' _ `y am, I `Z.J ��� N �w J _ cz l f r TG 16 �, _ l` 241 40 1Nv 8 2 -_ - - \�O S 1 " 406,L 240.15 / A=180S.F. -- ♦ o�,I 4 ,\ r TYP - -15 r Ocv r. 20 •O� >O ,j i�'r f' � 247 TYP. _ � � TYP. `� �-2Q T� � 1 11 WATER G METER '�tk 16 .� � 241.60 TG " 240.89,INV. R=220.00` , \� L=126.67 _ CN 4 \ 6 7 N=32059'21" 3 15,g�, 242.20 FS - P ?SO 2 .11 FS) 12 C1 Sp TG 241.83 FG 1 � 9 ji ENV 9 TYP. P. `1. f. J(• . �� 240.50 TC U ! 2, �. `Nv ', TYP. ;:-,� 40 FS 4 4 , 249-00 FS � }' O 239 72 1 241.8 - j `/ 3 FG 24� p00� OT N q 11V-� , < ti& ! 0� TYP. F5 1950 240 591Nv - - i 2 37.44 INV. WALL;'_ 1 7 , - - f, ' \ 241.83 FG .2415 y Y`._ ..- j S'k 7 9 �p \ % �1 17 ! , c5 241.50 FS 241.ag F C -'- q _' j $s41, 10 . / �� - AT DOOR �. TYP. O - 10 � -� O PROPOSED TYP. ° ( P RESIDENCE 18 241.45 FG 241,45E SHORT WALL �. A=41 S.F.MITS OF 242.5U FF 1GRADING/1NORK 4Jj/--03t 1 u 40 F� 8, L=11' YP- :�4 24 ° s 0,3122017 City of Newport Beach Page 7 of 7 s:35:00AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/13/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1801 PORT STANHOPE PL NMI I -in mo= Activity : N2017-0320 SubType : Status : APPROVED OWNER: ELZOHEIRY SHADY Phone : APPLICANT: HADY ELZOHEJIRY Phone : 7142992500 Description: SEWER CLEANOUT PER STD-406-L liequesbd insPe� Item: 10200 PRE JOB - PW Requested Time: 6/13/2017 12:00:OOAM Requestor: WEBUSER 949 282-9448 Entered By: SER Comments: M- Assigned to: Inspector: Date: Time: /�0 (� AMCPP ��( f3 i -7 � Comments: f' \(1 E //--/E[ S% /B0 -L o 4dl&L Ben- P/- Al - S 17-i5_ F70x- �1 rf Z. i S �'�� ,� 0,3 Logged Kahle F: \Users\PB1MShared\ENCROACHNASTERS\FORMSMnspectorSheet.doc 6/15/2017 City of Newport Beach Page 5 of 10 4:30:41PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/16/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1801 PORT STANHOPE PL Activity : N2017-0320 SubType : Status : APPROVED OWNER: ELZOHEIRY SHADY Phone: APPLICANT: HADY ELZOHEJIRY Phone : 7142992500 Description : SEWER CLEANOUT PER STD-406-L Item: 10040 SEWER LATERAL Requested Time: 6/16/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: z77777 7777" Inspector: rS � 949 282-9448 /12A ^ ! Date. 6 . /1 7 Ti me: AM PM Comments: sir -r357-f-7) a v.J 4-4 -r .4 S <0 Logged Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 I 6/22/2017 City of Newport Beach Page 9 of 11 6:34:27AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/22/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 1801 PORT STANHOPE PL A/P/D Information: Activity : N2017-0320 SubType : Status : APPROVED OWNER: ELZOHEIRY SHADY Phone: APPLICANT: HADY ELZOHEJIRY Phone : 7142992500 Description : SEWER CLEANOUT PER STD-406-L Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 6/22/2017 12:00:00AM Requestor: WEBUSER 949 282-9448 Entered By: WEBUSER Comments: PM - Assigned to: zzzzzzzzzzz* �� oo-40( $,Ml� ael �� ( el— A", T /- 1`0-e