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HomeMy WebLinkAboutN2018-0028f City of Newport Beach 111� Jill Permit No: N2018-0028 ;. 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 2 8 A Permit Counter Phone (949)644-3311 Project No : 0371-2017 v - Online Inspection Request - www.newportbeachca.gov / Online _ Services �1441,10 Inspection Requests Phone (949)644-3255 Job Address: 409 39TH ST NB Thomas:Guide: 888G6 Description : REPLACE 3/4" WATER BOX WITH NEW 1" WATER BOX (HAS EXISTING 1" SERVICE) . INSTALL SCE CONDUIT. Parcel # : 4230-711-0 - CANNEC) Legal Desc : CANAL SECTION BLK 439 LOT 9 Owner: CLAYTON MATT & JULIE Contractor : COAST WATER & POWER Phone: 949-285-4835 Phone: 949-548-0106 949-289-0078 Address : 409 39TH ST Address : P 0 BOX 3341 NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92659 Applicant: COAST WATER & POWER Phone: 949-548-0106 949-289-0078[ Address : P 0 BOX 3341 NEWPORT BEACH CA 92659 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED 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 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee Agreement Fee : $0.00 4TT Box Cover: $0.00 Paid : Traffic control Plan Check : $0.00 Total Water Meters : $649.50 Balance: Inspection Fee : $495.00 Water Meter Connection : $528.00 Receipt No: Refundable Deposit: Street Tree Fee : $0.00 $0.00 Total Water Meter Box: Adjustment : $96.66 $0.00 Processed By: Utilities Approval Traffic Approval : General Services Approval Date Date Date Date $1,482.16 $1,482.16 $0.00 Other Department : Date Permit Denied Date Issued Permit: Date: ' INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY TIME RECEIVED REMOTE CSID DURATION PAGES STATUS January 12. -2018 at 1:11:13 PM PST 15S 6 Received PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 409 39TH ST CRIPTION OF WORK: REPLACE 3/4" WATER BOX WITH V WATER BOX NOTE: HAS EXISTING 1" SERVICE. NEED TO PURCHASE-1 "METER4 bog. 7n5�41f See Cldv4 - Permit Processing Fee:Eft Public Works Only $241. Inspection Fee: Public Works Field Inspection $165.00 Other Department $275.0 Utilities Field Inspection $121.OQ General Services Inspection $165.00 Agreement Fee: Water Quallty/Artificial Turf Inspection $108.00 Preparation of ReporlYAgreemvnt $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 S250.00 24" x 36" $143.00 4TT Box & Cover $64.00 Additional 1 T#fiE FCJLLOWING ITEMS RE(UIRE APPROVAL FROM THE Revenue Division REVENUE DIVISION PRIOR TO PAYMENT OF FEES pprovall, [Water Meter: Qty. Installation Charge $528.00 1 1314" Meter $50.25 (1" Meter 1 1/2" Meter $121.5 1 Water Meter Boxes: 1 1/2" Turbine Meter $286.0 1" DFW Meter Box $96.66 [ �1 2" Meter $700.00 $425.00 2" DFW Meter Box $203.24 [ 12 Turbine Meter $845.00 1 (3" Meter $3,310 00 1 [4" Meter $4,730,00 I 16" Meter $7,190.00 I 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 Pee $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 FasementAfacation Fee (+100% of hriy over 4 hrs) $1,022.00 52CO-5031 Street Tree Fee ($700 Planting ----•-,---------,,.._.._....._.._... Fee) TBD 030-2284 Engineering Tech: Total Amount Due: .--...__--- -------,..._. For Finance Use Only Penmit lalist Receipt N46. Rev, �'[/8120'f 7 1:fUserz(ptwl5har�]Iratioshlrnastor:;ap 7J'1t and tiac�c rrvstpr�; apk?a9heet.Klay�riced 1 1AUI T CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REOUESTED BY K 16t; J-e (entity who is requesting meter and/or would get hydrant deposit refund) MAILING ADDRESS RECEIPT# CITYISTATE/ZIP PHONE* SERVICE ADDRESS t ,^, . .''�'t>> � � .. �'. � •,, . ����� "tl _ i^ � '~'4 Ell. ) Hydrant Meter Deposit required (tapping order) ( ) New Meter New service address (tapping order) { } New Meter at existing service address (tapping order) ( Meter upgrade Existing service address (work order) ( } Irrigation only ( ) Commercial Location (} Residential Location {) Fire Connection Fee $ E ( Meter Size Fee $(411 • s o {) 4TT Box Fee $ ,/) Meter box & Lid - Alley/Traffic Area Fee $��'�� or Parkways/Sidewalk Fee $ Total Fees $ Encroachment Permit Number: 07-VIL— CON/ Customer Name (property owner) q0 Billing Address at;i Ou aY►'14 _ clty/zip, Residence Phone # E-Mail Address Social Security # or CA Drivers License CLERK Business Phone # FOR OFFICE USE ONLY DATE BUS LIC # MID# DATE UTILITIES COMPLETFD7 DATE HYDRANT METER CLOSED NEW ACCOUNT NUMBER NOTES WORKITAPPING ORDER NUMBER f/users/rev/shared/water/water meter 6ery app 05/23/16 i >twl4r Moso ow e Q3w oft 1--4'`DUCT Dom(. Q CLPsrT vim- bb/O YLULT 113aowil P2 srng EX 7" tact! 1YC/°/40 1P IN: 1- W KW Nk 120/WQ 1P 39 Gft M4Md r r TYPICAL CONDUT SAW SECTION SEE UGS CD 120 aoomw 1111.0ATA : 34NM SZE KYA CUT ADAD EAST : 75 455 18 617 PROP : 75 S13 2D 71.1 VOLTAGE OW : tW% fLIC 31 FACTOR: 1.24X N N766 TD P/L e�: 4J0 CtA m W" USUMUT A VAW PM 6e wwo PE1w mmwa� PMA i TYPES N /A OUTAGE RWAIED dI M DAM WA Tun N/$_ twm CmaRa. W0U r KM TAFM OWIROL RM C� =NWYANM LEVER REXrD omoaam azx:A„m RWv CM 140 (tul) RM 92 m 10, 1-3 DVCT (PA M PAMM) K. 4/0 W \- ai�H%W KNOW` RUf 4F OUCf F�! 7O P n a- 2- 4' b 1.-1/0 M "M 3a p� Ok 1- CW KIM PN 2-4/b 1-1/01 AWV 1P i M-WENTIAL NEW WAc9 409 39TH ST NEYP409T BEACH. CA 420W i - - marsum owraiw� EDISON 43 7 44 5�, - LEGEND C N POWER SOLE SL�'v'EFt t�L k_ANOUT WATER METER BOX CENTERL3NE OF VANS I ! f, PROPERTY LINE � �I i ADDRESS APPLICANT OWN ER DESCPJF'-IidN Cyr WOO CITY OF NEWPORT BEACH E7NCROACHMENT PERMIT PERMIT No, N 2 (s I<�-ooZS--` Newport Beach Police Dispatch City of Newport Be;aGh Phone: 949-844-3717 Public Works Department APPLICATION FOR Phone: 9q9-644-3311 Fax: 949-644_,, .',18 TEll1IPC�RAf�Y STREET 1. SfL?EVYAt_K CLOSURE -OR >�iMpSTI:R P�-ACE>I�NT C;ty of Newport Beach Munic}pal Code 12.112"07,q Perrot fm Temmr rary S&e CIvsure APPLICAt+t�',rW-VRMA_n0N ' Name: MIKE t�Bt�#LSE Gor--tpany- Name: COAST WATER & POWER L-Jty orNe-.-rt Be8G-' Rnir,es:% L.cg Address: P.O. OX 3341 "ityrrip: NEWPO T gFACK CA 92fi59-S341 Pr :,,: Day 949-289 078 NightBT9fi014951 Exact Location of zroachs�ent: ��`�� E_::y Reason for Encroach eryt: UTILITY IMPROVEMENTS -General one day between dates below. NOTE, No work on ho day(s;) car weekends. ©ate Closure to Begin_ Date ioeur�c to End: (i63X-,MUIY1 -A Days) _ ylme . f C`losuro: 7:00 AM to 5:00 PM D;AGRAM L0CATiON )F EN RuA(;HMENT BELOW- ter,'=_?v N LX 4 C-OP of th)7 permit must be sibfe on tfie rjash t .h I res C) bl xmi reV�r" AD©ITIONAL CONIEll ONO" OF 1) Close only tho portion_of 1 2) Provide access to en'tem M 4) Post road closed bard dw or stroet during non-4--on truc1 hlCfe 2'JfJ7G/7ZP.rjr i fJ3ffi in reserve: f partcing s�ots. `� j no Yihg PL*ce aiCf'r Of ar?y rca closure- detour, of resprvet � parkin_ ide of this permit for crOKOn.: Covering use ,if ihiS ermit. 4PPROVAL FOR THIS PEP, iT ARE AS FOLLOM: yfstreet adjacent to where wo will be done_ V Vehicles if needed, 3) Notify ad i tin either side of Work area. 5) Plate on_ 6) Place delineators around cons It residents 48-hTS prior to closure_ ^� d back ill excavations & open al area. ;P�c�' tea) h' e�' �: �?s t7 y _ i*,,rl3tior. is 'r e anti � :um ct, �i,d agree-'n coml; hj with %tie `•-igrms 'id cGncirzJons o� ;�,� ,'rent and Jack of :h+e �- 7. rnct. errs g�ara,iees to i�,� �ra� dnd h��vS irF City o l�le�.pct ach c "2rm!eyy � ai, �l any dzv s, +iaDti�rtY. or ju rner ,ncYoz��irix nt F rla: �� � .or � o i I MR* Date: Jun Approved t)y CS'r__NQrr,.�•t�.u�nr_�t i'?'C � }%W 5:� a. : f�s:'C .4(4lvMO^.-KA•rr�.,:s%3�x; i 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 I 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 ?. The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and employees harmless frorn 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. ? 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. X 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. 3. 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. 3 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 (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 4TT box over the riser. D. 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 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. 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 consent to self -insure, Certificate of Worker's Com nsa on IInIul ance, or a Certified Co ereo�. � Date ft 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 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 hold Ihe City harmless for any liability associated with the minor encro him ts. Date: ,n�� Signaturl�V 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 Works 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 ocknowledges he/she has read and understands the 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. Permit fees are nonrefundable. DateL-kim4s ignatur -- 1/24/2018 City of Newport Beach Page 7 of 17 4:30:49PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/25/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 409 39TH ST Activity : N2018-0028 SubType : NEW Status : APPROVED OWNER: CLAYTON MATT & JULIE Phone : 949-285-4835 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbr de@live.com Description : REPLACE 3/4" WATER BOX WITH NEW 1" WATER BOX (HAS EXISTING 1" SERVICE) . INSTALL SCE CONDUIT. tequesfied �rpec#ion(s) - Item: 10050 EXCAVATION- PW Requested Time: 1/25/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzzzzzz* Inspector: �J Date: Z Z/9 Time: i - %S M M Comments: ��G_ C-��Ii/��t l % /-4-�72� /-- Z- - / � /C& -7 L©t�9 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 1/25/2018 City of Newport Beach Page 12 of 14 4:30:58PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/26/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 409 39TH ST Activity : N2018-0028 SubType : NEW Status : APPROVED OWNER: CLAYTON MATT & JULIE Phone: 949-285-4835 APPLICANT: COAST WATER & POWER Phone: 949-548-0106 949-289-0078 mikekilbdde@live.com Description : REPLACE 3/4" WATER BOX WITH NEW 1" WATER BOX (HAS EXISTING 1" SERVICE) . INSTALL SCE CONDUIT. Akikpm tIns on s F Item: 10250 FINAL - PW Requested Time: 1 /26/2018 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to : zzzzzz zzzz" Inspector: Date: Time: M Comments: o gAl TV/ Z1�57 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018