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HomeMy WebLinkAboutN2018-0069City of Newport Beach 1111111111111111111111111111111111111111111111"�`'Permit No: N20'�8-0069 .:' 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 6 9 Permit Counter Phone (949)644-3311 Project No: 2398-2016 s Online Inspection Request - www.newportbeachca.gov / Online Services �-- f,'ilY+t►�`` Inspection Requests Phone (949)644-3255 Job Address : 127 RUBY AVE NB Thomas:Guide: 919C1 Description : RECONSTRUCT SIDEWALK, CURB AND GUTTER PER CITY STD.'S, UPGRADE CURB RAMP PER STD 181-L-A,B,C,D ON SHT C-3. REMOVE All EXISTING PRIVATE TREES, REMOVE DECORATIVE ENTRY WALK, CONSTRUCT NEW STAIR LANDING PER CITY STD. REPAINT ALL RED CURBS. Parcel # : 0501-012-3 - Legal Desc : BALBOA ISLAND SEC 2 BLK 1 LOT 16 Owner: LIPPNIK/MCGRANE Contractor : LIPPNIK EUGENE J Phone: Phone: 714-299-4499 Address : PO BOX 21 Address : PO BOX 21 NEWPORT BEACH, CA 92662 BALBOA ISLAND CA 92662 Applicant: LIPPNIK EUGENE J Phone : 714-299-4499 [ Address : PO BOX 21 BALBOA ISLAND CA 92662 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Permit Processing Fee : $241.00 Sewer Connection : $0.00 Agreement Fee : $0.00 4TT Box Cover: $0.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Inspection Fee : $495.00 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: 384094 License Expire : 11 30, 2019 Business License : BT00012906 Business Expire : 02 28, 2018 Workers' Compensation Insurance - - Carrier : STATE COMP Policy No : 1042831 W. C. Expire: 10 01, 2018 Total Fee $736.00 Paid : $736.00 Balance : $0.00 Receipt No: Date : / / Other Department : Date : Date : / / Permit Denied -Date: Date : / / Issued Permit: Date Date i �<yx .a COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: 4/tv APPLICANT:Phone: Email Address: Mai�ndr g ess: 1 �/St�e/Z�� L OWNER:, Phone: Email Address: Mailing Address: City/State'/Zip CA 9 a(0 to C! 'RAC=O ifAitO OMPL E i FALL C06NTR�ACTORfE�J �, (, P t �--, Office Phone: a Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing Address: �3Q, � CV /S�ltat/e/Zip CA 9 State License Number & Class: Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Compan : Policy No: Expires: Municipal Operations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 _ FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL FROM THE FOLLOW DEPARTN EKM Utilities: Municipal Operations Traffic: Other: Fire: Engineering Technician: Permit ec' list Ft� Date: :�' IS Permit No. N 2018- � k- f:/users/pbw/shared/encroach/masters/epworksheet. xls Public Works Department 949-W-3311 100 Civic Center Drive, Newport Beach, CA 92660 f4 �. :W F`1'9�'�� �? �ai�'i•� �s�+�`"��.^� � � ✓�� 7 � ; � 9 � 4 i � r j.•ri � f '� ^FA6. a �?Y:..�� ��; ,�.i ','Y� ��'.'�� "k�u k�?3`+'&,a '.� � � J• �/r� � � :�7 � �, � � � J", 'fl t�'115'�fM �..{ s. W T`.�• �,• I � � �• �� �Y' 'T�A��ii"_"?�$r?y. �.a�(�T�`uy. �ry5� �� yy.. r"k� i?f., 1. 71 a{.. ��5.�� Y ��=.� � • � Wi •.� .� ty,�• �D S }1y '�jMj�i .: � 1. } .ar. �r }� t �1y,�.}�'l�,,jy,,yl I: p�,1�jj,Ftrµ•� l.•-f� �RY''f'Y � r 3"� �'��•9�k'-.` Gr' N `j' >.�.�.. �y`� � i I �j'� o-.-2a+���+�e3:��'�'.,�.._%F.:t.�.i:#24:..-;`i�e�.s.���rtt. 321:. � � l `w � �L �.. , ..; .. �..r� �iti:.�k � "^' +a.F.�:- i.afa AH FeesAreNon-Refundable Unless Otherwise Stated ADDRESS: PERMIT ,PROJECT ' N2018- �NUMBER: l AS 1 : 1 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 $121.00 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 __ Additional0=1 __ _ _ _ _ __ _____Me THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Di son 1 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: I CRY. Q 1 IWater Meter: Installation Charge $528.00 1 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 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 1 12" Meter $425.00 1 2„ Turbine Meter $845.00 3 Meter $3,310.00 1 14" Meter $4,730.00 1 t6" Meter $7,190.00 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 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 4� 22�a.L� Permit S ecialist Receipt No. f /users/pb w/sharedlencroach/masters/ep front and back masters/ Rev. 12/18/2017 epfeesheet.xls-revised 11/8/17 C�-�q1 C;wo 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 WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 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 self -insure, Certificate of orker's contractor must provide a 'Letter of Authorization'' to allow another party to pull a permit. An approved copy of the Compensati n In prance, or a Certified Copy the r' permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of lam, Dat —{. +? Signature: )� Akk� a permit, is subject to rejection/fine. City reserves the right to void perrnit if work does not cornmence within 30 days after date of issuance CERTIFICATE OF EXEMPTION (Section 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 provisierms o ection 4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall 3700 or thi permit shall be deemed revoked. ' 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 Da Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For CONTRACTOR LICENSE EXEMPTION construction or connection to water lines a valid State Contractor License Class C-34 is required. For construction or 6. 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, 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 means 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 (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 Date: Signature: 4TT box over the riser. 24-hour notice for Encroachment Per 't Inspect' n is requi�t�d y calling 9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of Public Works at 949-644-3311 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 15 Any above ground utility facilities will require documented approval from the adjacent 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. affected property owner(s). 10. Work within or near beach sensitive areas will not be allowed during. City holidays, spring break, Memorial Day 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 gutter and storm drain. Felony violations of Water 1 1. Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to Quality Laws are punishable by fines up to $25,000 and/or up to three years in State acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and prison plus the full cost to clean up 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 paid, applicant must submit a Soils Compaction Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure Certificate or Evidence of a Slurried Backfill and request a 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 Public Works Department. Monies may be held for six months after final inspection the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way before a refund will be processed. 12 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 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 Works 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 collection 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 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 ackilowledges he/she has rea unde nds the ter 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. . .._ Date. _ _.. Signature. APE.-��� � ��� �•-- -�-- --- --- - 1l.1. BE OBTAINED AT THE SAME TIME --of- itation igineering ,RADED GRAVFt CR S"1D STQNf MORTAR OR OTHER RESIDUE SMALL BE ALLO' ED FROM. THE S. NO PAINT, PtASTERs CANT• TO EN'ft:K Soil, , STREETS, GUTTERS OR STORM DRAINS. ALL MAT�R� ��'��ASTE SHAD.. Bh. Rf:#� , . SITE PER SECTION 17.32.0 0 aF THE N.B.C.M. AT THE END-' D ��' � 5� EROSION Ct�3NTROt t�It:A5URES SH �� � ��°fa DURING 9. BETWEEN ©oRKIER 15 AN OF `f'HE xcmoWOR'3 , D NCB DAY WHENEVER T�tE Iv1�fE-I'3AY I�ROBABf fwlY1C � F RAI o>~ EACH �oRlu REMAINDER OF THE YEAR: 'HEY SHALL BE IN QLaa AT THE EN THE WHENEVER THE DAILY RAfEii�At.L PI�OBp,BII�'f'Y" ExGL�S 54°l� t4TAINED ON SITE FOR THE CONSTRULS014 PER'OD' 10. SANITARY FACILITIES SHALL BE 1NA1 ISSUANCE OF A gUILDINO PERMIT 8Y THe CITY OF NEWPORT OF THO N.B.M-C► IS PLICANTS OF THE LEGAL REpUiREMEt�S DO� ���� 20 {f� BEACH DOES NOT RELIEVE AP REQUIRED SLOPE AT THE FOLLOWING AREAS NDITIONS AND RESTRICTIONS VI[iilC�l-I MAY BE YOUR COMMUNITY REQU CpVENAI�ITS::CO ITER IN PAVED AREA • 4.2°!a E PROPERTY OR TO OBTAIN PLANS YOU SHOULDCOCONTACT O CTIt?N AUTHQRIZI�UY TN • 1.4% ASSOCIATIONS' PRIOR TO COMMENCEINENT OF BE USED: THIS PERMIT.' _ _ _ ....:.. _ ...M ... _. _ TO PERFtJlitullNG ANY 1NO�?K 1N THE Cti' RIGHT -OF: -OF-WAY AN PUBLIC it1�ORtS _ !C, SCH ED 40 PRIOR — __.... ENCROACHMENT' . PERIUIiC' MUST f�� OBTAINED FROM THE - 7EPARTMENT: _-- -- ' - P vz.. �,�."�.,,,,�•�,,.I �'�i� lG. - Cam" r O ' R , LN Lq WA .r 'L I lot ..�.K. r �, V ♦I 2i6/2018 City of Newport Beach Page 4 of 11 4:30:57PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 02/07/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 127 RUBY AVE ... . Activity : N2018-0069 SubType : NEW Status : APPROVED OWNER: LIPPNIK/MCGRANE Phone: APPLICANT: LIPPNIK EUGENE J Phone : 714-299-4499 Description : RECONSTRUCT SIDEWALK, CURB AND GUTTER PER CITY STD.'S, UPGRADE CURB RAMP PER STD 181-L-A,B,C,D ON SHT C-3. REMOVE All EXISTING PRIVATE TREES, REMOVE DECORATIVE ENTRY WALK, CONSTRUCT NEW STAIR LANDING PER CITY STD. REPAINT ALL RED CURBS. Item: 10200 PRE JOB - PW Requested Time: 2/7/2018 12:00:OOAM Requestor: Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: \1 V Comments:C-/� / v✓ jogged Refile Dale: -718 0 LIIV", A--, WEBUSER 714-299-4499 Time: --1_ (11-4-& f-AlIC"v - g676-7 AM PM 0 OLD 5M r� 1 -6fi (wl 0-A P L . F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsvectorSheet.doc REPT131 Run Id: 4018 f l 2/27/2018 City of Newport Beach Page 1 of 10 4:30:29PM INSP1 SO - Daily Inspection Request Report Requested Inspection Date: 02/28/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 127 RUBY AVE Activity : N2018-0069 SubType : NEW Status : APPROVED OWNER: LIPPNIK/MCGRANE Phone: APPLICANT: LIPPNIK EUGENE J Phone : 714-299-4499 Description : RECONSTRUCT SIDEWALK, CURB AND GUTTER PER CITY STD.'S, UPGRADE CURB RAMP PER STD 181-L-A,B,C,D ON SHT C-3. REMOVE All EXISTING PRIVATE TREES, REMOVE DECORATIVE ENTRY WALK, CONSTRUCT NEW STAIR LANDING PER CITY STD. REPAINT ALL RED CURBS. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 2/28/2018 12:00:OOAM Requestor: NBIVR 7149201070 Entered By: NBIVR Comments: PM Assigned to Inspector: Date: 2 $ ! $� Time: / AM M Comments: c0 L F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc 41 G� REPT131 Run Id: 4018 3/6/2018 City of Newport Beach Page 5 of 18 6:34:52AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/06/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 127 RUBY AVE A/P/D Information: Activity : N2018-0069 SubType : NEW Status : APPROVED OWNER: LIPPNIK/MCGRANE Phone: APPLICANT: LIPPNIK EUGENE J Phone : 714-299-4499 Description : RECONSTRUCT SIDEWALK, CURB AND GUTTER PER CITY STD.'S, UPGRADE CURB RAMP PER STD 181-L-A,B,C,D ON SHT C-3. REMOVE All EXISTING PRIVATE TREES, REMOVE DECORATIVE ENTRY WALK, CONSTRUCT NEW STAIR LANDING PER CITY STD. REPAINT ALL RED CURBS. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 3/6/2018 12:00:OOAM Requestor: NBIVR 7142994499 Entered By: NBIVR Comments: AM t Assigned to :za� C . Y�1 L t City of Newport Beach Public Works Dept. Date: 7 -7 � PUBLIC WORKS PRE -JOB CHECKLIST Permit: N201 v-0 Address: 1 Z1 PtbY A-0- Public Works Inspector. JUL In VFI ASCO Mobile 714-315-4860 Email: iavelascnanewnnrtheach(-a anv STANDARD DRAWING (STD) /ITEM REVIEWED Reviewed (YI N) Mark -out remove and replace (R&R) limts: These areas can include but are not limited to: Sidewalk (S/W), curb and gutter (C&G). driveway (D/W) approach. AC street. PCC alley. and walkways. STD 105-L-A - Underground Consrtuction Requirements Notes STD 105-L-B - Trench Resurfacing - Types of Pavement Restoration STD 105-L-C - Roadway Utility Trench Detail STD 105-L-D - Parkway Utility Trench Detail STD 105-L-E - Roadway Utility Pothole and Bore Detail STD 105-L-F - Moritorium Roadway Trench Detail STD 105-L-E - Monitoring Well Capping Detail STD 140-L - Typical Alley Section: - STD 160-L-A - Commerical Driveway Approach Type I: STD 162-L- Residential Driveway Approach Type I: Typical D/W Approach STD 164-L- Residential Driveway Approach Type III: - Rolled Curb STD 180-L - Sidewalk Details: - STD 181-L-A - Curb Access Ramp Details I: Case "A" to "G" STD 181-L-B - Curb Access Ramp Details II: Case "H" to "J" STD 181-L-C - Curb Access Ramp Notes: STD 181-L-D - Curb Access Ramp Detectable Warning Surface: Wausau Tile Inc of Wisonsin ADA-2 (U3008) Color A-90. 4 STD 182-L - Standard Curb Sections Types A & B: - STD 184-L - Curb Drains: - Tree Planting Detail Parkway Tree Designation List Email Arborist, Kevin Pekar 949-W-3197 kpekar@newportbeachea.gov, a photo of your tree (must be actual tree to be planted), before job -site delivery, for his review. COPIES OF STDs PROVIDED? Y NOTES: All City stardard drawings can be found in the link below: http://www.newportbeachca.gov/government/departments/public- works/resources/standard-drawings/view-all-standards#Public_Works_Department Page 2 of 2