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HomeMy WebLinkAboutN2018-0286INrw", r,sr, City of Newport Beach IIII������II�II��9llll ,.; 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 yam. Online Inspection Request - www.newportbeachca.gov / Online e• =' �, Services �UuY� Job Address : 218 PROSPECT ST NB Description : INSTALL SEWER CLEAN OUT PER STD 184-L. Parcel # : 0450-721-6 - Legal Desc : TR 772 LOT 25 BILK 2 SWLY 5 FT THEREOF AND ALL (EX SWLY 4 FT) LOT Owner: GRIEVE GARREN/GRIEVE Phone : Address : 218 PROSPECT ST NEWPORT BEACH, CA 92663 Applicant: LANE COMPANY THE 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 Thomas:Guide: Contractor Phone: Address Permit No: N2018-0286. Project No: 1992-2017 _)C fNJNED Inspection Requests Phone (949)644-3255 CLi 888F5 LANE COMPANY THE 714-775-6905 14629 PLACID DR WHITTIER CA 90604 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: $635.00 Receipt No: Date : _/_/ Other Department: Date: Date : _/_/ Permit Denied Date: Date : / / Issued Permit: Date ��1-1-1 Date s ,� COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: �2-Ak "-n-5-V&—ZT 6'* DETAILED DESCRIPTION OF PROPOSED WORK: APPLICANT: -n-tf r,Ai-1,L- Gu," Phone: "7' Y 77S--V1V Email Address: Mailing Address: ` City/State/Zip: OWNER: C�i'�-s`7v l�n_� �rES Phone: Email Address: Mailing Address: City/State/Zip: C ONTRACTOR:-���rr�� � Office Phone: 1 C ompany (if different): Jobsite Phone: Other Phone: Email Address: M Mailing Address: City/State/Zip: States I ironcp Number & Class: City Business License Number: Expires: x ires ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) om an : , . _ . Policy No: Expires: Municipal Orations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 Special Conditions of Permit: ADIDITUX14LOTIMAL REQUNWM FROM THE FOLLOW Nti �ARTI�IIT$ ' Utilities: Municipal Operations Traffic: Other: 0 Fire: 0 Engineering Technician: Permit ialist Date: 5136 I S Permit No. IN2018- 0 t./users/pbw/shared/encroach/masters/epworksheet.xls `Z: Public Works Department 949444-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Q Inspection Fee: $241.00 Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817.00 $192.001 Refundable Deposit: $502.001 Improvements Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection Traffic Control Plan Check $165.00 $121.00 $165.00 $108.00 TBD TBD $108.00 0 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143.00 4TT Box & Cover $64.00 Additional — •----------LLOWING—I--TEMS--REQ—-- 1 THE FOUIRE APP------- APPROVAL FROM THE Revenue Division 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I (Water Meter:• Installation Charge $528.00� 1 13/4" Meter $50.25 1 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 12" Turbine Meter $845.00 1 13" Meter $3,310.00 1 14" Meter $4,730.00 6" Meter $7,190.00 EDUS III Certificate of Compliance Fee (+100% of My 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) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only 2k9 . Permit Specialist Receipt No. fJusers/pbw/shared/encroadVmasterslep front and back masters/ Rev. 12/18/2017 epfeesheetAs-revised 11re1n 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 (Se i abor 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-' e, ificate of Worker's contractor must provide a "Letter of Authorization' to allow another party to pull a permit. An approved copy of the Compensation Insurance, r a Certified Co y 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. Ci Signatur after dale of issuance IV 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 provisions of Section 4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall 3700 or this 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 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 CONTRACTOR LICENSE EXEMPTION 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 1 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 tie 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 Encroachmen Pe pe ti r('is required by 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 949-644-331 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 r qu re d i ted approval from the adjacent per barricade per day, with a minimum charge of $35 0& 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 I I 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 on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday). unless approved by Certificate or Evidence of a Slurried Backfill and request a final inspection from the 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, er 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 Mork 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 roc ssed. Temporary Street Closure Permit must be obtained from the Public Works Department. 21. Permit is valid for "description" of work noted on front nly. t Tonal work performed may require issuance of a separate permit and/ r for I fees. No work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant hereby ackpowledges he/she has an unde 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. Dat :0�. I gnature: _ , rd*2m City of Newport Beach Page 4 of 18 4:30:09PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/31/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 218 PROSPECT ST Activity : N2018-0286 SubType : NEW Status : APPROVED OWNER: GRIEVE GARREN/GRIEVE Phone: APPLICANT: LANE COMPANY THE Phone : 714-775-6905 Description : INSTALL SEWER CLEAN OUT PER STD 184-L. Item: 10200 PRE JOB - PW Requested Time: 5/31/2018 12:00:OOAM Requestor: NBIVR 7142404995 Entered By: NBIVR Comments: AM Assigned to: Inspector: `a S Date: S - 3 I - Ig Time: �gz 0 PM Comments: ewe srcTww cj:� StyVk,4ttc I*aw. ScPL-e. 4e oc To scf^x c�tiE -V #., S-,,au c-L6x j cur. F:\Users\PBW\Shared\ENCROACHWASTERS\FORMS\InspectorSheet.do REPT131 Run Id: 4018 7T 4 6/8/2018 City of Newport Beach Page 5 of 20 6:34:32AM INSP15O - Daily Inspection Request Report Requested Inspection Date: 06/08/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 218 PROSPECT ST AMID Information: Activity : N2018-0286 SubType : NEW Status : APPROVED OWNER: GRIEVE GARREN/GRIEVE APPLICANT: LANE COMPANY THE Description : INSTALL SEWER CLEAN OUT PER STD 184-L. Requested Inspections) Item: 10250 FINAL - PW Requested Time: 6/8/2018 12:00:OOAM Requester: Entered By: WEBUSER Comments: AM - Assigned to: ju777777777* Phone : Phone: 714-775-6905 WEBUSER 714-323-5820 (E)GARAGE - ------ --- (E)KITCHEN C�i (E)LIVING TO BE REMOVED ii B AT-H-11! Ir I _4 (E)BED I AN FIN. GRADE EL. :9.99 F (E)WATER METER io PROTECT IN PLACE (N)SEWER CLEANOUT TO BE A INSTALLED ON EXISTING LATERAL PER STD-406-L INSTALLATION. 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