HomeMy WebLinkAboutN2018-0139rr.Ntn4,T City of Newport Beach IIAIII1111111111111111111111111111111111111111III 11
.t p 100 Civic Center Drive, Newport Beach, CA 92660
(� Permit Counter Phone (949)644-3311
vS Online Inspection Request - www.newportbeachca.gov / Online
n Services
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Job Address : 125 GARNET AVE NB
Description : INSTALL CURB RAMP, 2 CURB DRAINS, RIGHT-OF-WAY INSPECTION
Parcel #:
0500-412-2 -
Legal Desc :
BALBOA ISLAND RESUB SEC 1 BILK 3 LOT 15
Owner:
COOK ROBERT LEE
Phone:
Address :
0
213 GARNET AVE
r COMPLO
NEWPORT BEACH, CA
Applicant: COOK ROBERT LEE
Phone: [
Address
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 :
$330.00
Water Meter Connection :
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box :
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date: _/_/_
Utilities Approval :
Date:
Traffic Approval :
Date:
General Services Approval :
Date :
Permit No: N201$-01 39.
Project No : 2282-2016
SCANNED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919C1
Contractor: VITARELLI CONSTRUCTION INC
Phone: 949-677-1872
Address : 140 S BAY FRONT
NEWPORT BEACH CA 92662
Contractor State Lic: 485418
License Expire : 02 28, 2019
Business License :
BT00011199
Business Expire :
08 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
0783123
W. C. Expire:
10 01, 2018
Other Department :
Permit Denied :
Issued Permit
Total Fee
Paid :
Balance:
Receipt No
$571.00
$571.00
$0.00
Date
Date /65
51; z/i 5
I ALL UNDERGROUND,WORK SHAL'L'BE•PERFORMED BY A',LICENSED;CONTRACTOR' <c
'Contact "Underground- Service Alert" At Least 48•HoursAn Advance of Any Excavation at 800-422-4133
3.
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TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
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 limes. Work, which has been done prior to issuance of
a permit, is subject to rejection/fine. City reserves the right to void permit it 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 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.
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.
A valid Slate licensed contractor must perform all construction within the public right-of-way, unless waived by file
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 Stale Contractor License Class C-34 is required For construction or
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,
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.
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.
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 tie: water, sewer, or street lighting conduits) to verity locations. Maintain a one -foot
clearance over or under existing City -owned utilities. Sewer cleancims require VCP or PVC SDR35 be used with a
4TT box over the riser.
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 Depanmenl of Transportation. If neededbarricades 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.
Work within or near beach sensitive areas will not be allowed during, City holidays. spring break, Memorial Day
weekend, summer between June 15 antl September 15. and during the holiday season from 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
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.
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.
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.
Refuse or unused materials shall be. removed within 24 hours after completion of the work. If not removed, the City
may retrieve 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 dunlpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department.
No work relatiI this encroachment permit shall be performed' until the Public Works Departmenthas
conditions of thls.permit and helshelagrees to abide,bythem, Permit ismoid if work is not commenced wi
Permlt'fees are:nonrefundable.
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's.
Compensation Insurance, or a Certified Copy thereof.
te: - '\C1 \SS Signature: r►Y. \A InVC�I%I-till'.`
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. 1 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:
24-hour notice for Encroachment Permit Inspection is required by calling
Public Works at949-644-331)c, by
15, Any above ground utility facilities will require documented approval front the adjacent
affected property owners).
16. Homeowner, contractors, and subcontracolrs may each be liable for violations of Water
Quality Laws. Best Management Practices will be enforced. It is against the taw to
discharge construction debris into the gutter and storm drain. Felony violations of Water
Quality Laws are punishable by fines up to $25,000 andlor 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 Work-,
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.
>ermit. lAppllcant hereby,acknowledges helsne'has eatl and nAe and . erms' rid
after.issuance. _ „� , „_� ,
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WORKSHEETFOR ENCROACHMENT: PERMIT:
'?CITY OF NEWPORT BEACH '
PI'llUBLIC WORKS`DEPARTMENT ."x�_'+.,.s'-.�.� r� ;-
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: ZS C)A (C tv ET 9,�,F1L 3a A \S�A Nn CA.
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: V TA2F LL G sr .2�CTw� INc
Phone:
Email Address: \d%TAZZLj-+ C� �s 2 �LL .G>,VVA+L
Mailing Address:
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City/State/Zip: q
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OWNER: JYMM
jPhone: (7�(`1cl b£S9 - Sl(-5
Email Address: 31/r Z3Lt brava L Co✓l'\
Mailing Address: Cittyy/State/Zip:
L� GAk PVe (3A71) -TS Ar10 CA 91-66Z
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE -
CONTRACTOR: \41TAJLE-I.I� Cct,,S—%fW(-TC>Q (NG
Office Phone:
Company (if different):
Jobsite Phone:
Other Phone: 6 -7-)
Email Address: V tTA L� Ca 2�cT o.G (AA kL , CD
Mailing Address:
k"o So, (SAY t:�rl-
City/State/Zip:
CA g2-Gc
State tense Number & Class:
LF �, S Q) Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
Municipal Oerations: 949-644-3055
Uti I ities: 949-644-3011
Urban Forestry: 949-644-3083
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS '
Utilities:
Municipal Operations
Traffic: Fire:
Other:
Engineering Technician:
Permit Specialist
Date:
Permit
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DEFERRED SUBMITTALS
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FIRE SPRINKLER SYSTEM
( OBTAIN FIRE SPRINKLER PREMIT PRIOR
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LEGAL DESCRIPTION
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OF BALBOA ISLAND, M151— MAP56/30,
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125 GARNET AVENUE
BALBOA ISLAND, CALIFORNIA 92662
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BALBOA ISLAND, CALIFORNIA 92662
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4/25/2018 City of Newport Beach Page 10 of 13
4:30:45PM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
04/26/2018
Inspection Type :
ENCROACH
Inspection Area :
PW
Site Address :
125 GARNET AVE
A/P/D Information:
Activity :
N2018-0139
SubType:
Status:
APPROVED
OWNER: COOK ROBERT LEE
Phone: 0
INSTALL CURB RAMP, 2 CURB DRAINS, RIGHT-OF-WAY INSPECTION
Item: 10200 PRE JOB - PW
Requested Time: 4/26/2018 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz'
Requestor: WEBUSER
949-677-1872
Inspector: 15,,�'% Date: -/ ZG Time: AM PM
Comments:
Logq o
Ref 9le
FAUsers\PBVNAShared\ENCROACH\MASTE RMFORMSMnsoectorSheet doc
REPT131. Run Id: 4018
'5/16/2018 City of Newport Beach
6:34:25AM INSP150 - Daily Inspection Request Report
Activity
SubType:
Status
OWNER
Description
Item:
Requested Time:
Requested Inspection Date :
05/16/2018
Inspection Type:
ENCROACH
Inspection Arca :
PW
Site Address :
125 GARNET AVE
A/P/D Information:
N2018-0139
APPROVED
COOK ROBERT LEE
Phone : 0
INSTALL CURB RAMP, 2 CURB DRAINS, RIGHT-OF-WAY INSPECTION
Requestedlnspection(s)
10100 FORMS WITH COMPACTION - PW
5/16/2018 12:00:OOAM Requestor: NBIVR
7147465731
Entered By: NBIVR
Comments: AM
Assigned to
/
Page 4 of 13
5/21/2018 City of Newport Beach Page 9 of 10
4:30:50PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 05/2212018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 125 GARNET AVE
Activity : N2018-0139
SubType:
Status : APPROVED
OWNER: COOK ROBERT LEE Phone: O
Description : INSTALL CURB RAMP, 2 CURB DRAINS, RIGHT-OF-WAY INSPECTION
Requested Inspections)
Item: 10250 FINAL - PW
Requested Time: 5/22/2018 12:00:OOAM Requestor: WEBUSER
949-677-1872
Entered By: WEBUSER
Comments: ANY -
Assigned to : zzzzzzzzzzz'
Inspector:
Comments:
Date:
F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
Time: AM PM
REPT131. Run Id: 4018