HomeMy WebLinkAboutN2018-0189City of Newport Beach IIIIII IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII1 iql
f 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3311
2 Online Inspection Request - www.newportbeachca.gov / Online
r.' Services
Job Address : 524 W OCEAN FRONT NB Thomas:Guide:
Description : NEW DRIVEWAY APPROACH (W=20', X=3') PER STD-162-L, CURB, GUTTER AND SIDEWALK
Parcel # :
LegalDesc
Owner:
Phone:
Address
Applicant:
Phone:
Address
0480-732-9 -
EAST NEWPORT TRACT BLK 10 WEST FOR OF LOTS 16 17 & 18
DAVIS MORGAN
524 W. OCEAN FRONT
NEWPORT BEACH CA 92661
SRS CONSTRUCTION
949-290-4409 [
Special Cond.: PRE CON MEETING REQUIRED WITH PW
INSPECTOR
T COMPLETED
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
Permit No: N2018-0189
Project No : 2270-2014
Inspection Requests Phone (949)644-3255
919132
SCANNED
Contractor : SRS CONCRETE CONSTRUCTION
Phone: 949-290-4409
Address : 427 E 17TH ST 221 #F
COSTA MESA CA 92627
Contractor State Lic: 964148
License Expire : 04 30, 2018
Business License :
BT30056549
Business Expire :
09 30, 2018
Workers' Compensation
Insurance - -
Carrier:
WESCOINS GO
Policy No :
WWC3189775
W. C. Expire : 02 13, 2019
Total Fee $736.00
Paid : $736.00
Balance : $0.00
Receipt No:
Date:
_/_/_
Other Department :
—Date:
Date:
_/
/
Permit Denied
Date:
Date:
_/_/_
Issued Permit :
Date : 4/�
Date:
,WORKSHEET FOR ENCROACHMENT PERMIT;
J CITY QF NEVYPORT`BEACH } -�"i� : •'•
"_PUBLIC WORKS DEPARTMENT
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: 52 �Ce {
DETAIL�4 DESCRIP ION.OF PROPOSED WORK:
'
APPLICANT: �� r 1„(, n
Phone: i i 2 q d , `J YJ
Email Address:
Mailing Address:
L w�
City/Sta'
te/Zp �zG
.;- n
OWNER: o
Phone:
Email Address:
Mailing Address: i ( / City/State/Zip: / /
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COM_ PLETE .
CONTRACTOR: C..y f�-/ti c�;> �
Office Phone:
Company (if different): S/LS
Jobsite Phone:
Other Phone:
Email Address: S S• q® h' C , �o,�
Mailing Add ress:
�7 =. n a k22_F
CitylStat /Zip:
a _ C
State License Number & Class: I
Ex Tres: o /
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: W�✓L Expires: /3
Municipal Oerations: 949-644-3055
Uti I ities: 949-6W-3011
Urban Forestry: 949-644-3083
FOR OFFICE USE ONLY
Special Conditions of Permit: Pre
lnsoectm
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Municipal Operations
Traffic: 0 Fire:
Other:
Engineering Tec ician:
Permit Specialist
Date:
�U (�
Permit No.
N2018-
fNSers PM[Snale W=a=MaSWe ep'woA$neet AS
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
;FEE WORK$HEET FO ENCROACHMENT PERMIT
�'� CITY,OFNEEWPORTMEACH
r PUBLIC _0RKS'DE_PA.RTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS: PERMIT
`J2`f �j oceoa -i NUMBER: N2018- 01M
APPLICANT: G �S C
J cM5}R.tk(• 0)^
TO BE COMPLETED BY PUBLIC WORKS DEPARTMENT
Permit Processing Fee:
Inspection Fee:
Public Works Only
$241.00
Public Works Field Inspection
$165.00
Other Department
$275.00A
Utilities Field Inspection
$11, 00
General Services Inspection
$165.00
IN
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
$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
$250.00
24" x 36"
$143.00
4TT Box & Cover
$64.00"
Additional
_ _ _ _ — — _ — —
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE_ _ Revenue Division
I
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval:
t
1
Qty.
QtY.
(Water Meter:
Installation Charge
$528.00
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
I
11 1/2" Turbine Meter
12" Meter
12" Turbine Meter
13" Meter
$700.00
$425.00
$845.00
$3,310.00
2" DFW Meter Box
$203.24
F:::::]
1
1
1
1
14" Meter
$4,730.00
6' Meter $7.190.00
r
Certificate of Compliance Fee (+100 of hrly over 3 hrs) $288.00
Development Services Fee (Plan check hourly) $155.00
Final Tract Map Checking Fee $2,488.00
Final Parcel Map Checking Fee - Moderate $2,488.00
Lot Line Adjustment Fee $1,079.00
Park Dedication Fee Zone TBD
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405-470
Street Easement/Vacation Fee (+100%of hrly over4 hrs) $1,022.00 5200-5031
Street Tree Fee ($700 Planting Fee) TBDI 1 030-2284
Engineering Tech:
Total Amount Due:
For Finance Use only
M ( o�
Permit Specialist
Receipt No.
f lvserVoto rsharealenaoa rrasters/ap front antl bark masters/
Rev. 12/1812017
eofeesheet XIS -revised 11 M117
I
t
jf;ZES
o
TYP
NEW
12,50 DI
WITH TRAFFIC
GRADE1:2, SQ D,
WITH TIRAFFIr,
ry
GRATE FOR
GRATE FOR
CLEANOUT
CLEANOUT
D 5'Y'
1 112" MAX STEP
AT DOOR
PROPOSED
-5F
iHALL
ADDITION
TYP
FF GARAGE EX15TIN&
EL = 11.38' GRADE
E
5
)UE
;ZAIN5.
vBMG
6" THICK CONCRETE
f
-TR
DRIVEWAY SLAB W/
I,
DRAIN
#4 BARS @ 1 2" E.W.17
1
-URE5
LANJsd11
AREb
DK L
5 within
aired
of
curb 7
t
-xi5tirig
!rvice,
nicipal
t of the
for
'emente
ply with
:oriurn
I require
Drks
by a
-A.JSCAFE
AREA
REMOVE BRICK
PAVERS AND LANDSCAPE
EX15TIN& SIDEWALK
TO REPLACE
V
UTILITY BOXES
GHAN&ETO y
TRAFFIC RATED
I MOVE TO WALK
2-01
NEW DRIVEWAY
APPROACH TYPE STD- 1
ELECTRICAL
UTILITY BOX
NEW GLEANOUT PER
CITY 5TAN12AP-D
STD-406-1
INSPECTIONS REQUIRED
1. DRAINAGE PIPE
2. FINAL INSPECTION
red by a
ng IT IS THE RESPONSIBILlY OF THE PERMI ��EE TO MAKE SURE THAT
ALL WORK COMPLIES WITH THE NEWP RT BEACH STANDARD
DRAINAGE PLAN. NO PLAN REVIEW IS PERFORMED ON THE SITE
N 1 1'24'00 W
(E) THE
DRAIN
1 5" STEP IN 5TEP� NV 1 1
FLOOR SLAB
NEW EXISTING
RESIDENCE RESIDENCE
FF EL = 12.60' FF EL = 12.60'
EXISTING SEWER
LATERAL TO
REMAIN
\�' 1
:2-5 11/5"
INSTALL :215 LF TRENCH
DRAIN ROUTE 1�)O�NN51`OUT5 HERE
ENTRY
AREA
N 1 1*:2
LANDS AFE
AREA
REMOVE (E) 171PINEWAr 7r
APPROACH
INSTALL DROUGHT
TOLERANT PLANTING
TO MATCH EXISTING
ANJSLAPE
AREA
6 T H 5 T R E E T
NOTE: THE OWNER ACCEPTS RESPONSIBILITY
FOR ALL DAMAGE THAT MIGHT BE CAUSED BY
INSTALLATION OF A STEEPER THAN STANDARD
DRIVE SLOPE FROM THE GUTTER TO THE FACE
OW ER DATE
f-% _II: — — r-% 1 — --
I ALL UNDERGROUND,WORK SHAL•LBEPERFORMED BY A.LICENSED'.CONTRACTOR ° =i
Contact "Underground Service Alert" At Least 46-Hours in Advance of Any Excavation at600.422-4133 J
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1. Encroachment Permits may be taken out by the owner of benefited properly 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 Slate licensed contractor must perform all construction within the public right-of-way, unless waived by 01e
Public Works Director. A valid Slate Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid Slate 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 installations) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locale and pothole
existing City -owned utilities his: water, sewer, or street lighting conduits) to verify locations, Maintain a one -fool
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 S10.00
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.
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 limes. Traffic Control must be per Work Area Traffic Control
Handbook (WATCH). No nighllime traffic lane closures, unless prior approval has been granted. Any lanes) 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. Phis 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 riot 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 cnlleclion schedule so service is not interrupted. T'o place a dumpster or materials in the public right-of-way, a
Ternporary Street Closure Permit must be obtained from the Public Works Department.
y/ J WORKER'S COMPENSATION INSURANCE (Section 380�abor Code)
!'certify that I have a Certificate of consent to self -insure rt_kgcate /of�
Compensation Osurgrlce, or a Certified Copy thereof. �� � /
Date:
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 the City harmless for any liability associated with the minor
encroachments.
Date: Signature:
24- our notice for Encroachment Permit Inspection is required by calling
,u {nic Works at 949-644-3311. f
15, Any above ground utility facilities will require documented approval from the adjacent
affected property owners).
16. Homeowner, contractors, and subcontracons 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 lines 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.
lg. All work in the public right-of-way must meet the approval of the Public Vvlc s
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. Addflibnal work
performed may require issuance of a separate permit and/or additional -fees.
No work'related,lolthis encroactiment permilishall'be performed until thwPublic•Works-0epartment has issued thlspermit. ,Applicant hereby acknowledges he/she hasrtead and rid re st ds he terms and'.
conditions of this permit andhelshe agrees to abide. by, them. Permit is void if,work is.not commenced withim30.days after Issuance
Permit foes ere`noirefundable. . r•'- ��' ;.-- .+ . ; �lale:SlgnBtuf_i__,
_ r _ _
4/11/2618 City of Newport Beach Page 8 of 19
6:34:04AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 04/11/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 524 OCEAN FRONT W
Activity : N2018-018f
SubType:
Status: APPROVED
OWNER: DAVIS MORGAN Phone :
APPLICANT: SRS CONSTRUCTION Phone : 949-290-4409
SRSPAVER@GMAIL.COM
Description : NEW DRIVEWAY APPROACH (W=20', X=3') PER STD-162-L, CURB, GUTTER AND
SIDEWALK
Requested Inspections)
Item: 10200 PRE JOB - PW
Requested Time: 4/11/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM-
Assigned to : zzzzzzzzzzz'
949-290-4409
, I 7�— /A-L—
..4/12/2018 City of Newport Beach
4:30:48PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
04/13/2018
Inspection Type :
ENCROACH
Inspection Area :
PW
Site Address :
524 OCEAN FRONT W
Activity : N2018-0189
SubType:
Status: APPROVED
Page 2 of 13
OWNER: DAVIS MORGAN Phone:
APPLICANT: SRS CONSTRUCTION Phone : 949-290-4409
SRSPAVER@GMAIL.COM
Description: NEW DRIVEWAY APPROACH (W=20', X=3') PER STD-162-L, CURB, GUTTER AND
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 4/13/2018 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR 9492904409
Comments: PM
Assigned to
Inspector: Date: Time: AM PM
Comments:
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5/31/2018 City of Newport Beach Page 2 of 15
4:30:52PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 06/01/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 524 OCEAN FRONT W
A/PID Information:
Activity :
N2018-0189
SubType:
Status :
APPROVED
OWNER:
DAVIS MORGAN Phone:
APPLICANT:
SRS CONSTRUCTION Phone : 949-290-4409
SRSPAVER@GMAIL.COM
Description :
NEW DRIVEWAY APPROACH (W=20', X=3') PER STD-162-L, CURB, GUTTER AND
Item: 10250 FINAL - PW
Requested Time: 6/1/2018 12:00:OOAM
Entered By: NBIVR
Comments: AM
Assigned to:
CC
Inspector: 2/ILVA
Comments:
N
Requestor: NBIVR
9492751000
Date: Time: "M
F:\Users\PB\N\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheef doc
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