HomeMy WebLinkAboutN2017-0119r,City of Newport Beach IIII�I�������l��tll�lll��� �IIIIII
ioO Civic: Center Drwe Newport Heath CA 92AGG
Permit Counter Phone (949)644-3311
Z Online Inspection Request - www.newportbeachca.gov / Online
.•� Services
Job Address : 315 MARIGOLD AVE NB
Description : Install gray concrete entry walkway behind existing sidewalk.
Parcel # : 0521-031-1 -
Legal Desc : CORONA DEL MAR LOT 15 BILK 239(AND SWLY 20 FT LOT 17 BLK 239
Owner: HILLS FLORA
Phone: 0
Address : 711 JASMINE AVE
CORONA DEL MAR, CA j 1
Applicant: CLEARWATER BUILDING CORP
Phone : 626-915-0311 [
Address : 766 N DODSWORTH AVE
COVINA, CA 91724
Special Cond. :
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 :
$165.00
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: N2017-0119
Project No :
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919F3
A N N F�.'
Contractor : CLEARWATER BUILDING CORP
Phone : 626-915-0311
Address : 766 N. DODSWORTH AVE
COVINA CA 91724
Contractor State Lic: 922629
License Expire: 09 30, 2018
Business License: BT30051785
Business Expire : 07 31, 2017
Workers' Compensation Insurance - -
Carrier : EXEMPT
Policy No: NO EMPLOYEES
W. C. Expire:
Total Fee $406.00
Paid : $406.00
Balance : $0.00
Receipt No:
Date: _/_/ Other Department : Date:
Date: / / Permit Denied Date:
Date: / / Issued Permit : Date
Date : / /
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 of4l*
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 if work does not commence within 30 days
after date of issuance.
The Permittee agrees to defend, indemnity 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 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.
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 inspections by
the Municipal Operations Department 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 (ie: water, sewer, or street lighting conduits) to verity 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.
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 $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 and 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. All USA marks
shall be removed prior to Final Public Works Inspection.
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
Compensation Insurance, or a Certified Copy tre
Date: G 1 i ( Signature: -
CERTIFICATE OF EXEMPTION (Suction 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
1 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:
RlltquW-Uns &.949~266. INITIALS:
15. All above ground facilities shall comply with the Municiop(Code, including but not limited
to Chapter 13.20.
16, Homeowner, contractors, and subcontractors 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 Municipal Operations Department, Parks and Street Trees
Division.
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 andlor additional fees.
V. -.BM.,..(. .,, ,. ,z YF
4.
COMPLETE THE BELOW INFORMATION'
PROJECT ADDRESS: 3 I ti 1� ��- �� v-t, C �� wa f 1J� ✓:
DETAILED DESCRIPTION OF PROPOSED WORK:
I �L r1 L� G[ i T 1 �•. ,4 1 T' C I�
e <i ' 1A,` 7 4-jo 4- E,4
Ij
APPLICANT: ��� (
Phone: >i - 6311
Email Address: C�e.c.-✓ • • v ' ✓ul , ,, -'
Mailing Address:
City/State/Zip:
OWNER: w � , SI
Phone: Li�;C - S 7 3
Email Address: tom e. d i,,
Mailing Address:
� 5 AU�. ;6 t a�
City/State2ip:
LL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
TOR: I n \ z-
Office Phone: - Z w �% / 5-
Company if different):
CG/ ,
Jobsite Phone:
Other Phone:ress:
EEmaflAddress:
1 � � o a r ✓ t C iwdress:{�City/oState2ip:Cc,/uta
se umber & Class:
Ex ices•
City Business License Number:
3Uo S I -7 _Ex ires:
COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : Policy No: Expires:
Municipal Orations: 949-644-3066
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQtXRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Municipal Operations
Traffic: 0 Fire:
Other:
Engineering Technician:
Permit Specialist
Date:
Permit No.
IN2017-
f:iusers/pbwlshar"encroa&ftaster&4pworkshoot.xis
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
FEE ""R.EET FQRr■ fn NCt yrl�A.:�IYIENT PERMIT .
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
•
PERMIT
NUMBER: N2017-
APPLICANT:
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Q Inspection Fee: oty-
$241.00 Public Works Field Inspection $165.00
$275.00 Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
$817.00
$192.00 Refundable Deposit: TBDe
$502.00 Improvements TBD
Street/AlleylWalk Closure: $65.000 Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee
24" x 36" $143.00 4TT Box & Cover
Additional
_ _ _ _ _
1
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES
$108.00
$.00 $64e
64.00
-----------
Revenue Division 1
Qty.
- Q 1
(Water Meter:
Installation Charge $528.00 I
13/4" Meter
$50.25
Water Meter Boxes:
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost
11 1/2" Meter
$285.00
1" Meter: 13.00 + 37.00 $50.00
11 1/2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88.25
12" Meter
$425.00
1
12" Turbine Meter
$845.00
For Trat is & Alley Areas (Box + Cover = Cost) 1
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00 1
4" Meter
$4,730.00
1
2" Meter: 27.00 + 162.00 $189.00e
6" Meter
$7,190.00
-__ 1
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 My 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
Permit Specialist Receipt No. -
f:/users/pbw/sheredlencroach/mosters/ep front and tuck mastwW
Rev. 1/5/2017 epfeesheet.xls-revised 10121n016
OR ENGINEER ANO
MITTAL FOR PLAN
THE CITY!
ND ATTENUATION
LV I 1070 iv ." w. it
BLOCK239, CORONA DEL MAR TRACT
APN.' 052-103-11
ZONE: R-1
OCCUPANCY R 31U
TYPE OF CONSTRUCTION: V-B
SPRINIQERED
GOVERNING CODES.'
2013 CA BUILDING CODE (CBC)
2013 CA RESIDENTIAL CODE (CRC)
2013 CA MECHANICAL CODE (CMC)
2013 CA ELECTRICAL CODE (CEC)
2013 CA PLUMBING CODE (CPC)
2013 CA GREEN BLDG. STDS (CGBS)
2013 CA ENERGY EFFICIENCY STDS. (CEES)
SE ACK
6
19'-10"
EXISTING
LANDSCAPE
AREA
17'-9"
EXIST. TO
CHIMNEY I
13
PROJECT DESC
REAlODEL &ADDITION
ONE STORY HOUSE W.
ARCHITECT.'
THOMAS T. BURGER, h
33751 PEQUITO DR.
DANA POINT, CA 9201
(949)37&2126
STRUCTURAL E
MICHAEL R. GABRIEL
483 E20TH STREET
COSTA MESA, CA 926
(949) 646-659s
SURVEYOR:
30UTH COSAT SURVE
3214 CLAYST
NEWPORT BEACFI, CA
(849J 6314840
ENERGY CONS
ENERGY COMPL14NCI
5702 HERSHOLT AVE.
LAKEWOOD, CA 9071,
(562) 461-3749
EX14
UPPER
LOWER
1,6
TOTAL LIVING
1,8
GARAGE
GROSS
2,2
5W2017 City of Newport Beach Page 4 of 12
4:30:30PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/05/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 315 MARIGOLD AVE
Activity : N2017-0119
SubType:
Status : APPROVED
OWNER: HILLS FLORA Phone • p
APPLICANT: CLEARWATER BUILDING CORP Phone : 626-915-0311
Description : Install gray concrete entry walkway behind existing sidewalk.
Item: 10250 FINAL - PW
Requested Time: 5/5/2017 12:00:OOAM Requestor: NBIVR �/
9097725542 - Jl� 0/"
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: V Date: Time: W y A PM
Comments: ��'� ��1-7 0..,V U /)9-�1� - -
IPQ2,cs
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131
Run Id: 4018
5/9/2017 City of Newport Beach Page 2 of 18
4:30:17PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/10/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 315 MARIGOLD AVE
Activity :
N2017-0119
SubType:
Status :
APPROVED
OWNER:
HILLS FLORA Phone: p
APPLICANT:
CLEARWATER BUILDING CORP Phone : 626-915-0311
Description :
Install gray concrete entry walkway behind existing sidewalk.
Item: 10250 FINAL - PW
Requested Time: 5/10/2017 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
N-W
NBIVR
9097725542
Date: 5-44 Time:
Comments: ae-,
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131
Run Id: 4018