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HomeMy WebLinkAboutN2018-0098W,I Beaenter IIIIMIII�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIll Permit No: N2018-0098 . OityIVofic cNew Dport rive, Newport Beach, CA 92660 1k Project No: 1748-2016 �;:' s Permit Counter Phone (949)644-3311 l • ., • At Online Inspection Request - www.newportbeachca.gov / Online�- �'� Services Inspection Requests Phone (949)644-3255 Job Address : 2515 BLACKTHORN ST NB Thomas:Guide: 889E4 Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, NEW CURB CORE PER STD 184-L, INSTALL NEW 36" BOX STREET TREE FROM APPROVED LIST, REMOVE BRICK PAVERS FROM PARKWAY. Parcel # : 4400-440-9 - Legal Desc : N TR 4893 LOT 86 Owner: 2515 BLACKTHORN LLC Contractor: COAST WATER & POWER Phone: 949-463-4509 Phone: 949-548-0106 949-289-0078 Address : 260 NEWPORT CENTER DR Address : P O BOX 3341 NEWPORT BEACH, CA 9220 NEWPORT BEACH CA 92659 ATTN; LLOYD RUCKER Contractor State Lic: 738400 Applicant: 2515 BLACKTHORN LLC License Expire : 07 31, 2019 Phone: 949-463-4509 [ Address : 260 NEWPORT CENTER DR NEWPORT BEACH, CA 9220 Business License: BT96014951 ATTN; LLOYD RUCKER Business Expire: 12 31, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2018 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $736.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance : $0.00 Inspection Fee : $495.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date : _/ / Other Department : Date: Utilities Approval : Date : _/ / Permit Denied Date Date Traffic Approval : Date : _/_/ Issued Permit: *2 General Services Approval : Date DJ f vi vvL �L� i APPLICANT: L Low U �_�. 2 Phone: Y 5 - Email Address: Ila IL Mailing Address: 71y1-s- tatel7jp: OWNER: A 1 S r-^ Phone: 9 L Email Address: �f Lo wt. Mailing Address: f Z't' L' 4.r1 T✓rL 2 City/Stateaip: ALL CONTRACTOR INFORMATION JS'REQUfFtMf : SE, CONTRACTOR: C C C rr �1 Office Phone: Company (if different): Jobsite Phone: Other Phone: 7 I V I Email Address: (� i6 OM Mailing Address: ( U t .-D ikrcx 4k4 ;s City/State/Zip. 1A qZ 7 0 c State License Number & Class: ( (i 2,(U C- 5 Expires: o City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: REFUNDAEI:E:I)El'4S1T......... .... ....a.b./..e...::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::...::::::::::::::..::::: .............:................................. .. Nf .ncl Pa . b..o'................................................................................................. . Retund T =::': ..:::::::::::::::::: ::::::::::::::....: :::'.......:::::::::'::::::....::':':':'::'...........===: FOR OFFICE USE .bNLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: 0 Other. Engineering Technician: Public W pecialist: Date: Permit No. Ivzols—wql tluserNpbwhhueNencmachkmslerslepwoMsheeUas Public Works Department 949-644-3311 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of ReporVAgreement Document Recordation Fee Monitoring Wells Inspection Fee: $241.0 'Ed Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817.00 $192.00 Refundable Deposit: $502.00 Improvements Street/Alley/Walk Closure: $65.00Newspaper 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 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES TBD TBD $108.00 $250.00 $64.00 ------ Revenue Division I Qty. 1 (Water Meter: Installation Charge $528.00 13/4" Meter $50.25 11" Meter $121.50 Water Meter Boxes: 11 1/2" Meter $285.00 1" DFW Meter Box $96.66 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 12" Meter $425.00 12" Turbine Meter $845.00 1 13" Meter $3,310.00 1 f4" Meter $4,730.00 16" Meter $7,190.00 1 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) --. ...... ...... ... TBD 030-2284 —.._..----------- -... Engineering Tech: T taI Amount Due: For Finance Use Only j 3 �, . &D Permjt-Apecialist Receipt No. front and back masters) Rev. 12/18/20171 lepfeesheet.xls{evised 1118/17 ( I "-f Z5 - Cc t k�v Vt ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I 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 I ticroactiment Permits may be taken out by the owner of benetiled property or a licensed contractor. A licensed I certify that I have a Certificate of consent to self -insure, Certificate of Worker's contractor roust provide a Letter of Authorization" to allow another party to pull a permit. An approved copy of the Compensation Insurance, or a Certified Copy thereof. permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of Date: Signature: a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days otter date of issuance CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 2. [he Peanittee 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 undertaker) under this permit. any person so as to become subject to California Worker's Compensation Laws. If, 3 All work steal! 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 Perruittee 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.--� the unless waived by the _ /' Z-ZF, s �� L 6', 5 A valid State licensed contractor must perform all construction within public right-of-way, Date. / Signature: 1 Public Works Director. A valid Slate 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 Doe 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 arid 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 lie 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: 41'1 box over the riser. 24-hour notice for Encroachment Permit nspection is required by calling 9 Properly lighted barricades nusl be provided and maintained around all trenches, excavations and obstructions. All "Manual signs. flags, lights and other warming and safety devices shall conform to the requirements of the current of /� Public Works at 949-644-3311 / Wareing 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 wit require documented approval from the adjacent per barricade per day, with a mintrnum charge of S35.00. It is the responsibility of the applicant to place barricades to protect the general public. Access to fife 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, sunnier 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 1 1 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 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 acquire a I erriporary Street Closure Permrit 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 limes. 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 off 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 Public Works Department. Monies may be held for six months after final inspection 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 before a refund will be processed. 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 rliust 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 riot removed, the City etc.). Additional inspection fees may be required. way 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 dunopster or materials in the public right-of-way, a approved by Public Works and ail 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 niay require issuance of a separate permit and/or additional fees. No work related to this encroachment permit ghall be performed until the Public Works Department has Issued this permit. Applicant hereby 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 he/she has read and understands the terms and nature: ,V_ .cam _ MIKE KILBRIDE, LTD. General Building & Engineering Contractors License 738400 P.O. Box 3341 Newport Beach, CA 92659-8341 (949) 548-0106 • Fax (949) 548-1616 March 1. 2018 City of Newport Beach Public Works Dept. AT IN: Debbie Elgas RE:: Permission to Use CSLB License #738400 Debbie: 1, Mike .Kilbride, authorize Lloyd Rucker to pull an Encroachment Permit for sidewalk, curb/gutter work at 2515 Blackthorn Street using my "738400A" license. Please contact my office if you have any questions. Sincerely, Mike Kilbride -_ I 1 W LL lL \ r FS Q F- WALL — JL l r�l��; _ 0)o FS� y� J d� •� 00 Q ^ � 1 .5' TALLWALL , 1(�� Ilr1 IOS'OL l l►1 5 _7L.45rr W f— � 7 _�1�'Yv \ (172.26�r(t� - �- OlOS lLl �a �' LA— ME _ i-6)-S l I � -� fed- � � � F� � DRIVE � -o 1 2-1(1��„€ i 1�2.59}��G 1 3..8 Tw�_- - (1 9)rn�- l2 N06'OL l _ (172.90 )1'�V TB NM brl 1 (172.01)FS S5)P991, LLl 71 .7.5j/V3L,LL 1 .55T ' TALL 1 .' A.L � 17: ♦ �` 4. /�F8 I'R� -ERTY ; WALL 1 "-\U �f I =07 G I I IN E -� . FS � � �\-Ll All 171.46 i Q �T� 1 71.37' TC 0 1 7 .25�r� 1 70.8871 1 71 . 5 TC )/ (1 70.97)FL EO (�170 Fa (1 7..76}FL EG 1 70. 3)FL I_ op 10 p E i�w „O-,£ „O-,OZ C RB �£ ' 1� 70.7� — Ip 0 \� J71.138) EG > G TIER EG � 0�N Wco ��o I Z uU- D AC �m ENT BLACKTHORNA _ N32°00'00"E 255.97' STREET i 71.2� !BASIS OF BEAR/NGSJ 171.1 , (' �� °' � (1 , 1.4 2) AC AC AC IMPERVIOUS AREA = 4,505 S.F. <<5000 S.F. ESJ WQMP IS NOT REQUIRED. IMPERVIOUS ARI 1 / 16"=1 ' - 0" CONSTRUCTION NOTES CONSTRUCT 5" CONCRETE (f'C=2500 PSI) RESIDENTIAL DRIVEWAY W/ #4 @ 12" O.C. EA WAY OVER 2" SAND OVER COMPACTED GRADE OINSTALL 4% AREA DRAIN WITH ATRIUM GRATE PER DETAIL 3 OF SHEET C.2 OINSTALL 4"0 AREA DRAIN PER DETAIL 3 OF SHEET C.2 INSTALL 4" PVC SCHEDULE 40 DRAIN PIPE CONSTRUCT HARDSCAPE PER ARCH PLAN © INSTALL FLOTEC SUMP PUMP OR APPROVED EQUAL WITH SUMP PIT PER DETAIL 1 OF SHEET OCONSTRUCT PRIVATE DRAIN THROUGH CURB PER CITY STANDARD STD-184-L ® INSTALL NDS CATCH BASIN 12" x 12" WITH U.V. GRATE INHIBITOR OCONSTRUCT PLANTER WALL WITH 1'-6" MAX PER PLAN 1 0 PLUG EXISTING DRIVEWAY PER CITY STD-165-L WITH NEW CURB, GUTTER AND SIDEWALK. 1 1 CONSTRUCT NEW DRIVEWAY APPROACH TYPE 1 PER CITY STD-162-L, W=20.0' , X=3.0'. 10 CONSTRUCT BOTTOMLESS TRENCH DRAIN PER DETAIL 1 SHOWN HEREON. INSTALL 1" WATER SERVICE LINE (COPPER TUBE, 200 PSI MAX, AWWA STD No. C901-78, AS 1 3 W/ MIN. 18" COVER TO EXISTING WATER METER 1 4 INSTALL 6" PVC SDR-35 SEWER SERVICE LINE W/ MIN. 24" COVER WHICH CONNECTS TO E SEWER LATERAL W/ NEW CLEANOUT PER CITY STD. 406-L (FIELD VERIFY) 1 rJ REMOVE EXISTING NON-STANDARD BRICK PAVING WITHIN PARKWAY. INSTALL SOD OR OTHER LOW GROWING COVER. 6 PROVIDE TRAFFIC RATED LID TO BE INSTALLED ON EXISTING WATER METER WITHIN THE DRIVEWAY APPROACH. 7 PLANT (1) NEW 36" BOX TREE, "WASHINGTONIA ROBUSTA ",IN PARKWAY PER CITY STD-1 18-1 FINAL APPROVAL TREE SPECIES SHALL BE PER CITY COUNCIL G-6 PRIOR TO INSTALLATION. oiwsioN I PRECISE GRADING PLAN r_nn • 3/1/2018 City of Newport Beach Page 3 of 5 4:30:16PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/02/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address: 2515 BLACKTHORN ST Activity : low N2018-0098 SubType : NEW Status : APPROVED OWNER: 2515 BLACKTHORN LLC Phone 949463-4509 APPLICANT: 2515 BLACKTHORN LLC lioydreu Phon hoo.com Phone : 949-463-4509 Description : Iloydreuker@yahoo.com CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, NEW CURB CORE PER STD 184-L, INSTALL NEW 36" BOX STREET TREE FROM APPROVED LIST, REMOVE BRICK PAVERS FROM PARKWAY. Item: 10100 FORMS WITH COMPACT N - PW Requested Time: 3/2/2018 12:00:OOAM �"equestor: NBIVR 9494634509 Entered By: NBIVR Comments: AM Insp#dWgned to: Date: Time: AM PM Comments: F:\Users\PB\N\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 A 3.18/2018 City of Newport Beach Page 3 of 24 6:34:21AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/08/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2515 BLACKTHORN ST "D Infonnathm: Activity : N2018-0098 SubType : NEW Status : APPROVED OWNER: 2515 BLACKTHORN LLC Phone : 949463-4509 lloydrcuker@yahoo.com APPLICANT: 2515 BLACKTHORN LLC Phone : 949-463-4509 Iloydrcuker@yahoo.com Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, NEW CURB CORE PER STD 184-L, INSTALL NEW 36" BOX STREET TREE FROM APPROVED LIST, REMOVE BRICK PAVERS FROM PARKWAY. Requested bm ectiaKs) Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 3/8/2018 12:00:OOAM Requestor: NBIVR 9494634509 Entered By: NBIVR Comments: AM Assigned to: r Jy Ref e 3/9/2018 City of Newport Beach Page 2 of 8 6:34:58AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/09/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2515 BLACKTHORN ST AW D Intonation: Activity : N2018-0098 SubType : NEW Status : APPROVED OWNER: 2515 BLACKTHORN LLC Phone : 949-463-4509 Iloydrcuker@yahoo.com APPLICANT: 2515 BLACKTHORN LLC Phone : 949-463-4509 Iloydrcuker@yahoo.com Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, NEW CURB CORE PER STD 184-L, INSTALL NEW 36" BOX STREET TREE FROM APPROVED LIST, REMOVE BRICK PAVERS FROM PARKWAY. �SPMS) Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 3/9/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Refle J % "7 6/ ,,.: I /!V/ 9494634509 3/15/2018 City of Newport Beach Page 1 of 8 4:30:11PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/16/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 2515 BLACKTHORN ST Y. 'irr ls Activity : N2018-0098 SubType : NEW Status : APPROVED OWNER: 2515 BLACKTHORN LLC Phone : 949-463-4509 Iloydreuker@yahoo.com APPLICANT: 2515 BLACKTHORN LLC Phone : 949-463-4509 Iloydreuker@yahoo.com Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, NEW CURB CORE PER STD 184-L, INSTALL NEW 36" BOX STREET TREE FROM APPROVED LIST, REMOVE BRICK PAVERS FROM PARKWAY. _a Item: 10250 FINAL - PW Requested Time: 3/16/2018 12:00:OOAM Requestor: NBIVR 9494634509 Entered By: NBIVR Comments: AM Assigned to InspecTor: /% Date: 311 Time: AM PM Comments: �1 IV-n�J F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018