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HomeMy WebLinkAboutN2018-0061oity'Vofic cNewenter Dport Beacrive, Newporth Beach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIryIII�III�IIIIlllllllllllllll Permit No: N2018-0061 Permit Counter Phone (949)644-3311 Project No s A- Online Inspection Request - www.newportbeachca.gov / Online r- Services � �.? �A •,a ;_:... Inspection Requests Phone (949)644-3255 Job Address: 2007 SEADRIFT DR NB Thomas:Guide: 919E1 Description : REPLACE EXISTING TILE CARRIAGE WALK WITH NEW GRAY CONCRETE PER CITY STD. Parcel # : 0503-220-4 - Legal Desc : N TR 2813 LOT 16 Owner: ELAM MICHAEL V Contractor: JENNINGS CUSTOM MASONRY INC Phone: 0 Phone: 949-645-8512 Address : 2007 SEADRIFT DR Address : 2221 CAPE COD WAY SANTA ANA CA 92703 Contractor State Lic: 827800 Applicant: BEN NOVAK License Expire : 11 30, 2019 Phone: 949-645-8512 [ Address : C/O JENNINGS CUSTOM MASONRY 2221 CAPE COD WAY Business License: BT30002679 SANTA ANA, CA 92703 Business Expire : 02 28, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : SECURITY NATIONAL Policy No: SWC1137672 W. C. Expire: 01 01, 2019 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $571.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $0.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance: $571.00 Inspection Fee : $330.00 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 : Traffic Approval : Date : _/ / Date : _/ / Permit Denied Date Issued Permit: Date 4-,7;�/ J li,�C/ U General Services Approval: Date: _/ / 4 ` Y f f+ ^ • y �g�' 1i '+W�s �� 3 z .�� v. L•Q.a W4 .:�i n I• H' :pEi COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: a C DETAILED DESCRIPTION OF PROPOSED WORK: v6 z_a 1qj6 si?vV Prn! i icy AAf P Phone:'71 I APPLICANT: ,`,,� _� N Email Address: J / M Mailing Address • w p: City/StetTt\J,(-A ArJA 9 aj o 3 OWNER: NZ. /Y► C �c� `!; f}v1,� Phone: Email Address: Mailing Address d .7 �� -� IC,IS,te"'p: �cNA 061- rqAqC ALL CONTRACTOR WORMATKM[ IS I COMPLETE ONTRACTOR: �� N� sCkt ni�- o �ZAA7 [Company Office Phone: l (if different): Jobsite Phone: Other Phone: Email Address: ,/'7r-.\ jl-?�evrit N6 31%A5vN p_ , C Cvvk Mailing Address: City/State/Zip: Stat icense Number & Class: p1 7 8 00 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 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 FOR OFFICE USE ONLY Special Conditions of Permit- _ ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Traffic: Fire: 0 Municipal Operations Other: Engineering Technician: Permi cialist Date: OZ Permit No. N2018- f fusers/pbw/shar"encroach/masters/epworksheet.xls ~� Public Works Department 949-6443311 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 $241.00 $275.00 $817.00 $192.00 $502.00 Inspection Fee: Qtv- Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Street/Alley/Walk 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 I THE FOLLOWING rrEMS REQUIRE APPROVAL FROM THE 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES TBD TBD $108.00 0 $ $64.00 1 64.00 ------ Revenue Division I 1 may jWater Meter: Installation Charge $528.00 1 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 e 12" Meter $425.00 1 12" Turbine Meter $845.00 13" Meter $3,310.00 14 Meter $4,730.00 6" 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 EasementtVacation 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 5?/• °0 Permit Snacialist Receipt No. flusers/pbw/shared/encroach/masters/ep front and back masters/ Rev. 12/18120171 1 epfeesheetAs-revised 11017 I 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 9 10. 11 12 13. 14. 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 times Work, which has been done prior to issuance of a permit, is subject to rejection/fine City reserves the right to void pernul if 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 Slate 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 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 (ie: 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 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 Slate 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 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 I sur nce, or a Certified Copy there B Signature: Date ti. 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-hour notice for Encroachment Pgp7it Inspection is required by calling Public Works at 949-644-331 . 15 Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). 16. Homeowner, contractors, and subcontracotrs 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, cr relocated without approval from the General Services Department. 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 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 acknowledges he/she ha=_9 rstands the rms 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. Date.V��Signature: 10' OR VARIES 318' EXPANSION JOINT �• MATERIAL ITYPI [!4/3 4/3 3 %�y R=15' FOR LOCAL STREETS AND 25' FOR ARTERIAL STREETS U %ESS OTHERVISE SPECIFIED ti (L . Q ' 10' FOR MAJOR, 10' FOR PRIMARY, a �4� AND 8' FOR SECONDARY STREETS U ftESS OTHERWISE SHOVN CONCRETE SHALL BE 560-C-3250 CURB ACCESS RAMP SHALL COMPLY WITH CURRENT ABA REQUIREMENTS CURB FACE CURB RETURN AREA R 10' TYPICAL 2' OR 4' MINA 3� MATCH SLOPE 2% MAX, EXIST. .. A LANDSCAPE PARKWAY WITH \1 STREET TREES REQUIRED ° WHEN DISTANCE FROM CURB 4' MIN. P.C.C. TO PROPERTY LINE EXCEEDS 6 IN TYPICAL SECTION AREAT CONCRETEE NTIAL SSIDEWALK IN COMMERCIAL AREAS WITH STREET TREES WEAKENED PLANE JOINTS 1-114' SAWED, QUICK -JOINT OR EQUAL 8' 8' 8' 8' 8' 8' 8' 8' 318' EXPANSION JOINT MATERIAL PLANTING OR CONCRETE WALK WEAKENED PLANE JOINTS & EXPANSION JOINTS CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT APPROVED: RCE NO.36106 LI WORKS DIRECTOR SIDEWALK DETAIL [)yawn: Scale: N.T.S. p 1994Cracia Date: Sep 1994 F iti�RS0f�R`W Sha'Mrl< 11 �i>_sm DRAWING NO. STD- 180-L Jim Jennings Custom Masonry Inc. Since 1969 2221 Cape Cod Way, Santa Ana, CA 92703 CA State Lic. #827800 Phone:(949)645-8512 FAX(714)796-9171 Email: fafahcm@sbcglobal.net February 1, 2018 To: City of Newport Beach, Public Works Department, I give Ben Novak permission to pull a Public Works permit at 2007 Sea Drift Drive, Corona Del Mar, CA 92625. It is for 13 lin. ft. of 4' wide city sidewalk for Doctor Michael Elam. tames iennin?�72-es. 2/512018 City of Newport Beach Page 2 of 5 s:34:07AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 02/05/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 2007 SEADRIFT DR AIPM Information: Activity : N2018-0061 SubType : NEW Status : APPROVED OWNER: ELAM MICHAEL V Phone : 0 APPLICANT: BEN NOVAK Phone : 949-645-8512 FAFAJJCM@SBCGLOBAL. P Description: REPLACE EXISTING TILE CARRIAGE WALK WITH NEW GRAY CONCRETE PER CITY STD. Requested Irmpection(s) Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 2/5/2018 12:00:OOAM Requestor: NBIVR 9492740258 Entered By: NBIVR Comments: AM Assigned to: l •iL `j / 1 , 2/8/2018 City of Newport Beach Page 1 of 6 4:30:18PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 02/09/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2007 SEADRIFT DR Activity : N2018-0061 SubType : NEW Status : APPROVED OWNER: ELAM MICHAEL V Phone : 0 APPLICANT: BEN NOVAK Phone : 949-645-8512 FAFAJJCM@SBCGLOBAL.t Description : REPLACE EXISTING TILE CARRIAGE WALK WITH NEW GRAY CONCRETE PER CITY STD. Item: 10250 FINAL - PW Requested Time: 2/9/2018 12:00:OOAM Entered By: NBIVR Comments: AM Requestor: NBIVR 'J 1,M Assigned to: Inspector: Date: 116a Time: f 2-AM M Comments: -,JIM � �ECI� C� Pi!5 L7 9 C7 Gr D� T-D lti 5r_A-LL „S7rPM-29 s I i I I 0 k- l Y AID w<-reApev S ti IA/Si AG L Af�X / - y Q 4 IAI < 7-4Z L 577> U F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InSDectorSheet.doc REPT131 Run Id: 4018 3/15/2018 City of Newport Beach Page 4 of 8 4:3011PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/16/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address: 2007 SEADRIFT DR Activity : N2018-0061 SubType : NEW Status : APPROVED OWNER: ELAM MICHAEL V Phone: p APPLICANT: BEN NOVAK Phone : 949-645-8512 FAFAJJCM@SBCGLOBAL. P Description : REPLACE EXISTING TILE CARRIAGE WALK WITH NEW GRAY CONCRETE PER CITY STD. Item: 10250 FINAL - PW Requested Time: 3/16/2018 12:00:OOAM Requestor: WEBUSER 949-929-2329 Entered By: WEBUSER Comments: AM - Assigned to: 77777777777` Inspector: 7, C1 Date: Time: M PM Comments: 04 TO 14 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018