HomeMy WebLinkAboutN2018-01950City
(�vCenter ofNewportBeacorth
Beach, CA92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIuIIIIIIIIIIIIIIIIIIIIIIIIIIII
Permit Counter Phone (949)644-3311
... '� Online Inspection Request - www.newportbeachca.gov / Online
Services
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Job Address:
3441 VIA LIDO NB
Description :
TEMPORARILY REMOVE METERS #5027 AND #5028.
Parcel # :
4231-110-1 -
Legal Desc :
P BK 85 PG 1 PAR 1
Owner:
LIDO PARTNERS
Phone:
949-723-7100
Address :
3425 VIA LIDO #250
NEWPORT BEACH, CA 92663 V
Applicant: SAVANT CONSTRUCTION
Phone : 909-614-4300 [
Address :
Special Cond.: PRE CONSTRUCTION MEETING REQUIRED.
NEW METER POST REQUIRED. ANY DAMAGE
TO THE CURB, GUTTER, OR SIDEWALK
WILL REQUIRE REPAIR
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Traffic control Plan Check :
$65.00
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:
Utilities Approval :
Traffic Approval :
General Services Approval
Permit No: N2018-0195 ,
Project No: 2742-2017
Inspection Requests Phone (949)644-3255
Thomas:Guide: 8881-16
SCANNED
Contractor : SAVANT CONSTRUCTION INC
Phone: 909-614-4300
Address : 13830 MOUNTAIN AVENUE
CHINO CA 91710
Contractor State Lic: 596646
License Expire: 06 30, 2018
Business License:
BT30052555
Business Expire:
09 30, 2018
Workers' Compensation Insurance - -
Carrier :
TWIN CITY FIRE INS CO
Policy No:
72WEAQT7158
W. C. Expire:
01 01, 2019
Total Fee
Paid .
Balance:
Receipt No:
$636.00
$636.00
$0.00
Date : - Other Other Department: Date: —/ /
Date : / / Permit Denied Date
Date : —/—/ Issued Permit Date : --±/—L11 / 'L ?-
Date
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMEN'I
YrCOMPLETE THE BELOW INFORMATION-
PROJFCT ADDRESS. 3441 VIA LIFO. IJEWPORT BEACH. CA 92b63
LDETAILED
DESCRIPTION OF PROPOSED WORK:
TEMPOiZAFZY IZEMOV4L OF OIJE METER PO5-f WHICH HOLP5 TWO METERS. THEY ARE
LAPELLED s5027 4UP 502.5 ALOIJL, VIA LIDO. THE REMOVAL WOULP FE6,rIQ 4,16, 2015 AIJP
EIJP = ' i tV. ; FOR 4 TOTAL OF THREE (3) FULL PAY5. 5EE AT`fAGHEP EXHIBIT.
APPLICANT: 54VAQ-r COIJSTRUGTIOIJ Phone: (909) 614-4300
Email Address: -,PORIW"5AVAw-rCCF.COM
Mailing Address:
City/State/Zip:
13830 MOUIJT4IIJ AVE.
CHIIJC, C4 91710
OWNER: LIDO PARTOF-96 Phone: (949) 723-7100
Email Address: PFERQARp,F=IZITZPUPA.COM
Mailing Address:3425 VIA LIDO.5-rE 250
City/State/Zip:
IJEWPORT BEACH. C4 92663
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: SAVAQ-r GOIJ5TRlJCTIOQ
Office Phone: 909-614-4300
Company (if different):
Jobsite Phone: 562-665-0649
Other Phone:
5AVAQ-r COIJ51"IZUCTI00
Email Address: GPORI" ,5AV4Q-rCCF.COM
Mailing Address:
City/State/Zip:
1383G MOUIJT4IIJ AVE.
GHIIJO, G4 91710
State License Number & Class:
City Business License Number:
596646 BC-6 Expires: 0 30 2018
FT30052555 Expires: 9 30.2018
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: TWIQ CITY IQ5UR4FJCE CO. Policy No: 72WEA0T7158 Expires: 112.019
............ _ . _ ..........
REF.UNDABLE. :DEPOS..IT INF.ORMATION:(If Applicable):. ;
Refund Pa able To:
Mail Refund To:
FOR OFFICE USE ONLY
Special Conditions of Permit: ; 2 j
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Traffic: 0 Fire: 0
General Services:
Other:
Engineering Technician:
Public Works Specialist:
Date:
Permit No.
1luserslpbvdshared/encroachlmasters/epwarksheet xls
Public Works Department 949-644-3311
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FINLEY AVENUE
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ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800422.4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
1
Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
contractor must 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
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Date: Signature: i
after date of issuance.
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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
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 undertaken under this permit.
any person so as to become subject to California Worker's Compensation Laws. If,
3
All work shall 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.
provprov si
provisions of the State Labor Code, I must comply with the provisions of Section
4
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
this permit shall be deemed revoked.
be corrected within two weeks after notification to the satisfaction of the Public Works Director.
5.
A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the
Date: Signature:
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
CONTRACTOR LICENSE EXEMPTION
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,
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
The 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 and 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. Locale and pothole
encroachments.
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
Date: Signature:
4TT box over the riser
24-hour notice for Encroachment Permit Inspection is required by calling
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
"Manual
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
Public Works at 949-644-3311.
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 will require documented approval from the adjacent
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.
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, summer 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
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
Quality Laws are punishable by fines up to $25,000 and/or up to three years in Stale
prison plus the full cost to clean up an illegal discharge or spill.
emergency vehicles must be maintained at all times. 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
on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
the Public Works Department. Any work affecting the Slate Highway's traffic or within the Slate Highway right-of-way
Public Works Department. Monies may be held for six months after final inspection
will require a Caltrans Permit. All vehicles shall be lawfully parked
before a refund will be processed.
12
This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
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 must 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 Work
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 not removed, the City
etc.). Additional inspection fees may be required.
may 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 dumpster or materials in the public right-of-way, a
approved by Public Works and an 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 may require issuance of a separate permit and/or additional fees.
No work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant hereby acknowled es he/she has ad and—Rliade tands the terms 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 IssuanAeft1_/0r /
Permit fees are nonrefundable.
�47Date: =lD�_Signature:
_
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Inspection Fee:
$241.00 Public Works Field Inspection
$275.00[n Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192.001 Refundable Deposit:
$502.00J Improvements
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11" $65.00 1 Sewer Connection Fee
24" x 36" $143.00 4TT Box 8� Cover
Additional
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES A
$165.00 Z .
$121.00
$165.00
$108.00
TBD
TBD
$108.00
$ $64.00
e
64.00
venue Division
I
MY.
I
Water Meter:
Installation Charge
$528.00 1
1314" Meter
$50.25
1
11" Meter
$121.50
Water Meter Boxes:
11 112" 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
12" Turbine Meter
$845.00
13" Meter
$3,310.00
�4" Meter
$4,730.00
6" Meter
$7,190.00
FEES
;...
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 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
4#�
Permit Specialist Receipt No.
_ f fusers/pbwishared/encroach/masters/ep front and back masters)
Rev. 12/18/2017 epfeesheecxts-revised t I W 7
Newport Beach Police Dispatch City of Newport Beach Public Works Department
Phone:949-644-3717 Phone:949-644-3311 Fax:949-644-3318
APPLICATpR FOR TEMPORi6RY'STREET./ SIDP-WALK ;USE Oft MMI 'PAC -MINT
_r v_...__j n....,.a ■e....:,.:..�r �...,ra 49 R9 A7n Parini! fnr TamnnraN street closure
i^
APPLICANT INFORMATION
Name: / )
City of Newport Beach Business License No.
Company Name: ✓ l:ry s
Address:
i iV
Phone: - L1 _il3bc
email: O til !� G
City/Zip: h ) r, �'-
Exact Location of Encroachment: "``" ' I `{ ' -' �• ` ; �'= "� `�
(Use street address or approximate number of feet from nearest intersection)
Reason for Encroachment: , ; , 1;
�r ` I.
Franchised Hauler or
Dumpster Company Name:
Size:
Date Use to Begin: Date Use to End:
(Maximum 14 Days)
Time of Closure: �`?' ..f � 1"' [ _'.-',� to
DIAGRAM LOCATION OF ENCROACHMENT BELOW: Newport Beach Police Department (949) 644-3717
Newport teach Police Department
r (949) 644-3717
-ovlr,g Authorized Provided
t-erniiitee Posts Approved Signs
And Contacts N.B.P D. to Verity Posting
More than -3 Pours in Advance
REMOVE SIGNS
IMMEDIATELY
AFTER EVENT
N.B.P.D. DISPATCH
949-644-3717
A copy of this permit must be visible on the dash of each vehicle authorized to park in reserved parking spots.
The applicant is responsible for notifying Police Dispatch of any road closure, detour, or reserved parking.
See reverse side of this permit for regulations covering use of this permit.
ADDITIONAL CONDITIONS OF APPROVAL FOR THIb F't:KIV11 I AKr_ mzo rvLt_vtfv0:
I, (Permitee) I
conditions on
x
CITY RESERVES THE RIGHT TO REVOKE OR MODIFY CONDITIONS AT
;by certify the information provided is true and correct, and I agree to comply with the terms and
front and back of this permit. Permitee guarantees to indemnify and hold the City of Newport
gainst any claims, liability, or judgments for damages arising outofper/mitte�e's activi 'es.
Date: .�
Reviewed by: Date:
Approved by: Date:
Permit Fee: $ Receipt No:
F P9o'PSt, ;r:i ld?ST£P.S'STP£5' X:M P£'+1?.iTcPS'[Tama 3lreet 71o$Ufe Applio tian ASISheetI
ANY TIME
For Finance Use Only
4112%2018 City of Newport Beach Page 8 of 13
4:30:48PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/13/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address: 3441 VIA LIDO
Activity : N2018-0195
SubType :
Status : APPROVED
OWNER: LIDO PARTNERS Phone
949-723-7100 FTANNING@FRITZDUDA.0
APPLICANT: SAVANT CONSTRUCTION Phone : 909-6144300
GDORIN@SAVANTCCF.CO
Description : TEMPORARILY REMOVE METERS #5027 AND #5028.
Item: 10200 PRE JOB - PW
Requested Time: 4/13/2018 12:00:OOAM
Entered By: WEBU ER
Comments: Ana
.y
Assigned to: 77777777777*
Inspector: Z'�G 6, Date
Comments:
Requestor: WEBUSER
562-665-0649
< < S Time: /0 / S M1 PM
P+ (S se+ va 4* e4nd a 4-4v 4,1-s
ki
F:\Users\PBW\Shared\ENCROACH\MASTERS(FORMS\Insoectorsheet.doc
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4/23/2018 City of Newport Beach Page 1 of 6
4:30:32PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/24/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 3441 VIA LIDO
Activity : N2018-0195
SubType :
Status : APPROVED
OWNER: LIDO PARTNERS Phone:
949-723-7100 FTANNING a@FRITZDUDA.0
APPLICANT: SAVANT CONSTRUCTION Phone: 909-614-4300
GDORIN@SAVANTCCF.CO
Description : TEMPORARILY REMOVE METERS #5027 AND #5028.
Item: 10250 FINAL - PW
Requested Time: 4/24/2018 12:00:OOAM Requestor: NBIVR
9092033615
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: zcw 61
Date: / Z 7Lt Time: 1Z61 AM
(!9
Comments: 0k 114 G-W,
iy -
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
REPT131 Run Id: 4018