HomeMy WebLinkAboutN2018-0170`� .µ oo y o cNewenter Oport Bp a ortBeach, ach, CA 92660 IIII�IIIIIIIIIIIII�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIll Permit No: N 2018-0170
Permit Counter Phone (949)644-3311 Project No
s -t Online Inspection Request - www.newportbeachca.gov / Online
Services
Inspection Requests Phone (949)644-3255
Job Address: 433 GOLDENROD AVE NB Thomas:Guide: 919E2
Description : Remove and replace curb, gutter, sidewalk on Goldenrod Avenue per City Standards.
Parcel tf :
4591-131-7 -
Legal Desc :
CORONA DEL MAR BLK 433 LOT 13
SG f NNEED
Owner:
MARGARET C CROWTHER
Contractor: CT&T CONCRETE PAVING INC
Phone:
0
Phone: 909-629-8000 909-8214769
Address :
433 GOLDENROD AVE
Address : 324 SOUTH DIAMOND BAR BLVD
CORONA DEL MAR, CA
P M B 275
DIAMOND BAR CA
Contractor State Lic: 875627
Applicant:
CT&T CONCRETE PAVING
License Expire : 04 30, 2018
Phone:
909-629-8000 [
Address :
324 S DIAMOND BAR BLVD
DIAMOND BEA, CA 91765
Business License: BT30055004
Business Expire : 05 31, 2018
Special Cond.:
PRE -JOB INSPECTION REQUIRED
Workers' Compensation Insurance - -
Carrier : EMPLOYEE SVC GROUP
Policy No: WD001486
W. C. Expire: 06 30, 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:
tZ - ,9 021'�>
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
Traffic Approval :
Date :
Issued Permit: Date
_/_/
General Services Approval :
Date
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1 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 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 cut 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 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.
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 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 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
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 S 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.
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.
111. 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.
12 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
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 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
Comp,eggation insurance, or a Certified Copy therg6f. Z>
Dater ..LJ/rC 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:
I24-hour notice for Encroachment Permit Insp5ction is required by calling I
Public Works at 949-644-3311.,%%_'
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 S25.000 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 Vdorks
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 shall be performed until the Public Works Department has issued this permitapplicant hereby ackpowledges he/she has read anif u ers nds 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
Permit fees are nonrefundable. Date: - ANfl—Signaturc
KSH...:
�.:� ..rv. J'iir�pr�-��e•-te aMr1d.":,rrt =6.W,
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
EU� L��,
bul
APPLICANT: ` Phone:
Email Address: L1i VY, R 0
Mailing Address: City/St�te/Zip:
32 i 5 \) -� r AV q cl-
OWNER: L Phone: 9 L- Z
Email Address: ,,�,�
Mailing Address: City/State0p:
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR:
1
Office Phone: b
Company (if different):
Jobsite Phone: r 0 2--
Other Phone:
Email Address:
Mailing Address: _
City/Sta e/Zip:
State License Number & Class:
Expire
City Business License Number:'
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
:.;.'.:..:..:.'.:.'..'....'....
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FOR OFFICE USE ONLY
Special Conditions of Permit: - Pre-' b inspec-k-;O" r'el" ic6
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public Works Specialist:
17;;11v
Date:
4-2.- 11
Permit No.
N2018 -Only
tluserslpbwlsharcd/enavach/masWWepwofksheet)ds
Public Works Department 949-644-3311
Permit Processing Fee: Q
Public Works Only $241.00 I
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee:
Public Works Field Inspection $165.00 3
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
StreeVAlley/Wllalk 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 ITEMS REQUIRE APPROVAL FROM THE R,
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES AI
TBD
TBD
$108.00 0
$250.00
$64.00
venue Division
I
Qhf•
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 1
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
14"
$3,310.00
Meter
$4,730.00
16" Meter
$7,190.00
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 EasementlVacation Fee (+100% of hrly over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Total Amount Due:
For Finance Use Only
Z.a.,,
e -731o. --
Permit Specialist
Receipt No.
11
S
f:/users/pbw/shared/encroach/masterslep front and back masters/
Rev. 12/18/2017
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SCALE 3/16 = 1'-0. /
OTv DE.5CRPTION
j PLUME -LIKE. STEMS TO j PT AR15E PROM A GENiRA'_ CROWN NEECLE=-IKE '_GAVE$ GIVING A PLUPPY APPEARANCE
SHAM 5HRU6 EVERGREEN
b LOW FLAX LIKE PLANT TO Igo WITH OEN5E DARK GREEN POPPY LEAVES WITH RED SASE
* MEDKIM 51ZE 5HRU6 TO 4 PT. WITH SLUG GREEN FOLIAGE AND LARGE SLUE FLOWER CLUSTER.
I 5RIKING LARGE SUCCULENT TO * FT W'/ HUGE. SCALLOPED IP.AVE5 COVERED W/ FINE SUM COLLORP.D FELT SRANCHESi'
Y FEATHERY FOLIAGE LOW' GROWING GROUND COVER TO V 5PREADS OY RUNNERS
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II SUCCULENT PEKE\VIA'_ WITH WA%Y SLUG POLIAC_ i .f O IYL HIGH MASS !LAN? A5 GRO;NC COVER
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A UPRIGHT PERENNIAL W/ fje IN. LONG STEP DARK GREEN LEAVES W'/ YL'_OWMARGIN FROM SASE
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DESCRIPTION
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PLANTING PLAN
4/E/2018 City of Newport Beach Page 4 of 10
6:34:10AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/06/2018
Inspection Type. ENCROACH
Inspection Area: PW
Site Address : 433 GOLDENROD AVE
AMA) Infomution:
Activity : N2018-0170
SubType :
Status : APPROVED
OWNER: MARGARET C CROWTHER Phone: 0
APPLICANT: CT&T CONCRETE PAVING Phone : 909-629-8000
Description : Remove and replace curb, gutter, sidewalk on Goldenrod Avenue per City Standards.
Requested Inspection(s)
Item: 10110 CONCRETE PUBLIC WORKS NC
Requested Time: 4/6/2018 12:00:OOAM Requestor: WEBUSER
9098214769
Entered By: WEBUSER
Comments: AM -
Assigned to: ZZZZZZzzzzz`
1A1, v
0
t. �ti geO
4/9/2018 City of Newport Beach Page 5 of 5
4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/10/2018
Inspection Type : ENCROACH
Inspection Area: PW
■■yynn Site Address : 433 GOLDENROD AVE
is �,..0 ,! a s rj i�!iF t •.. ...
Activity : N2018-0170
SubType :
Status : APPROVED
OWNER: MARGARET C CROWTHER Phone : 0
APPLICANT: CTBT CONCRETE PAVING Phone : 909-629-8000
Description : Remove and replace curb, gutter, sidewalk on Goldenrod Avenue per City Standards.
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 4/10/2018 12:00:OOAM Requestor• WEBUSER
9098214769
Entered By: WEBUSER
Comments: AM -reschedule from "ANY TIME" to the "AM"
Assigned to : 77777777777*
Inspector: oG"l Date: '-�-//zo Time: AM PM
Comments: ';� �'�1� cjey-
tj_ogged
Refile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InSoectorSheet.doc
REPT131 Run Id: 4018
.4117(2018 City of Newport Beach Page 10 of 12
4:30:09PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/18/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 433 GOLDENROD AVE
tj
lade
Activity : N2018-0170
SubType:
Status : APPROVED
OWNER: MARGARET C CROWTHER Phone : p
APPLICANT: CTBT CONCRETE PAVING Phone : 909-629-8000
Description : Remove and replace curb, gutter, sidewalk on Goldenrod Avenue per City Standards.
Item: 10250 FINAL - PW
Requested Time: 4/18/2018 12:00:OOAM Requestor: WEBUSER
9094856275
Entered By: WEBUSER
Comments: AM -small patch of sidewalk
Assigned to: 77777777777*
Inspector: ',�o Date: $ Time: AM PM
Comments:
COMPLETED
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018