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„�,u,r,S� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit No: N20-i 8-62
J 100 Civic Center Drive, Newport Beach, CA 92660 IIII� N 2 0 1 8 0 2 4 1 i� Permit Counter Phone (949)644 3311 Project No : 1948 2�n
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Online Inspection Request - www.newportbeachea.gov / Online
Services
Inspection Requests Phone (949)644-3255
Job Address: 611 DAHLIA AVE NB Thomas:Guide: 919E2
Description : REMOVE DECORATIVE CARRIAGE WALK AND REPLACE WITH NEW GRAY CONCRETE CARRIAGE WALK PER CITY STD.
Parcel # :
4590-121-6 -
Legal Desc :
CORONA DEL MAR BILK 631 LOT 9
Owner:
MOSHAYEDI MANOUCHEHR
Contractor : ODELL C A GENERAL ENGINEERING
Phone:
949-232-5023
Phone: 714-840-9028
Address :
2121 BAYSIDE DR
Address : 5401 MEADOW CIRCLE
CORONA DEL MAR, CA 92625
HUNTINGTON BEACH CA
Contractor State Lic: 422746
Applicant:
MOSHAYEDI MANOUCHEHR
License Expire : 05 31, 2018
Phone:
[
Address
Business License: BT30060186
Business Expire: 08 31, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP INSURANCE
Policy No: 1845531
W. C. Expire: 03 23, 2019
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Total Fee $406.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid : $406.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance: $0.00
Inspection Fee :
$165.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By: Date : _/_/ Other Department : Date:
Utilities Approval : Date: _/_/ Permit Denied : ,�Date :
Traffic Approval : Date: _/ / Issued Permit: WL Date : � /
General Services Approval : Date: _/_/
F i"' , :Y
ETWEIELOW-IN
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: I Phone• ,- lJ —ll
Email Address:
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OWNER:
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Email Address:
Mailing Address: City/State/Zip:
AELCONTRa►CTOtt,WORMATION'IS REQUIR, k!' SE' @1
CONTRACTOR:
Office Phone:
Company (if different): 1n1jve-e \
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address:
5
City/State2ip:
State License Number & Class:
Ex ires:S I
CifIrBusih6ts License Number:
d Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
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Mail:Rei iind To ` : < ......:..:.:...:.........::::...................:.:::::::::::::;::::::::::::::::::::::::::::
FOR OFFICE USE.ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMEUTS
Utilities:
General Services:
Traffic: Fire: 0
Other:
Engineering Technician:
Public Works ist:
Date:
5 a
Permit No.
K'zo 1 - a
PlusersVbwhhercNenwadVrm$WnL%pwoMsheet.#s
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Public Works Department 949-644-3311
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
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 1 have a Certificate of consent to self -insure, Certificate of ker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
Compens ti Insu nce, or a Certified Co reof.
permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of
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t
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Date: Q Signa r
after date of issuance.
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
2 The Perrnittee 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 1 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
Permittee 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.
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 Slate Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid Slate 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 feel 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 EncroachrVent P r it Inspection is re ' e 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
l/
15. Any above ground utility facilities ill require documented approva 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
11
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 State
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 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
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, er 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 cnllection 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 4hall be performed until the Public Works Department has issued this permit. Applicant hereby a no edges he/she has d and understands t sand
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.
-
Permlt
fees are nonrefundable. ,
Dat ._Signatur
Permit Processing Fee:
Public Works Only $241.00
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
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit: TBD
Improvements TBD
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00 Q
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box 8t Cover $64.00
Additional —q
THE LO FOLWING MS RE ITEQUIRE APPROVAL FROM THE Revenue Division 1
REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1
ah►•
• 1
(Water Meter:
.
Installation Charge $528.00 1
13/4" Meter
$50.25
1
11" Meter
$121.50
Water Meter Boxes: 1
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66
11 1/2" Turbine Meter
$700.00
2" DFMeter Box $203.24
W B
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
�4" Meter
$4,730.00
16" Meter
$7,190.00
Certificate of Compliance Fee (+100% of hriy 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 ttal Amount Due:
For Finance Use Only
CT
Pe ialist
Receipt No.
f:/users/pbw/shared/encroadVmasters/ep front and back masters/
Rev. 12/18/20171
epfeesheet.xls-revised 1118/17
I q 4q - 301-r
5/9/2018 City of Newport Beach Page 2 of 11
4:30:50PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/10/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 611 DAHLIA AVE
Activity : N2018-0241
SubType : NEW
Status : APPROVED
OWNER: MOSHAYEDI MANOUCHEHR Phone 949-232-5023
Description: REMOVE DECORATIVE CARRIAGE WALK AND REPLACE WITH NEW GRAY
x CONCRETE CARRIAGE WALK PER CITY STD.
Item: 10250 FINAL - PW
Requested Time: 5/10/2018 12:00:OOAM Requestor: NBIVR
9498724457
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:ac
(WA -
Comments: Co,-,cA c'-f
Date: (��
L
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Inspectorsheet.doc
161 V S-
Time:
� A PM
REPT131 Run Id: 4018