HomeMy WebLinkAboutN2018-0284=tr�K� 4TF oo c/ivo Center Drive,
Beach Beach, CA 92660 IIII�IIIIIIII°IIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIIIIIII Permit No: N2018-0284 ,
ti Permit Counter Phone (949)644-3311 Project No: 1831-2016
i; Online Inspection Request - www.newportbeachca.gov / Online
Services
r4n*�� Inspection Requests Phone (949)644-3255
Job Address:
433 GOLDENROD AVE NB
Thomas:Guide:
919E2
Description :
CURB CORE, CONDITIONS OF APPROVAL
3GANNED
Parcel # :
4591-131-7 -
Legal Desc :
CORONA DEL MAR BILK 433 LOT 13
Owner:
GOLDENROD PROPERTIES LLC
Contractor :
BERK CUSTOM HOMES INC
Phone:
Phone:
949-300-5152
Address :
428 OLD NEWPORT BLVD
Address :
428 OLD NEWPORT BLVD
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92663
Contractor State Lic: 1017631
Applicant: BRANDON PACK License Expire : 08 31, 2018
Phone: 949-295-2730 [
Address : 428 OLD NEWPORT BLVD
Business License: BT30057033
Business Expire: 10 31, 2018
Special Cond.: Conditions of Approval Workers' Compensation Insurance - -
Carrier : WC EXEMPT
Policy No: (NO EMPLOYEES)
W. C. Expire:
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$571.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid :
$571.00
Traffic control Plan Check:
$0.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee :
$330.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit:
Street Tree Fee
$0.00
$0.00
Total Water Meter Box:
Adjustment
$0.00
$0.00
:
:
Processed By :
Date : _/_/
Other Department :
Date:
Utilities Approval :
Date :
_/_/
Permit Denied Date:
_/_/
Traffic Approval :
Date :
_/ /
Issued Permit: _ rt1h� Date:
-5—/24/-L
General Services Approval :
Date
'9S
COMPLETE THE BELOW INFORMATION
PROJECTADDRESS: 33 Goldenrod Ave. Corono Del nor, CR 9NLs
DETAILED DESCRIPTION OF PROPOSED WORK:
Lul'Alzain.G '
APPLICANT: ('Stan Ur FUCK
Phone: 9 9 - Z95 - U.30
Email Address: 6tan6pr cJ L-3mCU5torrFGmes•Com
Mailing Address:
�8 Oid rjew ut SIVd.
City/State/Zi�:
fL'eW ert lieach CR 9N[;.3
OWNER: Goldentod Ptcj�r-riq, LP
Phone: 9 9-97-i-LIGG
Email Address: dav;d o, �erK ro ert�e. Corr
Mailing Address:
Cid r"eW c.;tt Blvd.
City/State/Zip:
(Uew ott Leach 1 CF 9Z( 0
CONTRACTOR: CjerK Cu,5tum Norres Irc.
Office Phone: 9 9- 9-13-ZICG
Company (if different):
Jobsite Phone: 9 4 9- Z 9 S- Z T3 U
Other Phone:
Email Address: btardor, Cd bet rcustorrKry"
Mailing Address:
�.q 0I6 PJeu )u�ti Glad-
City/State/Zip: 1
MeW ott GeaC1- CA 96G93
State License N mber & Class:
11�1 Expires: 2 1 3
City Blusiness License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: stafie CAM er50AIon Ir5utorce- Polio No: 9tlU19- I Expires: GNI18
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
i
Special Conditions of Permit:
CMdO 44S I M
AODEEK#[ 1L AFF� RED iFR10Y TIE FDtLOMIW6 iWARINOM
Utilities:
Municipal Operations
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Permit Specialist
1512-q
Date:
Permit No.
I12018- QZ
f,/users/pbw/sharediencroach/masters/epworksheet. xls
Public Works Department 949444-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Public Works Only $241.00
Other Department $275.00
[t
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 z
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
_ _ _ _ _ _
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
REVENUE DIVISION PRIOR TO PAYMENT OF FEES 1Ai
TBD�TBO
$108.00
$250.00 64 $.001
64
venue Division �
1Y•
•
(Water Meter:
.
Installation Charge $528.00 1
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes: 1
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 e
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
1
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
TBO
405-470
Street Easement/Vacation Fee (+100% of hriy 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
'51 I ��
Permit Specialist
Receipt No.
("1 Q� K I
�r'�/
fJuserslpbw/shared/encroach/masters/ep front and back masters/
Rev.12/18/2017
' o V
epfeesheetAs-revised11/&17
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 properly 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:
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.
isions 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
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
rte:- ? 1 Signature:./�r;vGr< V -�
Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For
a"
construction or connection to water lines a valid State Contractor License Class C-34 is required. For construction or
CONTRACTOR LICENSE EXEMPTION
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
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. Locate and pothole
encroachments.
existing City -owned utilities 0e 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
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
ofWarning
E24,hnpr
rks at 949-644-3311.
Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
ke
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
A. 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
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 S25.000 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 thr:
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 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 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 riot 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 acknowledges he/she has read and undZstands 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 Issua
Date: �"..t4�/g.Signatur@:
Permit
fees are nonrefundable.
.
,jr-Y"T tDHAILL Est PtRF-ORMED BY A C-42 LICENSED
'ION S&fR CONTRACTOR OR AN A LICENSED
J. ENGINEERING CONTRACTOR.
10ON OF BOTTOMLESS TRENCH DRAIN AT DRIVEWAY
RECOMMENDED PER APPROVED GEOTECHNICAL
RIN6 INVESTIGATION REPORT DUE TO EXPANSIVE
'OTENTIAL. HOhEVER, CITY BUILDING DEPARTMENT
REQUIRES THIS INBTALLATION A5 A CONDITION OF
ED AND ISSUANCE OF GRADING PERMIT,
AVER ENCROACHMENT PERMIT 15 REQUIRED FOR ALL
;'IVIES WHIN THE PUBLIC RIGHT OF YVAY.
i
104.06
FS
103.66 103.50
4 LIMITS O
cu tG�uAL
21 REMOVE ALL EXISTING LANDSCAPE ELEMENTS (WALL, BRICK STEPS ETC.)
O
) OR EQUAL
AL
O EXISTING PROPERTY LINE WALL - TO BE REMOVED.
li
' GRATE OR
23
EXISTING CONCRETE SIDEWALK
- PROTECT -IN -PLACE
2®
EXISTINGSTREET9EET TREE -PROTECT IN PLACE
511E DRAINAGE PIPING A5 PER
25
REPAIR EXISTING DAMAGED CURS,GUTTER AND SIDEWALK PER CITY
STANDARD
LY TO NEAREST AREA DRAIN INLET.
STp 182-L. SEE GENERAL NOTE T
O
EXISTING SEWER LATERAL TO BE ABANDONED AND SHALL BE GUT AND CAPPED
AT THE WE. EXISTING BOX, COVER, Rr5ER $ WYE
D ROCK BED WR,4ppE0 WITH FILTER
SHALL BE REMOVED.
RUN-OFF AND MINOR RAIN EVENTS.
EXISTING WATER METER SERVICE TO BE CAPPED
�010 ENCROACHMENT AGREEMENT
O
AT MAIN WITH CORPORATION STOP.
REMOVE EXISTING GAS METER PER GAS COMPANY STANDARDS
)1ND COVER
O
INSTALL (2) NPYV V WATER SERVICES PER CITY OF NEWPORT BEACH
STANDARD # 502-L FOR FRONT UNIT AND REAR UNIT
;H
�HES
�
O
REMOVE AND RE -INSTALL (2) NEW GAS METER PER GAS COMPANY STANDARDS FOR BOTH
FRONT AND REAR UNITS
CO
2N . CO REPORTNCRETE FLATWORK (5�.5g6)
31
O
CONSTRUCT (2) NEW 4" SEWER LATERAL AND CLEANOUT PER CITY OF NEWPORT BEACH
STANDARD DRAWING STD-406-L
REPORT ENDATIDNS..
)-160-L-G (TYPE
TYPE B)
32
WITH TRAFFIC BOX AND LID.
REMOVE EXISTING DAMAGED PAVEMENT IN ALLEY AND RECON5TRUGT ALLEY PER CITY
EXTERIOR FINISH AND TREATMENT PER
33
STANDARD STD 140-L. SEE GENERAL NOTE 7
CONSTRUCT PRIVATE
CURB DRAIN PER CITY OF NEWPORT BEACH t S ANDARD DETAIL 184-L
5/31►`2018 City of Newport Beach Page 14 of 15
4:30:52PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/01/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 433 GOLDENROD AVE
Activity : N2018-0284
SubType :
Status : APPROVED
OWNER: GOLDENROD PROPERTIES LLC Phone:
APPLICANT: BRANDON PACK Phone : 949-295-2730
BRANDON@BERKCUSTON
Description : CURB CORE, CONDITIONS OF APPROVAL
Item: 10250 FINAL - PW
Requested Time: 6/1/2018 12:00:OOAM Requestor: WEBUSER
336-793-6879
Entered By: WEBUSER
Comments: ANY -Contact: Oriol at 336-793-6879
Assigned to: 77777777777'
Inspector: %'? Date: (// Time: AM PM
Comments: ,�
p�M?eo(
/-0 'r"U"
rP , /2
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
6/5/2018
City of Newport Beach Page 14 of 21
4:30:46PM
INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/06/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 433 GOLDENROD AVE
Activity :
N2018-0284
SubType :
Status :
APPROVED
OWNER:
GOLDENROD PROPERTIES LLC Phone:
APPLICANT:
BRANDON PACK Phone : 949-295-2730
BRANDON@BERKCUSTOb
Description :
CURB CORE, CONDITIONS OF APPROVAL
Item:
10250 FINAL - PW
Requested Time:
6/6/2018 12:00:OOAM Requestor: WEBUSER
336-793-6879
Entered By:
WEBUSER
Comments:
AM -
Assigned to:
zzuuzzzzz`
Inspector: '�'�''T Date: Time: AM PM
Comments: Zulh
e"dV� Ca±A
0D114' l
W ,wed
Refile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
REPT131 Run Id: 4018
6/6/2018 City of Newport Beach Page 11 of 13
4:31:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
06/07/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
433 GOLDENROD AVE
Activity:
N2018-0284
SubType :
Status :
APPROVED
OWNER: GOLDENROD PROPERTIES LLC Phone:
APPLICANT: BRANDON PACK Phone: 949-295-2730
BRANDON@BERKCUSTON
Description : CURB CORE, CONDITIONS OF APPROVAL
Item: 10250 FINAL - PW
Requested Time: 6/7/2018 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777'
Requestor: WEBUSER
336-793-6879
Inspector: �G�l Date: C1-7 Time:
Comments:
ee .1
AM PM
F:\Users\PB\N\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
6/11/2018 City of Newport Beach Page 4 of 13
6:34:40AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/11/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 433 GOLDENROD AVE
AMID Information:
Activity : N2018-0284
SubType :
Status : APPROVED
OWNER: GOLDENROD PROPERTIES LLC Phone:
APPLICANT: BRANDON PACK Phone : 949-295-2730
BRANDON@BERKCUSTON
Description: CURB CORE, CONDITIONS OF APPROVAL
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 6/11/2018 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz` , '14
Requestor:
WEBUSER
949-375-1665
COMPLETED