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Home My WebLink AboutN2018-0263Be8 Neic IIII�IIIIIIIIIIIIIIIIIIIIIII�III�III�IIIIIIIIIIIII�IIII Permit No: N2018-0263 , oity'Vof wport rive, NewportBhach, CA 92660 - Permit Counter Phone (949)644-3311 Project No : 1621-2013 I NE yam. Online Inspection Request - www.newportbeachca.gov / Online e• '" '`" ` Services Inspection Requests Phone (949)644-3255 Job Address: 211 GOLDENROD AVE NB Thomas:Guide: 919E2 Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB RAMP PER STD 181-L-B, CASE "H", NEW SIDEWALK PER STD 180-L, NEW 36., BOX STREET TREE, REMOVE BRICK IN PARKWAY AND REPLACE WITH SOD OR LOW GROWING DROUGHT TOLERANT PLANTS. Parcel # : 0520-710-9 - Legal Desc : RESUB OF CORONA DEL MAR LOT 1 BLK 133 SELY1/2 Owner: MONTGOMERY JOHN C Contractor : WEEKS & FALCONE CONSTRUCTION Phone: 603-809-9793 Phone: 949-533-0888 Address : 1500 SANTANELLA TER Address : 716 DIAMOND ST CORONA DEL MAR CA 92625 LAGUNA BEACH CA 92651 /^ Contractor State Lic: 930305 Applicant: WEEKS & FALCONE CONSTRUCTION ♦� License Expire : 03 31, 2019 Phone: 949-533-0888 [ Address : 716 DIAMOND ST LAGUNA BEACH CA 92651 Business License: BT30031140 Business Expire: 03 31, 2019 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INS Policy No: 1980054 W. C. Expire: 10 01, 2018 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: $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 : _/ / , 1 Issued Permit: v Date S5 /Zy4_,t%/9 General Services Approval : Date r.&A', COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: o DETAILED DESCRIPTION OF PROPOSED WORK: `` ,(' lAiA-- 4 S o D + ch-4k---] APPLICANT- Phone: Email Address: Mailing Address: City/State/Zip: Phone: OWNER: Email Address: Mailing Address: City/State/Zip: ACONTRACTOR ATM iS .. COMPLETE LL ONTRACTOR: ',) ,�S �- [company e S . �G Office Phone: Iy�? (if different): Jobsite Phone: Other Phone: Email Address: VVIvJ Mailing Address: -7' City/State2ip: tia to License Number & Class: -13 0.30S Expires: 3 31 i 9 City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) om an : 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: Municipal Operations Traffic: 0 Fire: 0 Other: Engineering Technician: Permi ialist Date: Permit No. N2018- r/users/pbwrshared/encroach/masters/epworksheet. xls Public Works Department 949-6"-3311 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 welsh, $817.00 $192.00 $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: 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 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES TBD TBD $108.00 $.00 B $64 $64.00 Revenue Division 1 (atY• • . 1 1Water Meter: Installation Charge $528.00 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 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 e 12" Meter $425.00 12" Turbine Meter $845.00 1 13" Meter $3,310.00 1 4" Meter $4,730.00 6" 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 EasementtVacation Fee (+100% of My over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only '6$ 571. Permit Spec' ' t Receipt No. (Cw`—,�ev. flusers/pbw/shared/encroach/masters/ep front and back mastery 12/18/2017 epfeesheet.xis-revised 11/8n7 ISI-L(3 � ft 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, Certif to of Wo is contractor must provide a Letter of Authorization" to allow another party to pull a permit. An approved copy of the Compens tion Insu ance, or a Certified Cop t reof. permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of S l t a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days Dat - 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. 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 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. Locate 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 Encroachmen 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 949-644-33 1. California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00 utility 15. Any above ground utfacilities 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 publicAccess to fire hydrants must be maintained at all limes. affected property owner(s) 10 Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day a 16. Homeowner, contractors, and subcontracolrs 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 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 b fines u to $25.000 arid/or u to three ears in Slate Quality Lalus the full post to clean f ne illegal discharge ar spill. p y prison 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 Stale 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 acknowl ges he/she has read and ti a ter n uersta 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. (� Dat `: Permit fees are nonrefundable. Signature: 5::16/2018 City of Newport Beach Page 2 of 13 6:34:25AM INSP160 - Daily Inspection Request Report Requested Inspection Date: 05/16/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 211 GOLDENROD AVE A/P/D Information: Activity : N2018-0263 SubType : NEW Status : APPROVED OWNER: MONTGOMERY JOHN C Phone : 603-809-9793 JCMONTYI4@YMAIL.COM APPLICANT: WEEKS & FALCONE CONSTRUCTION Phone : 949-533-0888 Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB RAMP PER STD 181-L-B, CASE "H", NEW SIDEWALK PER STD 180-L, NEW 36" BOX STREET TREE, REMOVE BRICK IN PARKWAY AND REPLACE WITH SOD OR LOW GROWING DROUGHT TOLERANT PLANTS. Requested Inspection(s) Item: 10200 PRE JOB - PW Requested Time: 5/16/2018 12:00:OOAM Requestor: NBIVR 9495330888 Entered By: NBIVR Comments: AM J Assigned to : 4 5/21/2018 City of Newport Beach Page 2 of 10 4:30:50PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/22/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 211 GOLDENROD AVE Activity : N2018-0263 SubType : NEW Status : APPROVED OWNER: MONTGOMERY JOHN C Phone 603-809-9793 JCMONTYI4@YMAIL.COM APPLICANT: WEEKS & FALCONE CONSTRUCTION Phone : 949-533-0888 Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB RAMP PER STD 181-L-B, CASE "H", NEW SIDEWALK PER STD 180-L, NEW 36" BOX STREET TREE, REMOVE BRICK IN PARKWAY AND REPLACE WITH SOD OR LOW GROWING DROUGHT TOLERANT PLANTS. Item: 10210 PUBLIC WORKS Requested Time: 5/22/2018 12:00:OOAM Requestor: NBIVR 9495330888 Entered By: NBIVR Comments: AM Inspecto9r: A Date: 2 Time: AM PM Assid to Comments: 1 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 ' 5/31/2018 City of Newport Beach Page 1 of 15 4:30:52PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/01/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 211 GOLDENROD AVE Activity : N2018-0263 SubType : NEW Status : APPROVED OWNER: MONTGOMERY JOHN C Phone : 603-809-9793 JCMONTYI4@YMAIL.COM APPLICANT: WEEKS & FALCONE CONSTRUCTION Phone : 949-533-0888 Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB RAMP PER STD 181-L-B, CASE "H", NEW SIDEWALK PER STD 180-L, NEW 36" BOX STREET TREE, REMOVE BRICK IN PARKWAY AND REPLACE WITH SOD OR LOW GROWING DROUGHT TOLERANT PLANTS. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 6/1/2018 12:00:OOAM Requestor: NBIVR 9498422034 Entered By: NBIVR Comments: AM Inspit"b ped to : :: /s'l Date: p� �� Time: AM PM Comments: ,�'GGl� % ol'/y S �O �✓ F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 6/5/2018 City of Newport Beach Page 3 of 21 4:30:46PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/06/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 211 GOLDENROD AVE Activity : N2018-0263 SubType : NEW Status : APPROVED OWNER : MONTGOMERY JOHN C Phone : 603-809-9793 JCMONTYI4@YMAIL.COM APPLICANT: WEEKS & FALCONE CONSTRUCTION Phone : 949-533-0888 Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB RAMP PER STD 181-L-B, CASE "H", NEW SIDEWALK PER STD 180-L, NEW 36" BOX STREET TREE, REMOVE BRICK IN PARKWAY AND REPLACE WITH SOD OR LOW GROWING DROUGHT TOLERANT PLANTS. Item: 10250 FINAL - PW Requested Time: 6/6/2018 12:00:OOAM Entered By: NBIVR Comments: PM Insigned to • aft Requestor: NBIVR 9495330888 Date: 1�0C Time: AM PM Comments: AADI �TG(l F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018