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HomeMy WebLinkAboutN2017-0386,.t•µ_�:,,k� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit No: N2017-038.6 lVCenter Drive, Beach, CA 92660 N 2 0 1 7 0 3 8 6 r, Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online Project No: 1352-2017 , .� SCANNEL! -" Services Inspection Requests Phone (949)644-3255 Job Address: 1301 SANTIAGO DR NB Thomas:Guide: 889C5 Description : REPLACE SIDEWALK, CURB AND GUTTER PER CITY STD, REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD. Parcel # : 1176-220-4 - Legal Desc : N TR 3851 LOT 46 Owner: ALTARAS ILTER Contractor : LA PAZ LANDSCAPE DEVELOP Phone: Phone: 949-443-4200 Address : 1301 SANTIAGO DR t Address : 10 PORTLAND PL NEWPORT BEACH CA 92663 + LAGUNA NIGUEL CA 92677 Contractor State Lie: 937052 Applicant: LA PAZ LANDSCAPE DEVELOP License Expire : 09 30, 2018 Phone: 949-443-4200 [ Address : 10 PORTLAND PL LAGUNA NIGUEL CA 92677 Business License : BT30059605 Business Expire : 07 31, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : WC EXEMPT Policy No: (NO EMPLOYEES) W. C. Expire: 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: 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 t Date General Services Approval : Date: _/_/ PROJECT ADDRESS: D ILEDj3ESCRIPTION OF P POSED WORK: G OF 40KA'st APPLICANT: �/�� Phon . 3M d b Email Address:. Maig r / jif �i C' / =1Z OWNER: Phon ELL Email Address: . resZ'� Mailing Addr— � Eity/st :-ALL EOURi4GTOtt It 1S'REQUIREikQLEASEr M .: CONTRACTOR: Office Phone: Co pan diffe t): 7j/ / Jobsite Phone Other Phone: -- Email Address: , Mailing Addr :� � Ci to o_ s to icense Number & Class: (% Ex fires: Ity Busines License NuT-ir: ��1-(6 -0 ..J � Ex ices. l• WO K RS C S TION INSURANC9, Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: : F.:....a ... : S1T t . F.. 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Engineering Technician: Public Works Specialist: Date: 7 ate , Pe it No. f j �7 olo- 77 t/userslpbwhheredlencroadVmasbrg/epwoA�eelds �= - - Public Works Department 949-644-3311 FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBUC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT INUMBER: N2017- APPLICANT: r p � � Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Inspection Fee: $241.0 Public Works Field Inspection $165.00 $275.0 Utilities Field Inspection $121.00 11n General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $817.00 $192.00 Refundable Deposit: TBDe $502.00 Improvements TBD Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00 0 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143.00 4TT Box & Cover $64.00 Additional THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: j 1 oh►• a 1 (Water Meter: Installation Charge $528.001 13/4" Meter $50.25 Water Meter Boxes: 11" Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost 11 1/2" Meter $285.00 1" Meter: 13.00 + 37.00 $50.00 1 11 1/2" Turbine Meter $700.00 2: Meter: 27.00 + 61.25 $88.25 12" Meter $425.00 12" Turbine Meter � 3" Meter $845.00 $3,310.00 For Traffic & Alley Areas (Box + Cover = Cost) 1 1" Meter: 13.00 + 38.00 $51.00 14" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00 0" Meter $7,190.00 1 Certificate of Compliance Fee (+100% of hfiy 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 e� Permit Specialist Receipt No. f/users/pbw/shanmUencroadVmasters/ep front and back masters/ Rev. 1/5/2017 epfeesheefxis-revised 10/21/2016 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 Authorizationto 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 limes. 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 Permiltee 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 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 Stale Contractor License Class C-34 is required. For construction or connection to sewer lines a valid Stale 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 Stale law. Walls and faces of all excavations over 5 feel 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 feel of any City utilities. unless approved by the Public Works Department. Locate and pothole existing City -owned utilities fie 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 $10.00 per barricade per day, with a minimum charge of $35 0& 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. 11. 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 Slate 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 constriction 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 Compensation Insurance, or a Certified Copy thereof. Date: 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 provisio s of the State Labor Code, I must com,ply wit the provisions of Section 3700 or)his permit shall be deemed revoked Date(% " Z'(- l7 Sig CONTRACTOR LJ"NSE-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: 24-hour notice for Encroach Public Works at 949-644-331 required by calling 15. Any above ground utility facilities quire documented approval from the adjacent affected property owner(s). 11 16 Homeowner, contractors, and su ontracoirs may each be Fable for violations of Watel 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 $25,000 and/or up to three years in Stale 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 thf- 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 Work,; 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 permit. Applicant hereby 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. Permit fees are nonrefundable. Datr he/she Sign the terms and ..7i2612017 City of Newport Beach Page 2 of 9 4:31:16PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 07/27/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1301 SANTIAGO DR Activity : N2017-0386 SubType : NEW Status : APPROVED OWNER: ALTARAS ILTER Phone APPLICANT: LA PAZ LANDSCAPE DEVELOP Phone : 949-443-4200 Description : REPLACE SIDEWALK, CURB AND GUTTER PER CITY STD, REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD. R. Item: 10200 PRE JOB - Requested Time: 7/27/2017 Entered By: NBIVR Comments: AM Assigned to: Requestor: NBIVR 9493108007 J�(j Inspector: \ l� Date: Z j Time: AM PM Comments: b416 Tz-) vLrAz/c_ '�q " )c Z —� V, _ I Logged lxlulillu F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc REPT131 Run Id: 4018 9/2712017 City of Newport Beach Page 4 of 19 f1:31:oaPM INSP15O - Daily Inspection Request Report Requested Inspection Date: 09/28/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1301 SANTIAGO DR Activity: N2017-0386 SubType : NEW Status : APPROVED OWNER: ALTARAS ILTER Phone APPLICANT: LA PAZ LANDSCAPE DEVELOP Phone : 949-443-4200 Description : REPLACE SIDEWALK, CURB AND GUTTER PER CITY STD, REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD. Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 9/28/2017 12:00:OOAM Requestor: NBIVR 9493108007 Entered By: NBIVR Comments: AM Assigned to: Inspector: Date: Z� 7 Time: A • PM Comments: S Z wL a---W 2 1 5��,. 6ii�lil7 �P� "Achy M "4r as G /iv 47Errn4 0"'%N 3'Pr A'o Irro �4 y r ro*-.je Z-er /1 IDlG- e.4 4 ALA //✓ �iGONT o 15w'O T lv J t"Gw F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsnectorSheet.doc REPT131 Run Id: 4018 9/28/2017 City of Newport Beach Page 6 of 12 .4.31:01.PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/29/2017 Inspection Type: ENCROACH Inspection Area: PW SkeAdd SANTIAGO nR Activity : N2017-0386 SubType : NEW Status : APPROVED OWNER: ALTARAS ILTER Phone: APPLICANT: LA PAZ LANDSCAPE DEVELOP Phone : 949-443- 4200 Description: REPLACE SIDEWALK, CURB AND GUTTER PER CITY STD, REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD. MOM- -r5 i Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 9/29/2017 12:00:OOAM Requestor: Entered By: WEBUSER Comments: AM -Julio request we qet an early inspe Assigned to: 77777777777` WEBUSER 9493108007 • Inspector:y 1z Date: -Z r7 Time: • 00 (OM PM Comments: �A'1. d 4; (4 r r_294y;_7 5 4'r E /_ 4. 44_ = e2)-4i2x�S'- xC6er_> S Z.0 5;;� ^l mar s 4-0 iOC- . t4AD 4, 241A-29- T- (, =-- VE L 60t-- oe4.%Sa9!-- :5 e3- L- '< . RE 4C7r.Z9-e- ,. GI? q W%` _ _ ii✓ I�G . Logged Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSVnsoectorSheet.doc REPT131 Run Id: 4018 10/?12017 City of Newport Beach Page 11 of 11 �4:30:08PM INSP1SO - Daily Inspection Request Report Requested Inspection Date: 10/03/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1301 SANTIAGO DR Activity : N2017-0386 SubType : NEW Status : APPROVED OWNER: ALTARAS ILTER Phone APPLICANT: LA PAZ LANDSCAPE DEVELOP Phone : 949-443-4200 Description : REPLACE SIDEWALK, CURB AND GUTTER PER CITY STD, REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD. Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 10/3/2017 12:00:OOAM Requestor: WEBUSER 949 310 8007 Entered By: WEBUSER Comments: AM -Please AM inspection Assigned to: 77777777777' Inspector: Date: /4 ��% Time: = Y A M 91_1VEWAL1 "FAOAZZ4, rhv o Comments: C.1# cal art 1� 1912-Z. * /&2 -L. i naned RPfile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 i ���PORr City of Newport Beach Public Works 100 Civic Center Drive = Newport Beach, CA. 92660 949-644-3311 NOTICE TO CORRECTSTOP WORK 7 JOB # JOB ADDRESS Zj l --.,4 Al Ti �G.- �-3 17,C OWNER/ CONTRACTOR ` INSPECTOR J (4-1 ci DATE Recipient Signature 10/6/2017 City of Newport .Beach Page 16 of 17 6:34:09AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/06/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1301 SANTIAGO DR Activity : N2017-0386 SubType : NEW Status : APPROVED OWNER: ALTARAS ILTER Phone : APPLICANT: LA PAZ LANDSCAPE DEVELOP Phone : 949-443-4200 Description : REPLACE SIDEWALK, CURB AND GUTTER PER CITY STD, REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD. Item: 10250 FINAL - PW Requested Time: 10/6/2017 12:00:OOAM Requestor. 949-3 Entered By: WEBUSER Comments: AM -AM Inspection. For final payment Assigned to: 77777777777` Inspector: Date: �©LL-) Time: Comments: bti�lr y�� ■�� Remo 64 4-1-c,q L. r—T \% A.-i a Z, F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc AM PM At1 T a�� F P Ai 11/28/2017 City of Newport Beach Page 2 of 11 6:34:36AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/28/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1301 SANTIAGO DR 154 ��� � ILD Activity : N2017-0386 SubType : NEW Status : APPROVED OWNER: ALTARAS ILTER Phone : APPLICANT: LA PAZ LANDSCAPE DEVELOP Phone : 949-443-4200 Description : REPLACE SIDEWALK, CURB AND GUTTER PER CITY STD, REMOVE AND REPLACE EXISTING DRIVEWAY APPROACH PER CITY STD. Item: 10250 FINAL - PW Requested Time: 11/28/2017 12:00:OOAM Requestor: NBIVR 9493108007 Entered By: NBIVR Comments: PM Assigned to: / Inspector: Date: < < l Z� �� Time: AM PM Comments: 0k--413V 7Z�)�i'�•�}L! i -7 - B F: \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc /4A/ cj gyp_ 1