HomeMy WebLinkAboutN2017-0513City
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wport enter Drive, Newport Beach port Bach, CA 92660 Illl�llllllllllllllllllllllllllllullllllllllllllllllllllll
s Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
�• �> Services
Job Address : 424 LARKSPUR AVE NB
Description : 15 SO. FT. ASPHALT PATCH PER CITY STD
Permit No: N2017-0513
Project No: 2632-2015
SGANy��
Inspection Requests Phone (9411 � 255
Thomas:Guide: 919F2
Parcel # :
4591-950-6 -
Legal Desc :
CORONA DEL MAR BLK 438 LOT 20
Owner:
424 LARKSPUR LLC
Contractor: QUICKEL PAVING INC
Phone:
Phone:
Address :
606 ORCHID AVE
�
Address : 27071 CABOT ROAD STE 130
CORONA DEL MAR, CA 92625 j
LAGUNA HILLS CA
Contractor State Lic: 767964
Applicant:
PATE THERON
License Expire : 08 31, 2018
Phone:
949-486-0121 [
Address :
3919 WESTERLY PL #102
NEWPORT BEACH CA 92660
Business License: BT30045605
Business Expire : 09 30, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : TORUS NATIONAL
Policy No: T10150014
W. C. Expire: 04 01, 2018
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$330.00
Water Meter Connection :
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval :
Traffic Approval :
General Services Approval
Date
Date
Date
Date
Total Fee $571.00
Paid : $571.00
Balance : $0.00
Receipt No:
Other Department : Date
Permit Denied Date
Issued Permit : Date : C1 llf�` 61'
.i . I 1 7
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: 1-0 n ho �� Phone: 6I 27 �l 1
Email Address: J. co-y,
Mailing Address:
got- C g
City/State/Zip:
e-DrY'), CA 12,U2_
OWNER: y jPhone•
Email Address:
Mailing Address:
City/State/Zip:
e: 7/ ti Z S �5
CONTRACTOR: LPL �� ��u i rL 70�t7herftone:
Company (if different):
ne: -
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Email Address:
Mailing Address:
2-7 -71 Cc-io Rj 0 12, b
Ci tate Zip:
Lc c e'-- (rA 2216 3-
State License Number & Class:
-� Ex roes:
City Busitless License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires.
Municipal Operations: 949-644 3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
Special Conditions of Permit:
r1AI
Utilities: Traffic: 0 Fire: 0
Municipal Operations Other:
Engineering Technician:
Permit S ecialist
a
Date:
Permit No.
IN2017-0��3
a�
P./users/pbw/shared/encroacfVmasOersllepworksheat.xls ,
v� 3a av)s
Public Works Department 949-644-3311
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
Inspection Fee:
$241.00 Public Works Field Inspection $165.0
$275.00 Utilities Field Inspection $121.0
3
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/M lk 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 S Cover
Additional _ _
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
REVENUE DIVISION PRIOR TO PAYMENT OF FEES A
$108.00
$00
$64..00
64
---
vertue Division I
Clty.
Water Meter:
Installation Charge $528.00 1
13/4" Meter
$50.25
Water Meter Boxes:
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost 1
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
$845.00
For Traffic & Alley Areas (Box + Cover = Cost) 1
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00 1
�4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00e
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 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
5`� 00
Permit ecialist
Receipt No.
L
f/users/pbw1Vmr dlen=adVrnasters/ep front and bads masters/
Rev. 1/5/2017
epfeesheet.As-revised 10/21rz016
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 t at I have a Certificate of consent to self-in�lre, Certificate of Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
Compe ation Insurance, or a Certified Copy the /
pennil 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
Dat Signature:
after date of issuance.
CERTIFICATE OF EXEMPTION (Sec ion 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 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.
Permitlee 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 Stale 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 (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 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 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.
Vfi"l
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
15. Any above ground utility facilili s 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
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
ea
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 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, 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 $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges helshe hasss��� and understands 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 issuance. �D
Permit fees are nonrefundable.
Dat �/ ignatur ._____�_ _. __-_
UICKEL
PAVING
27071 Cabot Rd., Suite #1 30
Laguna Hills, CA 92653-7028
October 10, 2017
Quickel Paving authorizes Tanya Nicholsan to pull a permit for:
424 Larkspur, Corona Del Mar site.
If you have any quesitons, please call.
Bino McMann for:
Quickel Paving
TYPES OF PAVEMENT REPLACEMENT
1. TRENCH RESURFACING IN PORTLAND CEMENT CONCRETE PAVEMENT SHALL BE
PER STANDARD SPECIFICATIONS SECTION 306-1.5, EXCEPT THAT CONCRETE
SHALL BE 8" THICK MINIMUM CLASS 560—C-3250 AND 15 DOWEL, 18 O.C.
WITH EPDXY COATING.
2. TRENCH RESURFACING IN ASPHALT CONCRETE PAVEMENT SHALL BE PER
STANDARD SPECIFICATIONS SECTION 306-1.5, EXCEPT THAT -
A. ASPHALT CONCRETE SHALL BE PLACED IN LIFTS NOT TO EXCEED 4" THICK.
B. APPLY TACK COAT AND FEATHER NEW PAVEMENT AS NECESSARY TO SEAL
THE CONTACT JOINT AND ELIMINATE PAVEMENT DEPRESSIONS WITHIN
ONE FOOT OF THE CONTACT JOINT.
* C. COLD PLANE EXISTING A.C. PAVEMENT (2" MINIMUM DEPTH).
EXACT WIDTH TO BE DETERMINED BY THE FIELD ENGINEER.
** NO PIECES LESS THAN 5' WIDE BETWEEN PATCH AND NEAREST JOINT EXIST.
OR CURB AND GUTTER.
A.C. ** * 5' MIN.
* 18" CONTACT
18" 1 24" MIN. MIN. JOINT 77\,,�VARIES �' VARIES EXIST.** 6 6.
A.C. PVTTYP. TYR
ASPHALT TRENCH RESTORA T10N
EXIST.J
1-1
P.C.C. PVT.**
PIPE BEDDING ANDS
BACKFILL PER STD.-106—L
OR AS DETERMINED BY THE
FIELD ENGINEER
N
CONCRETE TRENCH RESTORA 110N
NOTE: STREETS/ALLEYS RECENTLY (LAST 5 YEARS) SLURRIED/RESURFACED/BUILT SHALL
REQUIRE EXTENSIVE PAVEMENT RESTORATION TO BE DETERMINED BY THE FIELD ENGINEER.
REVISED 612002
CITY OF NEWPORT BEACH Iqj
ArrKvto:
PUBLIC WORKS DEPARTMENT
RCE NO.36106 LIC WORKS DIRECTOR
Date: 2 Mar 1999 Scale: N.T.S.
TRENCH RESURFACING
Drawn b . M. GRACIA � sio , ord °�ADw�
DRAWING NO. STD-105-L,-B
10R2/2017 City of Newport Beach Page 2 of 11
4:30:37PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/13/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 424 LARKSPUR AVE
Activity : N2017-0513
SubType : NEW
Status : APPROVED
OWNER: 424 LARKSPUR LLC
APPLICANT: PATE THERON
Phone :
Phone : 949-486-0121
THERON@PSA ARCHITEC'
Description: 15 SQ. FT. ASPHALT PATCH PER CITY STD
Item: 10020 PERMANENT PAVING- PW
Requested Time: 10/13/2017 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: W
Assigned to:
Inspector:
Comments
IL SN
- SILL
NBIVR
7146837849
Iro C*LA. wl !9 E Tfij&& T-11'4e .
J � Date: to til 1 Time: l7- =/6i AMpa. i_ /Us=L
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
REPT131 Run Id: 4018
10/1612017 City of Newport Beach Page 2 of 18
4:30:47PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/17/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 424 LARKSPUR AVE
Activity : N2017-0513
SubType : NEW
Status : APPROVED
OWNER: 424 LARKSPUR LLC
APPLICANT: PATE THERON
Phone:
Phone : 949-486-0121
THERON@PSA ARCHITEC'
Description: 15 SQ. FT. ASPHALT PATCH PER CITY STD
Item: 10020 PERMANENT PAVING- PW
Requested Time: 10/17/2017 12:00:OOAM Requestor: NBIVR
7146837849
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: "i y Date: //7 l Time: 9 ' 5 PM
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018