HomeMy WebLinkAboutN2017-0155City
yoNewport Beach
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Permit No:N2017-0155
oi„f ach, CA 92660
Permit Counter Phone (949)644-3311
Project No : -
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Online Inspection Request - www.newportbeachca.gov / Online
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Services
1
Inspection Requests Phone (949)644-3255
Job Address:
1 NEWPORT PIER NB
Thomas:Guide: 918H1
Description :
Installation of Anaheim Ducks Banner on the Newport Pier (Annual Request as long as
the Ducks make the playoff, City Council Review required).
Parcel # :
0473-000-5 -
Legal Desc :
NEWPORT BEACH PIER LOT -LYING ON C/L OF MC FADDEN PL
EXTENDED SW LY
Owner:
EMC MTG
Contractor : CALIBER SIGNS & IMAGING INC
Phone:
0
Phone: 949-748-1070
Address :
511 E JOHN CARPENTER FWY
Address : 17751 SKYPARK EAST #2F
IRVING, TX
IRVINE CA 92614
Contractor State Lic: 972755
Applicant:
DAVID SCHENKER
License Expire : 05 31, 2018
Phone :
714-704-2546 [
Address :
2695 EAST KATELLA AVENUE
ANAHEIM, CA
Business License: BT30057523
Business Expire: 05 31, 2017
Special Cond.:
Pre -construction Meeting Required
Workers' Compensation Insurance - -
City Council Approval 4/12/17
Carrier : FOREMOST INS COMP.
Policy No: SWC1057402
W. C. Expire: 11 23, 2017
Permit Processing Fee : $241.00
Sewer Connection :
$0.00
Total Fee $1,223.00
Agreement Fee:
$817.00
4TT Box Cover:
$0.00
Paid : $1,223.00
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: Date
General Services
Approval :
Date : _/_/
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 Encio;ichnnent Pernik rnav be taken cool by the owner of heneflled properly or n licensed contractor A licensed
contractor nnisl provide a I ettei of Authonzalion to allow another party to Pull a permit An approved copy of the
permit and construction plan sli,ill be. keel at the lob site at all times. Work. which has keen done prior to Issuance of
a permit. is suhlecl to relection%fine ON reserves the right to void permit it work does not commence within 30 days
after date of Issuance
2. The Pernultee agrees to defend. Indemnify and hold the City. Its aulllorized agent, officers, representatives and
employees harmless Irom anv responsibility, liability. suit or action of any description arising out of any accident. loss
or damage to persons or properly occurring as a result of work undertaken under this permit
3 All work shal! be done in accordance with the approved plans, Slaticlaw Special Provisions and Slandard Drawiny.s
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 Stale 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 Slate Contractor License Class C-34 is required. For construction or
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 140-1 ,
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 State 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.
1 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 C:ily 0111110es. unless approved by the Public Works Department Locate and pothole
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
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 t Uie
California Department of Transportation If needed barricades can be obtained from the City at a charge of S10 00
per barricade per day, with n nunimuni 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
10 Work within or near beach sensitive :areas will riot be allowed during. City holidays. sprang break. Memorial Day
weekend, snninier between hine I5 and September 15, and during the holiday season from December 19 to
January 1 unless approved by the Public Works Department.
I I Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a I emporary Street Closure Permit from the Public Works Department Access for fire. police and
emergency vehicles must be. maintained at all tirnes Traffic Control roust be per Work Area Traffic Control
Handbook (WATCH) No nightlinie traffic: One closures unless prior approval has been granted Any lane(sl closure
on a rnalor 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 Stale Highway's traffic or within the Slate 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 construction 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 ratenals 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 he obtained front the Public Works Department
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
certify that I have a Certificate of consent to self -insure. Certificate of Worker's
Compensation Insurance. or a Certified Copy thereof.
ignature:
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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
provisions of the State Labor Code, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date:
Signature:
CONTRACTOR LICENSE 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:
I24-hour notice for Encroachment Permit Inspection is required by calling I
Public Works at 949-644-331�
15 Any above ground utility facilities will require clocun!enled approval front the adptcenl
aHer.ted property owner(s)
16 Homeowner, contractors. and subcontracolrs niav each be liable Ior violations of V-Valet
Ouality Laws Best Management Practices will be enforced 11 is ag:ilnsl the law to
discharge construction debris into the (fuller and slorm drain f elony violations of VV,1!^r
(Duality Laws are punishable by fines up to S25000 andor up to three years: !:i lath
prison plus the full cost to clean up an illegal discharge or spill
17 If a refundable deposit was paid, applicant roust submit a Soils Conlpacfirn
Certificate or Evidence of a Slurried Backfill and request a final inspection from thd,
Public Works Department. Monies may be held for six months after final Ins-pectio!i
before a refund will be processed.
18 No trees in the public right-of-way shall be planted!. removed Irunnied er rc lcnc:atec!
without approval from the General Services Department
19. All work in the public right-of-way must meet the approval of the Public V'dork•
Department or corrections will be required if e. removals. exposin cnnnecG(.ns.
etc.) Additional inspection fees may he required.
20 Permit is for standard materials in the public: right-of-way only, unloSS 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 acknowledges helshe has read 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 issuan e.
Permit fees are nonrefundable. V Date: 4ignature:
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
... COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: Aletol-l-
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: aj/j( le 4j.,,Aa, jPhone: 17/1/ oV- s-i4,"
Email Address: Se.4ehke.-ana heijwj weer e0,-7
Mailing Address:
Ci y/State/Zip:
�a.lil�%Yr GA 2806
OWNER: 7"f N��lea, Phone: l7/1% `1- 2yL;7
Email Address: f y1L/,reh �iy� !u f. c o•�-�
Mailing Address:
2695 �:�.W/a �
Cit /st to/Z
;;=ZtPsi Z c,* Z 92f v6
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR:G�/r . e,- : . y f /y0 .
Office Phone: lYy9%71i' /070
Company (if different):
Jobsite Phone:l7/f/1192 -3dy
Other Phone:
Email Address:
Mailin Address:
/7 �S/ Sk A414 �a1f f •� 1F
City/State/Zip:
/,-,//>r., G,9 I26
State License Number & Class:
Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: aren /LIK � al Policy No: WC 04833002./ Expires:
.........•................................, .............,.•..•.•.•...••.,...•.•......................•..........•.•...........•.....•....•.•.......•...•...... •......
F��F:UN4A8��:REPOS.IT:INFORMATI�?N:(IfApplrcable) ..:
............................
Refund F!a ab. a ..o ........ _ .. .
Mail: Refund To ::::::.:.:.:.:.:.:.:.:.:.:::::::.:.:.::.:.::.::.:.::.: : : : : : : .... : ::::::::::: : :::;:::;::::::::::::;::::::::;:;:;:::;:;:;:;:::;:;:;:::;:;.:.:...:..:: .
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire: 0
Other:
Engineering Technician:
Public Works Specialist:
Date:
Permit No.
Ouse Wptnv/sharcNenuoaUVmasler9epwwrksheolxb
Public Works Department 949-644-3311
-11. 2g, -� `f.5
Newport Pier One Sheet
We would like the banner placed on the north facing side of the Newport Pier, with the middle
of the banner approximately where the water and sand meet. Please note pictures below.
Mounting Information: "1/2' moons" are cut in the banner to allow for wind pass through.
Caliber Signs & Imaging, Inc. will use specific materials that are engineered to withstand certain
wind loads to a limit- with the idea that they will actually break away when the winds exceeds a
certain MPH. The banner will also be installed with extra security features in mind, so the
banner cannot be easily removed by patrons.
• Installation & Removal Date: Installation- April 7, 2017... Removal- June 20, 2017*.
*Or after Anaheim Ducks become eliminated from the playoffs.
ACORO CERTIFICATE OF LIABILITY INSURANCE GATE (MMIOOIYYYY)
�� 11/15/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER CNTANAMECT SUPPORT
Chrysalis Insurance Agency PHONE FAX
3001 Red Hill Ave. Ste 2-226 E-MAIL (71a)a6a�oso AIc Ne ; (71a)464 6070
Costa Mesa, CA 92626 ADDRESS: support@ciapro.net
INSURERS) AFFORDING COVERAGE NAIC 0
License #: OH23490 --- — -- COV-- - -- ----- -
--- - -
wsuRERn: Oregon Mutual Insurance Company 14907
I-NS-URED n�-.-.-... u..a....t �......�........ i+-..�.......,
Caliber Signs and Imaging, Inc. INSURERC: Foremost Signature Insurance -AMA 41513
17751 Sky Park Cir Ste 2f INSURER O:
Irvine, CA 92614-0611 INSURERE:—
INSURER F :
COVERAGES CERTIFICATE NUMRER- 00000000339291 REVISION NUMRER- 113
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY
THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE AOOLSUBR
LTR POLICY NUMBER
POLICY EFF POLICY EXP _
IMM1ODrYYYYI (MMIDD(YYYYILIMITS
A X- COMMERCIAL GENERAL LIABILITY BSP352000
10/31/2016 10/31/2017 EACH OCCURRENCE $____
1 000,000
.
CLAIMS -MADE X, OCCUR
DAMAGE TO RENTED
PREMISES-(Eaoccurrenoe)_9
_1.00000
MEO EXP (Any one person) 3
5 000
PERSONAL d ADV INJURY 3
1 00000 OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE : S
210001000
POLICY X_ PRO-
__— JECT LOC
_
PRODUCTS - COMP/OP AGG S .
2,000 OOO
__. _
OTHER.
$
A AUTOMOBILE LIABILITY CM05004916708
10/3112016 10/31/2017 (Ea awdent)-D S LIMIT— S
1,0.00000
X ANY AUTO
BODILY INJURY (Per person) $
OWNED SCHEDULED
X AUTOS ONLY AUTOS
BODILY INJURY (Per acadent) S
HIRED NON -OWNED
XIX
PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY
(Per accident)
3
B X UMBRELLA LIAB X OCCUR CMO 916708
10/31/2016 10/31/2017 EACH OCCURRENCE 3
5,000,000
EXCESS LIAR CLAIMS -MADE
AGGREGATE 3
5,000,000
OEO F1 RETENTION $
3
C WC008330021
PER OTH-
11/23/2016 11/23/2017 X STATUTE ER—
ANDEMP EMPLOYERS' LIABILERS ITY YIN
_ _ -,
_ _ _
AN PROPRIETORIPARTNER/EXECUTIVE
E.L. EACH ACCIDENT E
1,000,000
OFFICERIMEMBER EXCLUOE07 ❑ N / A
(Mandatory in NHI
-- ------ --
E.L. DISEASE - EA EMPLOYEE3
--- --
1,000,000If
yes. be under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT 3
_
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
""PROOF OF INSURANCE""
CERTIFICATE NOLnFR CANCFI 1 ATIt 1N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PROOF OF INSURANCE
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZ PRESENTATIVE
e SUP
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Printed by SUP on November 15. 2016 at 02:52PM
ATTACHMENT A
• lt' �•'�
David Schenker
Anaheim Ducks Hockey Club
2695 E. Katella Ave
Anaheim, CA 92806
March 30, 2017
Mr. David Webb
Public Works Director
City of Newport Beach
Dear Mr. David Webb:
On April 9, 2017, the Anaheim Ducks will initiate their drive to the playoffs with another unique event on the north
side of the Newport Pier. Beach -goers and Ducks fans will have the opportunity to have their beach day on Southern
California's largest beach towel (95' x 39'). In addition, the Ducks will also have a presence at the Newport Beach
Farmers Market where they will have interactive activities promoting the community's encouraged involvement to
"Paint It Orange".
Please consider this request for installation of the "Let's Go Ducks & Paint It Orange" banner (71.25' x 4.5') on the
Newport Beach Pier on an annual basis as long as the Anaheim Ducks Hockey Club make the NHL Stanley Cup
Playoffs. We are requesting that after this Council review, the city manager can approve all subsequent installation
as long as size, location and banner type are the same.
The Anaheim Ducks Hockey Club and the City of Newport Beach have always had a tight bond. Over the past two
seasons, days prior to the Ducks first round match -up in the Stanley Cup Playoffs, the two entities have partnered up
to organize the "Paint It Orange Beach Party" just north of the Balboa Pier, truly a one -of -a -kind event. Not only have
these events raised awareness for the Anaheim Ducks and the City of Newport Beach, but they have leveraged this
opportunity to shed light on local non -profits that truly make a difference in the immediate community.
The Anaheim Ducks Foundation organized a raffle where guests could purchase tickets for the chance to win an
Anaheim Ducks team signed surfboard with all proceeds benefitting the Ben Carlson Memorial & Scholarship
Foundation. The Anaheim Ducks Foundation raised a total of $3,460 for the Ben Carlson Memorial & Scholarship
Foundation over the last two years and looking to add to this in the future.
The Anaheim Ducks and City of Newport Beach ties just don't stop at events. The Anaheim Ducks owners are proud
to call the City of Newport Beach home, in addition to a large number of players and employees who do as well.
Should you have any questions or need any further information regarding this request, please feel free to contact me
directly.
Sincerely,
David Schenker
Anaheim Ducks Hockey Club
2695 East Katella Avenue • Anaheim, California 92806 • PH: 714.704.2400 • FAX: 714.704.2443
www.anaheimduclts.com www.hondacenter.com
7118/2017 City of Newport Beach Page 4 of 8
4:30:24PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
07/19/2017
Inspection Type :
ENCROACH
Inspection Area:
PW
Site Address :
1 NEWPORT PIER
Activity :
N2017-0155
SubType :
Status :
APPROVED
OWNER: EMC MTG Phone : o
APPLICANT: DAVID SCHENKER Phone : 714-704-2546
dschenker@anaheimducks.c
Description : Installation of Anaheim Ducks Banner on the Newport Pier (Annual Request as long as the
Ducks make the playoff, City Council Review required).
Item: 10250 FINAL - PW
Requested Time: 7/19/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -verify siqn is down
Assigned to: 77777777777'
Inspector: �s Date: Time: 1- /qA PM
Comments: ox g 7 172 T'I/V,4
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018