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Home My WebLink AboutN2017-0586oo c/+vo cNewenter oport Be a , NewportBeach, CA 92660 I � ��1 ��1�� 1�� u� q 1111 Permit N o: N 2 017 ' 5 8 ,. Permit Counter Phone (949)644-3311 Project No Online Inspection Request - www.newportbeachca.gov / Online Services tit% Inspection Requests P616 (949��44 t3 Job Address: 323 HOLMWOOD DR NB Thomas:Guide: 888H6 Description : REMOVE AND REPLACE APPROX. 8' X 10' SECTION OF CONCRETE SIDEWALK PANEL PER CITY STD. Parcel # : 9372-102-2 - Legal Desc : 162-34 PAR. 1 OF PROJECT 937-21 LOCATED ON AP 425-381-15 Owner: KLEIN GERALD A Contractor : H D CONSTRUCTION Phone: 0 Phone: 949-476-7301 Address : 326 OLD NEWPORT BLVD Address : 17842 MITCHELL NORTH STE 200 NEWPORT BEACH, CA IRVINE CA 92612 Contractor State Lic: 786741 Applicant: H D CONSTRUCTION License Expire: Phone : 949-476-7301 [ Address : 17842 MITCHELL NORTH STE 200 IRVINE CA 92612 Business License: BT30060998 Business Expire: 10 31, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : NO EMPLOYEES Policy No: 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: $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 0�Date Ila Traffic Approval : Date : _/ / Issued Permit: :�� / �ZU/ General Services Approval : Date: / / 12 . l .1,'l WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT OMPLETE: :.: BELOW.. PROJECT ADDRESS: 323 Holmwood DETAILED DESCRIPTION OF PROPOSED WORK: Remove and replace approximately 8 feet by 10 feet of concrete sidewalk panel APPLICANT: Robert Harding Phone: 94 9- 2 3 3- 7 3 8 5 Email Address: bob@hd-const.com Mailing Address: 17842 Mitchell No. Ste. 200 City/State/Zip: Irvine, CA 92614 OWNER: Phone: Email Address: Mailing Address: City/State/Zip: ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: HD Construction Office Phone: 9 4 9- 4 7 6- 7 3 01 Company (if different): Jobsite Phone: 9 4 9- 2 3 3- 7 3 8 5 Other Phone: Email Address: bob@hd-const.com Mailing Address: 17842 Mitchell No. Ste. 200 City/State/Zip: Irvine, CA 92614 State License Number & Class: 786741 A B Ex ires:06/30/1 City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: N/A Policy No: Expires: .......................................................................... 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FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public Specialist: Date: 11)e Permit No. f:lusers/pbw/sharedfencroach/maslerslepworksheetxls 4P Public Works Department 949-644-3311 Permit Processing Fee: CHU Public Works Only $241.00 Other Department $275.00 [q Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection $165.0 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 1TEMS REQUIRE APPROVAL FROM THE R, REVENUE DIVISION PRIOR TO PAYMENT OF FEES AI [Water Meter: 13/4" Meter $50.25 11" Meter $121.50 11 1/2" Meter $285.00 11 1/2" Turbine Meter $700.00 12" Meter $425.00 12" Turbine Meter $845.00 5' Meter $3,310.00 �4" Meter $4,730.00 Meter $7,190.00 Installation Charge Water Meter Boxes: 1" DFW Meter Box 2" DFW Meter Box TBD TBD $108.00 0 $64.00 $64e .00 ------- venue Division I $03.e $203.2424 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: 1 6 �70 Receipt No. For Finance Use front and Uadc masters/ Rev. 11/8/201 11017 I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133 8 9 10. 11. 12 13 14 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed contractor must provide a letter of Authorization" to 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 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 after date of issuance 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 or damage to persons or property occurring as a result of work undertaken under this permit. 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. 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. A valid Slate 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 State Contractor License Class C-34 is required. For construction or 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, 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 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. 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. All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed over or within 5 feet of any City utilities, 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. 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 $35.00. 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. 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. 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 limes. 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 Slate Highway right-of-way will require a Caltrans Permit. All vehicles shall be lawfully parked. 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. 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. 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 -insure, C rtificate of Workers Com�pe?sati n Insurance, or a Certified Copy th f. t: l DatA / / / Sig natur I certify that in the performance of the woik under this permit, I shall her 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 1 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: 24-hour notice for Encroachmdnt�it I.�nspecti°°is required by calling Public Works at 949-644-3311( 15. Any above ground utility facilitio& will require documented approv fro the adjacent affected property owner(s). 16 Homeowner, contractors, anVubconlracotrs may each be liable for w ions of Water Quality Laws. Best Managiyhent 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 State 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 the 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, or 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. VNo work related to this encroachment permit $hall be performed until the Public Works Department has Issued this permit. Applicant hereby acknowledges he/she has re,nd Zterms understands 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. Imo�% Permit fees are nonrefundable. Dat S gnature: kA__ 11)20/2017 City of Newport Beach Page 1 of 15 s:34:48AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/20/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 323 HOLMWOOD DR PJM C Activity : N2017-0586 SubType : NEW Status : APPROVED OWNER: KLEIN GERALD A Phone : O APPLICANT: H D CONSTRUCTION Phone : 949-476-7301 Description : REMOVE AND REPLACE APPROX. 8' X 10' SECTION OF CONCRETE SIDEWALK PANEL PER CITY STD. Item: 10200 PRE JOB - PW Requested Time: 11/20/2017 12:00:OOAM Requestor: NBIVR 9492337385 Entered By: NBIVR Comments: AM ftiview • J Assigned to: Inspector: j Date: z Time: : 3c� A PM Commen*- _ % C� 'oe-i5vl e5- v F:\Users\PBW\Shared\ENCROACH\ MASTERS\FORMSUnsoedorSheet.doc 11/2's/2017 City of Newport Beach Page 1 of 11 4k, 6:34:3oAM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/28/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address: 323 HOLMWOOD DR 09.p� J. r. fr . .. f 4. ..... ._.... .' . j Activity : N2017-0586 SubType : NEW Status : APPROVED OWNER: KLEIN GERALD A Phone : 0 APPLICANT: H D CONSTRUCTION Phone : 949-476-7301 Description : REMOVE AND REPLACE APPROX. 8' X 10' SECTION OF CONCRETE SIDEWALK PANEL PER CITY STD. Item: 10010 FILL - s Requested Time: 11/28/2017 12:00:OOAM Requester: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: J 9492337385 Date: < I /0- Y / 7 Time: AM PM Comments: -1 ,Z,,, s per— S F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc ,t 12/6/2017 City of Newport Beach Page 2 of 8 4:30:42PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/07/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address: 323 HOLMWOOD DR Activity : N2017-0586 SubType : NEW Status : APPROVED OWNER: KLEIN GERALD A Phone: 0 APPLICANT: H D CONSTRUCTION Phone : 949476-7301 Description : REMOVE AND REPLACE APPROX. 8' X 10' SECTION OF CONCRETE SIDEWALK PANEL PER CITY STD. Item: 10250 FINAL - PW Requested Time: 12/7/2017 12:00:OOAM Requestor: NBIVR 9492337385 Entered By: NBIVR Comments: AM Assigned to : Inspector: Date: Time: AM PM Comments: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018