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HomeMy WebLinkAboutN2018-0435City of Newport Beach q1111 Permit No: N2018-0435 }i IIIIIIIIIIIIIgIIIUIIIIIIIIIIIII�III�IIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 r Permit Counter Phone (949)644-3311 Project No: 1f(vA!, � yam,. 4- Online Inspection Request - www.newportbeachca.gov / Online 1 .__D N Services 1114 Inspection Requests Phone (949)644-3255 Job Address: 4106 RIVER AVE NB Thomas:Guide: 888G6 Description : NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L AND 182-L; RE -PAINT RED CURB. Parcel # : 4233-010-3 - Legal Desc : CANAL SECTION BILK 241 LOT 4 Owner: ENGSTROM SHARON �} Contractor: CORNERSTONE CONSTUCTION Phone: Phone: 949-369-1979 Address : 4106 RIVER AVE Address : 15540 ROCKFIELD BLVD STE A 110 NEWPORT BEACH CA 92663 IRVINE, CA 92618 Contractor State Lic: 1033864 Applicant: CORNERSTONE CONSTUCTION License Expire: 12 31, 2019 Phone: 949-369-1979 [ Address : 15540 ROCKFIELD BLVD STE A 110 IRVINE, CA 92618 Business License: BT30061583 Business Expire: 12 31, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : FALLS LAKE Policy No: FLA007601 W. C. Expire: 11 28, 2018 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: Date General Services Approval : Date: _/_/ o r COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: Ili-40 APPLICANT: Phone: Email Address: Mailing Address: CitylStatelZip: OWNER: !n, Phone: �f 6P Email Address: Mailing Address: CitylStaterZip: °AL.�. CONFRA�CTOR MtF.11 �. 11M IS CONtPL TE 't . CONTRACTOR: Cb Office Phone: i Company (if different): Jobsite Phone: 9 Other Phone: Email Address: p /l isl'nsgiod�Cb :�J Ci�4 e c,�i 2� b State License Nu r & Class: J�� aEx ires: 2Dpj City Busin, License Num r: , Expires: �t3 JI WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: s Policy No:F�OD�4601-60Ex Expires- 2 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 FOLLOW NG DEPARTIIfENTS Utilities: erations Traffic: Other: 0 Fire: Technician: FU Pe cialist Dat Permit No. 1142018-OCf3�; f /users/pbw/shared/encroach/masters/epworksheet.xis 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 Qt Inspection Fee: $241.00 Public Works Field Inspection $275.001 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817.00 $192.001 1 Refundable Deposit: $502.00 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 8t Cover Additional THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R I REVENUE DIVISION PRIOR TO PAYMENT OF FEES lA $165.00 $121.00 $165.00 $108.00 TBDBTBD $108.00 $$64.00 B 64.00 --- venue Division I [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 13" Meter $3,310.00 `4" Meter $4,730.00 6" Meter $7,190.00 Installation Charge $528.000 [ Water Meter Boxes: 1" DFW Meter Box $96.66 B 2" DFW Meter Box $203.24 ' 1 (FEES 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 EasementlVacation 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 D Pe ecialist Receipt No. - \ f./users/pbwlsharedlencroach/masters/ep frant and back masters/ Rev. 12/18/20171 epreesheetxis-revised 11/8/17 10 1-3 - Zw l -7 ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800422-4133 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 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 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 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 Stale licensed contractor must perform all construction within the public right-of-way, unless waived by the Public Works Director. A valid Stale Contractor License Class A can perform any work in the public righl-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-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. 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 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 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 $35.00. 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 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 State Highway's traffic or within the Stale 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 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 e, Certificate of Worker's Comoensaticln InsurAnce. or a Certified Cop re .,_ DateV?3/Z7L/'S Si CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) I certify that in the performance of the work under this permit, 1 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: 24-hour notice for Encroachment Public Works at 949-644-33A. i is required by calling 15. Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). 16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water 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 i^ 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 inspectiun 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. Vfork: Department or corrections will be required (i.e. removals. exposing connectwns, 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/pr additional fees. No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby cn o �s he/she ha lands 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. C rrll Permit fees are nonrefundable. Dat@: _ _7 . __ _.Signatt@: DTES: 3ARTMENT ENCROACHMENT PERMIT INSPECTION IS REQUIRED BEFORE THE BUILDING f FINAL CAN BE ISSUED. AT THE TIME OF PUBLIC WORKS DEPARTMENT INSPECTION, IF 3 PUBLIC IMPROVEMENTS SURROUNDING THE SITE IS DAMAGED, NEW CONCRETE D GUTTER, AND ALLEY/STREET PAVEMENT WILL BE REQUIRED. ADDITIONALLY, 3 INFRASTRUCTURE ARE DEEMED SUBSTANDARD, A NEW 1-INCH WATER TER BOX, SEWER LATERAL AND/OR CLEANOUT WITH BOX AND LID WILL BE REQUIRED. HALL BE BORNE BY THE PROPERTY OWNER (MUNICIPAL CODES 14.24.020 AND RMINATION AND THE EXTENT OF THE REPAIR WORK SHALL BE MADE AT THE PUBLIC WORKS INSPECTOR. OR FENCES AND WALLS SHALL BE OBTAINED AT THE SAME TIME AS THE BUILDING TO WASTEWATER IN THE PUBLIC RIGHT -OF- WAY SHALL BE PERFORMED BY A C-42 IN SEWER CONTRACTOR OR AN A LICENSED GENERAL ENGINEERING CONTRACTOR. TO WATER IN THE PUBLIC RIGHT-OF-WAY SHALL BE PERFORMED BY A C-34 LICENSED OR OR AN A LICENSED GENERAL ENGINEERING CONTRACTOR DING PERMIT BY THE CITY OF NEWPORT BEACH DOES NOT RELIEVE APPLICANTS OF MENTS TO OBSERVE COVENANTS, CONDITIONS AND RESTRICTIONS WHICH MAY BE THE PROPERTY OR TO OBTAIN PLANS. YOU SHOULD CONTACT YOUR COMMUNITY R TO COMMENCEMENT OF ANY CONSTRUCTION AUTHORIZED BY THIS PERMIT OACHMENT PERMIT IS REQUIRED FOR ALL WORK ACTIVITIES WITHIN THE PUBLIC CONSTRUCTION NOTES: 1� CONSTRUCT 6" MIN CONCRETE DRIVEWAY O CONSTRUCT 4" MIN CONCRETE WALK. O3 INSTALL 4" FLAT GRATE DRAIN ® INSTALL 4" ATRIUM GRATE DRAIN O5 INSTALL TRENCH DRAIN PER DETAIL SHEET C2 © INSTALL 8" CATCH BASIN WITH FILTER INSERT PER DETAIL SHEET C2. ( INSTALL 4" PVC SDR 35 DRAIN LINE, S=0.01 MIN ®REMOVE EXIST CONCRETE DRIVEWAY AND SIDEWALK & CONSTRUCT DRIVEWAY APPROACH PER STD PLAN 163-L. O9 REMOVE & REPLACE EXIST CONCRETE CURB, GUTTER AND SIDEWALK & PER STD STD-180-L, STD-182-L AND STD-183-L DIMEN BY GF DIMEN AS FC CR A- B C D E wi a� W r. 83) r" r�z x'. s, •17 REVISED PER PLAN CHECK r R E V I S 1 0 N S DESIGNED: ARCHITECT: WILLIAM GUIDERO 425 30TH ST, STE 23 DRAWN: PA NEWPORT BEACH, CA 92663 (949) 675-2626 CHCK'D: TR DATE: 5/ 1 / 17 OWNER/DEVELC MR. BRENT EN( 4106 RIVER A' 11821 HIGHV10 SANTA ANA, C 8/29/2018 6:34:21 AM City of Newport Beach Page 13 of 15 INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/29/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 4106 RIVER AVE Activity : N2018-0435 SubType : NEW Status : APPROVED OWNER: ENGSTROM SHARON Phone: APPLICANT: CORNERSTONE CONSTUCTION Phone : 949-369-1979 Description : NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L AND 182-L; RE -PAINT RED CURB. rjskj Item: 10200 PRE JOB - PW Requested Time: 8/29/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM-PRECONSTRUCTION MEETING Assigned to: 77777777777* / 14- �OA •�i( t^ . 949-302-4989 ado go &-- '915/2018 City of Newport Beach Page 1 of 7 4:30:46PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/06/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 4106 RIVER AVE �p,�i {�y Activity : N2018-0435 SubType : NEW Status : APPROVED OWNER: ENGSTROM SHARON Phone: APPLICANT: CORNERSTONE CONSTUCTION Phone : 949-369-1979 Description : NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB, GUTTER AND SIDEWALK PER STD 180 L AND 182 L, RE PAINT RED CURB 'i: '....�r ,.R�iiN l....'y4a1!"i' " 3..' r` .,�yrj.. 3.St�•.Yt .Yr! , Item: 10205 GENERAL SERVICE Requested Time: 9/6/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: Ztz, �� Date: �'6' 01 X_ Time: AM PM Comments: 644*0 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSUnsoectorSheet.doc REPT131 Run Id: 4018 10/2/2018 City of Newport Beach 6:34:55AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/02/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 4106 RIVER AVE AMID Information: Activity : N2018-0435 SubType : NEW Status : APPROVED Page 5 of 11 OWNER: ENGSTROM SHARON Phone : APPLICANT: CORNERSTONE CONSTUCTION Phone : 949-369-1979 Description: NEW DRIVEWAY APPROACH PER STD 162-L, NEW CURB, GUTTER AND SIDEWALK PER STD 180-L AND 182-L; RE -PAINT RED CURB. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 10/2/2018 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: �:-ItQAI, IZ00 Requestor: NBIVR 9493024989