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HomeMy WebLinkAboutN2017-0589Ilk City 00 Ciao Center OpOrt Beach rive, NewportBeach, CA 92660 IIIIfIIIIIIIIIIIIIIIIIIIIIIIIIIII�lllllll IIIIIIIIIIIIIII Permit Counter Phone (949)644-3311 s y Online Inspection Request - www.newportbeachca.gov / Online n, ��, Services �uvx Job Address : 20371 CYPRESS ST NB Description : CURB DRAIN PER CITY STD Parcel # : 4393-711-0 - Legal Desc : TR 706 LOT 158 SWLY1/2 Owner: DANG SANDEEP & GUNE Phone: t Address : 20371 CYPRESS ST NEWPORT BEACH, CA 92660 Applicant: JOSE MATON Phone: 7143936358 [ Address : Special Cond.: PRE CON MEETING REQUIRED Permit No: N2017-0589 Project No: 0175-2016 I— \ i Inspection Requests Phone (949)644-3255 Thomas:Guide: 889E2 v Contractor: MATA'S CONSTRUCTION CO Phone: 714-393-6358 Address : P.O. BOX 3749 SANTA ANA CA 92703 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 Contractor State Lic: 861880 License Expire : 07 31, 2018 Business License: BT30015664 Business Expire : 04 30, 2018 Workers' Compensation Insurance - - Carrier : WESCO INS CO Policy No: WWC3251945 W. C. Expire: 02 01, 2018 Total Fee $571.00 Paid: $571.00 Balance : $0.00 Receipt No: Date : —/—/ Other Department: Date: Date : / / Permit Denied Date Date : —/—/ Issued Permit: Date Date - . ,; LIN PROJECT ADDRESS: 0 DETAILED.D SCRIPTION OF PROPOSED WORK: Fit APPLICANT: M.5E jPhone: Email Address: Mailyi Ad ess• C' /Sta / OWNER: Phone: Email Address: Mailing Address* Ci / tate/Zipwn .,,ALL CONTRACTOR INFORMATIONS'REQ�IIgED PL'ASE:Q _ CONTRACTOR: Office Phone: t): 1c;MF(if MONLerim Jobsite Phone: Other Phone: E ail Address: Mailing AddressTw gin a C' /S telZi IT r Stat is n Number & Class: Q Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: ..........................................................................•..•..•..•.•..:........ •.•.•.................•..•.. •.......•..•..•.......•..•... . 13FUNUARl:>*:FJt'4$1TtN1=0R�Yli4Tli??I:�ffA /141�:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::: RefunQ Pa .ab a ..o�........................ . FOR OFFICE USE ONLY Special Conditions of Permit: l ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: 0 Fire: Other: Engineering Technician: Public Works Specialist: Date: Permit No. 1,-6EAci tlusarsh baasheredknooad%"slerslepworksheeUds Public Works Department 949-644-3311 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells $241.00 $275.00 $817.00 $192.00 $502.00 Inspection Fee: Public Works Field Inspection $165.00 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 ITEMS REQUIRE APPROVAL FROM THE JA REVENUE DIVISION PRIOR TO PAYMENT OF FEES TBD TBD $108.00 $.00 $64e 64.00 ----------- venue Division I 1Water Meter: Installation Charge $528.00 1 13/4" Meter $50.25 1 11" Meter $121.50 Water Meter Boxes: 11 1/2" Meter $285.00 1" DFW Meter Box $96.66 e 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 1 12" Meter $425.00 1 12" Turbine Meter $845.00 1 13" Meter $3,310.00 1 14" Meter $4,730.00 1 !6" Meter $7,190.00 1 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 My 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 �- A2 5-11.00 Permit Specialist Receipt No. f /users/pbw/shar"enuoadVmasters/ep front and oadc masters/ Rev. 11/8/2017 epfeesheetAs-mcmd f 11&17 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 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 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. 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. 1 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. i. 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 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. 3 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 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. 9 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. Locale 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, (lags, 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. 1 1. 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 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 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 self -insure, Certificate of Worker's Compensatio Insur nice, or a Certified Copy ther Date: Signatur i CERTIFICATE OF EXEMPTIO ection 3800 Labor Code) I certify that in the performance of theoffork 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 1 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 liabilit associated with the minor encroach nits. Date: Signature: 24-hour notice for Encroach t P re�nnspection is required by calling Public Works at 949-644-33117 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 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 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. No work related to this encroachment permit $hall be performed until the Public Works Department has Issued this permit. conditions of this permit and he/she agrees to abide by them. Permit is void if work Is not commenced within 30 days after II Permit fees are nonrefundable. , hereby agknowledges he/she has read and undersylnds the terms and . A FITC AII-S OF SUH WORK MAY BI.-,' OBTAIM."ll.) FROM THE PUBLIC WORKS L I )[J'ARTNIFNTI.R. "FINO -mj- D1--J UTO, H 11 " I X IS I 1ORSF,l 1, Q INSTALL ONE WAY VALVF ATE'314J) OF jlurj'. -L - -I - I xtxz 4.7 T ` i..,.�,-PIROP, LINE EXIST. WALL XISTING GRADE 1—. a 4i 1 ♦ l • %.! a !."J . VEI7f-:ti C'ONSTRI.JC°T ON -SITE; PA'T10/WALKWAY, SI3E LANDSCAPE: ARCH. PLANS FOR MA'I'I,RIAL TYPE? C.ONSTRi.)("T ON -SITE; DRIVEWAY. SEI:.`, ARCH. PLANS FOR MAf"IiRI.AI. TYPE . E:EQI►I.Ki:'.I) SUBGRADEi SHALL lit',PER SOIL E-NOINEER ;S Rf C OMME3NDATIONS. OF Pl1NTS �J C ONSTRI.R.." E' G" DIA. AREA DRAIN INLET' (DOMED GRATE), NDS MUI:)E I., 8(), OVBMI,N'I"S AND (;l.r'ITEiR, ("()NNE (:"I' R(.X.)I:.' I)OWNSPOi1'1" l'O UNDE�:RGROUND DRAIN SYSTEM. 1XISTING i )'17LI'17E S VICE, WATER (()NS'I'RUC"T Iit)'I"I'(.)MLL,SS'I'F2t:;NGIi DRAIN A7' PRt)PER'I`Y L.INI IN I)REI'I?.WA�,' L BE REQUIRED. AL CODES 14.24.020 SEE, )ETAIL SHOWN . IEREX)N. 1VORK SHALL BE MADE' (i. INSTALL SINGLE ROW OF GRAVLI's BAGS (2 BAGS :I II(.II I) E t:)R EROSIONCONTROL. I3MP SF-6 �7 } C ONSTRUCT 4" DIA. IJERF. P.V.C'. (SCI140 OR SDR-35) DRAIN P11E AT 1 % MIN. SLC PF, PIPETO BEINSTALLED Wn1J PE RF. HOLES FACING DOWN & WRAPPED WITH AND E-IL'I'1A FABRIC PER DETAIL HEREON NE CONSTRUCT S1L7' I'ENCE, ON PROD I?R'I'Y LINE AS NECESSARY PER BMP SI: - I 9. D IMPROVEMENTS C ONSTRU(:'T 4" ILIA. P.V.C. (SC:H 40 OR SDR-35) DRAIN PIE: A' PI. 1 % M.IN.:SLOPI S SHALL COMPLY 10. CONSTRUC"I' 3" C'.IJRB DRAIN PER CITY OF NEWPORT BEACH STD 1 H44, (PUBLIC WORKS PERMIT REQUIRED) SMALL BE 11. CONSTRUC7 3" DIA. BRASS AREA DRAIN INLET (FLAT GRATE). R AN "A" LICENSED 12. PLUG UNUSED DRIVE APPROACH PER CITY STD. 165-L QOFS NOT RELIEVE, 13 CONSTRUCT NEW DRIVE APPROA(."tI PER CITY STI). 163-L 1. CONDITIONS AND (W=12'. X =3' ). TO OBTAIN PLANS. YOU MENCENIENT OF ANY 14 INSTALL NEW SEWER CLEANOI. T WITII TRAFFIC RA'I'I,D ('OVER ON EXISTING SEWER LATERAL PER CMSD STD. S-107.: NOTE;: LOCATION' SHOWN IS APPROXIMATE, PER OLD WASTE WATER ATLAS. NCROAC.HME'NT 15. PR()TEC"I" E:;XISTING WALL IN PLACE ;ENCIfiINCi OR. I)AMACiI�6CONSTRUC"I' LOW BLOCK RETAINING WALL (1' 1110E-1 MAX.) WI'I'H WOOD fl:s`N(:'I ON TOP . PENSIVE STEREET REPAIR 17 CONSTRUCT UFE'-SITE C'ONCRE,'TE, DRIVEWAY. CONCR. ED E J0 BE STANDARD GREY WORKS DEPARTMENT. DIJE- TO 171-IE.; I,'XIS'I'ING I�IORSE TRAIL. 08 INSTALL ONE WAY VALVE; AT EIND OI: PIPE H W H cn r� >04 W u 11120/2017 City of Newport Beach Page 15 of 16 4:30:51PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11 /21 /2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 20371 CYPRESS ST Activity : N2017-0589 SubType : NEW Status : APPROVED OWNER: DANG SANDEEP & GUNE APPLICANT: JOSE MATON Phone: Phone: 7143936358 Description: CURB DRAIN PER CITY STD All Item: 10200 PRE JOB - PW Requested Time: 11/21/2017 12:00:OOAM Requestor: WEBUSER 714-393-6358 Entered By: WEBUSER Comments: AM- Assigned to: zzzzzzz7777* Inspector: �� Date: It 17-1, /17 Time: - �A� Comments: S poles' JZ> 1 COSH G f-Ds / la Z. - 4� re2l" g=QD� 2M� Gd 4 �M IS A- S 4,4/4= Gyfe l ©�S/� ,qW 62 C' O/L, 7-XA-C-7- l)it c-g ��c.�t l �z� �•4-t�t� I Ai N-4-,, E A-s Z .5" F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 12%14/2017 City of Newport Beach Page 3 of 7 4:30:12PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/15/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 20371 CYPRESS ST Activity : N2017-0589 SubType : NEW Status : APPROVED OWNER: DANG SANDEEP & GUNE Phone APPLICANT: JOSE MATON Phone: 7143936358 Description : CURB DRAIN PER CITY STD ,gib hp*) Item: 10250 FINAL - PW Requested Time: 12/15/2017 12:00:OOAM Requestor: WEBUSER 714-393-6358 Entered By: WEBUSER Comments: AM - Assigned to: 77777777777" Inspector: J Date: 1 5 i Time: C��►M )PM Comments: D/<�} �/ COMPLETFD F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018