The URL can be used to link to this page

Home My WebLink AboutN2017-063500 Ci�ofic �NeWenter CpOrt Bp 8h City ortBach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIilllllllll5l�llll Permit Counter Phone (949)644-3311 v Online Inspection Request - www.newportbeachca.gov / Online e•� `.' �> Services � Uv IMF Permit No: N2017-0635 Project No: 0634-2017 Inspection Requests Phone (949)644-3255 Job Address: 626 SEAWARD RD NB Thomas:Guide: 919G3 Description : INSTALL 3 A/C CONDENSOR IN 10 FOOT WIDE WATER EASEMENT AT REAR OF PROPERTY - EA NEEDED Parcel # : 4591-414-1 - Legal Desc : TRACT NO 1237 LOT 164 AND TRACT NO 14795 LOT 18 Owner: UEBERROTH JOSEPH J Phone: 0 Address : 626 SEAWARD RD CORONA DEL MAR, CA Applicant: JOHN MCNEELY Phone : 714-417-9277 [ Address : 1792 SKYLINE DRIVE SANTA ANA, CA Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED WITH PUBLIC WORK INSPECTOR. Permit Processing Fee : $0.00 Sewer Connection : $0.00 Agreement Fee: $817.00 4TT Box Cover: $0.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Inspection Fee: $165.00 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 SCANNED Contractor: MIKE DELAVAN GEN CONT INC Phone: 949-640-7983 Address : 711 MARGUERITE AVE CORONA DEL MAR CA 92625 Contractor State Lic: 672341 License Expire : 06 30, 2019 Business License : BT00013893 Business Expire : 11 30, 2018 Workers' Compensation Insurance - - Carrier : EXEMPT Policy No: NO EMPLOYEES W. C. Expire: Total Fee $982.00 Paid : $982.00 Balance: $0.00 Receipt No: Date : _/_/ Other Department: Date: Date : / / Permit Denied Date : Date : _/_/ Issued Permit: Date :1//� Date: _.� . . . . . . . . . . tluw& aadah.rcalanaoaaumasMm%pwaftheet* Public Works Department 949-644-3311 PROJECT ADDRESS: DETAILED ESCRIPTION OF PROPOSED WORK: APPLICANT: Phone: 1 Email Address: � � 1"lAG ' • b Mailing Address: Z City/State2ip: '1�f T A. N -11! GA Z-1 a � Phone: 4 j s: LmaAdd �s � City/State2ip: l'1 `1 :. -, .;�:ALL�Edf~VTRAET®Et;INFOLtMhi'C40h11S:'Q�1Ll�.E', '�,,1. S CONTRACTOR: Office Phone: 1 3�17 Company (if different): Jobsite Phone: Other Phone: Email Address: ��/� � _) f\Ic; Mailing Address: City/State/Zip: � T7 i"1 State License Number 8 Class: Z �. J , pj Expires: 34 City Business License Number: Expires: WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: R�FUNUA�I;�:DIrP 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 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 that I have a Certificate of consent to self -insure, Certificate of Worker's contractor must provide a -Letter of Authorization to allow another party to pull a permit An approved copy of the Compensation Insurance, or a Certified Copy thereof. 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 Date: Signature: after date of issuance CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 2 The Permrttee 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 I 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 c ply ith It e visions of Section 4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall 3700 or this rmit s al�ll�be deemed revokedr be corrected within two weeks after notification to the satisfaction of the Public Works Director. the by the , 1 5. A valid Slate licensed contractor must perform all construction within public right-of-way, unless waived Date: , v v 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 6. 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, 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 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. 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. 1 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 feet 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 VCR or PVC SDR35 be used with a Date: Signature: 4TT box over the riser. 24-hour notice for Encroach spection 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 VePermit Public Works at 949-644-331 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 utility 15. Any above ground facilities will 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 owner 10 Work within or near beach sensitive areas will not be allowed during, City holidays, spring break. Memorial Day a 16. Homeowner. contractors. and subcontracotrs may each be liable for violations of Water 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 a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and fines up to $25,000 and/or up to three years in Stale pcoup anacquire prison plus the full cost to clean Quality Laws are punishable by fne illegal discharge or spill. codeposit emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 17 a refundable 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 Certificate or Evidence of a Slurried Backfill and request a final inspection from the 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 Highways 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 phis 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, er 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 Wcirk 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 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 shall be performed until the Public Works Department has Issued this permit. Applicant hereby eickn Wedges he/she an nd n s 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. Permit fees are nonrefundable. Dat : �.-.Signatur, . 7/18/2018 City of Newport Beach Page 16 of 20 4:30:43PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 07/19/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 626 SEAWARD RD Activity : N2017-0635 SubType : Status : APPROVED OWNER: UEBERROTH JOSEPH J Phone: 0 APPLICANT: JOHN MCNEELY Phone : 714-417-9277 JFM7@MAC.00M Description : INSTALL 3 A/C CONDENSOR IN 10 FOOT WIDE WATER EASEMENT AT REAR OF PROPERTY- EA NEEDED Item: 10250 FINAL - PW Requested Time: 7/19/2018 12:00:OOAM Requestor: WEBUSER 949-697-3417 Entered By: WEBUSER Comments: AM - Assigned to: 77777777777` Inspector: Date: Time: AM PM Comments: COMPLETED F:\Users\PB\N\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018