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HomeMy WebLinkAboutN2018-0282..wN1f 4r� 0City /wCenter Drive, ofNeWpOrt Bp a ortBeach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIII�III�IIINIIIIIIII�IIIIIIIII Permit Counter Phone (949)644-3311 -v Online Inspection Request - www.newportbeachca.gov / Online Services Job Address: 626 SEAWARD RD NB Description : CURB AND GUTTER PER CITY STD Parcel # : 4591-414-1 - Legal Desc : TRACT NO 1237 LOT 164 AND TRACT NO 14795 LOT 18 Owner: UEBERROTH JOSEPH J Phone: Address : 626 SEAWARD RD CORONA DEL MAR, CA 92625 Applicant: DAVID HORTON Phone : 714-313-1773 [ Address : 16372 CONSTRUCTION CIRCLE Special Cond.: PRE CON MEETING WITH PW INSPECTOR 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 Thomas:Guide: Permit No: N2018-0282 Project No : 0634-2017 Inspection Requests Phone (949)644-3255 919G3 SCANNED Contractor: SO CAL CONCEPTS INC Phone : 949-653-1101 Address : 3943 IRVINE BLVD #242 IRVINE CA 92602 Contractor State Lic: 528142 License Expire: 05 31, 2020 Business License : BT30030730 Business Expire: 02 28, 2019 Workers' Compensation Insurance - - Carrier : STATE NATIONAL INSURANCE COMPA Policy No: 76WECGZV6024 W. C. Expire : 08 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 :- t Date: Date : / / r COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: 2-(0 A - DETAILED DESCRIPTION OF PROPOSED WORK: APPLICANT: 0 6R70^( Phone: '7'y- St3- Email Address: 61k (Ir- 0- so 5 • 44XA Mailing Address: �(o�%Z �rus% �tL��( a tA. City/State/Zip: r�rz 6k yZ466 OWNER: Phone: Email Address: Mailing Address: City/State/Zip: ALL CCONTRAMOR INFORN/1T11M 15 01COMPLETE CONTRACTOR: O f_ bra --rS r H L 4 Y- ��3• r Office Phone: � Company (if different): Jobsite Phone: Other Phone: Gr-� Email Address: k,,,O- -4 �%� _ Mailing Address: /& 3�2 ��r5 ���0�( Gt2. P if S,, lTrt_ City/State/Zip: -'-Tgvtd tL ("A - I Zl State License Number & Class: � Z�1�2 Expires: :53(120 City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an 15 rA rrt akr1a,1A( J�JSµn-Ar-'CZ Policy No: AvAX-00 -664DD1 Ex ires: g i (8' Municipal Oerations: 949-644-3055 Utilities: 949-644.3011 Urban Forestry: 949-644-3083 FOR OFFICE USE ONLY Special Conditions of Permit: IAjt j ADDITIONAL APPROVAL RECANRED FROM THE FOLLOYNNG DEPARTMENTS Utilities: Municipal Operations Traffic: 0 Fire: 0 Other: � Engineering Technician: Permit Specialist Date: J Z0A / (" Permit No. N2018- U 7 f /users/pbw/shared/encroactVmasters/epworksheet. xis Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Ot y. Inspection Fee: Public Works Only $241.00 Public Works Field Inspection Other Department $275.00 Utilities Field Inspection General Services Inspection Agreement Fee: Water Quality/Artificial Turf Inspection Preparation of Report/Agreement $817.00 Document Recordation Fee $192.001 Refundable Deposit: Monitoring Wells $502.001 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 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Al $165.00 Z $121.00 $165.00 $108.00 TBD TBD $108.00 $ $64.00 B 64.00 venue Division 1 Qty. (Water Meter: Installation Charge $528.00 13/4" Meter $50.25 11" Meter $121.50 Water Meter Boxes: 11 1/2" Meter $285.00 1" DFW Meter Box $96.66 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter 14" $3,310.00 Meter $4,730.00 6" Meter $7,190.00 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 1TD I Permit Specialist Receipt No. 2 61 � 11users/pbw/shared/enwadvmaslers/ep hunt and bads masters/ Rev. 12/18/2017 — epteesheetAs+evised 11/8/17 JWN SPOUT ?IVEWAY (ISTING RE DEPARTMENT )NNECTION NISHED GROUND RE HYDRANDT OW LINE VISH SURFACE SD SFN TC TF TG TP TW VA WM WV STORM DRAIN SEARCHED FOUND NOTHING TOP OF CURB TOP OF FOOTING TOP OF GRATE TOP OF PIPE TOP OF WALL WROUGHT IRON FENCE WATER METER WATER VALVE EX BLDG -- 12 47W'w- MOW ------- X M r_ EX WATER LINE I TC 215.24 FL 1� I I LAN \I of EX GARAGE 0 2Y 2N89911 us 0 14 — 2 218. 5" CONC. 2"SAN^ �S 4" GRAVEL 777 C 4NOLT7ATO 6: S CATT 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 WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 1 Encroachment Permits may oe 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 I certify that I have a Certificate of consent to self-i , une, reer�fic a or ers� Gompensatiqn Inrance, or a Certified Copy thereof u pernul and construction plan shaft be kept at the job site at all times. Work, which has been done prior to issuance of //�,y S/ 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 1he 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 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 comply with the provisions 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 permit shall be deemed revoked. be corrected within two weeks after notification to the satisfaction of the Public Works Director. 5. A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the Date: Signature: Public Works Director. A valid Stale 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 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, 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. I 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 VCP or PVC SDR35 be used with a Date: Signature: 4TT box over the riser 24-hour no ce for Encroachment Permit Inspection 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 Public 949-644-3311. Warning Signs. Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the r S 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 15. Any a ove ground utility facilities will require documented approval from the adjacent protect the general public. Access to fire hydrants must be maintained at all times affected property owners). 10 Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day 16 Homeowner, contractors, and subconlracotrs may each be liable for violations of Water a 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 acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and Quality Laws are punishable by fines up to $25,000 and/or up to three years in Slate prison plus the full cost to clean up an illegal discharge or spill emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 17 If a refundable deposit 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 on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Certificate or Evidence of a Slurried Backfill and request a final inspection from the the Public Works Department. Any work affecting the State Highway's traffic or within the Stale 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 This 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, or 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 Work 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's 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 vyork 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 ac owjedges helshe has rea n un rs n e s 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 Issua. ?q fSlgnature: Permit fees are nonrefundable. Date: 5/31/2018 City of Newport Beach Page 3 of 15 4:30:52PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/01 /2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 626 SEAWARD RD Activity : N2018-0282 SubType : Status : APPROVED APPLICANT: DAVID HORTON Phone 714-313-1773 OWNER: UEBERROTH JOSEPH J Phone Description : CURB AND GUTTER PER CITY STD Item: 10110 Requested Time: 6/1/2018 12:00:OOAM Requestor: NBIVR .�—v ✓w►-S � � � � Entered By: NBIVR 7143131773 Comments: AM Assigned to: Inspector: Date: l� Comments: Gi2-ec t &P -- (0 O 3©. l F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc G On Time: Tf 20 PM i REPT131 Run Id: 4018 7/18/2018 City of Newport Beach Page 5 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 : N2018-0282 SubType: Status : APPROVED APPLICANT: DAVID HORTON Phone : 714-313-1773 OWNER: UEBERROTH JOSEPH J Phone Description : CURB AND GUTTER PER CITY STD Item: 10250 FINAL - PW Requested Time: 7/19/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: Comments: Date: F:\Users\PBW\Shared\ENCROACHkMASTERS\FORMS\InspectorSheet.doc Time: AM PM REPT131 Run Id: 4018