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Home My WebLink AboutN2018-0309"wNr �T i y o cNewenter Dport Beacrive, Newporth ach. CA 92660 IIII�IIIIIIII�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII Permit No: N2018-0309 }� Permit Counter Phone (949)644-3311 Project No: 1690-2016 yam. Online Inspection Request - www.newportbeachca.gov /Online j� tj (� j � Services ►,,,.A V N y D 4t',t11,A, � Inspection Requests Phone (949)644-3255 Job Address: 106 VIA UNDINE NB Thomas:Guide: 91SA1 Description : REPLACE EXISTING ROLLED CURB WITH NEW, IN -KIND ROLLED CRUB, 2 NEW CURB CORES PER STD 184-L; ASPHALT PATCH "MORATORIUM STREET' Parcel # : 4232-641-2 - Legal Desc : N TR 907 LOT 254 Owner: CHRISTIAN MIKE & JENNIE Contractor : COAST CONCRETE & MASONRY INC Phone: 714-728-8502 Phone: Address : 4608 E STETSON LN Address : 31371 CAMINO SANCHO ORANGE CA 92869 SAN JUAN CAPISTRANO CA Contractor State Lic: 755831 Applicant: COAST CONCRETE & MASONRY INC License Expire : 10 31, 2018 Phone: [ Address : 31371 CAMINO SANCHO SAN JUAN CAPISTRANO CA Business License: BT30042784 Business Expire: 03 31, 2019 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9150498 W. C. Expire: 11 01, 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: $0.00 Processed By : Date : _/ / Other Department : Date: Utilities Approval : Date : _/_/ Permit Denied Date Traffic Approval : Date : _/ / Issued Permit: Date General Services Approval : Date : _/ / PROJECT ADDRESS: G h ROPOSED W RK/• _ DETAILED DESC IPTIOZoe, fs.. �iL ' APPLICANT: Phone: Email Address: Mailing Address: City/State/Zip: OWNER: • �� , .SUM Phone: Email Address: Mailing Address: /v G v City/StaterZip, G �- " .,14LUCONTRACTOR INFO[tM�1TION IS �REQUIREE�PL SE.. l CONTRACTOR: Cam a Office Phone:/Y-7Y� �3752 Company (if different): Jobsite Phone: - %�� ' 37'� Other Phone: Email Address: Mailing Address: 3 A/ f$ ��,,� ,` �� - s ��,�Yof City/State/Zip: G S I G State License Number & Clefts: C- C ",�5 Expires: City Business License N tuber: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company:}. f� ...• y.,...f Policy No: 5 Expires: //- ! - /d' .................................................................:.................................................................. . EEFUN.4AI�kE:E�EP4S1T.1[+IfORMTIQI:(lfi4 lis?Able.:::: .............. :T , .::.:.:..:::::::::::.::...:::.:.:.:.:::::...::.:.:.:::::.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: >:«. :=: :` ` ..::«::.::::::::::::: >;:<::< :.:«. ..::...... ........... ;::....:: ..... ................ .............................................................. FOR OFFICE USE ONLY ,• L: Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS . Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public Specialist: Date / ^ Permit No. awerslvaws�rercare�uuaawnaat�/ep�wncshee�Ms `—�.. Public Works Department 949-644-3311 Permit Processing Fee: Inspection Fee: Public Works Only $241.0 Public Works Field Inspection $165.00 Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192.001 1 Refundable Deposit: TBD Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00 0 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143.00 4TT Box & Cover $64.00 Additional I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 lApproval: I REVENUE DIVISION PRIOR TO PAYMENT OF FEES I 1 Ohf- 1 [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 B 12" Meter $425.00 12" Turbine Meter $845.00 1 13" Meter $3,310.00 1 f4" Meter $4,730.00 16' 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 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 Pe ialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev. 12/18/2017 epfeesheet.xis-revised 11W7 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 be taken out by the owner of benefited property or a licensed contractor A licensed I certify that 1 have a Certificate of consent to If -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 Co ens'ation Insurance, or a Certified Co y t re permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of i . 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 Permitlee 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. of the State Labor Code, I must comply with the of Section 4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall provisions provisions be corrected within two weeks after notification to the satisfaction of the Public Works Director. 3700 or this permit shall be deemed revoked. 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 Sate 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 EXEMPTION connection to sewer lines a valid State Contractor License Class C-42 is required. CONTRACTOR LICENSE 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 fie 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 notice for Encroachme Perm' ection is required by calling 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 Public Works at 949-644-331 44L California Department of Transportation. If needed barricades can be obtained from the City at a charge of S 10 00 15. Any above utility facilities will require documented approval from the adjacent per barricade per day, with a minimum charge of S35.00 It is the responsibility of the applicant to place barricades to protect the general public. Access to fire hydrants must be maintained at all limes. ground affected owner(s). 10 Work within or near beach sensitive areas will not be allowed during. City holidays, spring break. Memorial Day property 16 Homeowner, be liable for Water weekend, summer between June 15 and September 15. and during the holiday season from December 19 to contractors. and subcontracotrs may each violations of Quality Laws. Best Management Practices will be enforced. It is against the law to January 1, unless approved by the Public Works Department. discharge construction debris into the and storm drain. Felony violations of Water 11 Any wort: that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to gutter Quality Laws by fines to S25,000 and/or to three in State acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and are punishable up up years 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 prison plus 17 If a refundable deposit was applicant must submit a Soils Compaction Handbook (WATCH) No nighttime traffic lane closures. unless prior approval has been granted. Any lane(s) closure paid, Certificate Evidence Slurried Backfill final inspection from on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday). unless approved by or of a and request a the the Public Works Department. Any work affecting the Slate 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, 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 Works 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 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 knowledges he/she has re d and and rs 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. _rSignatur Permit fees are nonrefundable. 6/6/2018 City of Newport Beach Page 5 of 13 4:31:01PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/07/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 106 VIA UNDINE Activity : N2018-0309 SubType : NEW Status : APPROVED OWNER: CHRISTIAN MIKE & JENNIE Phone : 714-728-8502 APPLICANT: COAST CONCRETE & MASONRY INC Phone Description : REPLACE EXISTING ROLLED CURB WITH NEW, IN -KIND ROLLED CRUB, 2 NEW CURB CORES PER STD 184-L; ASPHALT PATCH *MORATORIUM STREET* Item: 10200 PRE JOB - PW Requested Time: 6/7/2018 12:00:OOAM Entered By: NBIVR Comments: PM Assigned to: Inspector: 7,v- C"1 Date: Comments: '04,4-4 M F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc Requestor: NBIVR 7147423792 e: AM PM REPT131 Run Id: 4018 6/12/2018 City of Newport Beach Page 13 of 14 4:30:24PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/13/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 106 VIA UNDINE Activity : N2018-0309 SubType : NEW Status : APPROVED OWNER: CHRISTIAN MIKE & JENNIE Phone : 714-728-8502 APPLICANT: COAST CONCRETE & MASONRY INC Phone Description : REPLACE EXISTING ROLLED CURB WITH NEW, IN -KIND ROLLED CRUB, 2 NEW CURB CORES PER STD 184-L; ASPHALT PATCH *MORATORIUM STREET* Item: 10205 GENERAL SERVICE Requested Time: 6/13/2018 12:00:OOAM Entered By: WEBUSER Comments: AM -either mominq or aftemoon ok Assigned to: 77777777777* Requestor: WEBUSER 714-742-3792 Inspector: 7,ov 4 Date: 0 -13 '1 9 Time: AM PM Comments: Crc.,.i -io paf-e' Sao-�o.ti••.�sr✓ u., Ett 0-l0 ILL Q.c, hA {e�oyrow F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc REPT131 Run Id: 4018 9/6/2018 City of Newport Beach Page 10 of 13 4:30:34PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/07/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 106 VIA UNDINE Activity : N2018-0309 SubType : NEW Status : APPROVED OWNER: CHRISTIAN MIKE & JENNIE Phone : 714-728-8502 APPLICANT: COAST CONCRETE & MASONRY INC Phone Description : REPLACE EXISTING ROLLED CURB WITH NEW, IN -KIND ROLLED CRUB, 2 NEW CURB CORES PER STD 184-L; ASPHALT PATCH 'MORATORIUM STREET* Item: 10250 FINAL - PW Requested Time: 9/7/2018 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: I ` 'S I L>_J24- Date: Comments: 0.0 l 1-PlA P, )/lo In Requestor: WEBUSER 9499333032 r2C?gC 'rc �!a of / . u C'. F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc Time: q_�Y�oPM REPT131 Run Id: 4018