HomeMy WebLinkAboutN2017-0247City Newport Beach 111111111111111111111111111111111111111111111111111111Jill
Permit No:N2017-0247.
ach, CA 92660
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Permit Counter Phone (949)644-3311
Project No: 2479-2016 .
Online Inspection Request - www.newportbeachca.gov / Online
Services
Inspection Requests Phone (949)644-3255
Job Address : 1907 BERYL LN NB
Thomas:Guide: 889C4
Description : PLUG EXISITNG DRIVEWAY APPROACH AND CONSTRUCT NEW PER STD 162-L,
REPLACE CURB AND GUTTER PER STD 165-L, NEW 36" BRISBANE
STREET TREE, REMOVE EXISTING
3' HIGH WOOD FENCE, PILASTERS AND LIGHTING FROM R-O-W.
ECANNEU
Parcel # : 1174-120-3 -
Legal Desc : N TR 1806 LOT 36
Owner: POLENZANI MICHAEL A
Contractor: CAPACI ENTERPRISES INC
Phone:
Phone: 949-945-8362
Address : 1907 BERYL LN
Address : 11841 KENSINGTON RD
NEWPORT BEACH, CA 92660
LOS ALAMITOS CA 90720
Contractor State Lic: 868248
Applicant: CAPACI ENTERPRISES INC
License Expire : 07 31, 2018
Phone: 949-945-8362 [
Address : 11841 KENSINGTON RD
LOS ALAMITOS CA 90720
Business License: BT30040251
Business Expire : 07 31, 2017
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP
Policy No: 9126663
W. C. Expire: 03 06, 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: r� -� ?
Refundable Deposit: $0.00 Total Water Meter Box:
$0.00
FC _
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: /I -]/—n
General Services Approval : Date
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS:
C1 (__
DETAILED DESCRIPTION OF PROPOSED WORK:
L'�
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f:/users/Pbw/shared wKma&dmaste,slepwaksheel.xb d t4-7 C _ —1 _
Public Works Department 949-6"-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee: C
Inspection Fee:
Public Works Only $241.00 1 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 I
may
L• ., 1
(Water Meter:
Installation Charge $52$.001 1
13/4" Meter
$50.25
Water Meter Boxes: 1
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost 1
11 1/2" Meter
$285.00
1" Meter: 13.00 + 37.00 $50.00 1
11 1/2" Turbine Meter
$700.00
2: Meter. 27.00 + 61.25 $88.25 1
12" Meter
$425.00
1
12" Turbine Meter
$845.00
For Traffic & Alley Areas (Box + Cover =Cost) 1
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00
14" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00
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 EasementlVacation Fee (+100% of hry 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
Permit 'alist Receipt No.
"'� f:/users/pbw/shanxYencroachlmastenlep front and back masters/
Rev. 1/5/2017 7 /� ` epfeesheetAs-revised 10/21/2016
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
1 Encrnachnnenl Permils may he taken out by the owner of benefited properly or a licensed contractor A licensed
contractor must provide a I otter of Authorization to allow another party to prtll a pernut An approved copv of the
permit and construction plan shall be. kept at the lob site at all limes. Work which has been done prior to issuancQof
a permit. is subject to rejection line. City reserves the right to void permit if work does riot commence withVI'M days
after date of issuance
2. The Permillee 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 shalt be. done in accordance with the approved plans, Standard Special Provisions and Standard Drawiny.e
of the City of Newport Beach, and in compliance with all applicable Stale 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 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 Stale 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. Locale and pothole
existing City -owned utilities (i(- 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
4T'f box over the riser
9 Properly lighted barricades most 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 fay 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 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
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
I I Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a lemporary 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 Slate Highway's traffic or within the Slate Highway right-of-way
will require a Caltrans Permit All vehicles shall be lawfully parked
12 This permit does not authorize the (:Iosure of sidewalks. streets. or alleys for construction accessstorage 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 1 o place a dumpsler or materials in the public right-of-way. a
Temporary Street Closure Permit must be obtained from the Public Works Department
WORKER'S COMPENSATION INSURAN7Mnsro
n 800 L r Code)
I certify that I ha e a Certificate of cons e Ce ate of Worker's
Compen�n Inlurance, or a Certified C y
Date:
Sign
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work 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 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 Encroach a inspection is required by calling
Public Works at 949-644-33 1.
15 Any above ground utility facililie quire documented approval frorn the adjaceol
affected property owner(S1.
16 Homeowner. contractors, and subconlracotrs may each be liable for violations of lNakai
Quality Laws Best Management Practices will be enforced. It is against the law In
discharge construction debris into the gutter and storm drain felony violations of \Nato
Quality Laws are punishable by fines up to S25.000 andior up to thn:e vears un Stab,
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 frnrr tlr:
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 c:r relocatod
without approval from the General Services Department.
19 All work in the public right-of-way must meet the approval of the Public \York:
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 A ent has been p :essed.
21. Permit is valid for description of work note on oil only. tonal work
performed may require issuance of a separate unit nd/or addy ees.
I No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereb ck owned es h she aZre�Kand u ds the terms and
p P 9
conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 3�s AkerJV* issuance.410 Permit fees are nonrefundable. Dat . ! Sig atu
UL01UlVLH.
EXISTING
6.0' HIGH
GMJ WALL
70 REMAIN
E) GRASS LINE OF
AREA TO (E) DRIVEWAY ��� I
REMAIN TO BE REMOVEf;,���
NEW ENGGHMCINT. j
GONG AGI MEN�"'0
W'D
WALK FOIE GONG _STE PS I I N
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(E) GRASS
AREA TO
�F5 REMAIN
GONG D/W
W/ G` WIDE
GREEN SEAMS
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NT )tKRD
GRASS
AREA TO •
REMAIN""`
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EXISTING S' VCP
SEWER (GMSD j
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ON5TRUCT G.O. PER !
GMSR;STDS ON PRIV. !
Pg6.0:4 NEW SEWER
PAR CITY OF NEWPORT
CPC STANDARDS
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( E) 6` VGP <
SE. WER 'LATERAL i
7
REMOVE (E)
GONG APRON
FILL-IN W/ GRASS
TO MATCH ADJ
II
REPLACE CONCRETE
CURB 8 GLJtTER PER
CITY 1)RWG;STD-165-L
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NEW STREETREE:36BOXED ; rlitonio
conferto, BRI'6BANE
BOX TREE
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EXISTING 3'i HIGH WOOD
FENCE TO ESE REMOVED
SEE DEMO PLAN D-1.. <
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PROVIDE 12' X 12" GONG
PATGHBAG�C ALONG ENTIRE
LAPRON
GUTTER LENGTH
NEW DRIVEWAY PEA? CITY
URWG ST ) 162-L
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--- -1/1 ___ -
A
Bill Cope i)esigr
residential renovation_
new building designs
space planning
cell 949.514.406E
fax 949.553.048E
20142 bayview ovenie
newport beach 92660
billcopedesign@sbcglobol.ne
CONSUI TANT: I
CHARLES A. JOHNSON,
Structural Engineer
P.O. Box 6284
Garden Grove, Calif 92846
Tel (714) 898-6180
c v No.2537 z
0- Exp. 318
s�qlkRUC
FOF CAS.
New Construction
on Existing and
New Foundation
fo r:
Polenzani
Residence
1907 Beryl Ln
Newport Beach,
California
92660
REVISIONS I
REV. DATE DESCRIPTION
NO.
I 12/?116 CITY CORR
2 12/21/16 CITY CORR
511?2017 City of Newport Beach Page 2 of 16
4,30 40Pm INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/18/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1907 BERYL LN
Activity : N2017-0247
SubType : NEW '
Status : APPROVED
OWNER: POLENZANI MICHAEL A Phone
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description : PLUG EXISITNG DRIVEWAY APPROACH AND CONSTRUCT NEW PER STD 162-L,
REPLACE CURB AND GUTTER PER STD 165-L, NEW 36" BRISBANE STREET TREE,
REMOVE EXISTING X HIGH WOOD FENCE, PILASTERS AND LIGHTING FROM R-O-W
Item: 10200 PRE JOB - PW
Requested Time: 5/18/2017 12:00:OOAM
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
Comments:
")
t
Requestor: NBIVR
7143459371
Date: �� Time: 2 AW�
. P -N
l
Ulu
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insnectorsheet doc
REPT131 Run Id: 4018
9/25/2017 City of Newport Beach Page 10 of 11
• ' 6:34:33AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/25/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1907 BERYL LN
AifPID IIiOIIIIOOf c
Activity : N2017-0247
SubType : NEW
Status : APPROVED
OWNER: POLENZANI MICHAEL A Phone •
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description: PLUG EXISITNG DRIVEWAY APPROACH AND CONSTRUCT NEW PER STD 162-L,
REPLACE CURB AND GUTTER PER STD 165-L, NEW 36" BRISBANE STREET TREE,
REMOVE EXISTING THIGH WOOD FENCE, PILASTERS AND LIGHTING FROM R-O-W
��tsl
Item:
10250 FINAL - PW
Requested Time:
9/25/2017 12:00:OOAM Requestor:
WEBUSER
714-345-9371
Entered By:
WEBUSER
Comments:
AM -
Assigned to:
Inspector:
Date:
Time:
AM Q
Comments: 8'7
: 4 rA - loOr VM
�in L A-eoIW0'
F/V 4-L
AE-AJ A �- S xi vt Csv
V-Fi %/ !ti 11 � e
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F:\Users\PBW\SharedXENCROACH\MASTERS\FORMSXlnspectorSheet.doc
• J
• ROCK • SAND • BASE MATERIALS
READY IOU( CONCRETE
(951) 085i M • (SM $34-7567
FED. I.D. •334W 805
CUSTOMER JOB NUMBER / P.O. DELIVERY DATE
05/18/17
JOB ADDRESS
1907 BERYL LN
NEWPORT BEACH
JENKINS CONSTRUMION
504 CANAL STREET
NEWPORT BEACH CA 92663
10 C
PLANT DEL FROM
ZONE
NVOCE
DATE NUMBER
05/18/17 998133
CUSI NO. JCN NO.
93711 170106
REMIT M P.O. BOX 3600
CORONA. CA 92PS
1Em":
DUE 10TH OF MONTH FOLLOVWNG
DATE OF INVOICE
oBJYFNo
TIdQr
AInYE
d�
PQ/1
W
m
WAN ITY
URR
VESCFPf10N
TAX
UMTmgm
AYOUfT
2869199
15:45
16:15
30
8.00
CY
0056OB31 56OC3250-REVSD
Y
98.00
784.00
2869199
8.00
PY
3100 SHORT LOAD
Y
30.00
g�pyq 30.00
EWm 20.00
1AUIFTWAL 864.00
TOTAL MN AUXW" N STAMM W SAMTAX 66.96
TOTAL QUANTITY
TEpYB; INVOICES ARE DUE 10TH OF MONTH FOLLOWING DATE OF INVOKE. PAST DUE
INVOICE TOTAL
8.00
ACCOUNTS SUBJECT TO A MONTHLY SERVICE CHARGE OF /.M BUYER TO PAY REASONABLE
930.96
COSTS OF COLLECTION MCLUDING ATTORNEY FEES.
10/3/2017 City of Newport Beach Page 4 of 9
4:30:36PM INSPI60 - Daily Inspection Request Report
Requested Inspection Date: 10/04/2017
Inspection Type: ENCROACH
Inspection Area: PW
tt Site Address: 1907 BERYL LN
Activity : N2017-0247
SubType : NEW
Status : APPROVED
OWNER: POLENZANI MICHAEL A Phone:
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description: PLUG EXISITNG DRIVEWAY APPROACH AND CONSTRUCT NEW PER STD 162-L,
REPLACE CURB AND GUTTER PER STD 165-L, NEW 36" BRISBANE STREET TREE,
REMOVE EXISTING 3' HIGH WOOD FENCE, PILASTERS AND LIGHTING FROM R-O-W
Item: 10250 FINAL - PW
Requested Time: 10/4/2017 12:00:OOAM Requestor: WEBUSER
714-345-9371
Entered By: WEBUSER
Comments: AM -Call prior to inspection
Assigned to: 77777777777'
Inspector:
'j V
Date: 14 /4 Time: /O /O A PM
Comments: F4-1) rx45� FEE co,..,v
j vZ tcs55 E3!C' Pic t.1 T
.egged
eie
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
REPT131 Run Id: 4018
11/30/2017 City of Newport Beach Page 3 of 8
4:30:19PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/01/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 1907 BERYL LN
Activity : N2017-0247
SubType : NEW
Status : APPROVED
OWNER: POLENZANI MICHAEL A Phone
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description : PLUG EXISITNG DRIVEWAY APPROACH AND CONSTRUCT NEW PER STD 162-L;
REPLACE CURB AND GUTTER PER STD 165-L, NEW 36" BRISBANE STREET TREE,
REMOVE EXISTING Y HIGH WOOD FENCE, PILASTERS AND LIGHTING FROM R-O-W
"UPDATED 10/4117 - PAYMENT FOR NEW STREET TREE TO BE INSTALLED BY MOD"
Item: 10250 FINAL - PW
Requested Time: 12/1/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 777777�z* �,1
Inspector: �2 Date: �Z Time: 9',w� PM
Comments: (,tom► h 9 U fifitr
1G, <`-
iJ- L -,)- I b Z - L . S E4C-C T- tV c n4 om;?j- . jLe- -- I�
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InSoectorSheet.doc
REPT131 Run Id: 4018