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pN2'018-0315111IPermit No:
o�tyi
enter ortehach, CA 92660
Permit Counter Phone (949)644-3311
Project No : 0306-2017
s
Online Inspection Request - www.newportbeachca.gov / Online
-CANNED
Services
Inspection Requests Phone (949)644-3255
Job Address:
20131 BAY VIEW AVE NB
Thomas:Guide: 889E2
Description :
CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW CURB AND GUTTER IN -KIND, INSTALL NEW 36" BOX STREET TREE.
Parcel # :
4390-231-7 -
Legal Desc :
N TR 1507 LOT 6
Owner:
ROBENTS JEFF
Contractor: N I V CONSTRUCTION
Phone:
714-290-5424
Phone: 949-606-6895
Address :
20121 SPRUCE RD
Address : 150 N AVENIDA SEGOVIA
NEWPORT BEACH, CA 92660
ANAHEIM CA 92808
Contractor State Lic: 929624
Applicant:
N I V CONSTRUCTION
License Expire: 03 31, 2019
Phone:
949-606-6895 [
Address :
150 N AVENIDA SEGOVIA
ANAHEIM CA 92808
Business License: BT30044187
Business Expire: 10 31, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : WC EXEMPT
Policy No: (NO EMPLOYEES)
W. C. Expire:
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 i Date
Traffic Approval :
Date : _/ !
Issued Permit: _Date
General Services
Approval :
Date
iM -, f
I
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: Phone:
Email Address:
Mailing Address:
CitylStatelZip:
OWNER: Phone:
Email Address:
Mailing Address:
City/State/Zip:
.... •::.ALL.-CONTRAGTOR INFORMATIo s REQuwE_D- PL WE AGW .-.
CONTRACTOR: It/
Office Phone:
Company (if different):
N/
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address: /
City/Stat ip:
U 4;2
State License Number & Class:
Expires:
CItyF Business License Number:
Expires:
WORKERS COMPENSATION INSURANC - C rtificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
.................... ............. ........................................,-...-.-.....• • - ..-.........................•.....•.... .
4�FUN[}/lSI.:DES1T tNFORMaI'li?I:fffiF plis.?aible:::::::::::::::::::::::::::::::.:.:.:::::;:;:;:;:;:::;:;::;::::;:;:;:;:;:::::::::::::::::
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Mail:Re u.......................... .
FOR OFFICE USE ONLY -
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities: Traffic: Fire:
General Services: Other:
Engineering Technician: Pub ' orks Specialist: IDatZ,,, Permit No. -
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tluswslpbalsharealenuoadUmeslerslepwodrsheet)ds to -
�'�U t I 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
cum Inspection Fee:
$241.00 Public Works Field Inspection
$275.001n Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192.001 1 Refundable Deposit:
$502.00 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 3 Cover
Additional _ _ _
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES A
$165.0
$121.00
$165.00
$108.00
TBDBTBD
$108.00 0
$.00 e $64
$64.00
---
venue Division I
I
Qhf•
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" DFMeter Box $203.24
W
e
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
�4" Meter
$4,730.00
6" Meter
$7,190.00
FEW Y�.
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:
Tot4 Amount Due:
For Finance Use Only
4D 1-13 ,_
Perm' list
Receipt No.
CB�eL'
/�—
f:lusers/pbw/shared/encroach/masterslep front and back masters)
�) Rev. 12/18/2017
epfeesheet.xls-revised l ve/n
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 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 Pennittee 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.
failures
provisions of the State Labor Code, I must comp)y with the provisions of Section
4
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any shall
3700 or is pe mit hall 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 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 1 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 t 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 Works at 949-644-3311.
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
15. Any above ground utility facilities 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(s).
10
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break. Memorial Day
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 be enforced. It is against the law to
11.
January 1, unless approved by the Public Works Department.
Any wore; 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 State
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 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
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 ackn ledges he/she has read and understands 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. Da)lre: , J�_-_Signature: U 00
• 6/11 /2018
6:34:40AM
City of Newport Beach Page 1 of 13
INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/11/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 20131 BAY VIEW AVE
AIP/D Information:
Activity : N2018-0315
SubType : NEW
Status : APPROVED
OWNER: ROBENTS JEFF Phone : 714-290-5424
APPLICANT: N I V CONSTRUCTION Phone : 949-606-6895
Description : CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW
CURB AND GUTTER IN -KIND, INSTALL NEW 36" BOX STREET TREE.
Requested Inspection(s)
Item: 10200 PRE JOB - PW
Requested Time: 6/11/2018 12:00:OOAM Requestor: NBIVR
9496066895
Entered By: NBIVR
Comments: AM
Assigned to: (L. C /L V 1 6111
,' C) , r-' C'j'-
5
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8/8/2018 City of Newport Beach Page 19 of 24
6:34:04AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/08/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 20131 BAY VIEW AVE
AMID Information:
Activity : N2018-0315
SubType : NEW
Status : APPROVED
OWNER: ROBENTS JEFF Phone: 714-290-5424
APPLICANT: N I V CONSTRUCTION Phone : 949-606-6895
Description: CONSTRUCT NEW DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW
CURB AND GUTTER IN -KIND, INSTALL NEW 36" BOX STREET TREE.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 8/8/2018 12:00:OOAM Requestor: WEBUSER
949-606-6895
Entered By: WEBUSER
Comments: ANY -
Assigned to: zzz777 zzu %
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