HomeMy WebLinkAboutN2018-0322yr..
C0ity'vof�NeWenterOPOrt Beach Berive, Newportach, CA 92660
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
II pp ,
IIII�IIIIIIIIIIIIIIIIIIIIIII"III9IIIIIIIIIIIIIIIIIIIIIIII Permit No: N2018-0322�
Project No: 2135-201 ! �1
Inspection Requests Phone (949)644-3255
Job Address:
4539 CAMDEN DR NB
Thomas:Guide: 919F4
Description :
NEW CURB AND GUTTER PER CITY STD, INSTALL 3 NEW CURB DRAINS PER STD 184-L.
Parcel # :
4750-420-2 -
Legal Desc :
N TR 3357 LOT 135
Owner:
SKIRBALL TRUST
Contractor : YOUNG IDEAS INC
Phone:
949-290-1662
Phone: 949/492-8711
Address :
0646 CAPITOL CREEK RD
Address : 130 AVE SERRA
SNOWMASS CO 81654
SAN CLEMENTE CA 92672
Contractor State Lic: 605818
Applicant:
YOUNG IDEAS INC
License Expire : 12 31, 2019
Phone:
949/492-8711 [
Address :
130 AVE SERRA
SAN CLEMENTE CA 92672
Business License: BT.0054279
Business Expire : 03 31. 2019
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : ZURICH AMERICAN INS
Policy No: WC551376502
W. C. Expire: 10 01, 2018
Permit Processing Fee:
$241.00
Sewer Connection :
$0.00
Total Fee
$571.00
Agreement Fee:
$0.00
4TT Box Cover.-
$0.00
Paid :
$571.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee :
$330.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment:
$0.00
Processed By :
Date : _/_/
Other Department :
Date:
Utilities Approval :
Date : _/_/
Permit Denied
Date///
Traffic Approval
Date :
Issued Permit :
Date L/ L'
:
_/_/
General Services Approval :
Date
k
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
PPLICANT:
Phone:, Z O
Email Address: Z ,�
Mailing Address:
City/State/Zip:
OWNER:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
ONTRACTOR:ldllln�h
Office Phone: �1r1•
Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address:
(U.) Q CK
City/State/Zip:
�hf-� Q kvh
State License Number & Class:
Expires:
City Business License Number:
r Expires: 3 31- l
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
Special Conditions of Permit:
ADDITIKKAL APPRW�1L I PFi�111' FOLLOINN 6 Pf6'AR'i1 YT$
Utilities:
Municipal Operations
Traffic: Fire: 0
Other:
Engineering Technician:
Penn' list
Date: G
(�' t4 G
Permit No.
N2018- C;�2-
f /users/pbw/Shared/encroach/mastefslepwarksheet.xis
Public Works Department 9494"-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
rum Inspection Fee:
$241.00U I Public Works Field Inspection
$275.00 Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192.001 Refundable Deposit:
$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
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R,
REVENUE DIVISION PRIOR TO PAYMENT OF FEES Ai
$165.0
$121.0
9---
$165.00
$108.00
TBD
TBD
$108.00
$ $64.00
64.00
ve---
nueDivision 1
I
city.
[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
13" Meter
$3,310.00
�4" Meter
$4,730.00
6" Meter
$7,190.00
RUSCIELLANEOLIS
FEES
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 hriy 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
l /
/ ` r V
Permit,Sperzialist
Receipt No.
f /uses/pbw/shared/en=ach/masters/ep front and back masters)
Rev. 12/18/20171
epfeesheet.xls-revised 1118/17
�a- 1 -�>45 - (-I
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 3 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-insur 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 Cop tt�areo
permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of
- l
a permit. is subject to rejection/fine City reserves the right to void permit if work does not commence within 30 days
Date: - 14 Signature:'
after date of issuance
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
2 The 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 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. 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
1
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 Encroachment P2spection 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 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(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
1 1
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 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 Slate 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, 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 riot removed, the City
etc.). Additional inspection fees may be required.
Wray reprove arid 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 acknowledges he/she has read and un rstands 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.
Date :1I !S_._Signature:
or,
.605/2018 City of Newport Beach Page 5 of 8
6:34:24AM INSPI60 - Daily Inspection Request Report
Requested Inspection Date: 06/15/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 4539 CAMDEN DR
AIPID Information:
Activity :
N2018-0322
SubType :
NEW
Status :
APPROVED
OWNER:
SKIRBALL TRUST Phone : 949-290-1662
APPLICANT:
YOUNG IDEAS INC Phone : 949/492-8711
Description :
NEW CURB AND GUTTER PER CITY STD, INSTALL 3 NEW CURB DRAINS PER STD
184-L.
Requested Inspection(s)
Item: 10200 PRE JOB - PW
Requested Time: 6/15/2018 12:00:OOAM Requestor: WEBUSER
949-678-0407
Entered By: WEBUSER
Comments: AM-Presight for removal of apron
Assigned to: zzzzz777777* . /owl
-� 4e
.6/20/2018 City of Newport Beach Page 1 of 11
f 6:34:46AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 06/20/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 4539 CAMDEN DR
AIP/D Information:
Activity: N2018-0322
SubType : NEW
Status : APPROVED
OWNER: SKIRBALL TRUST Phone : 949-290-1662
APPLICANT: YOUNG IDEAS INC Phone : 949/492-8711
Description : NEW CURB AND GUTTER PER CITY STD, INSTALL 3 NEW CURB DRAINS PER STD
184-L.
Requested Irmspection(s)
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 6/20/2018 12:00:OOAM Requestor: NBIVR
9496780407
Entered By: NBIVR
Comments: AM
Assigned to:
�� Gil ✓ i "
8/1/2018 City of Newport Beach Page 11 of 14
4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/02/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 4539 CAMDEN DR
Activity : N2018-0322
SubType : NEW
Status : APPROVED
OWNER: SKIRBALL TRUST Phone : 949-290-1662
APPLICANT: YOUNG IDEAS INC Phone : 949/492-8711
Description : NEW CURB AND GUTTER PER CITY STD, INSTALL 3 NEW CURB DRAINS PER STD
184-L.
Item: 10250 FINAL - PW
Requested Time: 8/2/2018 12:00:OOAM Requestor: WEBUSER
949-678-0407
Entered By: WEBUSER
Comments: AM -checking we are finaled
Assigned to: 77777777777*
Inspector: Date:
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
Time: AM PM
REPT131 Run Id: 4018