HomeMy WebLinkAboutN2018-0338««r•µ�r� City
Civic '`'o cDrive,enter NeWPOrt Be8 Beach, CA 92660 IIIIfIIIIIIiIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII
F - % Permit Counter Phone (949)644-3311
-t Online Inspection Request - www.newportbeachca.gov / Online
e• "_` Services
Job Address : 546 EL MODENA AVE NB Thomas:Guide:
Description : INSTALL NEW 36" BOX STREET TREE; VERIFY REMOVAL OF FENCE FROM R-O-W.
Parcel # : 0490-420-1 -
Legal Desc : FIRST ADD TO NEWPORT HEIGHTS BLK 37 LOT 12
Owner: IBRAHIMPASIC/MASLOVARIC
Phone : 949-422-9150
Address : 546 EL MODENA AVE
NEWPORT BEACH, CA 92663
Applicant: AXCELL CONSTRUCTION
Phone : 949-338-3302
Address : 22733 INSPIRATION POINT
CANYON LAKE CA 92587
Special Cond. :
Permit No: N2018-0338 .
Project No: 062A N N
Inspection Requests Phone (949)644-3255
888J6
Contractor: AXCELL CONSTRUCTION
Phone: 949-338-3302
Address : 22733 INSPIRATION POINT
CANYON LAKE CA 92587
Contractor State Lic: 551140
License Expire: 05 31, 2019
Business License: BT30059641
Business Expire: 06 30, 2018
Workers' Compensation Insurance - -
Carrier : WC EXEMPT
Policy No:
W. C. Expire:
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$406.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid :
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance:
$406.00
Inspection Fee :
$165.00
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: _/_/
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: (a _
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
OWNER:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
�.' ', . '!a1. 01s.WAOIS: ; _ , ..+ 14 WLEASEV.EJU -a 6,*k'455 .
CONTRACTOR:
�3
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Office Phone• 7 " S
Company (if diffe my
`f 7 '?1 1-4,JC
Jobsite Phone:
Other Phone:
Email Address: 7; �i1 Li r / t 0 Co
Mailing Address:,
17-7-111
City/State/Zip:
State 4icense Number & Class:
S( LA U Expires:
City Business License Number:
VJ O Ex ices: —
WORKERS COMPENSATION INSUTNCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : : C J av Policy No: ( 5 C Expires:
Municipal Oerations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
y�
Special Conditions of Permit: // ,,�� '' `,,,,
KAA - W s'4n4,Ch
''ADDITH)WWAPPINNALREM111RED FROM THE FOLLOWWO DEPARTNEMTS
Utilities:
Municipal Operations
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Pe ialist
M-
Dat :
IpZ�S ,
Permit No.
IN2018- ? 4
(lusers/pbw/shared/enaaach/masters/epwark5heet AS 1---
l�
Public Works Department 949444-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Public Works Only $241.00
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee:
Public Works Field Inspection $165.00
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
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
_ _ _ _ _
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
f REVENUE DIVISION PRIOR TO PAYMENT OF FEES JA
TBD
TBD
$108.00
$ $64.00
1
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
T' DFW Meter Box
$96.66 1 {
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box
$203.24 1
12" Meter
$425.00
{
12" Turbine Meter
$845.00
13" Meter
$3,310.00
4" Meter
$4,730.00
{
6" Meter
$7,190.00
. . - .. ,.
FEES
Certificate of Compliance Fee (+100% of hdy 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
4ou'. () C,
Permit Specialist
Receipt No.
flusers/pbw/shared/encroach/masters/ep front and back masters/
Rev. 12/18/2017
epfeesheetAs-revised t 1/8/t7
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 La""erode) '
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 -ins Cer 'flcate 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 there f.
permit and construction plan shall be kept at the lob 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: Signatur
after date of issuance
CERTIFICATE OF EXEMPTION (SeSOafi 3800 Labor Code)
2. The Pemrittee 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 nder this permit, I shall not empl�fl,
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.
3
All work shal! 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
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 VCR or PVC SDR35 be used with a
Date: Signature:
4TT box over the riser.
24-hour notice for Encroachme Perm' ection i qui d by cal ing
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 949-644-3317
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 w equire d umented appr al fro tf% 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 owntility
10
Work within or near beach sensitive areas will not be allowed during. City holidays, spring break. Memorial Day
er
er
16 Homeowner, contractors. and subcontracotrs may each be liable for violations of Water
weekend, summer between June 15 and September 15. aduring 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 wort: 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 u p y to $25,000 and/or u to three ears 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 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 her by acknowledge he/she has rea nder rids the rms d
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.Signature: �� .�
. KJ
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6/28/2018 City of Newport Beach Page 7 of 8
4:30:06PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/29/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 546 EL MODENA AVE
Activity : N2018-0338
SubType : NEW
Status : APPROVED
OWNER: IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID_EG@HOTMAIL.CC
APPLICANT: AXCELL CONSTRUCTION Phone : 949-338-3302
Description : INSTALL NEW 36" BOX STREET TREE; VERIFY REMOVAL OF FENCE FROM R-O-W.
Item: 10250 FINAL - PW
Requested Time: 6/29/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: OG�I Date:
Comments:
01/Z4 Time: AM PM
9, 01 /, 6-e"- , -� e 9A -
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
REPT131 Run Id: 4018
L=
�i
8/15/2018 City of Newport Beach Page 6 of 17
4:30:22PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/16/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address: 546 EL MODENA AVE
Activity: N2018-0338
SubType : NEW
Status : APPROVED
OWNER: IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID_EG@HOTMAIL.CC
APPLICANT: AXCELL CONSTRUCTION Phone : 949-338-3302
Description: INSTALL NEW 36" BOX STREET TREE; VERIFY REMOVAL OFFENCE FROM R-O-W.
e'�.tA.^..
Item: 10250 FINAL - PW
Requested Time: 8/16/2018 12:00:OOAM Requestor: WEBUSER
310-422-9150
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: 01104 0 0 Date: Time: AM PM
Comments:
Dom; adf
Im Lmri eovew josk t•r ���C
Loua- ed
Refile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
8/17/2020 City of Newport Beach Page 1 of 12
4:30:24PM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
08/18/2020
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
546 EL MODENA AVE
A/P/D Information:
Activity :
N2018-0338
SubType :
NEW
Status :
APPROVED
OWNER:
IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID EG@HOTMAIL.CC
APPLICANT:
AXCELL CONSTRUCTION Phone : 949-338-3302
Description :
INSTALL NEW 36" BOX STREET TREE, VERIFY REMOVAL OF FENCE FROM R-O-W
*UPDATED 8/16/18: NEW CURB CORE*
*UPDATE 8/17/18 DK OWNER TO SUBMIT $1500 CASH DEPOSIT FOR
LANDSCAPIING ALONG 15TH STREET. LANDSCAPING TO BE INSTALLED WITHIN
6-MONTH WHEN POOL PERMIT IS SUBMITTED PLACE HOLD ON POOL FINAL*
Requested Inspection(s)
Item:
10210 PUBLIC WORKS
Requested Time:
8/18/2020 12.00 OOAM Requestor: NBIVR
3104229150
Entered By:
NBIVR
Comments:
AM
Assigned to
-" T --/ r
TH
L.l
,8/19/2020 City of Newport Beach Page 8 of 22
4:30:24PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/20/2020
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 546 EL MODENA AVE
A/0/r) Infr%rr"n+inn-
Activity : N2018-0338
SubType : NEW
Status: APPROVED
OWNER: IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID EG@HOTMAIL.CC
APPLICANT: AXCELL CONSTRUCTION Phone : 949-338-3302
Description : INSTALL NEW 36" BOX STREET TREE; VERIFY REMOVAL OF FENCE FROM R-O-W.
*UPDATED 8/16/18: NEW CURB CORE*
*UPDATE 8/17/18 DK: OWNER TO SUBMIT $1500 CASH DEPOSIT FOR
LANDSCAPIING ALONG 15TH STREET. LANDSCAPING TO BE INSTALLED WITHIN
6-MONTH. WHEN POOL PERMIT IS SUBMITTED PLACE HOLD ON POOL FINAL*
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 8/20/2020 12:00:OOAM Requestor: WEBUSER
'310-422-9150'
Entered By: WEBUSER
Comments: 'AM -Removed lights from sidewalk trees'
Assigned to : zzzzzzzzzzz* (Ai!?
COMPLETED
si2oi2o1s City of Newport Beach Page 8 of 12
6:34:20AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/20/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 546 EL MODENA AVE
A/P/D Information:
Activity : N2018-0338
SubType : NEW
Status : APPROVED
OWNER: IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID EG@HOTMAIL.CC
APPLICANT: AXCELL CONSTRUCTION Phone : 949-338-3302
Description : INSTALL NEW 36" BOX STREET TREE; VERIFY REMOVAL OF FENCE FROM R-O-W.
*UPDATED 8/16/18: NEW CURB CORE*
*UPDATE 8/17/18 DK: OWNER TO SUBMIT $1500 CASH DEPOSIT FOR
LANDSCAPIING ALONG 15TH STREET. LANDSCAPING TO BE INSTALLED WITHIN
6-MONTH. WHEN POOL PERMIT IS SUBMITTED PLACE HOLD ON POOL FINAL*
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 8/20/2018 12:00:OOAM Requestor: WEBUSER
714-587-7359
Entered By: WEBUSER
Comments: AM -Curb Core - Per MS Request, AM
Assigned to : zzzuuzzzz*
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8/21/2018 City of Newport Beach Page 14 of 14
6:34:47AM INSP1 SO - Daily Inspection Request Report
Requested Inspection Date : 08/21/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 546 EL MODENA AVE
AIPID Information:
Activity : N2018-0338
SubType : NEW
Status : APPROVED
OWNER: IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID EG@HOTMAIL.CC
APPLICANT: AXCELL CONSTRUCTION Phone : 949-338-3302
Description : INSTALL NEW 36" BOX STREET TREE; VERIFY REMOVAL OF FENCE FROM R-O-W.
*UPDATED 8/16/18: NEW CURB CORE*
*UPDATE 8/17/18 DK: OWNER TO SUBMIT $1500 CASH DEPOSIT FOR
LANDSCAPIING ALONG 15TH STREET. LANDSCAPING TO BE INSTALLED WITHIN
6-MONTH. WHEN POOL PERMIT IS SUBMITTED PLACE HOLD ON POOL FINAL*
Requested Inspections)
Item: 10250 FINAL - PW
Requested Time: 8/21/2018 12:00:OOAM Requestor: WEBUSER
714-587-7359
Entered By: WEBUSER
Comments: PM -Per Tom&Chuck change pipe
Assigned to: 77777777777*
1 � cl
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