HomeMy WebLinkAboutN2018-0339.•r�wN'j�l�T''.� oCity
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Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
r' r Services
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Job Address
Description
Parcel # :
Legal Desc :
Owner:
Phone :
Address
546 EL MODENA AVE NB Thomas:Guide:
EA FOR DECORATIVE PEBBLE CONCRETE PADS FOR DRIVEWAY APPROACH.
0490-420-1 -
FIRST ADD TO NEWPORT HEIGHTS BILK 37 LOT 12
I BRAHIMPASIC/MASLOVARIC
949-422-9150
546 EL MODENA AVE
NEWPORT BEACH, CA 92663
Applicant: IBRAHIMPASIC/MASLOVARIC
Phone : 949-422-9150 [
Address : 546 EL MODENA AVE
NEWPORT BEACH, CA 92663
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$0.00
Sewer Connection :
$0.00
Agreement Fee:
$817.00
4TT Box Cover:
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$165.00
Water Meter Connection :
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment:
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval
Permit No: N2018-0339
Project No: 0626-2017
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:
Total Fee $982.00
Paid : $982.00
Balance : $0.00
Receipt No:
Date: _/_/ Other Department : Date:
Date: / / Permit Denied Date:
Date: / / Issued Permit: Date : _/_/.
Date : / /
WORKSHEET FOR N M T PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
i
PROJECT ADDRESS: 546 EL MODENA AVE NEWPORT BEACH CA 92663
DETAILED DESCRIPTION OF PROPOSED WORK:
HARDSCAPE IN ROW ALONG EL MODENA AVE PART OF APPROVED
PLAN FROM BL G PERMIT # X2017-0939. SCOPE INVOLVES 3 CONCRETE PADS
(4'X8'-4" EACH) WHICH MAKEUP THE PATHWAY OF THE ENTRY INTO RESIDENCE,
- -- COLOR OF
CONCRETE
APPLICANT: ISMAR IBRAHIMPASIC Phone: 310-422-9150
Email Address: HYBRID_EG@HOTMAIL.COM
Mailingg Address:
2233 MARTIN CT, 480A
City/State/Zip:
IRVINE, CA 92612
OWNER: SAME AS ABOVE Phone:
Email Address:
Mailing Address:
City/State/Zip:
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: AXCELL DEVELOPMENT INC.
Office Phone: 949-338-3302
Company (if different):
Jobsite Phone: SAME AS ABOVE
Other Phone:
Email Address: AXCELLCONSTRUCT@AOL.COM
Mailing Address:
22733 INSPIRATION POINT
City/State/Zip:
CANYON LAKE, CA 92587
State License Number 8t Class:
551140, CLASS B Expires: 05/31/19
City Business License Number:
BT 30059641 • Expires: 06/30/18
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: STATE COMPENSATION INSURANCE FUND Policy No: 9215903 Expires: 08/11/18
...............•..........•....,...,....•..•.: .
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FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public Works Specialist:
Date:
Permit No.
n' l —
riusemipbWshsrea/ewoadVma3teroMpworksheetxb
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Public Works Department 949-644-3311
Permit Processing Fee:
Public Works Only $241.00
Other Department $275.00
[n
Agreement Fee:
Preparation of Report/Agreement $817.0
Document Recordation Fee $192.0
3VI
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: TBD
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 3 Cover $64.00
Additional
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE JFe;e-rue7D1—V1q-10W 1
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I
1
ft.
[Water Meter:
Installation Charge $528.00 1
13/4" Meter
$50.25
1
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66 1
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 1
B
12" Meter
$425.00
1
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
1
4" Meter
$4,730.00
6" Meter
$7,190.00
FEES
Budget Number
Certificate of Compliance Fee (+100% of hriy 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
Permit Specialist
Receipt No.
f /users/pbw/shared/encroach/masters/ep front and back mastery
Rev. 12/18/2017
epfeesheetAs-revised t v8/17
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICMED':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 Labs� ode)
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 Wo er's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
and construction shall be kept the times. Work, has been done issuance
Compensation Insurance, or a Certified Copy there
permit plan at job site at all which prior to of
— (5Signatur/
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Date:
after date of issuance.
CERTIFICATE OF EXEMPTION (Sec ' 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 nder this permit, I shall not empl y
f,
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 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
4.
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
provisions of the State Labor Code, I must comply with the provisions of Section
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 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 State Contractor License Class C-42 is required.
CONTRACTOR LICENSE EXEMPTION
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 1 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 VCP or PVC SOR35 be used with a
Date: Signature:
4TT box over the riser.
by cal Ing
24-hour notice for Encroachme Perm' ection i�qu�id`
9. Property 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
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
Public Works at 949-644-331
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
15. An above round utility facilities w e uire d umented a
y g Y q ppr al fro a 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 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 Wafer
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
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
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
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, 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 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 end/or additional fees.
No work related to this encroachment permit ;hall.be performed` until the Public Works Departmentihas ,issued'this permit.-Appllcant het' by acknowledge `he/she hasiea 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. x
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6:34:04AM
City of Newport Beach Page 24 of 24
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/08/2018
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.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
8/8/2018 12:00:OOAM Requestor: WEBUSER
310-422-9150
Entered By: WEBUSER
Comments: AM -Contact Abby x3323 prior to inspect
Assigned to : zzzzzzzzzz f-Dr 11
44"
�s
p
8/15/2018 City of Newport Beach Page 7 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 : N2018-0339
SubType : NEW
Status : APPROVED
OWNER: IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID _EG a@HOTMAIL.CC
APPLICANT: IBRAHIMPASIC/MASLOVARIC Phone : 949-422-9150
HYBRID_EG@HOTMAIL.CC
Descriotion : EA FOR CONCRETE PADS WITH GRASS/SOD JOINTS FOR DRIVEWAY APPROACH.
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: 4004090pay Date: 1111146 Time: AM PM
Comments:
6
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018