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HomeMy WebLinkAboutN2018-0339.•r�wN'j�l�T''.� oCity ivofic �Newenter port Beach rive, NewportBeach, CA 92660 IIIIIIII�III�I0�IIIII�III�NIII�Ii�II3IIII3IIIIII��IIII Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online r' r Services ��IIUM'7�t 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 ...............•..........•....,...,....•..•.: . IF.F1MDa�l:£:D�P4SlT:lMf4RMR tQN:(!f ApRlli�able k�atiin t'a :api•To,: ISA3:>>31TIF�►S 92i5i2................. :::::::::::::::::::::::::::::::::::::: efuid,To....2a..3. hSAR................................................................. . 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 FI 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 go 7 ParmMfine _ - Q O mw =w X= w� 151h STREET �`iCo EL NIDDENA AVENUE iR13 FACE Conc�fTt Paps W iTH uQ�55 OINT5 SIZE OF EACH PAD Is41xt4" I * e _ 1e' a I t$ GARAGE b L-12 a I w I - RESIDENCE SINGLE FAMIL ---��—v------- P.I.P. CONCRETE L--- I PADS YYITH :T� -- - ---- -- L-15 DECORATIVE PEBBLE 6• JOINTS COLOR: NATURAL � GRAY HOME(-...._.., FINISH' CANO 0101 Elms, L-17 V SIZE OF EACH PAD L-15 W Is 1 x 8W EO Q-^ 1 7 ,•JJ L-18 � W L-2 L-5 Z LJ M Y 15th STREET w Y �r ---M Rw^Ir. e 1 218/Y018 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