HomeMy WebLinkAboutN2018-03661City ooi�oic f Newport Beach rive, Newportsach,CA92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIplll�llllllll"III�III�IIII Permit No: N2018-0366
( ( Permit Counter Phone (949)644-3311 Project No : 2420-201
Online Inspection Request - www.newportbeachca.gov / Online bCANNED
Services
Inspection Requests Phone (949)644-3255
Job Address: 220 EVENING CANYON RD NB Thomas:Guide: 919F3
Description : Install "Davis 'Miami Buff" colored driveway approach (W=17') with an acid washed finish, a 5-foot wide Limestone paver entry walkway, and remove
and replace any damaged curb and gutter per City Standards.
UPDATED 7/30/18 installation of one (1) curb drain and one (1) 36-inch box street tree payment to be planted by City
Parcel # : 0521-920-4 -
Legal Desc : N TR 1116 LOT 52
Owner: PRITCHETT WILMA Contractor: NICHOLSON CONSTRUCTION CO
Phone: 0 Phone: 949-872-6637
Address : 3903 BELLAIRE BLVD Address : 1 CORPORATE PLZ #110
HOUSTON, TX ^� NEWPORT BEACH CA 92660
+ Contractor State Lic: 660295
Applicant: NICHOLSON CONSTRUCTION License Expire: 12 31, 2018
Phone: 949-756-8393 [
Address : 1 CORPORATE PLAZA DR. SUITE 110
NEWPORT BEACH, CA 92660 Business License: BT98032850
Business Expire: 04 30, 2019
Special Cond.: Pre -job inspection required. Workers' Compensation Insurance - -
Encroachment agreement required. Carrier: STATE FUND
Policy No: 9074255
W. C. Expire: 10 01, 2018
Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee $2,443.89
Agreement Fee: $817.00 4TT Box Cover: $0.00 Paid : $2,443.89
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 : $890.89 Adjustment : $0.00
Processed By: Date : _/_/ Other Department : Date
Utilities Approval : Date : _/_/ Permit Denied / Date
Traffic Approval : Date : _/_/ Issued Permit : ACT .L :; Date: L2,4 l �.
General Services Approval : Date
ootyiVic ofCenter New�port riveBe a ehach, CA sssso IIIIrIIN�ll�ln��8 0l�3l6l�l6C, Newportl�llll
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
Permit No: N2018-0366
Project No., SCANNED
Inspection Requests Phone (949)644-3255
Job Address: 220 EVENING CANYON RD NB Thomas:Guide: 919F3
Description : Install "Davis 'Miami Bufr" colored driveway approach (W=1 T) with an acid washed finish, a 5-foot wide Limestone paver entry walkway, and remove
and replace any damaged curb and gutter per City Standards.
Parcel0:
0521-920-4 -
Legal Desc :
N TR 1116 LOT 52
Owner:
PRITCHETT WILMA
Phone:
0
Address :
3903 BELLAIRE BLVD
HOUSTON, TX
Applicant: NICHOLSON CONSTRUCTION
Phone: 949-756-8393 [
Address : 1 CORPORATE PLAZA DR. SUITE 110
NEWPORT BEACH, CA 92660
Special Cond.: Pre -job inspection required.
Encroachment agreement required.
Permit Processing Fee:
$241.00
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:
$495.00
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
Contractor : NICHOLSON CONSTRUCTION CO
Phone: 949-872-6637
Address : 1 CORPORATE PLZ #110
NEWPORT BEACH CA 92660
Contractor State Lic: 660295
License Expire: 12 31. 2018
Business License: BT98032850
Business Expire:
04 30, 2019
Workers' Compensation
Insurance - -
Carrier :
STATE FUND
Policy No:
9074255
W. C. Expire:
10 01, 2018
Total Fee $1,553.00
Paid : $0.00
Balance: $1,553.00
Receipt No:
Date:
_/
/
Other Department: Date : _/_/
Date:
/
/
Permit Denied Date:
Date //s
Date:
_/_/
Issued Permit : : _I
Date:
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064 WO -Al '4;"Ish
Exhibit "A"
Sheet 1 of 1
WORKSHEET FORENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPLETE THE BELOWINFORMATION
PROJECT ADDRESS: 220 Evening Canyon
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT: Nand Glass Phone: 714-865-4465
Email Address: Nanci nicholsoncom anies.com
Mailing Address:
1 Corporate Plaza Dr., Suite 110
City/State/Zip:
New ort Beach, CA 92660
OWNER: 220 Evening Canyon, LLC Phone: 949-756-8393
Email Address: Nanci nicholsoncom panies.com
Mailing Address:
1 Corporate Plaza Dr., Suite 110
City/State/Zip:
Newport Beach CA 92660
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: Nicholson Construction
Office Phone: 949-756-8393
Company (if different):
Jobsite Phone: 949-482-9475
Other Phone:
Email Address: Nanci@nicholsoncom anies.com
Mailing Address:
1 Corporate Plaza Dr. Suite 110
City/State/Zip:
Newport Beach CA 92660
State License Number & Class:
660295 B Ex ires:12-31-18
City Business License Number:
BT98032850 Expires: 4-30-19
tERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
ny: State Fund Policy No: 9074255 Expires: 10-1-18
......................................................................................................................
. ...
REF(JCYDASt.E:p:EPOS:IT tNFORMaTION.(/f:App/lCaib/e
Refund PayableTo .
Mail Refund.To
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineerin echnician:
PubligWortks Specialist:
Date:
Permit No.
I lasers/pb�v/shared/encroachlmaslerslepworksheel MIS
Public Works Department 949-644-3311
FEE 1NORKSHEET FOR ENCROACKMENT PER,
CITY OF NOW AT .
PUBLIC WORKS O PwRFM T
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
zz.J
PERMIT
NUMBER: N2018- U3:dcr
APPLICANT:
�Jcn<<sc•, �oyksltr,;ci��vr
Permit Processing Fee: -\ Inspection Fee:
Public Works Only $241.00 Public Works Field Inspection $165.00 e
Other Department $275.00Ei Utilities Field Inspection $121.00
General Services Inspection $165.00
Agreement Fee: Water Quality/Artificial Turf Inspection $108.00
Preparation of Report/Agreement $817.00 ; '
Document Recordation Fee $192.00 Refundable Deposit: TBDe
Monitoring Wells $502.00 Improvements TBD
StreetifAlleyMlalk Closure: $65.00= Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00e
24" x 36" $143.00 4TT Box & Cover $64.00
_ _ _ Additional _ _ _
THE FOLLOWING IITEMS REQUIRE APPROVAL MO —I THE Division
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES lre;;Zue
pproval: 1
city.
(Water Meter. Installation Charge $528.00
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 e 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24
12" Meter $425.00
12" Turbine Meter $845.00 1
13" Meter $3.310.00 1
� 4" Meter $4,730.00 1
1
!6 Meter $7.190.00
Certificate of Compliance Fee (+t0o% 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 EasemenWacation Fee (+10o% of hrly over 4 hrs)
$1.022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBO
-------..._.._.._..--
030-2284
Engineering Tech: Total Amount Due: For Finance Use Only
Permit Specialist Receipt No.
J�CA ' fhtserstpbwrsnaredrencra6WM8sterWep front and book masters!
Rev. 12118/20171 epreesfeet As•roasad 1118117
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR _ I
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed
contractor must provide a -Letter of Authorization' to allow another party to pull a permit. An approved copy of the
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
after date of issuance
2 The Pemiitlee 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
or damage to persons or property occurring as a result of work undertaken under this permit.
3 All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
4. Permitlee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
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
Public Works Director. A valid Stale Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid Slate Contractor License Class C-34 is required. For construction or
connection to sewer lines a valid Slate 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,
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Industrial Safely 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.
7 The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities
Department or General Services Department inspections may be required depending on scope of work performed.
8 All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
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 SDR35 be used with a
4TT box over the riser
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current "Manual of
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
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.
10 Work within or near beach sensitive areas will not be allowed during, City holidays, spring break. Memorial Day
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department.
1 I Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control
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
the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way
will require a Caltrans Permit All vehicles shall be lawfully parked.
12 This permit does not authorize the closure of sidewalks. streets, or alleys for construction access, storage of
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure.
13 Applicant must notify USA at 1-800.227-2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
14 Refuse or unused materials shall be removed within 24 hours after completion of the work If not removed, the City
may remove and bill the applicant Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department.
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) -
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's"
Compeptation Insurance, or a Certified Cop hereof.
Date:—?fx�
` CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to California Worker's Compensation Laws. If,
after signing this certificate I become subject to the Worker's Compensation
provisions of the State Labor Code, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date: Signature:
CONTRACTOR LICENSE EXEMPTION
As the Owner of the benefiting property, I certify I am personally performing all
work in the Public Right -of -Way.
Date:
Signature:
HOLD HARMLESS STATEMENT
I understand that I am locating minor encroachments within the City Right-of-
Way/Easement. As property owner it is my responsibility to maintain the
encroachments. I will be responsible for replacing the improvements if the City
removes them for maintenance of utilities or other public need. I shall indemnify
and hold the City harmless for any liability associated with the minor
encroachments.
Date:
Signature:
24-hour notice for Encroachment Permit Inspection is required by calling
Public Works at 949-644-3311P, /_
15. Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16 Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
Quality Laws. Best Management Practices will be enforced. It is against the law to
discharge construction debris into the gutter and storm drain. Felony violations of Water
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.
17. If a refundable deposit was paid, applicant must submit a Soils Compaction
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
Public Works Department. Monies may be held for six months after final inspection
before a refund will be processed.
18. No trees in the public right-of-way shall be planted, removed, trimmed, er relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Wcirks
Department or corrections will be required (i.e. removals, exposing connections,
etc.). Additional inspection fees may be required.
20. Permit is for standard materials in the public right-of-way only, unless previously
approved by Public Works and an Encroachment Agreement has been processed.
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 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. Date�h -i:Z_Lthnature: _._ SLtd__- __
.T/1812018 City of Newport Beach Page 4 of 20
' 4:30:43PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/19/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 220 EVENING CANYON RD
Activity : N2018-0366
SubType : NEW
Status : APPROVED
OWNER: PRITCHETT WILMA Phone: 0
APPLICANT: NICHOLSON CONSTRUCTION Phone : 949-756-8393
Description : Install "Davis 'Miami Bufr" colored driveway approach (W=17') with an acid washed finish, a
5-foot wide Limestone paver entry walkway, and remove and replace any damaged curb
and gutter per City Standards.
Item: 10200 PRE JOB - PW
Requested Time: 7/19/2018 12:00:OOAM Requestor: NBIVR
9495262482
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: '/O140 Date: % Time: AM PM
Comments: lXlewl dslQ--l'
w
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131
Run Id: 4018
' 7/24/2018 City of Newport Beach Page 3 of 14
4:30:30PM INSP1 SO - Daily Inspection Request Report
Requested Inspection Date: 07/25/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 220 EVENING CANYON RD
Activity : N2018-0366
SubType : NEW
Status : APPROVED
OWNER: PRITCHETT WILMA Phone: 0
APPLICANT: NICHOLSON CONSTRUCTION Phone : 949-756-8393
Description : Install "Davis 'Miami Buff' colored driveway approach (W=17') with an acid washed finish, a
5-foot wide Limestone paver entry walkway, and remove and replace any damaged curb
and gutter per City Standards.
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 7/25/2018 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR 9494829475
Comments: PM
Assigned to:
Inspector: '/ �' Date: /2- Time: AM PM
Comments:
7' %C /C:2 1"-7
Lagged
Refile
F:\UserskPBW\Shared\ENCROACHkMASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
• V2712018 City of Newport Beach Page 3 of 15
6:34:40AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/27/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 220 EVENING CANYON RD
MPM Information:
Activity : N2018-0366
SubType : NEW
Status : APPROVED
OWNER: PRITCHETT WILMA Phone: 0
APPLICANT: NICHOLSON CONSTRUCTION Phone : 949-756-8393
Description : Install "Davis'Miami Buff" colored driveway approach (W=17') with an acid washed finish, a
5-foot wide Limestone paver entry walkway, and remove and replace any damaged curb
and gutter per City Standards.
Requested Inspecltioa Ns)
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 7/27/2018 12:00:OOAM Requestor: NBIVR
9494829475
Entered By: NBIVR
Comments: AM
Assigned to : J 44
8/6/2bls City of Newport Beach Page 10 of 13
6:34:19AM INSP1 SO - Daily Inspection Request Report
Requested Inspection Date : 08/06/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 220 EVENING CANYON RD
A/P/D Information:
Activity : N2018-0366
SubType : NEW
Status : APPROVED
OWNER: PRITCHETT WILMA Phone: 0
APPLICANT: NICHOLSON CONSTRUCTION Phone : 949-756-8393
Description : Install "Davis'Miami Buff" colored driveway approach (W=17') with an acid washed finish, a
5-foot wide Limestone paver entry walkway, and remove and replace any damaged curb
and gutter per City Standards.
UPDATED 7/30/18 installation of one (1) curb drain and one (1) 36-inch box street tree
payment to be planted by City
Requested Inspections)
Item: 10250 FINAL - PW
Requested Time: 8/6/2018 12:00:OOAM Requestor: WEBUSER
949-482-9475
Entered By: WEBUSER
Comments: AM -
Assigned to: 777 z777777`
,m