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HomeMy WebLinkAboutN2018-0380A 100 Civic lt�/O CDrive,enter NeWPOrt Bea Beach, CA 92660 IIII�III�III�III�IIIIIIII�IIIIIIIIIIIIIIIII�IIIlllll Permit Counter Phone (949)644-3311 y.,. 4 Online Inspection Request - www.newportbeachca.gov / Online e• Services Job Address: 107 AMETHYST AVE NB Description : REPAIR SIDEWALK AND CURB PER CITY STD PER PW INSPECTOR Parcel # : 0501-131-6 - Legal Desc : BALBOA ISLAND SEC 3 BLK 6 LOT 7 Owner: EKSTROM GREGORY & PATRICIA Phone: 714-349-8800 Address : 107 AMETHYST AVE NEWPORT BEACH CA 92662 Applicant: ALEX ANDRADE Phone : 949-402-3008 [ Address: 15 CORPORATE PLAZA Special Cond.: PRE JOB MEETING REQUIRED WITH PW INSPECTOR Permit No: N2018-0380 Project No : 0701-2017 Inspection Requests Phone (949)644-3255 Thomas:Guide: 919D1 SCANNED Contractor: PATTERSON CONSTRUCTION Phone: 949-723-1800 Address : 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 Contractor State Lic: 802367 License Expire: 07 31, 2018 Business License: BT02110534 Business Expire: 09 30, 2018 Workers' Compensation Insurance - - Carrier : STATE COMP Policy No: 9065406 W. C. Expire: 08 31, 2018 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance 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 2 _ Processed By: Utilities Approval : Traffic Approval : General Services Approval Date Date Date: Date : $571.00 $571.00 $0.00 0 1 _I b ,4 Other Department: Date: Permit Denied Date: Issued Permit: J Date: 1 121 1 COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: I (< / e4& V, PPLICANT: J2 _ ?DO Phone: 27C [[Email Address: Q` ailing Ad Tess: l Ci / tate/Zi ��� a. e���.�► ��- Z� c'� OWNER: r&i c, +4 Phone: Email Address: J Mailing Address: 2G3Z a (Ae-4- H ((I City/Statj0p: 4, bv>✓c C `�Z705 ALL CONTRACTOR WORNATION 12 CONTRACTOR: n t/ x ✓� aiM 14tv4c,, Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: '�4q`Az 5 Mailing Address: City/State/Zip: State Li ease Number & Class: ?j Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Oerations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 FOR OFFICE IMF CKY Special Conditions of Permit: i) ADOnIONAL APPROVAL REQUIRED FROM'! M FOLLOW NG DEPARTMENT$ Utilities: Municipal Operations Traffic: 0 Fire: Other: Engineering Technician: A Permit Specialist I Date: I —712% l 16 Permit No. IN2018- O jZo f /users/pbw/shared/encroach/masters/epwarksheet.As Public Works Department 949-644-3311 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: 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 & Cover $64.00 Additional I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Jire;e-rue7Drv-1r1oW I 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I [Water Meter: 13/4" Meter $50.25 11" Meter $121.50 11 1/2" Meter $285.00 11 1/2" Turbine Meter $700.00 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 �4" Meter $4,730.00 6" Meter $7,190.00 Installation Charge $528.001 1 1 Water Meter Boxes: 1" DFW Meter Box $96.66 W 2" DFMeter Box $203.24 1 B 1 1 1 FEES 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 My 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 /us"pbw/share&enacadVmasters/ep front and back masters/ Rev. 12/18/2017 WeesheetAs-revised 1118/17 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 properly 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 perntit and construction plan sliall 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 1Tte 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 cut of any accident. loss or damage to persons or property occurring as a result of work undertaken under this permit. 3 All work shal! 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 Permittee 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 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. 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 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. 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 feel 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 boy. 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 1. 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) certify that I have a Certificate of consent to self -insure, Certificate of Worker's Compensation I surance, or a Certified Copy Zeof" Date: % 5k% ILA+ Signature:t 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: hour notice for Encroachment Permit Inspection is required by calling P blic Works at 949-644-3311. A a 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 S25,000 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 Works 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 $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and yde rids 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 Iss �? y/►�t� ' Permit fees are nonrefundable. Date: __ _. _Signature: ON IS REQUIRED BEFORE TIME OF PUBLIC WORKS /EMENTS SURROUNDING fTER, AND ALLEY/STREET LITIES INFRASTRUCTURE ATER METER BOX, SEWER 100 % OF THE COST SHALL AND 14.08.030). SAID MADE AT THE DISCRETION J THE SAME TIME AS THE AY SHALL BE PERFORMED BY 4SED GENERAL ENGINEERING LL BE PERFORMED BY A C-34 JGINEERING CONTRACTOR :H DOES NOT RELIEVE kNTS, CONDITIONS AND Y OR TO OBTAIN PLANS. YOU OMMENCEMENT OF ANY )RK ACTIVITIES WITHIN THE 7.10 TGG 6.27. 1E tO CONSTRUCT 6" MIN CONCRETE DRIVEWAY. 20 CONSTRUCT 4" MIN CONCRETE WALK, STD GREY ONLY IN PUBLIC R/W. O3 INSTALL 4" FLAT GRATE DRAIN ® INSTALL 4" ATRIUM GRATE DRAIN O5 INSTALL TRENDCH DRAIN PER DETAIL SHEET C2. ©INSTALL 4" PVC SDR 35 DRAIN LINE, S=0.01 MIN O7 REMOVE EXISTING WALL AND CONCRETE AND PLANT DROUGHT TOLERANT PLANTS-36" HIGH I ® CONSTRUCT CONCRETE CURB Og INSTALL NEW SEWER CLEANOUT PER STD-406-L ON EXISTING SEWER LATERAL. FIELD VERIFI 1p REMOVE AND REPLACE CONCRETE SIDEWALK PER STD PLAN 180-L 11 REMOVE EXISTING SIDEWALK AND CONSTRUCT CURB RAMP, CASE I PER STD PLAN 181-L 12 INSTALL 8" CATCH BASIN WITH FILTER INSERT PER DETAIL SHEET C2. % -Lr o i'I�hGP- 51..- PF-`[ IN ' ,T .-n otQ5 —o a i-- _._ -- - - -- - r "c �d ----------------�27G-------------------------1 -t Sl16RAIN----------' 7.60 FS-G8 8' OUTLET I- ur imtvom 4- ly, N. mcc Q) t4o .'\NN of 0 LLJ \k.A . g400=1�4- ---- ----------------- -- PROTECT -- - - - - - - - - '9 65 TG 7.88 IE FS I 8.75 TW 8.94 PLANT DROUGHT TOLERANT !PLANTS-36w HIGH MAX $0.65 TG 17.95 IE -'7 H NDRAI. 036- a 72 NOSING 8.94 F FS 1 0.10 5 TG PLANT DROUGHT TOLERANT IE PLANTS-36HIGH MAX 8.94 FS (6.65) 4.1' 13.9' 20' a65 TG mll .7.87 IE 6"CURB 9.50 TC 8.12' D.S. -J) PLANTER— ----------- ----------- ------------- If) L0 GOW C) ZI ad to co 00 co 935 � CAP SWR LATER AT PL rl uj co uj 1 2 < ?!30/201g City of Newport Beach Page 1 of 16 6:34:24AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 07/30/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 107 AMETHYST AVE "M Inf m=tkm: Activity : N2018-0380 SubType : Status : APPROVED APPLICANT: ALEX ANDRADE Phone : 949-402-3008 ALEX@PATTERSONCUST( OWNER: EKSTROM GREGORY & PATRICIA Phone: 714-349-8800 Description : REPAIR SIDEWALK AND CURB PER CITY STD PER PW INSPECTOR Requested Inspections) Item: 10200 PRE JOB - PW Requested Time: 7/30/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR 9494023008 Comments: AM Assigned to: V 0A12018 City of Newport Beach Page 7 of 14 4:30:49PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/02/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 107 AMETHYST AVE Activity : NZ01 I-VRIC SubType : Status : APPROVED APPLICANT: ALEX ANDRADE Phone : 949-402-3008 ALEX@PATTERSONCUSTC OWNER: EKSTROM GREGORY & PATRICIA Phone 714-349-8800 Description: REPAIR SIDEWALK AND CURB PER CITY STD PER PW INSPECTOR Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 8/2/2018 12:00:OOAM Requestor: WEBUSER 9496298161 Entered By: WEBUSER Comments: AM - Assigned to: 77777777777' Inspector: -Ay .oJ Date: 2 Time: AM PM Comments: C yy F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Inspectorsheet.doc REPT131 Run Id: 4018 9/4/2018 City of Newport Beach Page 3 of 26 6:34:30AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 09/04/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 107 AMETHYST AVE AMID Information: Activity : N2018-0380 SubType : Status : APPROVED APPLICANT: ALEX ANDRADE Phone: 949-402-3008 ALEX@ PATTERSONC U ST( OWNER: EKSTROM GREGORY & PATRICIA Phone 714-349-8800 Description: REPAIR SIDEWALK AND CURB PER CITY STD PER PW INSPECTOR Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 9/4/2018 12:00:OOAM Requestor: NBIVR 9494023008 Entered By: NBIVR Comments: NP Assigned to: