HomeMy WebLinkAboutN2017-0508100 �ivO Center Drive,
BeachBeach, CA 92660 I IIIIIIIIIII IIIII IIIII IIIII IIII III�IIIIII IIIII IIIIIIIIIIIII
Permit Counter Phone (949)644-3311
y Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address: 34 RUE FONTAINEBLEAU NB
Description : CONSTRUCT NEW SEWER CLEAN OUT PER STD 406-L.
Parcel # : 4421-812-7 -
Legal Desc : N TR 7788 LOT 53
Owner: COLEMAN FAMILY TRUST
Phone: 949-280-2777
Address : 34 RUE FONTAINEBLEAU
NEWPORT BEACH, CA 92660
Applicant: RESORT STYLES
Phone : 951-354-8911 [
Address : 10254 MULL AVENUE
RIVERSIDE CA 92503
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
0
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters:
$0.00
Inspection Fee :
$330.00
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: N2017-0508
Project No : 1795 2016
,SCANNED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889E5
Contractor: RESORT STYLES
Phone: 951-354-8911
Address : 10254 MULL AVENUE
RIVERSIDE CA 92503
Contractor State Lic: 787280
License Expire: 11 30, 2018
Business License :
BT30055576
Business Expire:
06 30, 2018
Workers' Compensation Insurance - -
Carrier :
NORGUARD
Policy No:
PRWC705490
W. C. Expire:
12 20, 2017
Total Fee $635.00
Paid: $635.00
Balance : $0.00
Receipt No:
Date: _/ / Other Department : Date : _/_/
Date: _/_/ Permit Denied Date
Date : _/_/ Issued Permit: `' Date
Date : / /
j t-A I a�� C& lu (-�_3'v 6 (-� z i
PROJECT ADDRESS: "
DET I D D RIPTI N OF PROPOS D WORK:
APPLICANT: Phone:
Email Address:
Mailing Address:
City/State0p:
OWNER: MU,
Phone-
Email Address:
Mailing Address:
City/ te2ip•
:SEE
a/ItLL-CONTRACTOR INF.OItfi��TtOl�f J 'REC 11tE�-�I, $E.`C0 -.,M
CONTRACTOR:
Office Phone:
Company (if different):
Jobsite Phone: O- L
Other Phone:
Email Address:
MailinAddress,
law MA Aje,
Cit //Statelzi :
V,uJ g 'QCZ3°3
State License Number & Class: A -7ClUr- ISO
Expires: . I
Business License Number:
Expires: g
EORKERS CO PENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code)
ny: Policy No: 57k4e.Q 13 Expires:
.
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FOR OFFICE USE ONLY
Special Conditions of Penn•
A - ,_4,
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS. =:
Utilities:
General Services:
Traffic: Fire: 0
Other:
Engineering Technician:
Publi rks Specialist:
Date:
1C? '�
Permit No.
Z.c 1 %-
rruserstpbmhhomdiencmutvme,lersrepwwnkdieeL*
Public Works Department 949-644-3311
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Inspection Fee:
$241.00FM Public Works Field Inspection
$275.00 Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192.00 Refundable Deposit:
$502.00 Improvements
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection
Traffic Control Plan Check
$165.0
$121.00
$165.00
$108.00
TBD
TBD
$108.00 0
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 ---- Revenue Division I
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1
mil-
1
(Water Meter:
Installation Charge $528.00
13/4" Meter
$50.25
Water Meter Boxes:
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost) 1
11 1/2" Meter
$285.00
1" Meter: 13.00 + 37.00 $50.00e 1
11 1/2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88.25
12" Meter
$425.00
12" Turbine Meter
$845.00
For Traffic & Alley Areas (Box + Cover = Cost)
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00
4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00�
6" Meter
$7,190.00
MIStILNEtltJS
FEES
Certificate of Compliance Fee (+100% 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 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
14b�6!�CO
front and back masters/
Rev. 1/5/20171 lepteesheeUds{ev+sea 10/21/2016
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 (Sec on 3800 La r Code)
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 If -in ur Certifi ate of Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
Co n Insurance, or a Certified Copy, er f
permit and construction plan shall be kept at the job site al all times. Work, which has been done prior to issuance of
Vi '
Zvi
a permit, is subject to rejection/fine. City reserves the right to void permit d work does not commence within 30 days
Date,5 Signature.,
after date of issuance.
CERTIFICATE OF EXEMPTION (Section 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 under this permit, I shall not employ
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. If,
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
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 10 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 personalty 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 cleanouls require VCP or PVC SDR35 be used with a
Date: Signature:
4TT box, over the riser.
24-hour notice for EncroaChr9entP it n pection i required by calling
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
"Manual
signs, flags, lights and other warning and safely 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 949-644-32 1.
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 will require documented a
Y 9 Y q approval from the 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 owners,
10.
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
16. Homeowner, contractors, and rs 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
ent Practices
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
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 eg l $charge and/or up to Three years 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 a
g p 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
inspection from the ins a final request d kfill d Banre i Sl f ida Slurried ac E or Evidence o
Certificateq p
the Public Works Department. Any work affecting the State Highway's traffic or within the Stale 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, unl s 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 bee processed.
Temporary Street Closure Permit must be obtained from the Public Works Department.
21. Permit is valid for "description" of work noted on fro , only. A ditional work
performed may require issuance of a separate permit and ortadditiona fees.
No work related to this encroachment permit ghall be performed until the Public Works Department has issued this permit. Applicant her by s owl_7e'udges helshe has read and erstands a 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,lasuance.
Permit fees are nonrefundable.
Date' —" gn8tur8:
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ASBUILT/DEMOPLAN 'R;a ASBUILT/ROOF P ';;q CITY NOTES Ark
1016/2017 • City of Newport Beach Page 17 of 17
6:34:09AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/06/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 34 RUE FONTAINEBLEAU
Activity : N2017-0508
SubType : NEW
Status : APPROVED
OWNER: COLEMAN FAMILY TRUST
Phone : 949-280-2777
APPLICANT: RESORT STYLES Phone : 951-354-8911
Description: CONSTRUCT NEW SEWER CLEAN OUT PER STD 406-L.
d *' �,rk w. =�. �} �,ry'�j•�, � �'t9= 4L§r - e * �ae''�1i �ai«'R'p :.w .4� A�Y-..
:�'t' �"..:,,.`.'• r;?'i ., i 'f YL�A.`.P �'";, f;'� .:?q. �a .. x r tj
Item: 10030 CLEAN -OUT
Requested Time: 10/6/2017 12:00:OOAM Requestor: WEBUSER
949-290-1842
Entered By: WEBUSER
Comments: AM -please call Will with a time.
Assigned to: 77777777777`
Inspector: � q Date: 16[4� Time: AM PM
5 cv d A-1
Comments: PK % vot -r E 60inn A4 viva _ 0 P k/
Logged
Refile
F:1Users\PBW\Shared\ENCROACHUMASTERS\FORMSUnsoectorSheet.doc
10/20/2017 City of Newport Beach Page 11 of 13
6:34:21AM INSP150 - Daily Inspection Request Report
w , 1
Requested Inspection Date: 10/20/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 34 RUE FONTAINEBLEAU i CA060'�N
,,yam
t h. '._771';'rif.!1;a". .• . r4,o r c. w�' SM1 '� >. .-t�eT'�.."r i �.:..x`,.. Y., 'ta• !•.
Activity : N2017-0508
SubType : NEW
Status : APPROVED
OWNER: COLEMAN FAMILY TRUST Phone : 949-280-2777
APPLICANT: RESORT STYLES Phone : 951-354-8911
Description : CONSTRUCT NEW SEWER CLEAN OUT PER STD 406-L.
f � e c��' � yI �.--.k�°�.'C '1�4� ��.rd� �oa�?!�•�� � � x.,.ti � v�`k: yr
Item: 10250 NAL - PW
Requested Time: 10/20/20 .. . M Requestor: WEBUSER
949-290-1842
Entered By: WEBUSER
Comments: ANY -please call Will at 949-290-1842
Assigned to: 77777777777`
Inspector: J y Date: 1 o Z01 1 Time: : LIS AM M
Comments: �) Y—Ay-% 1-a f (,
2.2 1 rrT E►20'41 S c...) P/L
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc