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HomeMy WebLinkAboutN2017-0525k?� O wO Center Drive, Be8 BhNewportach, CA 92660 IIIINIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII�III�IIIIIIIIIIIIll Permit Counter Phone (949)644-3311 -v Online Inspection Request - www.newportbeachca.gov / Online �•, "' ��, Services Job Address : 1738 SKYLARK LN NB Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Parcel # : 1174-730-4 - Legal Desc : N TR 3097 LOT 4 Owner: COLE RUSS & DANIELLE Phone: Address : 1738 SKYLARK LN NEWPORT BEACH, CA 92660 Applicant: DYMEK'S FREEDOM PLUMBING INC Phone : [ Address : P O BOX 696 PLACENTIA CA Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Thomas:Guide: Permit No: N2017-0525 Project No: 1222-2016 �C ANNE; Inspection Requests Phone (949)644-3255 889C4 V V [._ lj Contractor: DYMEK'S FREEDOM PLUMBING INC �� .. Phone Address : P O BOX 696 PLACENTIA CA Contractor State Lic: 764483 License Expire : 12 31, 2017 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 Date Date Date Date: Business License: BT3004366 Business Expire: 05 28, 2018 Workers' Compensation Insurance - - Carrier : HARTFORD INS CO Policy No: 72WECPK6660 W. C. Expire: 11 18.2017 Total Fee $635.00 Paid : $635.00 Balance: $0.00 Receipt No: Other Department: Date Permit Denied Date Issued Permit : / Date : I%0/ i J �7 a'. PROJECT ADDRESS: 1739 DETAILED DESCRIPTION OF PROPOSED WORK: - v r APPLICANT: x 1 Nhone• 6 • cj� Email Address: _ 6v �Ccw ev,��/ji Mailing Address: a. c / 6- /7711Z1v ✓ * - ,' /7 City/State/Zip: Phone: OWNER: U • l.1C t Email Address: Mailing Address: S KV4`� G/i✓ City/Stat ip: G 7-66 e -'. _ !.AM�PORTRAETOR NF09M/ 'F1011-1ISAMULROINVIL =AO"N OUR, ... CONTRACTOR: dgmces ���" rn �, Office Phone: /,v- 63 2 090 Company (if different): Jobsite Phone: Other Phone: / Y2 2 U3vs' Email Address: 2-Mf/� ��jE-�,� �L ✓,�„� Mailing Address: 2 / �G� City/State/Zip• AAIA N�".A27 012 State License Number & Class: 3 Z Expires: / 2 -/ 7 City Business License Number: /8 7.7 6 6 Expires: FORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Compan : N l--�� i tiS Policy No:7 2Expires: %/- 20 :......................................................................................... ................... REFUF44AEi,E:E�EPCISIT:tNFORMATI�?I :(f iFpp/iAable ........................... :::.:.:......:::::::::::: ................ . Reliittii! Pa :able..o�.................................. . Ma.;', ` #`nd. `=`::`::::::::::::::>::`:::::<........................................«<.:`..................«<........:...:..:...:... al Re u....To....................................................................................................... . ,,. FOR OFFICE USE ONLY Special Conditions of Permi ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS.:..: = Utilities: General Services: Traffic: Fire: C� Other: Engineering Technician: Publi Specialist: Datjf: it No. PermI — F2 f asemVWAn..e"rwmW mreeW5ftPw~eeLws Public Works Department 949-644-3311 Permit Processing Fee: eum 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. Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements StreeVAlley/Walk Closure: $65.000 Newspaper Rack Inspection Traffic Control Plan Check 8-1/2" x 11 " $65.00 Sewer Connection Fee 24" x 36" $143.00 4TT Box & Cover Additional _ _ _ _ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R l REVENUE DIVISION PRIOR TO PAYMENT OF FEES A revue Division 1 1 acy. (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 11 1/2" Meter $285.00 1" Meter: 13.00 + 37.00 $50.00 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 16" $4,730.00 2" Meter: 27.00 + 162.00 $189.00e Meter $7,190.00 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 hry over 4 hrs) $1,02.2.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 _.. Engineering Tech: Total Amount Due: For Finance Use Only Zb La Permit ialist Receipt No. f:/usmVpbw/sharedlencroadVm.asters/ep front and back masters/ It Rev. 1/52017 epfeestwtAs-revised 1a2Vn016 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 dale of issuance 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 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 Slate 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 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. 11. 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 Slate 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 Lab Code) . I certify that I have a Certificate of consent to self -insure, Cer ' c e of Worker's Compe4ation Insurance, or a Certified Copy Vhereo fe Date: / Signature F 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 1 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 w s ection — is required by calling I Public Works at 949-644-33?/ /f, 15. Any above ground utility facilktes v_Ifi l 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 Wafer 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, or 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 ,;shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read an undo s the terms and conditions of this permit and helshe agrees to abide by them. Permit Is void if work Is not commenced within 30 days after Issuance. ` Permit fees are nonrefundable. Dita - I�7Sianature: _ _ _ _ ____ R Sidewalk (or alley surface) Riser, Coulder or Femco coupling dr stopper to be installed 6" below finshed grade. Minimum Slope: Yi per linear foot or 2.00% SPECIAL NOTE: Under ag circumstances shall ABS pipe or fittings be allowed! All sewer laterals shall be inspected by the Utilities Dept. and be replaced if necessary to meet current city standards. Chisel "S" on face of concrete curb over lateral. 3" high letter. Yi deep. —7 Curb & gutter CONSTRUCTION NOTES: GENERAL NOTES: OInstall sewer cleanout cover per applicable portions of STD-511—L. Triangular cover with "S" on tap. O 4" (or 6") SDR-35 PVC sewer pipe with gasketed, integral bell and spigot joints. O 4" (or 6") SDR-35 PVC 45' bend. 4O 4"x 4" (or 6"x 6") SOR-35 PVC wye branch fitting. O4" (or 6") ABS stopper (where laterals are stubbed) O 4" (or 6") short piece, SDR-35 PVC, 6" long. O7 4" (or 6") rubber mechanical banded seal clamp. Femco or City approved equal. O4" (or 6") private sewer pipe. O 8"x 4" (or 6') wye branch fitting. SDR-35 PVC. 10 Install ABS stopper in rubber coupling. Use Mission Clay Products stopper or approved equal. 11 Sidewalk replacement shall be in full panel. Finished street surface W w 3 (,.I (N W Z J Z Q Sewer lateral connection per STD-405—L 1. For slope less than Ya per foot a 6" lateral shall be used with a minimum slope - X" per foot. 2. A cleanout shall be installed on all sewer lateral connections. 3. Cleanout shall be installed at property line. 4. Sewer cleanout covers shall be Brooks products No. 4TT or J.&R. No. 4T marked sewer. 5. Cleanout covers placed in sidewalks may be Brooks Products No.1 —RB and No.1—R (concrete cover) or J.&R. No. 1—R by special permission only. 6. Sewer cleanout riser pipe material shall be SOR-35 PVC except where existing sewer main is VCP in which case VCP pipe and fittings shall be used. 7. PVC shall be SOR-35 per ASTM 3034. 8. PVC pipe and fittings shall be bedded with 37 crushed rock material. In areas of ground water or tide water %" crushed rock. 9. Where VCP materials are used, bedding shall be standard. 10. Single family residences shall be 4" diameter all others shall be 6". 11. Saddle type connections to sewer mains are prohbitied, except by special permission from the Utilities Superintendent. (Then only on old concrete mains with heavy flows.) 12. Glue or solvent joints are prohibited. CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT SEWER LATERAL WITH CLEANOUT APPROVED: RCE NO. 36106 PUBLIC WORKS DIRECTOR Drawn: M. Elias Scale: N.T.S. •10118/2017 4:30:10PM City of Newport Beach Page 7 of 21 INSP150 - Daily Inspection Request Report Requested Inspection Date: 10119/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1738 SKYLARK LN Activity : N2017-0525 SubType : NEW Status : APPROVED OWNER: COLE RUSS & DANIELLE Phone rcole@sageadvisorslic.com APPLICANT: DYMEK'S FREEDOM PLUMBING INC Phone Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Item: 10200 VfRE JOB - PW Requested Time: 10/19/201 Requestor: NBIVR 7142720305 -` F-VIV oNy Entered By: NBIVR P JAP c Comments: AM Assigned to: Inspector: V Date: �� Time: AM PM Comments: �-�/ 41 -�- x 0 ti 1157- c, G 01- Refile l U,5EP s ! trz cot z, /� he,4v - 3W\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc e-H R-i s REPT131 Run Id: 4018 i013o12017 City of Newport Beach Page 1 of 7 4:30:46PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/31/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1738 SKYLARK LN Activity : N2017-0525 SubType : NEW Status : APPROVED OWNER: COLE RUSS & DANIELLE Phone rcole@sageadvisorslic.com APPLICANT: DYMEKCS FREEDOM PLUMBING INC Phone: Descriotion : INSTALL SEWER CLEAN OUT PER STD 406-L. Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 10/31/2017 12:00:OOAM Requestor: Entered By: NBIVR Comments: AM Assigned to: NBIVR 7147433476 Inspector: J � Date: /6 131' / I Time: i� cS'- A PM Comments: G REPT131 Run Id: 4018 0 M.. f �ftk i ■ 11/2/2017 City of Newport Beach Page 3 of 13 6:34:53AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/02/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1738 SKYLARK LN Poll 14. > .-145m"ifti Activity : N2017-0525 SubType : NEW Status : APPROVED OWNER: COLE RUSS & DANIELLE Phone: rcole@sageadvisorsllc.com APPLICANT: DYMEK'S FREEDOM PLUMBING INC Phone: Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Item: 10250 FINAL - PW Requested Time: 11/2/2017 12:00:OOAM Requestor: NBIVR 7147433476 — � f ort� Entered By: NBIVR Comments: PM Assigned to: Inspector: Date: �l Z 7 Time: �' � M M Comments: qO Fr Fi�om F-, WX 6- vr-- rl- i r�,�' Go�G . ✓ Otto, r---b Ar'�� 0/;C:� /V V7� T-' ©Z4- I t- V r E Gcz/v5 T W." !D : o gAL, , F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc