HomeMy WebLinkAboutN2017-0556City of Newport Beach
,Oo Civic Center Drive, Newport Beach, CA 92660 1111111111111111111111111111111111111111111111111111111 III Permit No: N2011-0556
Permit Counter Phone (949)644-3311 Project No: 2113-2016 •,._s r� [
!.. n Online Inspection Request - www.newportbeachca.gov / Online z:i GAN N d ZJ
-_ Services
Inspection Requests Phone (949)644-3255
Job Address: 330 OLD NEWPORT BLVD NB Thomas:Guide: 888H6
Description : WET UTILITY CONNECTION AT ALLEY; ABANDON 3 EXISTING WATER SVC CONNECTIONS, INSTALL 1 NEW 2" WATER SVC AND 1 IJEW El"WE SUIVICE
LINE PER CITY STD. i
Parcel # :
4253-810-6 -
Legal Desc :
N TR 1136 LOT 8
Owner:
SHAOULIAN EMANUEL
Phone:
949-233-6606
Address :
P.O. BOX 3237
NEWPORT BEACH, CA 92659
Applicant: DRIVER SPG
Phone : 626-351-8800 [
Address : 468 NO ROSEMEAD BLVD
PASADENA CA 91107
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$953.00
Inspection Fee :
$660.00
Water Meter Connection :
$528.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$203.24
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval :
Traffic Approval :
General Services Approval
Date:
Date:
Date:
Date:
Contractor: DRIVER SPG
Phone: 626-351-8800
Address : 468 NO ROSEMEAD BLVD
PASADENA CA 91107
Contractor State Lic: 960119
License Expire : 02 28, 2019
Business License : BT30044313
Business Expire :
08 31, 2018
Workers' Compensation
Insurance - -
Carrier :
OLD REPUBLIC
Policy No:
AICW98931
W. C. Expire:
10 31, 2018
Total Fee $2,043.00
Paid : $2,043.00
Balance: $0.00
Receipt No:
Other Department : Date:
Permit Denied : Date:
Issued Permit 51 Date �/ /3 t 7
PROJECT ADDRESS: 710 01.c, r4CWroo-r-
Fll, VD -
DETAILED DESCRIPTION OF PROPOSED WORK:
WET L i TY CONNF6rori
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APPLICANT: E , f .1gE D y&-r- ,f'p „
Phone: 4 — 2.74 P1 9
Email Address: C tef'L ,eg- D121
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Mailing Address:
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City/State/Zip:
,vt 64
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OWNER: 1g • ` f j4 D
Phone:
Email Address:
Mailing Address:
City/StatelZip:
ONTRACTOR: Dwtvelz XP6
Office Phone:
-740- 4-1� q
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: G (,EJL�� DAvFWX G ,
6,,,4
Mailing Address:
jo"?/ X ffJ/- c1' Ci.
City/State/Zip:
M CA
2 $v 6
State License Number & Class:
Mob Expires: 47Z>D 1al
City Business License Number: "�
r?ool�8bra Ex ires:4h/4`/Yold
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : Policy No: Expires.
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
-ions
Special Condit of Permit:
Utilities: Traffic:
Municipal Operations Other:
0 Fire:
0
Engineering Technician:
A-
Pe ecialist
Date:
1
Permit No.
N2017-
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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:
Improvements
Street/Alley/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
REVENUE DIVISION PRIOR TO PAYMENT OF FEES A
TBDBTBD
$108.00 0
$.00 $6464.00
venue Division 1
Oty.
I
(Water Meter:
Installation Charge $528.00 1
13/4" Meter
$50.25
Water Meter Boxes: 1
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
11 1/2" Turbine Meter
$700.00
2: Meter. 27.00 + 61.25 $88.25
12" Meter
$425.00
IFFor
1
12" Turbine Meter
$845.00
Traffic & Alley Areas (Box + Cover = Cost) 1
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00 1
�4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00
I
6' Meter
$7,190.00
Certificate of Compliance Fee (+100% of hfly 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 EasementlVacation Fee (+100% of hry over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech: Total Amount Due: For Finance Use Only
PA I$ 043,
Perm' ecialist Receipt o.
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Rev. 1/5/2017 epfeeshestAs-revised lornnols
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
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
1
Encroachment Permits may be taken out by the owner of benefited properly or a licensed contractor. A licensed
1 certify hat 1 have a Certificate of consent to self -insure, Certificate of Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the
Cort�pe sation I sura ce, or a Certified Copy t reof
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
Date: Signature:
i
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 to 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 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 SDR35 be used with a
Date: Signature:
4TT box over the riser.
24-hour notice for Encroach me Permit Inspection is 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 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 Any above ground utility facilities will require documented 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 limes
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 subcontracolrs 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 Water
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 andlor 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 Work
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 and/or additional fees.
No work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant here y 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. Dat �1�A�.1.1_-...Signature:._ ..
r_.._..
,
3+00 3+25 3+50 3+75
CONSTRUCTION NOTES:
WATER IMPROVEMENTS
31 INSTALL 6" DOUBLE CHECK DETECTOR BACKFLOW PREVENTION
ASSEMBLY PER CITY OF NEWPORT BEACH STANDARD
DRAWING NO. 517—L.
WOOD 32 INSTALL 2" WATER SERVICE AND METER PER CITY OF
-IOLM NEWPORT BEACH STANDARD DRAWING NO.503—L.
33 ABANDON EXISTING METER AND SERVICE (AT MAIN) PER CITY
DRIVE OF NEWPORT BEACH STANDARDS — CAP AT MAIN
(CORPORATION STOP) AND REMOVE EXISTING WATER METER,
BOX AND COVER.
34 JOIN BUILDING FIRE RISER PER SPRINKLER PLANS.
36 RESURFACE OVER TRENCH PER CITY OF CITY OF NEWPORT
BEACH STANDARD DRAWING NO. 105—L—B.
37 INSTALL 6" FIRE SERVICE LINE PER CITY OF NEWPORT
BEACH STANDARDS.
INSTALL 2" REDUCED PRESSURE BACK FLOW ASSEMBLY PER
CITY OF NEWPORT BEAH STANDARD DRAWING NO. 520—L—A.
39 INSTALL 1 " REDUCED PRESSURE BACK FLOW ASSEMBLY PER
D(IST CITY OF NEWPORT BEAR STANDARD DRAWING NO. 520—L—A.
FH
NOTE: ALL WORK RELATED TO WATER IN THE PUBLIC RIGHT—OF—WAY SHALL BE PERFORMED
BY A C-34 LICENSED PIPELINE CONTRACTOR OR AN A LICENSED GENERAL ENGINEERING
_ _ 1
CONTRACTOR.
NOTE: ALL WORK RELATED TO WASTEWATER IN THE PUBLIC RIGHT—OF—WAY SHALL BE
PERFORMED BY A C-42 LICENSED SANITATION CONTRACTOR OR AN A LICENSED GENERAL
1 ENGINEERING CONTRACTOR.
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L FOR 2 HR. RATING —SEE STRUCT. DWGS. FOR THICKNEI.
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SHAFT WALL —SEE — —
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{" GYP. BD. ON ONE SIDE OF MTL. STUDS—SEE _ _
EwPORT BEACH FOR CONCEPT
Y STANDARDS AND REQUIREMENTS
CITY OF N nRET BEACH PLANNING
cPONSIBLE FOR DESIGN ASSUMPTIONS
ENGINEENGINER DATE
PREPARED UNDER THE SUPERVISION OF.
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34 JOIN BUILDING FIRE RISER PER SF
36 RESURFACE OVER TRENCH PER CI -
BEACH STANDARD DRAWING NO.
37 INSTALL 6" FIRE SERVICE LINE PEI
BEACH STANDARDS.
3388 — INSTALL 2" REDl10ED PRF��I IRI A
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7 25911 Pinewood Lane PLAN OC,
►Laguna Hills, CA 92653 A L L E`
FAX �949 586-5200
949) 586-6987
328, 332 & 340 OL
8 23 16 DATE DATE DESCRIPTION APP'D DESIGNED �' D�vm BY. cm CITY OF N EW P 0 RT B f P.E. UP 3 31 18 DATE REVISIONS CHECKEDBY- OAM- 4725/16 PUBLIC WORKS DEPARTME
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OWNER PER
EMANUEL SHAOULIAN, M.D.
332 OLD NEWPORT 9i8s3�D
NENPORT BEACH.
CA PHONE: (949) 642-5513
PREPARED U!
CITY OF NEWPORT BCH
THE CITY OF NEWPORT SM14 AND FOR ENTS
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Np T�F1E OpmYNTME CrONIF.SD NOT RESPONSIBLE FO DESIGN ASS
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DATE
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11/8/2017 City of Newport Beach Page 3 of 11
4:30:17PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
11/09/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
330 OLD NEWPORT BLVD
Xi+.3,.ok:.�a.' ..
Activity :
N2017-0556
SubType :
NEW
Status :
APPROVED
OWNER:
SHAOULIAN EMANUEL
Phone:
949-233-6606
SHAOULIAN a@GMAIL.COM
APPLICANT:
DRIVER SPG
Phone : 626-351-8800
asmith@driverspg.com
Description :
WET UTILITY CONNECTION AT ALLEY;
ABANDON 3 EXISTING WATER SVC
CONNECTIONS, INSTALL 1 NEW 2"
WATER SVC AND 1 NEW 6" FIRE SERVICE LINE
PER CITY STD
Item:
10200 PRE JOB - PW
Requested Time:
11/9/2017 12:00:OOAM
Requestor: WEBUSER
714-292-3338
Entered By: WEBUSER
Comments: AM-10:OOam with Mike St. Clair Please
InspAgWgiled to : zzzzzzzzzzz* Date:
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
Time: AM PM
REPT131 Run Id: 4018