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HomeMy WebLinkAboutN2017-0582City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online Services III�IRIVIII�I1 III�II�IIVI2�l Job Address : 301 EVENING CANYON RD NB Description : Install new sewer cleanout on existing sewer lateral per City Standard #406-L. Parcel # : Legal Desc : Owner: ALL AROUND UNDERGROUND CONSTRUCTION Phone : Address Applicant: ALL AROUND UNDERGROUND CONSTRUCTION Phone: 714-325-2020 [ Address : 989 N BATAVIA ST ORANGE, CA 92867 Special Cond.: PRE -JOB INSPECTION REQUIRED Thomas:Guide: Permit No: N2017-0552 Project No : Inspection Requests Phone (949)644-3255_ SCANNED Contractor: ALL AROUND UNDERGROUND CONTRACTORS INC Phone : 714-325-2020 Address : 989 NORTH BATAVIA STREET ORANGE CA l Contractor State Lic: 879753 License Expire : 06 30, 2018 Business License : BT30061214 Business Expire: 11 30, 2018 Workers' Compensation Insurance - - Carrier : STATE COMPENSATION INSURANCE Policy No: 9061339 W. C. Expire: 06 13, 2018 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee $635.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid : $635.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $330.00 Water Meter Connection : $0.00 Receipt No: g Refundable Deposit: $0.00 Total Water Meter Box: $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By : Date : _/_/ Other Department : Date : _/_/_ Utilities Approval : Date : _/_/ Permit Denied Date: _/_/_ Traffic Approval : Date : _/_/ Issued Permit: r�--- Date : _)/ It I_1 General Services Approval : Date 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 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 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 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 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 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 fie: 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 e California Department of Transportation If needed, barricades can be obtained from the City at a charge of $ .00 per barricade per day. with a minimum charge of $35.00. It is the responsibility of the applicant to place barrio des 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. Mem rial Day weekend, summer between June 15 and September 15, and during the holiday season from Decem r 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 applica 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 Stale 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 INS NCE (Sec 'on 3800 Labor Code) I certify that I have a Certificate of nsent to self sure, Certificate of Worker's Compensation Insurance, or a Ce ied Copy ther Date: ��—l�/' —l7 Signature: CERTIFICATE OF EXEMPTIOJ4 (Section 3800 Labor Code) 1 certify that in the performance of the viork 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 Per Ins ction is required by calling Public Works at 949-644-3311. 15 Any above ground utilit will require documented approval from the adjacent affected pro r s). 16 owner, contractors. and subcontracolrs 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 --T.w"l �us �the full cost to clean up an illegal discharge or spill 17. If as 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, cr relocated without approval from the General Services Department. 19. All work in the public right-of-way must meet the approval of the Public Work: 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 no only. Additional work performed may require issuance of a se a permit a or additional fees. INo work related to this encroachment permit $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges a/she has r d and understands the terms and I 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 ;�f 11%_Signa Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Inspection Fee: $241.00 1 Public Works Field Inspection $165.00 $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $817.00 $192.001 Refundable Deposit: TBD $502.001 Improvements TBD 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 t REVENUE DIVISION PRIOR TO PAYMENT OF FEES A [ Qty. [Water Meter: Installation Charge 13/4" Meter $50.25 11" Meter $121.50 Water Meter Boxes: 11 1/2" Meter $285.00 1" DFW Meter Box 11 112" Turbine Meter $700.00 2" DFW Meter Box 12" Meter $425.00 12" Turbine Meter $845.00 `3" Meter $3,310.00 14" Meter $4,730.00 !6" Meter $7,190.00 $108.00 Q $ $64.00 64.00 t -------- venue Division provaf: I $528.00 I I $03.e $203.2424 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 EasementtVacation 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: For Finance Use Only 20 c� do b3s• ?AID 11-14-0 Permit Specialist Receipt No. f /users/pb d hared/enpoac .stwWep host and oadc masters/ Rev. 11/8/2017 epteesheetAs+ev+sed I1017 COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: 10 1 evelk'v L-t ti DETAILED UDESCR)PTION OF PROPOSED ORK: o SGC�esL PPLICANTi4((.4jt ,-.1 U� (a z _ Phone: 21ce 2S- ZO Z IT Email Address: C_N Mailing Address: City/State/Zip: OWNER: �t Phone: Email Address: Mailing Address: City/Statelzip: :. . WAROMW0 ONTRACTOR: C ` 4nct'('�¢� nce Phone: 71V Z--2 0Z-0 i Company (if different): site Phone: �-�e Other Phone: e Email Address: 2fi v � V IL LS 0 (2a ilt, Mailing Address: " � rlw/ City/State/Zip:I o jL e State License Number & Class: S 3 Expires: sa l8 City Business -License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an o C3&= ( Policy No: Expires: Municipal Orations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 Ltd � Special Conditions of Permit: ?re--'vh in-ceabW re CWn,b Utilities: Traffic: Municipal Operations Other: Fire: Engineering Technician: Z,sa,; Permit Specialist I Rod; Date: Permit No. IN2017- o 5`02 t/useryabwlsnare&encroaaumastwWepwwkomt. xls Public Works Department 949-6"-3311 100 Civic Center Drive, Newport Beach, CA 92660 H D a a 4 20'-0" FRONT SET q K 4 U �TYP. � LL O W Q CP N, 28 15 z 0 NOW sewe �r G,-GOM O J •� f'o.. GCvl spa Q 18 Z w W ii/14/2017 City of Newport Beach Page 11 of 12 4:30:36PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/15/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 301 EVENING CANYON RD Activity : N2017-0582 SubType : Status : APPROVED APPLICANT: ALL AROUND UNDERGROUND CONSTRUCTION Phone : 714-325-2020 : Install new sewer cleanout on existing sewer lateral per City Standard #406-L. Item: 10030 CLEAN -OUT/ PAS "11 00 Requested Time: 11/15/2017 12:00:OOAM Requestor: WEBUSER 714-325-2020 Entered By: WEBUSER Comments: ANY - Assigned to: 77777777777` Inspector: Date: Time: PM Comments: la 61r.7 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc REPT131 Run Id: 4018 3LO � 1 Y I IIA/2017 City of Newport Beach Page 5 of 5 6:34:43AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/16/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 301 EVENING CANYON RD . ik_ i.�l ..N�� ��;4 .. t.� s. .> . .. ... ... •;.. .r PI.F..r.M � ..:.2Z!._: 1�. z � Sl'�«t, Activity : N2017-0582 SubType : Status : APPROVED APPLICANT: ALL AROUND UNDERGROUND CONSTRUCTION Phone : 714-325-2020 Description : Install new sewer cleanout on existing sewer lateral per City Standard #406-L. Item: 10255 FINAL - Utilities Requested Time: 11/16/2017 12:00:OOAM Entered By: WEBUSER Comments: ANY - Assigned to: 77777777777* Requestor: WEBUSER 714-325-2020 Inspector: Date: << f r L Time: 8 ' Z� PM J1 � Comments: _ Zoe" 7,;�f2-t��j 0 1c ,.,- X F:\Users\PBW\Shared\ENCROACHWASTERS\FORMS\InspectorSheet.doc