HomeMy WebLinkAboutN2018-0158Od C��o Center Drive,
Beach
Pei City Bach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII
t +� Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
114
Job Address:
4 CANYON FAIRWAY DR NB
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4423-810-6 -
Legal Desc :
N TR 10814 LOT 15
Owner:
PREMIER VISION HOLDING LTD
Phone:
949-524-8533
Address :
4 CANYON FAIRWAY DR
NEWPORT BEACH, CA 92660
Applicant: WESTERN PACIFIC DEV INC
Phone: 949-278-8937 [
Address : 18552 MACARTHUR BLVD #102
IRVINE CA 92612
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
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: N2.018-0159
Project No: 1195-StA N N c [r
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889E6
Contractor: WESTERN PACIFIC DEV INC
Phone: 949-278-8937
Address : 18552 MACARTHUR BLVD #102
IRVINE CA 92612
Contractor State Lic: 882643
License Expire: 08 31, 2018
Business License : BT30038827
Business Expire: 04 30, 2018
Workers' Compensation Insurance - -
Carrier : EXEMPTION ON FILE
Policy No:
W. C. Expire:
Total Fee $635.00
Paid : $635.00
Balance: $0.00
Receipt No:
Date :
_/
/
Other Department: Date:
Date :
_/_/
Permit Denied Date
Date :
_/_!
Issued Permit: DateL�e
Date
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: L
DETAILED DESCRIPTION OF PROPOSED WORK:
NI?W sewee, C,(e ,4 ouk fit . & --L ,
PPLICANT: t?5 rh ►�nctC e J v"
Phone, �W �1- 2 - ��1 3 .�
Email Address: to L�IQS/�fn GCiLde1V C'v
Mailin Add ,
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C' /State/zip:
each �� 1zc�loo
OWNER: f n,e( v,51Ch 4,0irm
lPhone:
Email Address:
Mailing Address: _
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jCjty/State/Zi��
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�t�� a_ ._, . ASS.• a.
CONTRACTOR: W e--:;,'PaC,'-A IL-.2e4le Alen
Office Phone: -
Company (if different):
lJ� r \c
Jobsite Phone:
Other Phone:
Email Address: LiC'uri r eV.
Mailing Address:
450 Wey- VrivZ
City/State/Zip:
117-&6o
State Licen a Number & Class:
29z- (c43 Expires:
City Business License Number:
K?300�61-1- Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
�ompany: Policy No: Expires:
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
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Special Conditions of Permit:
ru-
•APWFK &,APP WEAL RREED EiiR'i11 COLL091p1I6 DEP AR'i1IElifTS
Utilities:
Municipal Operations
Traffic: Fire:
Other:
Engineering Technician:
Perm' ialist
Date:
'�
Permit No.
N2018-
f/users/pbwdshared/encroach/masterstepwoAghest.xls
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee: Q.tv.
Public Works Only $241.0
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
TFOLLOWING ITEMS REQUIRE APPR
OVAL ROVAL FROM THE Revenue Division 1
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I
1
city.�•
. 1
[Water Meter:
Installation Charge $528.00.
13/4" Meter
$50.25
1
11" Meter
$121,50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 1
e
12" Meter
$425.00
1
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
1
�4" Meter
$4,730.00
16" Meter
$7,190.00
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)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
._ ...
TBD
_.._....._
030-2284
..-----
Engineering Tech:
Tot�all(Amount Due:
For Finance Use Only
F'o L -"7 'g. co
Pe , Specialist
Receipt No.
f:/users/pbw/shared/enuoadVmasterslep front and back masters/
Rev. 12/18/2017
epfeesheetAs-revised 1 v8/17
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
3.
5
6.
10.
11.
12
13.
14
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
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
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.
All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawinys
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
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.
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.
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 feel 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.
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.
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.
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 limes.
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.
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.
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.
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.
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) . '.
I certify that I have a Certificate of consent to self -insure, rtific a of Worker's
Compensation Ins4ranee, or a Certified Copy thereof. _J
Dat , Zq l 113 Signature:
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 1 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 Inspec�n is requl y calling
Public Works at 949-644-3311
15. Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16. Homeowner, 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 Stale
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 $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and u tandsme 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. Date. ltg Signature--
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ACID GLEAN —OUT
I°ER CITY 5TD-406L
F21~iAIN1Nc� 5 e'-f t
THE FOUNP^T; OD! TO i i-iC-
c�. TEMPORAR.Y SHORINC,
DEFERRED Si
DEFERRED SUBMITTALS
OR ENGINEER OF REGOF
FOR PLAN CHECK Of. AI
I. FIRE 5PRINKLER
�6U 5 rRUCTUP
MISCELLANE,
I. POOL5, 5PA5, WALLS,
5TAWIN6 STRUCTURES I
2 ISSUANCE OF A BUILT
BEACH DOES NOT f<ELIE
REQUIREMENTS TO OBSE
RCSTRICTIONS WHICH M�
OR Tl OBTAIN PLANS. 1
A550CIATION5 PRIOR T
AUTHORIZED BY THI5 PE
5. PRIOR TO PERFORMII
AN ENCROACHMENT PEF
WORKS DEPARTMENT.
4. A PUBL I G WORKS DEf
INSPECTION 15 REQUIREI
PERMIT FINAL CAN BE I:
DEPARTMENT INSPECTIC
IMPROVEMENTS WITHIN I
SIDEWALK, CURB AND C-
BE REQUIRED AND 1009
AND THE EXTENT OF TH'
DISCRETION OF THE PUE
5. ALL WORK RELATED
RIGHT-OF-WAY SHALL E
SANITATION SERER GGf
EN6INEERIN6 CONTRAG
6. REFRAMIN6 OF NEW
HOUR FIRE 5EPARATIOt
SOUND RATING OF MIN
A55EMBLIE5 WILL REOL
FIRE SPRINK
A. NEW GONSTRUCTION
EXCEED 2,000 5F. ANI
EXISTING STRUCTURE, F
SYSTEM THROU6H0UT l
Sidewalk (or alley surface)
Chisel "S" on face of concrete
curb over lateral. 3" high
letter. Y4" deep.-7
Curb & gutter
Finished street surface-/
Riser. Caulder or Fernco coupling
& stopper to be installed 6"
below finshed grade.
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3 :2
45 ,\ c4
Minimum Slope: Y4" per linear foot
or 2.00%
SPECIAL NOTE',: Under nag circumstances shall ASS 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.
CONSTRUCTION NOTES: GENERAL NOTES:
OInstall sewer cleanout cover per applicable
portions of STD-511—L. Triangular cover with
"S" on top.
O4" (or 6") SDR-35 PVC sewer pipe with
gosketed, integral bell and spigot joints.
O 4" (or 6") SOR-35 PVC 45' bend.
O4"x 4" (or 6"x 6") SOR-35 PVC wye branch
fitting.
O4" (or 6") ASS stopper (where laterals are
stubbed)
O6 4" (or 6") short piece. SOR-35 PVC. 6"
long.
O4" (or 6") rubber mechanical banded seal
clamp. Fernco or City approved equal.
O4" (or 6") private sewer pipe.
O8"x 4" (or 6") wye branch fitting. SOR-35
PVC.
10 Install ASS stopper in rubber coupling. Use
Mission Clay Products stopper or approved
equal.
11 Sidewalk replacement shall be in full panel.
Sewer lateral connection
per STD-405—L
1. For slope less than Y4" per foot a 6" lateral shall be used with a minimum
slope = Ye" 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 JAR. No. 4T
marked sewer.
5. Cleonout covers placed in sidewalks may be Brooks Products No.1 —RB
and No.1—R (concrete cover) or JAR. 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 Y4" 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 oil others shall be 6".
11. Saddle type connections to sewer mains are prohibitied, 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
PL BLIC k%ORKS DEPARTMENT
SEWER LATERAL WITH
CLEANOUT
APPROVED:
RCI No 1 woo
K F31 K' %(nRKS DIRI C MR
Dra"n: M. Eli:u
Scale: N.I.s.
Date: Jan. 1004
r . JI NT nx r I > u-` ;rn
DRAWING NO.
STD-406-L
3/29/2018 City of Newport Beach Page 1 of 15
a:3o:33PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 03/30/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 4 CANYON FAIRWAY DR
Activity :
N2018-0158
SubType :
NEW
Status :
APPROVED
OWNER:
PREMIER VISION HOLDING LTD
949-524-8533
APPLICANT:
WESTERN PACIFIC DEV INC
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Item: 10200 PRE JOB - PW
Requested Time: 3/30/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Assigned to:
Phone :
Phone : 949-278-8937
NBIVR
9493503442
Inspector: AMNou.) Date: 3 -'SG - 18' Time: I l , IS ►N PM
Comments: UEFT t%e 'j ► r FtA_ &4^exyS. No C&L-t%AC4,.
GAF SAS JOQCi.a 410-S QA 4 I�t6 c�wYaw
F:\Users\P6W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
412LT318 City of Newport Beach Page 11 of 11
.� 4:30:27PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/03/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 4 CANYON FAIRWAY DR
Activity : N2018-0158
SubType : NEW
Status : APPROVED
OWNER: PREMIER VISION HOLDING LTD Phone :
949-524-8533
APPLICANT: WESTERN PACIFIC DEV INC Phone : 949-278-8937
)escriution : INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Item: 10200 PRE JOB - PW
Requested Time: 4/3/2018 12:00:OOAM Requestor: WEBUSER
949-350-3442
Entered By: WEBUSER
Comments: AM-
Assigned to: 77777777777*
Inspector: �� �� Date: 3 D Time: g - J AM PM
Comments: '�� W t ��. Z av -a 4,q4rA- aql�N
F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
REPT131 Run Id: 4018
41i1/2018 City of Newport Beach Page 3 of 19
6:34:04AM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
04/11/2018
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address:
4 CANYON FAIRWAY DR
AMID In(onnatim
Activity :
N2018-0158
SubType :
NEW
Status :
APPROVED
OWNER:
PREMIER VISION HOLDING LTD
949-524-8533
APPLICANT:
WESTERN PACIFIC DEV INC
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
R®gt�esto Inspections)
Item:
10030 CLEAN -OUT
Requested Time:
4/11/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: PM
Assigned to: � "I A —
... �•� fir,..
Phone :
Phone : 949-278-8937
NBIVR
9493503442
cc, I -A �r--A- c k r
r
�t
=J
u
8/1/2018 City of Newport Beach Page 1 of 14
4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/02/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 4 CANYON FAIRWAY DR
Activity :
N2018-0158
SubType :
NEW
Status :
APPROVED
OWNER:
PREMIER VISION HOLDING LTD Phone:
949-524-8533
APPLICANT:
WESTERN PACIFIC DEV INC Phone : 949-278-8937
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Item:
10250 FINAL - PW
Requested Time:
8/2/2018 12:00:OOAM Requestor: NBIVR.
9493503442
Entered By:
NBIVR
Comments:
PM
Assigned to:
Inspector:
Comments: 60 4
Date: &/2,11 Time: 2 06 AM M
-A A , e,
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018