HomeMy WebLinkAboutN2018-0297II r
of y ofport ic Center Drive,
Beach Beach, CA 92660 I IIIPI�� I��II ��I�� ����� ��II ��II� �I�I� I�III ���I IIII Permit No : N 2 01i 8 -0 29 7
r. Permit Counter Phone (949)644-3311 Project No: 0256-2016 A F,
.
wo 4 ^ Online Inspection Request - www.newportbeachca.gov / Online
Services
1'` 1i.-`�� Inspection Requests Phone (949)644-3255
Job Address: 552 SEAWARD RD NB Thomas:Guide: 919G3
Description : ABANDON EXISTING 1" WATER SVC AND INSTALL NEW 2" SVC PER STD 503-L. REPAIR 5X5 SECTION OF STREET.
Parcel # :
4591-514-2 -
Legal Desc :
TRACT NO 1237 LOT 178 AND TRACT NO 14795 LOT 4
Owner:
LIBRUM LLC
Phone:
949-531-8422
Address :
125 KINGS PL
NEWPORT BEACH CA 92663
Applicant: CHASE GENERAL ENGINEERING CONTRACTOR INC
Phone : 714-914-6345 [
Address : 15332 NEWCASTLE LANE
HUNTINGTON BEACH CA
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 :
$495.00
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
Contractor : CHASE GENERAL ENGINEERING CONTRACTOR INC
Phone: 714-914-6345
Address : 15332 NEWCASTLE LANE
HUNTINGTON BEACH CA
Contractor State Lic: 906147
License Expire: 11 30, 2019
Business License: BT30054273
Business Expire:
08 07, 2018
Workers' Compensation Insurance - -
Carrier :
STATE COMP INSURANCE
Policy No:
9047185
W. C. Expire:
03 01, 2019
Total Fee $1,892.24
Paid : $1,892.24
Balance : $0.00
Receipt No:
Date: _/_/ Other Department: Date:
Date : _/ / Permit Denied Date
Date: _/_/ Issued Permit: Date
Date
r
h ll Ii.-I I,. pil
SBEL
PROJECT ADDRESS: 2 Se
DET ILED DESCRIPTION OF PROPOSED WORK:
•
APPLICANT: Phone*
Email Address:
Mailing Address:
City/State/Zip-
OWNER:
Phone:
Email Address:
Mailing Address:
City/StatefZip:
ALL CONTRACTOR INFORMATION IS REQUIREEWLEASEUQAP Tirl :
CONTRACTOR: s
Office Phone Rw63
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: Ol
Mailing Address:
y.35 30
CityStatelZip:
State License um er & Class:
90,410IV7 Expires: // 30
ity Busi ess License Number:
Zi Expires: 7
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: p / Expires:hp
.........................................................................................................................
4 FUNOANLE:QE 06WT tNFORM;IITIQ {!fA ...lib/e ::: >:' :< ::::: >:: >::< ::<:-:.: >:: >: >::< :::: >?:: >:: >: :::` ::: :
.. . ....
RefundPa . a.................................................................................................... .
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Publi "pecialist:
Dat�
I ; `
Permit Nc�,
trusers/pb WshaMMncroach"a$WWepmOmheet.)ds
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
ZM1,Inspection
$241.00
$275.00
$817.00
$192.001 1
$502.00
Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
$165.
$121.
$165.00
$108.00
TBD
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 S Cover $64.00
Additional
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1
l REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1
1
oty.
(Water Meter:
Installation Charge $528.0
13/4" Meter
$50.25
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
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
�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 hriy 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
I 't I � Sq
a.
Pe nr
t Receipt No.
f:/userslpbw/shared/encroadi/masterslep front and back masters/
Rev. 12/18/2017 epreesheetAs-revised 11/8117
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 (Section 3800 Labor 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 self -insure, Certificate of Worker's
contractor must provide a "I etter of Authorization to allow another party to pull a permit. An approved copy of the
Compensation Insu ante, or a Certified Copy thereof.
permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of
/
l
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Dat : z Signature:
after date of issuance
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
2 1he Pernuttee 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, 1 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 Standards 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
6
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,
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 lie 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:
4TI' box over the riser.
24-hour notice for Encroachment ermit spectio 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
Public Works at 949-644-3311
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
i
utility 15 Any above ground facie tes 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 times
affected property owner
10
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
Water
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
1'I
January 1 unless approved by the Public Works Department.
Any work that extends into traffic or parking lanes and impedes the normal flow 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 and/or up to three years in Stale
prison plus the full cost to clean up an illegal discharge or spill.
emergency vehicles must be maintained at all times Iraffic Control must be per Work Area Traffic Control
ion
17. If a refundable deposit was paid, applicant must submit a Soils Compaction
applicant
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 ll and request a final inspection from
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 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, 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.
ds the terms and
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant her by acknowledges he/she heoigK
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.
Da ' �" 1 —Signature: _. _.
APPLI
REQUESTED BY
(entity who Is requeating
CITY OF NEWPORT BEACH
TION FOR WATER METER OR HYDRANT METER
get hydrant
MAILING ADDRESS RECEIPTS
CITYISTATE2IP PHONE #
C
SERVICE ADDRESS J S °L SfPtVJ Aa•0 �.
( ) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
NOW service address
(tapping order)
( New Meter at existing service address
(tapping order)
(dMeter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location ( .(Residential Location ( ) Fire Connection Fee $
(Meter Size ��
_ 6�iN Fee $- !, � LG () 4TT Box Fee $ _
( ) Meter box 3 Lid - AlleylTraffic Area Fee $-!�Dl d Parkways/Sidewalk Fee $
Total Fees $ Encroachment Permit Number
Customer Name (property owner) .gh of out 04 d 77r,
Billing Address -y,%1 1 /,-S _ Cityalp lew T ( 5 7
—*
Residence Phone # Business Phone #
E-Mail Address
Social Security # or CA Drivers License
FOR OFFICE USE ONLY
CLERK DATE BUS LIC E MID*
DATE UTILITIES COMPLETER DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORK/TAPPING ORDER NUMBER
Nusers/rev/shared/watterMater meter sery app 05/23/16
�2%
FF =148
PAD =147M
- 4"MIN. CRUSH ROCK, GRAVEL OR CLEAN SAND OVFR COMPA
SEE FOUNDATION PLANS & SOIL REPORT)
55 EX. building footing
--- roposed soil excavation a minimum depth of Proposed sail excavi
5 ft and 5 feet outside the proposed building 5 ft and feet out
TYPICAL S CTION A -A area per soil report recommendations area f>ht -nil mport
SCALE.• "=5SEE SECTION B-B & C-C
ti..
25.00 t
19.67. i
I Q
1
14 }15,�5' 0 T W �- 1154
�' i Exist FENCE LINE t.51' O ,15S1Z21(ti' l ``
+ - r` 9.7T 1 N 148.9FG) 114A. f]FG1)
i 6 7 - 1 i;; 4 F t
bNo l ! '�� FS 15 152.47TINC1 �3i (14 R G
Ate;', !,, 23 150.E 0 v
4
13 I �SBS f Proi!1*4 lice
11� F� S i�4.0'
Top of grading f i137 p ,
PROTECT Ex. - - +�
ti, 1 0
r\
COMMUNICATION BOX 7c `1 3 j OFG I /ti
20 1X ', Z2.47
'• PROTECT EX. CURB ,� -4-1 , �1, 5 k
�. X 156.-76., FS,I dad I i+tvf f r im
' I
P�tOTECT Ex. ELEC L[ 111 cx FS Q0 FS 0.31' q'I
NT IN PLACE /� 156.60TG ! 156.81 1;�L�31 ,`
I.}.I , I `i 155.101NV Y 14A.06F5
(158.09TC} SECOND LEVEL
PROTECT Ex. ELEC 1 �f) t
T50
IVENT IN PLACE _ I !�?! n156y80i FS(STREET LEVEL)
Q.,. G 645 FF= 158.00 9
�5.76' 5.56 151' PAD= 157.67 �51 15f" -
Exist J Int -
18.29' Rt, 12+17.58 58.02FS = - ' 15� 6pVQURIMM
�) ;
(157.977C�L 157.53FL) O
END Kt OVE Cdc :•_'` jO 58. `� 4 kG 19, _
Join CdcG to Ex. Joint
•
g°i Moth Existing -5.71 �5� 6 1 4 1r
"; SSAWCUT do JOIN o �f2.1'r-`
�{ ` "' F- •�� 157.70FS
W li1� 18.2g• Rt.' 15+14.6 i 7.7X 2X \ �. IX 158.19FS
j -
O 1 47FL -6.21' ' 157.98FS
18.29' R) 1j+13.31 2
157.36TFCL I j c 157.86FS
End RIVEWAY
�L{ B 157.55FS i - 21
�O o
sAWCUT!& N---_ 'I ARAG E I ��
o CENTERLINE DWY. 6.71'
3 + 18.29' Rt, 12+05.53 t 8.2 -7X w r --iX ;
CIO157.00TG I 157.98FS `� ' c '
11 156.95FL' o ? I
La25 8 ( c 22 117 a` ;'" ov
518 7
�y
\i;`
2 � I11 4 I r. i t IfrJ 1'V
+ I
147tF1
1 6.71' x- ' 15 IX FlELD VERIFlED
157.24FS .6X •98F
f1S 5 15t.!d.i
18.29' Rt, 11+88.39---- - r
156.56TC I 10., 5 4� 158:19. 156.52FL 20 - I 156.00 (1'
18.29' Rt, 11+85.59 "� j 157.10 9.08' FS
}g -
156.93TC-- ! 157
., 156.43FL I - ,
Beg DRIVEWAY o i O4 6.00, u� _
LPG
SAWCUT &'JOIN 'r I t 1
1 (156.6FG �153.9FG
18.29' Rt 11+79.84..� 1 I i� '"(160.iTW� i 157.4TW) �J C 9.
1156 63TC 1 1,1
r156.17FL 11 1 /" j 7 (14y.
Be REMOVE Cdt 1 1;1 .>' , 2 2 (ts' nl�ti)I
yy
Join CdcG to Ex. Joint„' ► ► I 17 1501FG
r ..._
19 Match Existing 1 1 I ' / f -Protect Ore HYD �156.1TW Under Ferrell
__.34' I ► 1 155.66FG )
Exist C&G t-t i 3 Exist Joint f61.661'W
LD -=�
- 11j o-f
- 18, 25.00' ',a
f-1; 1
I1
I I q a:
rl
NSCAIE: i'=10' _
NOTES:
1. ACCESSORY M[) Mli )(A] [
CONSTRII(l[[ TO '.(1Nf Of
Know whan below. 2. ANY MOL)If-1(,A rlr)N T? HA
® Call before you dig. lO C(')Mf'IIAN; I w11I1 A
TREAT JOPMltniii ir)R
8/5,2018 City of Newport Beach Page 15 of 15
6:34:57AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/05/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 552 SEAWARD RD
AIPID Information:
Activity : N2018-0297
SubType : NEW
Status : APPROVED
OWNER: LIBRUM LLC Phone : 949-531-8422
CBIRKEL@LIBRUMGLOBAI
APPLICANT: CHASE GENERAL ENGINEERING CONTRACTOR Phone : 714-914-6345
Description : ABANDON EXISTING 1" WATER SVC AND INSTALL NEW 2" SVC PER STD 503-L.
REPAIR 5X5 SECTION OF STREET.
Requested Inspections)
Item: 10200 PRE JOB - PW
Requested Time: 6/5/2018 12:00:OOAM Requestor: WEBUSER
714 914-6346
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz`
C,�j' gS 6 - S - A
l fl '3 a M
wry AC RJ;-04t*,S w o-�3 CIG,/31c,-y
6M2018 City of Newport Beach Page 15 of 16
6:34:16AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/07/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 552 SEAWARD RD
A/PM Information:
Activity : N2018-0297
SubType : NEW
Status : APPROVED
OWNER: LIBRUM LLC Phone : 949-531-8422
CBIRKEL@LIBRUMGLOBAI
APPLICANT: CHASE GENERAL ENGINEERING CONTRACTOR Phone : 714-914-6345
Description : ABANDON EXISTING 1" WATER SVC AND INSTALL NEW 2" SVC PER STD 503-L.
REPAIR 5X5 SECTION OF STREET.
Requested Inspection(s)
Item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 6/7/2018 12:00:OOAM Requestor: WEBUSER
714 914-6346
Entered By: WEBUSER
Comments: ANY -
Assigned to: zzzzzzzzzzz`
`,,S ZPM
AAr-a TAP Asptntr �� SSE T'
6/21/2018 City of Newport Beach Page 13 of 13
4:30:05PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/22/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 552 SEAWARD RD
Activity : N2018-0297
SubType : NEW
Status : APPROVED
OWNER: LIBRUM LLC Phone : 949-531-8422
CBIRKEL@LIBRUMGLOBAI
APPLICANT: CHASE GENERAL ENGINEERING CONTRACTOR Phone : 714-914-6345
Description : ABANDON EXISTING 1" WATER SVC AND INSTALL NEW 2" SVC PER STD 503-L.
. REPAIR 5X5 SECTION ORE��E_T.iY ii■■�+YyF, ��
i. . . • Tti . P ., 4 ky.Y �.. . ... f G.v .e' 4 r hi": r ,.•'
Item: 10020 PERMANENT PAVING- PW
Requested Time: 6/22/2018 12:00:OOAM Requestor: WEBUSER
714 914-6346
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777'
Inspector: S Date: (- 2Z - t Time: 6"O AM
Comments: &C-, GCrwQcr_� .
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorS heet.doc
REPT131 Run Id: 4018
9/26/2018 City of Newport Beach Page 12 of 14
4:30:39PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/27/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 552 SEAWARD RD
Activity : N2018-0297
SubType : NEW
Status : APPROVED
OWNER: LIBRUM LLC Phone : 949-531-8422
CBIRKEL@LIBRUMGLOBAI
APPLICANT: CHASE GENERAL ENGINEERING CONTRACTOR Phone : 714-914-6345
Description : ABANDON EXISTING 1" WATER SVC AND INSTALL NEW 2" SVC PER STD 503-L.
REPAIR 5X5 SECTION OF STREET.
Item: 10250 FINAL - PW
Requested Time: 9/27/2018 12:00:OOAM Requestor: WEBUSER
714-369-7878
Entered By: WEBUSER
Comments: ANY -Contact -Steve
Assigned to: Zj177777777* O9 ,j V% .
Bl�� fil �irU,9Z«'
COMPLETED