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HomeMy WebLinkAboutN2018-0359{rw� ,�j� oity'Vo Center oport Beach rive, Newporteacn, CA 9zsso IIII�I�II�III�II�I�III���IIIIII Permit No: N2018-0359 Permit Counter Phone (949)644-3311 Project No : 2742-2017 u t Online Inspection Request - www.newportbeachca.gov / Online Services NNF t �'��► 114 Inspection Requests Ph ) T' Job Address: 3441 VIA LIDO NB Thomas:Guide: 888H6 Description : INSTALL 2" R.P. BACKFLOW DEVICE FOR EXISTING 2" WATER METER. Parcel # : 4231-110-1 - Legal Desc : P BK 85 PG 1 PAR 1 Owner: LIDO PARTNERS �} Contractor : COAST WATER & POWER Phone: 949-723-7100 Phone: 949-548-0106 949-289-0078 Address : 3425 VIA LIDO #250 Address : P O BOX 3341 NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 Applicant: COAST WATER & POWER License Expire : 07 31, 2019 Phone: 949-548-0106 949-289-0078[ Address : P O BOX 3341 NEWPORT BEACH CA 92659 Business License: BT96014951 Business Expire: 12 31, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2018 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $571.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $571.00 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: 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 [CW / Date � /�Zf L Traffic Approval : Date : _/_/ Issued Permit : General Services Approval : Date : _/ / PROJECT ADDRESS: 3441 VIA LIDO DESCRIPTION OF WORK: INSTALL 2" R.P. BACKFLOW DEVICE FORT' WATER METER APPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Mailing Address: PO BOX 3341 City/State/Zip: NEWPORT BEACH, CA 92659 OWNER: Phone: Mailing Address: City/State/Zip: CONTRACTOR: MIKE KILBRIDE Office Phone: 949-548-0106 Company (if different): Jobsite Phone: 949-289-0078 COAST WATER AND POWER Other Phone: FAX: 949-548-1616 ailing Address: City/State/Zip: PO BOX 3341 NEWPORT BEACH, CA 92659 tate License Number & Class: City Business License Number: 738400 A, B, C-10 BT9601491 EXP: 12-31-18 [%"iORKERSCOMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) STATE FUND Policy No:9087110-14-2 Expires: 10/I/2018 REFUNDABLE DEPOSIT INFORMATION (If Applicable) Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659 cial Conditions of Permit: F ICU GMERL Utilities: Traffic: I eneral Services: Other: Engineering Technician: Publi k pecialist: Date; G Permit No. N2818- �� -I '-) C I -/ rermii rrvicessing ree: 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 $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Street/Alley/Walk Closure: $65.00Newspaper 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 VIUZF 1 Inspection Fee: Public Works Field Inspection $165.00 Utilities Field Inspection $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Street/Alley/Walk Closure: $65.00Newspaper 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 VIUZF 1 (water Mear: 13/4" Meter S50.25 11" Meter $121.50 11 1/2" Meter $285.00 11 1/2" Turbine Meter 12" $700.00 Meter 12" $425.00 Turbine Meter S845,00 13" Meter $3,310.00 i4- Meter $4,730.00 16" Meter s7 Ion nn Certificate of Compliance Fee (+100% of hriy over 3 hm) Development Services Fee (Plan check hourly) Final Tract Map Checking Fee Final Parcel Map Checking Fee - Moderate Lot Line Adjustment Fee Park Dedication Fee Zone _ Street Easement/Vacation Fee (+100% of My over 4 hrs) Street Tree Fee ($700 Planting Fee) TBDBTBD $108.00 $$64..00 64 -- ----- venue DlvWm In odlatlon Charge SW8.00� wear 1111111111111111111111 Bows: 1" DFW Meter Box 596.86 2" DFW Meter Box $203.24e $288.00 $155.00 $2,488.00 $2,488.00 $1,079.00 TBD $1,022.00 TBD 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470 5200-5031 030-2284 --------------.—..—.._..----------------- —- Engineering Tech: Total Amount Due: For Finance Use Only r� Permit S e ' Its t Receipt No. lr rusers/po,Wsnaredlencroacrvmasters/ec front and pack masters) LLL Rev. 11/8/2017 epteesheet. AS -revised 11/e/17 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 I 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 I certify that I 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 permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of Com ensatio Insurance, or a Certified Co erepf._ f p 1 16 � .4A, a permit. is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days Date: b i Signature: 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 Safely 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 asso ated with the minor over or within 5 feet of any City utilities. unless approved by the Public Works Department. Locate and pothole encroachimprits. 1Y►�,�„� �r-�--- existing City -owned utilities fie water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot J 10 clearance over or under existing City -owned utilities Sewer cleanouts require VCP or PVC SDR35 be used with a Datei�� Signature: 4TT box over the riser. 24-hour notice for Encroachment 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 949-644-3311. 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 times 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 subcontracotrs 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 1 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 QualityLaws are punishable b fines u p y to $25,000 and/or u to three ears 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 VIcirk 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. dles he/she ha 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. l� 1 �,, �•/ No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereNPIP—Signature. Permit fees are nonrefundable. Date: 1 __..._.....-.-_. mrovu po Q for Q = WATM MXM Sox i ----__ C-lp - „ I i i r i It r i � 3 -- I 2S" r 1CITY OFHEWpo BEACH :> ENCROACHMENT pERM17 Perm it No. 2U �Zr S ADDRESS 7/16/2018 City of Newport Beach Page 4 of 16 6:34:19AM INSPI60 - Daily Inspection Request Report Requested Inspection Date : 07/16/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 3441 VIA LIDO AIPID Information: Activity : N2018-0359 SubType : NEW Status : APPROVED OWNER: LIDO PARTNERS Phone: 949-723-7100 FTANNING@FRITZOUDA.0 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL 2" R.P. BACKFLOW DEVICE FOR EXISTING 2" WATER METER. Requested Inspection(s) Item: 10215 ROUGH UTIL Requested Time: 7/16/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: zuuzzuu* LOGGED 7/17/2018 City of Newport Beach Page 8 of 9 4:30:22PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 07/18/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 3441 VIA LIDO Activity : N2018-0359 SubType : NEW Status : APPROVED OWNER: LIDO PARTNERS Phone 949-723-7100 FTANNING@FRITZDUDA.0 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com )escriution : INSTALL 2" R.P. BACKFLOW DEVICE FOR EXISTING 2" WATER METER. Item: 10250 FINAL - PW Requested Time: 7/18/2018 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to: 77777777777' Inspector: Date: Comments: F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc Requestor: WEBUSER Time: AM PM REPT131 Run Id: 4018