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
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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
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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 __..._.....-.-_.
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1CITY OFHEWpo BEACH
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ENCROACHMENT pERM17
Perm it No. 2U
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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