HomeMy WebLinkAboutN2018-0391100 City
Center
CPOrt Beach rive, NewportBach, CA 92660 IIII�IIINIIIIIIIIIIIIIIIIiIuIIIIIIIIIIIIAIIIIIIII�IIII
3 t; Permit Counter Phone (949)644-3311
Z Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address:
218 LUGONIA ST NB
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Parcel # :
0450-642-5 -
Legal Desc :
TR 772 LOT 25 BLK 5 ALL (EX NELY 25 FT) AND NELY 26 FT LOT
26 BLK 5
Owner:
KAPRANOPOULOS JOHN
Phone:
Address :
218 LUGONIA ST
NEWPORT BEACH, CA 92626
Applicant: LANE COMPANY THE
Phone: 714-775-6905 [
Address : 14629 PLACID DR
WHITTIER CA 90604
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: N2018-0391 _
Project No: 0149-2018SCA V i V E L.�
1
Inspection Requests Phone (949)644-3255
Thomas:Guide: 888E5
Contractor: LANE COMPANY THE
Phone : 714-775-6905
Address : 14629 PLACID DR
WHITTIER CA 90604
Contractor State Lic: 542050
License Expire : 09 30. 2018
Business License: BT30029596
Business Expire :
12 31. 2018
Workers' Compensation
Insurance - -
Carrier :
STATE FUND
Policy No:
1860194
W. C. Expire:
10 11, 2018
Total Fee $635.00
Paid : $635.00
Balance : $0.00
Receipt No:
Date :
_/
/ Other Department :
Date : _/ /
Date :
/ Permit Denied
Date
Date :
_/
/
/ Issued Permit: L
Date:
Date:
/
/
KIM
L ETHE Wl
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:G� L%T
IJ
APPLICANT: 1�J'�� lJ� NE W , Phone: — 7S-
Email Address:
Mailing Address:
City/State/Zip:
OWNER: KA rIAW"I to.) LA S Phone:
Email Address:
Mailing Address: Lkraritk N-r
City/State/Zip: J✓��,�lynT �t�
ALL CONTRACTOR INFORMATION IS REQUIRED-PLEASE'CQNIPLETE'"x=:
CONTRACTOR: 4 ariP t Bit
Office Phone: '71 77S - 005-
Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address: A�6 24 ,0Lhv/ I/ Al2-
City/State/Zip:'?777
State License Number & Class:
342 05D Expires: �U 1
City Business License Number:
Expires:
WORKERS C M ENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: 7 A`T Policy No: Expires: L' 1 I
.........................................................................................................................
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REF4JNQA8l: :DEPdS.I iNFQR..... QN::l il' I1c 41e:::::...........::............::::::':::::::::
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Mail:Reiund Toi.:.:::.::; :;:::;:::::<::::.:::::::. :::::::: >::..':.:..>:.:.:.:.:.:.:.:.::«:.:.<.::?::::::::::::>::::::::::::::::>.:.:..:......::::: <:' <:::;:;:;:::::::
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
�
Engineering Technician:
Publ' ks Specialist:
D e:
Pe it No.
([luserslpbwlshefed/encroaUVmastenlepwaksheet.xls
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
Inspection Fee:
$241.00 Public Works Field Inspection
$275.00 Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192.001 Refundable Deposit:
$502.001 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 S Cover
_ Additional
•-- - - -
--
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES JA
$165.00
$121.00
$165.00
$108.00
TBD
TBD
$108.00
$250.00
$64.00
---
venue Oivisioa 1
1
uh/•
• .
1Water Meter:
Installation Charge
$528.00
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 1
e
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
1
4" Meter
$4,730.00
6" 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 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
Pe ecialist
Receipt No.
to
f:/users/pbw/shared/encroach/masters/ep front and back masters!
Rev. 12/18/2017
epfeesheet xis -revised I I /en 7
R(4, Cl+Cf-26-)I
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)
I
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 -Letter of Authorizationto allow another party to pull a permit An approved copy of the
Compensation Insurance, or a Certified Copy tf ereof,
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
Date. Signature: !'
after date of issuance
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
2 The 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 ansing 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 shall be deemed revoked.
be corrected within two weeks after notification to the satisfaction of the Public Works Director.
permit
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 Slate 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.
CONTRACTOR LICENSE EXEMPTION
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 associated with the minor
over or within 5 feel of any City utilities, unless approved by the Public Works Department. Locate and pothole
encroachments.
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
Date: Signature:
4TT box over the riser.
24-hour notice for Encroachment ermit 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 949-644-331
California Department of Transportation. If needed barricades can be obtained from the City at a charge of $10.00
15. Any above groundu
utility tility 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
10
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
16 Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
a Water
January 1, unless approved by the Public Works Department.
Quality Laws. Best Management Practices will enforced. It is against the law to
1 I
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
Quality Laws are punishable by fines up to S25,000 and/or up to three years in State
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
co
prison plus the full cost to clean up an illegal discharge or spill.
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
17 If a refundable Powas paid, applicant must submit a Soils Compaction
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 Slate 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, er 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 VIorks
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.
Tpmporary 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.
No work relSted 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 derstands the terms and
this he/she to by Permit Is if Is 30
conditions of permit and agrees abide them. void work not commenced within days
Permlt fees are nonrefundable.
after Issuance. /-
Dat hdtVSignature: v/_- rI �
NEW SEWER CLEAR OUT
ON EXISTING LATERAL
PER STD 406-L.
CONTRACTOR TO
VERIFY LOCATION
0
0
o
PLANTER I
P PERTY LINE 31.00'
SIDEWALK
SC
LUGONIA STREET
SITE PLAN
TYPICAL TOILET MINIMUM CLARENCE REQUIREMENTS
24"
I
Ln
o
M
Lo
L - - - - I
CLEARANCE FOR WATER CLOSETS TO BE A MINIMUM
OF 24" IN FRONT ND 15" FROM CENTER TO ANY SIDE
WALL OR OBSTRUCTION.
M6/2018 City of Newport Beach Page 1 of 13
6:34:19AM INSP160 - Daily Inspection Request Report
Requested Inspection Date: 08/06/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 218 LUGONIA ST
A/P/D Information:
Activity :
N2018-0391
SubType :
NEW
Status :
APPROVED
OWNER:
KAPRANOPOULOS JOHN
Phone:
APPLICANT:
LANE COMPANY THE
Phone : 714-775-6905
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item:
10200 PRE JOB - PW
Requested Time:
8/6/2018 12:00:OOAM Requestor:
NBIVR
7147756767
Entered By: NBIVR
Comments: AM
(zK i �vAr Assigned to:,
=I
L
a
8/8/2018 City of Newport Beach Page 1 of 24
6:34:04AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/08/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 218 LUGONIA ST
A/P/D Information:
Activity :
N2018-0391
SubType :
NEW
Status :
APPROVED
OWNER:
KAPRANOPOULOS JOHN
APPLICANT:
LANE COMPANY THE
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
8/8/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: PM
Assigned to: KS
,
Phone :
Phone: 714-775-6905
NBIVR
7142404995
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8/.3/2018 1 City of Newport Beach Page 10 of 19
6:34:29AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/13/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 218 LUGONIA ST
A/P/D Information:
Activity : N2018-0391
SubType : NEW
Status : APPROVED
OWNER: KAPRANOPOULOS JOHN Phone:
APPLICANT: LANE COMPANY THE Phone : 714-775-6905
Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 8/13/2018 12:00:OOAM Requester: WEBUSER
949-677-0322
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzz77777�` I j
oC/1
' � fs
v � i
I
ba
AM
At.-IIs
0
V `
8/15/2018 City of Newport Beach Page 12 of 17
4:30:22PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/16/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 218 LUGONIA ST
Y:kii�fp.+'+4�i
Activity : N2018-0391
SubType : NEW
Status : APPROVED
OWNER: KAPRANOPOULOS JOHN Phone
APPLICANT: LANE COMPANY THE Phone : 714-775-6905
Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
'Of1,
Item: 10250 FINAL - PW
Requested Time: 8/16/2018 12:00:OOAM Requestor: WEBUSER
9496770322
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777.
Inspector: -DS )Ly JT Date: Time: 1.� PM
Comments: Lj
S'C0 ).7J
O &1
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131
Run Id: 4018