HomeMy WebLinkAboutN2018-0406oity'Vo cNewenter oport Beach ortach, CA 92660 1111111111111111111111111111111111111111111111111111
. Permit Counter Phone (949)644-3311
yam. s Online Inspection Request - www.newportbeachca.gov / Online
r• "` Services
Job Address: 5315 LIDO SANDS DR NB
Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Parcel # : 1142-222-6 -
Legal Desc : N TR 3162 LOT 78
Owner: HIRSCHMAN ANNE M
Phone : r
Address : 33 LINDA ISLE DR
NEWPORT BEACH, CA 92660
Applicant: LAGUNA BEACH BOBCAT
Phone : 949-499-2708 [
Address : 32022 VIRGINIA WAY
LAGUNA BEACH CA
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit No: N201 ,8-0406
Project No: 1132-2017S C A N N F
Inspection Requests Phone (949)644-3255
Thomas:Guide: 888F6
Contractor : LAGUNA BEACH BOBCAT
Phone : 949-499-2708
Address : 32022 VIRGINIA WAY
LAGUNA BEACH CA
Contractor State Lic: 788409
License Expire: 12 31, 2018
Business License: BT30052945
Business Expire: 05 31, 2018
Workers' Compensation Insurance - -
Carrier : EXEMPTION ON FILE
Policy No:
W. C. Expire:
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Total Fee
$635.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid :
$635.00
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.-,.
Traffic Approval :
Date: _/_/
Issued Permit :
Date
General Services Approval : Date: _/_/
Ile
W RK-11E :T FOR ENCROACHMENT PERMIT
0 S _.E
ITY OF N F W P (I-) RT H FA G H
11JI[iLIG W( " IRKS DEPAR'I'MEN I
C01VIIII-l''. [T-THE LIELOW INFORMATION
PROJF.CT ADDR F SS: 5315 LIDO SANDS ROAD NE WPO R , T BEACH CA . 92 . 659 77-1
b'uAi1__E_b DESCRIPTION OF PROPOSED WORK:
INSTALL NEW SEWER CUT-OUT W/ TRIANGULAR COVER PER CITY STANDARD 406-L IN CITY
EASEMENT
WVPLICANT-. KEVIN D CLARK jPhone: 714267-6423
Email Address- kc9ergcox.net
Mailing Address: City/State/Zip:
r�LAGUNA
32022 VIRGINIA WAY BEACH.. CA92651
OWNER: MICHAEL BOONE jPhone: N/A
Email Address: N/A
Mailing Address: Idity/Statelzip:
5315 LIDO SANDS ROAD .1 -NEWPORT BEACH, CA 92659
ALL CONTRACTOR INFORMATION IS REQUIRED
-PLEASE COMPLETE
CONTRACTOR: KEVIN D CLARK
Office Phone: 949-499-2708
Company (if different): Jobsite Phone:
LAGUNA BEACH BOBCAT Other Phone: 714-267-6423 CELL
Email Address: KC9ER@COX.NET
Mailing Address: - City/State/Zip:
32022 VIRGINIA WAY LAGUNA BEACH. CA 92651
_State License Number & Class: City Business License Number:
AB 788409 Expires: 12/07/2018 BT30052945 Expires: 10-3117
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
lCompany: STATE FUND Policy No: 9200602-17 Expires: 12-20-18
REFUNDABLE DEPOSIT INFORMATION (if Applicable):
Refund Payable To:
Mail Refund To: .......
FOR OFFICE USE ONLY
Special Conditions of Permit: . I _1L i- I—- " I
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Traffic: Fire:
General Services:
Other:
Engineering Technician:
PubIiq,,AFofkb: Specialist.
Datfy-,
Permit,No.
I
L
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
$241.00
$275.00
$817.00
$192.00
$502.00
Inspection Fee:
Public Works Field Inspection $165.0
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection
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 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division I
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1
I Qty
1Water Meter: Installation Charge $528.00 I
13/4" Meter $50.25
11" Meter $121.50 Water Meter Boxes:
11 1/2" Meter $285.00 1" DFW Meter Box $96.66 B
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 1
!4" Meter $4,730.00
6" Meter $7,190.00
FEES .:
TBD
TBD
$108.00
Certificate of Compliance Fee (+100% of hry 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:
Total Amount Due:
For Finance Use Only
Pe l cialist
Receipt No.
"
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f /users/ptnx/sharedlenaoach/masterWep front and back masters)
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Rev. 12/18/20171
epfeesheet.xls-revised 11/8117
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
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1 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.
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
or damage to persons or property occurring as a result of work undertaken under this permit.
3 All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
4 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.
5. 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 Stale 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,
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 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.
7. 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.
8 All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feel 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.
9 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 times.
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
January 1, unless approved by the Public Works Department.
1 1 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.
12 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
13 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.
14 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 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 If -insure, Certif' to of Worker's
Compen atign I rance, or a Certified Cop' th repf% j
Date / f f Signature: r
/
CERTIFICATE OF EXEMPTION (Sec Ion 380 Labor Cade)
I certify that in the performance of the work under this ermit, 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, 1 certify I am personally performing all
work in the Public Right -of -Way.
Date: Signature:
HOLD HARMLESS STATEMENT
I understand that I 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 Inspect' n required by calling
Public Works at 949-644-331"1
15 Any above ground utility faci itieslwill requir document a61 pproval from the adjacent
affected property owner(s).
16. Homeowner, contractors, and subcontracotrs 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 S25,000 and/or up to three years in State
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, er 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_fges.
No work related to this encroachment permit ghall be performed until the Public Works Departmenthas Issued this permit. Applicant hereby cknowledges he/she has read tan s the ms d
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. J//
_1 v _Signature:
i
EAR JARD
6'-0"
UTILITIES
EASEMENT
I�
SITE PLAN
N
T ^�o
AL1 •f%'i
y
9
7
4t
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y i
7NEW SEWER LATERAL PER
STD-4061.9 ENCROACHMENT
PERMIT REQUIRED
7
Sidewalk (or alley surface)
Riser, Coulder or Fernco coupling
& stopper to be installed 6"
below finshed grade.
Minimum Slope: X" per linear foot
or 2.00%
SPECIAL NOTE:: Under no circumstances shall ABS 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:
OInstall sewer cleanout cover per applicable
portions of STD-511—L. Triangular cover with
"S" on top.
O 4" (or 6") SDR-35 PVC sewer pipe with
gasketed, integral bell and spigot pints.
O 4" (or 6') SDR-35 PVC 45' bend.
O 4"x 4" (or 6"x 6") SDR-35 PVC wye branch
fitting.
O4" (or 6") ABS stopper (where laterals are
stubbed)
O 4" (or 6") short piece, SDR-35 PVC, 6"
long.
O4" (or 6") rubber mechanical banded seal
clamp. Fernco or City approved equal.
O4" (or 6") private sewer pipe.
O 8"x 4" (or 6") wye branch fitting. SDR-35
PVC.
10 Install ABS stopper in rubber coupling. Use
Mission Clay Products stopper or approved
equal.
11 Sidewalk replacement shall be in full panel.
Chisel "S" on face of concrete
curb over lateral. 3" high
letter. Y4" deep—,
Curb & gutter
Finished street surface
GENERAL NOTES:
45'
Sewer lateral connection
per STD-405—L
Ct
l`
3
LL
in
1. For slope less than Y4" per foot a 6" lateral shall be used with a minimum
slope = JIC" per foot.
2. A cleanout shall be installed on all sewer lateral connections.
3. Cleonout shall be installed at property line.
4. Sewer cleanout covers shall be Brooks products No. 4TT or J.&R. No. 4T
marked sewer.
5. Cleanout covers placed in sidewalks may be Brooks Products No.1 —RB
and No.1—R (concrete cover) or J.&R. No. 1—R by special permission only.
6. Sewer cleanout riser pipe material shall be SDR-35 PVC except where
existing sewer main is VCP in which case VCP pipe and fittings shall be
used.
7. PVC shall be SDR-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 all 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
PUBLIC. WORKS DE.PAR"I"MENT
SEWER LATERAL WITH
CLEANOUT
APPROVED:)
RCE NO. 36106 PUBLIC WORKS DIRECTOR
Drawn: M. Elias Scale: Ni.'r.S.
DRAWING NO.
8/'13/2018 City of Newport Beach Page 14 of 19
6:34:29AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/13/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 5315 LIDO SANDS DR
A/P/D Information:
Activity : N2018-0406
SubType : NEW
Status : APPROVED
OWNER: HIRSCHMAN ANNE M
APPLICANT: LAGUNA BEACH BOBCAT
Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10220 PRE JOB - UTIL
Requested Time: 8/13/2018 12:00:OOAM Requester:
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz`
LOGGED
Phone :
Phone : 949-499-2708
WEBUSER
714 267-6424
8115/2018 City of Newport Beach Page 1 of 17
4:30:22PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/16/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address: 5315 LIDO SANDS DR
Activity : N2018-0406
SubType : NEW
Status : APPROVED
OWNER: HIRSCHMAN ANNE M Phone
APPLICANT: LAGUNA BEACH BOBCAT Phone : 949-499-2708
Descriotion : INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 8/16/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
Comments:
Date:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
NBIVR
9494992708
Time: AM PM
REPT131. Run Id: 4018