HomeMy WebLinkAboutN2018-0483City of Newport Beach 111111111111I11111111111111111111111111111111111111
4% 100 Civic Center Drive, Newport Beach, CA 926W
f Permit Counter Phone (949)644-3311
O Online Inspection Request - www.newportboachea.gov / Online
n�tb� YM�• Services
Job Address : 305 APOLENA AVE NB Thomas:Guide:
Description: SEWER CLEANOUT PER STD 406-L
Parcel# 0501-312-4 -
Legal Desc : BALBOA ISLAND SEC 3 BLK 16 LOT 34
Owner: NIELSEN STEVE
Phone:
Address : 305 APOLENA AVE
NEWPORT BEACH, CA 92662
Applicant: SHEPHERD STEVEN
Phone: 714-785-9404 [
Address : 9462 WATERFRONT DR
HUNTINGTON BEACH CA 92646
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Cwl LL�WContractor:
Phone:
Address
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: N2018-0483
Project No:2000-SCANNED -.
Inspection Requests Phone (949)644-3255
919C1
LAGUNA BEACH BOBCAT
949-499-2708
32022 VIRGINIA WAY
LAGUNA BEACH CA
Contractor State Llc: 788409
License Expire: 12 31, 2018
Business License: BT30052945
Business Expire : 10 31, 2018
Workers' Compensation Insurance - -
Carrier: EXEMPT
Policy No:
W. C. Expire:
Total Fee
Paid:
Balance:
Receipt No:
$635.00
$635.00
$0.00
Date :
_/_/_
Other Department :
—Date: _/_I
Date :
Date :
_/_/_
/
/
Permit Denied
Issued Permit :
Date : /
Date -M_/
Date
�12,5/ig
... _.._..1.. - . _ __ _. — =1 I — --L - L_ 11 "..' .. .". __ ___d
WORKS1 .- IEEF FOR ENGROACHMEN I PtKIVII I
CITY OF NEWPORT REACI-I
I IUBLIG WORKS DEPARTMEN I
Rlt::JECTADDRF_ 305 APOLENA AVE, NEWPORT BEACH. CA92659
DETAILED. . DESCRIPTION OF PROPOSED WORK:
INSTALL NEW SEWER CUT-OUT W/ TRIANGULAR COVER PER CITY STANDARD 406-L IN CITY
-
EASEMENT
APPLICANT: KEVIN D CLARK Phone- 714 267-6423
Email Address: kc9_ef_@cox. net
City/State/Zip:
Mailingw Address: �LAGUNA
32022 VIRGINIA WAY BEACH, CA 92651
OWNER: STEVE NIELSON Phone: N/A
0
Email Address: N/A
Mailing Address: City/State/zip:
t 305APOLENAAVE NEWPORT BEACH. CA 926u__
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: KC9EROCOX.NET
Mailing Address:
City/State/Zip:
32022 VIRGINIA WAY
LAGUNA BEACH. CA 92651_
State License Number & Class: City Business License Number:
AB AB 788409 Expires: 12/07/2018 BT30052945 ExAires:NF
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
[Company: 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:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities: Traffic: Fire:
General Services: Other:
Engineering Technician:
Public Works Specialist.
Date:
Permit NO.,
, i" r;-' :p I h 1--iorn, 11 1-1t
Public Works Department 949-644-3311
.71
Fees Are Non -Refundable Unless Otherwise Stated
ADDRESS:AH
0 '.A AL '
_-_--
Permit Processing Fee:
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.
Utilities Field Inspection $121.0
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit: TBD
Improvements 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 & Cover $64.00
Additional
•—-------—----------- ----
[ THE FOLLOW —MG— ITEMS--- RE —QUIRE APPROVAL FROM THE Revenue Division
t REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: I
[Water Meter:
13/4" Meter $50.25iO3,Op
11" Meter $121.50
11 1/2" Meter $285.00
11 1/2" Turbine Meter $700.00
[2" Meter $425.00
12" Turbine Meter $845.00
[3" Meter $3,310.00
�4" Meter $4,730.00
16" Meter $7,190.00
Installation Charge �$
Water Meter Boxes:
1" DFW Meter Box $96.66 B
2" DFW Meter Box $203.24
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 hry over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Total Am un ue:
For Finance Use Only
(40
(A , �,
e4
Permit Spec' list
Receipt No.
flusers/pbwlshaned/encroach/masterstep front and back mastersl
Rev. 12/18/2017
epfeesheet.As-revised 1 V8/17
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
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 limes 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 dale 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 Stale 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 Slate Contractor License Class C-34 is required. For construction or
connection to sewer lines a valid Slate 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 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
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
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 safely 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.
11. 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 Slate 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's refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted. To place a dumpsler 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 bor Code)
I certify that I have a Certificate of consent to se -i sure, Certifi ate of
Compensation Insurance, or a Certified Copy it o
Signature
CERTIFICATE OF EXEMPTION (Section 0800 Labor Code)
I certify that in the performance of the work under this permit, 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, I 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 liabil' y associd-te-N with Athe minor
encroachments. _
0
Date: 9 — �� t (� Signature:
r notice for Encroachment Permit Inspecflon is required by calling
Works at 949-644-3311.
15 Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16 Homeowner, contractors, and subcontracolrs 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 $25,000 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. or relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Work
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 fees.
No work related to this encroachment permit *hall be performed until the Public Works Department has issued this permit. App a t hereby acknowledges he/she has d nd un ers d h 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 is u / I
Permit fees are nonrefundable. Date:_.,____ -_._Signature:
ONTO AREAS VV+ E?`
A C O")N NDO)THAT AN AN )ICN'A IF,) STORV DOI S NOT CARRY WASTF 5 OR
OTHFR THAN 'STORM WA!F.R ONLY WHEN NFf:F55A.RYFOR V WORMANCF AN.) � ? r,� �
- THEY DO .NOT: CAUSE OR COIV'TR) T ')� A Y A. TER DUAL++`Y J.S. THE + `RMi T � � ANL)
BU T E TO A VIOLA T)ON N W /If+ �+ rHT A► ;'C)'�/�rr..
'V, CON TAMINA TION, OR NUISANCE; OR CONTAIN A HAZARDOUS SUBSTANCE IN, ,,1 A.!,'�.
►S 40 (: 4? VAR I S T I / ANN .502 T4, T)-IF A+
OINNFR: !HA 1 fJ� W. 11iNrl
__ALLEY_
_
le
7
PROVIDE NEW SEWER CLEANOUT IN THE PUBLIC RIGHT-
OF-WAY
(A NEW SEWER CLEANOUT NEEDS TO BE INSTALLED ON
+
THE EXISTING SEWER LATERAL PER STD-406-L, W/ A
TRAFFIC -GRADE BOX & COVER, ADJACENT TO THE
PROPERTY LINE IN THE ALLEY PUBLIC RIGHT-OF-WAY
o 0
1�
I I I
in
f B A C K_
LOT COVERAGE
CALCULATI
I
I '
EXISTING LOT AREA =
2,550 S.F.
' i I
I
EXISTING LOT COVERAGE (MAIN HOUSE)
- HOUSE/GARAGE =
1,005 S.F.
' I
1'-1 I"
I
- COVERAGE % =
39%
I
EXISTING GARAGE I
PROPOSED LOT COVERAGE (MAIN HOUSE/GAME RM)
305 APOLENA AVM.
- HOUSE/GARAGE =
1,005 S.F.
I
- GAME ROOM =
108 S.F.
I (EXISTING TO REMAIN)
NOT PART OF PROJECTI
- COVERAGE % =
43%
Q
I w
I <
I
' NOTE:
Z
z EXISTING GARAGE IS
a NONCONFORMING DUE TO
1
o PARKING - THEREFORE MAX.
ADDITION ALLOWED IS < 10%
OF EXISTING FLOOR AREA
� 2
I
,
I
I
10 1
EXISTING EXTERIOR
STAIR TO BUNK ROOM
1 I
1
I
ABOVE GARAGE
9/20/2018 City of Newport Beach Page 13 of 13
6:34:09AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 09/20/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 305 APOLENA AVE —'�,► �S
AMID Information:
Activity : N2018-0483
SubType : NEW
Status : APPROVED
OWNER: NIELSEN STEVE Phone:
APPLICANT: SHEPHERD STEVEN Phone : 714-785-9404
STEVE@SHEPHERDARCH
Description : SEWER CLEANOUT PER STD 406-L
Requested Inspection(s)
Item: 10200 PRE JOB - PW
Requested Time: 9/20/2018 12:00:OOAM Requestor: WEBUSER
Entered B : WEBUSER 714 267 6423 �- tau
Y 1!/1-Irl
Comments: AM -Please call for Appox ETA, in Laq B
Assigned to: zzzzzzzzz»*
uogged
Refile
9/24/2018 City of Newport Beach Page 13 of 14
6:34:21AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/24/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 305 APOLENA AVE — $ArL f S"w
A/P/D Information:
Activity :
N2018-0483
SubType :
NEW
Status :
APPROVED
OWNER:
NIELSEN STEVE
APPLICANT:
SHEPHERD STEVEN
Phone :
Phone: 714-785-9404
STEVE@SHEPHERDARCH
Description : SEWER CLEANOUT PER STD 406-L
Requested Inspection(s)
Item: 10205 GENERAL SERVICE
Requested Time: 9/24/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: ANY-Beqinninq of work Notification .
i
Assigned to: zzzzz777777*
WEBUSER
714 267-6423
i j...' �.. C. - -'- 7
9/25/2018
6:34:14AM
City of Newport Beach Page 11 of 11
INSP150 - Daily Inspection Request Report
Requested Inspection Date:
09/25/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
305 APOLENA AVE
AMID Information:
Activity : N2018-0483
SubType : NEW
Status : APPROVED
OWNER: NIELSEN STEVE Phone:
APPLICANT: SHEPHERD STEVEN Phone : 714-785-9404
STEVE@SHEPHERDARCH
Description : SEWER CLEANOUT PER STD 406-L
Requested Inspection(s)
Item: 10030 CLEAN -OUT
Requested Time: 9/25/2018 12:00:OOAM Requestor: WEBUSER
714-267-6423
Entered By: WEBUSER
Comments: AM -Located 4" Lateral, Ready to replac
Assigned to: 77777 777zz*
9/26/2018 City of Newport Beach
6:34:06AM INSPI50 - Daily Inspection Request Report
Requested Inspection Date : 09/26/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 305 APOLENA AVE
AIPID Information:
Activity : N2018-0483
SubType: NEW
Status: APPROVED
Page 16 of 16
OWNER : NIELSEN STEVE Phone :
APPLICANT: SHEPHERD STEVEN Phone : 714-785-9404
STEVE@SHEPHERDARCH
Description : SEWER CLEANOUT PER STD 406-L
Requested Inspection(s)
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 9/26/2018 12:00:OOAM Requestor: WEBUSER
714-267-6423
Entered By: WEBUSER
Comments: PM-Removinq concrete, install rebar.
Assigned to: zzzzzzzzzzz*
Cal'_ C; iqt"
-z-
&7
A/ 5P01111
LEVmac,
49
ie
9/27/2018 City of Newport Beach
6:34:35AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
09/27/2018
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
305 APOLENA AVE
A/P/D Information:
Activity :
N2018-0483
SubType :
NEW
Status :
APPROVED
OWNER:
NIELSEN STEVE
APPLICANT:
SHEPHERD STEVEN
Page 19 of 20
Phone :
Phone : 714-785-9404
STEVE@SHEPHERDARCH
Description : SEWER CLEANOUT PER STD 406-L
Requested Inspection(s)
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 9/27/2018 12:00:OOAM Requestor:
Entered By:
Comments: M-11-12 am pour
Assigned to : zzzzzzzzzzz` V ce
1/v ` 2c=N'14
WEBUSER
714-267-6423
W
O
r
FT)
ai
/ T
J
%ALI.
II
9/28/2018 City of Newport Beach Page 8 of 8
6:34:18AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 09/28/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 305 APOLENA AVE
AMID Information:
Activity : N2018-0483
SubType : NEW
Status : APPROVED
OWNER: NIELSEN STEVE Phone:
APPLICANT: SHEPHERD STEVEN Phone : 714-785-9404
STEVE@SHEPHERDARCH
Description : SEWER CLEANOUT PER STD 406-L
Requested Inspection(*)
Item: 10250 FINAL - PW
Requested Time: 9/28/2018 12:00:OOAM Requestor: WEBUSER
714-267-6423
Entered By: WEBUSER
Comments: ANY -Thank You
Assigned to : zzzzzzzzzzz`
'tj
ED