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HomeMy WebLinkAboutN2017-0601Bearive, o I�������IPermit No:N2017-060iPermit ��ocNewport Newportehach, CA 92660 Q Counter Phone (949)644-3311 Project No: 1811-2014 Online Inspection Request - www.newportbeachca.gov / Online Services 5, Inspection Requests Phone Job Address: 503 HAZEL DR NB Thomas:Guide: 919F3 Description : REMOVE AND REPLACE EXISTING SIDEWALK PER CITY STD, 2 NEW CURB CORES, ON EACH ON POPPY AND HAZEL, PER STD 184-L. Parcel # : 4591-220-2 - Legal Desc : N TR 673 BLK B LOT 23 Owner: FALLOWS TAD & ANNE TTEE Contractor : JTC CONSTRUCTION, INC Phone: 617-990-6313 r� Phone: 562-207-7515 Address : 503 HAZEL DR Address : 11956 415TH ST CORONA DEL MAR, CA 92625 NORWALK, CA 90650 Contractor State Lic: 995516 Applicant: JTC CONSTRUCTION, INC License Expire: 03 31, 2018 Phone: 562-207-7515 [ Address : 11956 415TH ST NORWALK, CA 90650 Business License: BT30061392 Business Expire: 11 30, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : EXEMPT Policy No: W. C. Expire: 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: Traffic Approval : Date : _/ / Date : / Permit Denied Date : Issued Permit: Date _/ General Services Approval : Date � z-/ I � / 13. DETAILED DESCRIPTION OF PROPOSED WORK: Qz ✓l �'�!� 1lr�G iX d C / -�, APPLICANT: �/j (� ,� y .4Lt-rr W Phone: 617 Email Address: Mailing Address:'43ib FA-'#e ,,fj[ op: 7-S CitylStv#w5 OWNER: A9 f "AU(O. Phone: ( b Email Address: Mailing AddTs�6 �-�- City/S�tat �X Q i`FRA TF�R INFORM !kTl �S' E lIREE GE SE;` IAA('. CONTRACTOR. ,'S G ,z K Office Phone: 2,1-J - 1 Company (if different): Jobsite Phone: Other Phone: Email Address: ' }c �)r✓( �0 0 �k°Yr- • ,e, Mailing A dress: Sfi N City/State/Zip: J� {x Ca - State License Number & Class: (j Expires: 03151115 City Bness License Number: V7--3(-,G(,0jAL4—Expires: WORKERS COMPENSATIO�INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: "ti : Policy No: Expires: iREI°UI�f4i!tEi:£:E1EPC1S1T:1NFORN4�IIQI!t:'IfA : .;.'.;.'Y.'.;.;.•;.;...•.'...:........."......... _.....".........'. •.;.... .....•.....'.'.'.'.'.'.'.' stand Pa .�171�':[�::.{:;'":• :; :: "•.:':':<• " ." . <<I::• .{ ' ' �!�:::< :• :! 1 ':•:•:� :•::•:•:':':':'::':':<':<:':<':':':':':':':':':':':':':':':':':':':'....'. - FOR OFFICE IlSE ONLY =: Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING.©EPARTMENTS Utilities: General Services: Traffic: Fire - Other: Engineering Technician: Publicj&Qrks Specialist: Date: I 3G 7 Permit No. _ I rrum,&Vbwdshomdknomaawnae w~eec#s 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 $165.00 $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $817.00 $192.00 Refundable Deposit: $502.00 1 Improvements Street/Alley/Walk Closure: $65.000 Newspaper 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 — — — _ _ •--— THE FOL—LOWING-- ITEMS--- REQUIRE--- AP—PROVAL FROM— THE—— TREVENUE DIVISION PRIOR TO PAYMENT OF FEES I oty• [Water Meter: Installation Charge 13/4" Meter $50.25 11" Meter $121.50 Water Meter Boxes: 11 1/2" Meter $285.00 1" DFW Meter Box 11 1/2" Turbine Meter $700.00 2" DFW Meter Box 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 � 4" Meter $4,730.00 i6" Meter $7,190.00 TBD TBD $108.00 $$64.00 e 64.00 ----------- venue Division provat: I $528.00 I I $.e$20303.2424 I 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 EasementlVacation Fee (+IGO% of hrly over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: To mount Due: For Finance Use Only /r ' Permi a 'list Receipt No. f lusers/pbWahar"encraadUmasterslep front and back masters/ Rev. 11/8/2017 epfeesheet.x19-revised 11017 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 3 4. 5. 6. 10 12 13 14 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT 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 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. All work shal! 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. 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. 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 State Contractor License Class C-42 is required. 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. 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. 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. 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. 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. 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 limes 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 Callrans Permit. All vehicles shall be lawfully parked. 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. 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. 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 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 self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy thereof. Date:;' Signature: CERTIFICATE OF EXEMPTION (Section 3800 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 Co pensaIlion Laws. If, after signing this certificate 1 become subject to the W ker's Compensation provisions of the State Labor Code, I must comply ith th provisions of Section 3700 or this per it shall be deemed revoked. Date: 11 7 Signature: 14 CONTRACTOR LICEXEMPTION As the Owner of the benefiting property, i c lfy 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 Public Works at 949-644-331 1. is required by calling 15 Any above ground utility facili�bon re uire doc4R%nted approval from the adjacent affected property owner(s). 16 Homeowner, contractors, and ccotrs may each be liable for violations of Water Quality Laws. Best Manage mect aclices 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 Stale 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 fdditional fees. No work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant hereb/x—ackno'w-l/;Ignature: s he/she has read�unPrstandssand 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: ,_ R 6" VARIABLE VARIABLE I 2" F.L. OF PIPE PARKWAY SIDEWALK t�— V2" ABOVE GUTTER � A B OW LINE NW W `YA �B 7SEEDETAIL 'A" FOR TYPE OF DRAIN PIPE I— DRAINS MATH SLOPE GREATER THAN 10R MAY REQUIRE AN ENERGY REDUCER. 2— ALL DRAINS MUST BE INSTALLED 90' TO THE CURB FACE UNLESS APPROVED BY THE CONSTRUCTION ENGINEER. CI C'WATInki INSTALL POLYETHYLENE PLASTIC JOINT MATERIAL "QUICK —JOINT" OR EQUAL 1-1 /2" MIN.�\ COVER 2" MIN. SECTION A -A RESIDENTIAL VE COR" MIN. �a. a 8' MIN {— 9" I 6" I SECTION A -A COMMERCIAL INSTALL POLYETHYLENE PLASTIC JOINT MATERIAL "QUICK JOINT" OR EQUAL 2" MIN. NOTE: IF CURB/GUTTER IS REMOVED JOIN TO THE NEAREST JOINT WTHIN TWO FEET. r6" Topsoil or 4" concrete 6-1/4" 4" MAX. OUTER DIAMETER \0 3' Perf. drain pipe class SDR 35 SCH 40 PVC pipe 18" Crushed Rock 3" P.V.C. (SCH. 40� RECTANGULAR CAST IRON Filter Cloth PIPE OR EQUAL PIPE. ALHAMBRA FOUNDRY Lop 6" �12 A-470 OR EQUAL DETAIL A SECTION "B-B" ALTERNATE TO DETAIL A DRAIN PIPE SECTIONS * OUTSIDE HUB DIMENSIONS CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT PRIVATE DRAINS RICE raven: P. — � sale: .T.F Drawn: rclmega • Scale: V.T.S. r I SERS VIA% Shecc.A(I PI THROUGH CURB Date: June RO STD IkwJu2IXq_yJ URAWENG NO. STD- 184-L, ti V 3 LWrl 1 �_ 41 I 48 C1z f 4 � 1 i z 0LLJ \ \ �-I `:. G� L 0� I10 i I t 1 � 6 v l <1i4.75FS /�7�_ i i 1 •� �C) /0 �. <113.25 S` oo T ROOF L 36_1 ii7.�� ,•, �. ti /619.47W. FS �XisT -' 01 \` g 9 A 61101/ GB `, � E b i I - z ti• l � g iE 7Z7 EXrsT s 2 O ! ,cl •(� 51� PA =, j . 1147 my 113.01FS>IV t'o , I ��ti �� --� 10� I O� 1 i k, 1019 > W VL LA_ AC Q tK IDGE Q is i I i IDGt -- -- ! 12 4,2 " 2N= S? -R'Y I �r AC A. 7 PROTECT EXIST. SEWER. CLF..ANOUT INSTI:. +" ^IA. "FCK ^RAIN, N" Qi`)B OR EQUAL �� r 4 C�Irici ei? or F)' Topsoil /Lvv �Ay o0 I 1 3 F.erlch drain }� jG' V por, fowt ion @ bot t •ern. Crushed Rock Filter Cloih Lop G" @ lop --� i-12-- 1 1 Perforated drain/trench detail 4 CITY OF NEWPORT BEACH REQUIRED - FOR PERMITTING ` , 1, 7 1 Gv j c o ti q LO 5 46 � � - — ' �—�. --- •� `tit � �� `titi • `titi IN i v ` LJ tK .4 %! ++ 1 A �,� '� �ti q2 -/N I �ti 118.01 18 \\ 11,1,8 .Oqs It FIN ■ O v' # �I wo00 Nui I \ \ r C1i4.75F� ° , ix ���S, w/wwo 0EIt ti c113,25FS;— - ROOF TORY k ��,� sal Ta,�E,�A�Nr RESIDENCEOOF CD rle row A �J , I i C112. 7FS)�16t I ti���-��.►'isT 2 S rA/RS :10 ,8OFS aq. yO � � � � � i � � GF7No i9PE � 1 b • Z Z a o AC IMP XL91vrlSC19 coLO ( �• qj Oj 0� ni I OF)i Z ----_ 1ia:-01s City of Newport Beach Page 3 of 14 6:34:56AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/04/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 503 HAZEL DR Activity: N2017-0601 SubType : NEW Status : APPROVED OWNER: FALLOWS TAD & ANNE TTEE Phone : 617-990-6313 APPLICANT: JTC CONSTRUCTION, INC Phone : 562-207-7515 JTC-CONSTRUCTIONCO@ Description : REMOVE AND REPLACE EXISTING SIDEWALK PER CITY STD, 2 NEW CUR. CORES, ON EACH ON POPPY AND HAZEL, PER STD 184-L. Item 10200 PRE JOB - PW 3 a4 9 Requested Time: 8 12:0O:OOAM Requestor: 7146422800 Entered By: NBIVR Comments: AM Assigned to: Inspector: J y Date: 191 Time: AM PM Comments: -3k €L s LJ L_-L MAI ffl' �,�V T-) \ 4 6e-:7 �' t2 C+.cA.I>I>6 — 3;—T-) I F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InSUectorSheet.doc (uca�e��v�'i—Y ova j Logge V- REPT131 Run Id: 4018 11/1/2018 City of Newport Beach Page 6 of 14 4:30:48PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/02/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address: 503 HAZEL DR Activity : N2017-0601 SubType : NEW Status : APPROVED OWNER: FALLOWS TAD & ANNE TTEE Phone : 617-990-6313 APPLICANT: JTC CONSTRUCTION, INC Phone : 562-207-7515 JTC-CONSTRUCTIONCO@ Description : REMOVE AND REPLACE EXISTING SIDEWALK PER CITY STD, 2 NEW CURB CORES, ON EACH ON POPPY AND HAZEL, PER STD 184-L. urr. Item: 10250 FINAL - PW Requested Time: 11/2/2018 12:00:OOAM Entered By: WEBUSER Comments: AM -Jim Karona Assigned to: 77777777777- PP $-•f3Qivti "-P 4/w Pu y 14 AWWr 4-tW14X--O Requestor: WEBUSER 714-642-2800 e� ALb " --r" G mil, l/4 A`�L L Red 12/10/2018 City of Newport Beach Page 10 of 18 4:30:03PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/11/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 503 HAZEL DR TO Activity : N2017-0601 SubType : NEW Status : APPROVED OWNER: FALLOWS TAD & ANNE TTEE Phone : 617-990-6313 APPLICANT: JTC CONSTRUCTION, INC Phone : 562-207-7515 JTC-CONSTRUCTIONCOC Description : REMOVE AND REPLACE EXISTING SIDEWALK PER CITY STD, 2 NEW CURB CORES, ON EACH ON POPPY AND HAZEL, PER STD 184-L. Item: 10250 FINAL - PW� Requested Time: 12/11/2018 12:00:OOAM Requestor: WEBUSER 714-642-2800 Entered By: WEBUSER Comments: AM - Assigned to: zzzz7777777* "'i � % & C1 : COMPLETED