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N2018-0508
*r�µ�00Tt City 00 CivicofCenter Newport Beach Bach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIIIII�lllllllltlllllllllllllll n Permit Counter Phone (949)644-3311 yam. ; Online Inspection Request - www.newportbeachca.gov / Online �• "` Services Job Address: Description : STREET TREE. Parcel # : Legal Desc Owner: Phone : Address Permit No: N2018-0508 Project No: 2107-2014 • 'DryaNNED Inspection Requests Phone (949)644-3255 2007 SABRINA TER NB Thomas:Guide: 919E1 REMOVE AND REPLACE APPROX. ISOF CURB AND GUTTER PER CITY STD. INSTALL 2 NEW CURB DRAINS PER STD 184-L. INSTALL NEW 36" BOX 0503-320-1 - N TR 2813 LOT 127 FERRY,THOMAS A TRUST 2007 SABRINA TER CORONA DEL MAR, CA 92625 Applicant: DAVID CLOSE HOMES Phone: 949-246-3313 [ Address : 1501 WESTCLIFF DR #300 NEWPORT BEACH CA 92663 Special Cond.: PRE-CONTRUCTION MEETING REQUIRED Contractor : DAVID CLOSE HOMES Phone: 949-246-3313 Address : 1501 WESTCLIFF DR #300 NEWPORT BEACH CA 92663 Contractor State Lic: 789703 License Expire : 01 31, 2019 Business License: BT30058773 Business Expire : 04 30, 2019 Workers' Compensation Insurance - - Carrier : STATE FUND Policy No: 9166430 W. C. Expire: 09 20, 2019 Permit Processing Fee : $257.00 Sewer Connection: $0.00 Total Fee $609.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $609.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $352.00 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 :f / General Services Approval : Date : COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: o0 -t 5� , , .•� V4 s r < < t; DETAILED DESCRIPTION OF PROPOSED WORK: f <cc c:-QQ rox o2D o� cVf� J PPLICANT: d- SCS UQ Phone: Email Address: • �5 S� c \ o s ern �^ �� . e Mailing Address: `1\\ w 11 V� S_ L I City/ tate2ip: C o s " c- cl 2 1 OWNER: " 113hone: Email Address: Mailing Address:` -sue f��/��� City/StatelZip: n - `�C\T�■/ LL9 Mr CONTRACTOR: `� J I .,- i-�� S Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing Address: City/State0p: State License Number & Class: Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Oerations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 Special Conditions of Permit: I ADDI' gNAL APPIMAL REQUWAED FROM YK FOLL0WIN6 iDEPAR $ Utilities: Municipal Operations Traffic: 0 Fire: 0 Other: Engineering Technician: PAMWIt Specialist Date: 3 Permit No. N2018- Q f/users/phw/shared/Bncmach/masters/epworksheet.xls I Ito`] • a011.( Public Works Department 949444-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only $257.00 Other Department $293.00 [�� Agreement Fee: Preparation of Report/Agreement $871.00 Document Recordation Fee $204.00 Monitoring Wells $535.00 Inspection Fee: Public Works Field Inspection Utilities Field Inspection Water Quality/Artificial Turf Inspection Refundable Deposit: Improvements Street/AlleylWalk Closure: $70.000 Newspaper Rack Inspection Traffic Control Plan Check 8-1/2" x 11" $70.00 Sewer Connection Fee 24" x 36" $152.00 4TT Box & Cover _ _ _ Additional THE FOLLOWING ITEM—S REQUIRE APPROVAL FROM THE —[R REVENUE DIVISION PRIOR TO PAYMENT OF FEES �4 Water Meter. _ Installation Charge 3/4" Meter $50.25 F' Meter $121.50 Water Meter Boxes: 11 1/2" Meter $286.00 1" DFW Meter Box 11 1/2" Turbine Meter $700.00 7 DFW Meter Box 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 14" Meter $4,730.00 16" Meter $7,190.00 TBD TBD $115.00 0 $ $64.00 e 64.00 ------------ venue Division proval: $96.66 e $203.24 Development Services Fee (Plan check hourly) $165.00 5200-5015 Final Tract Map Checking Fee $2,653.00 5200-5026 Final Parcel Map Checking Fee - Moderate $2,653.00 5200-5027 Lot Line Adjustment Fee $1,151.00 5200-5028 Park Dedication Fee Zone TBD 405-470 Street EasementlVacation Fee (+100% of My over 4 hrs) $1,089.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amou t Due; ©C� For Finance Use Only Pe ' Specialist Receipt No. f:/users/pbw/sharedlencroactdmasters/ep front and back masters) Rev. 9/13/2018 epfeesheet.x1s-revised 9n3/t8 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 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 Permiltee 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 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, 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 feel 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 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 $35.0& 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 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'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 Labor Code`- . I certify that I have a Certificate of consent to self -insure, Certificate of Worker's Comperiolation Insurance, or a Certified Copy th Jeoo C I S I j IS Signature: V CERTIFICATE OF EXEMPTION (S3'e%n 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 Compensation Laws. If, after signing this certificate I become subject to the Worker's Compensation provisions of the State Labor Code, 1 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. 1 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 Inspection is required by calling Public Works at 949-644-3311. V 15 Any above ground utility facildi s will quire documented approval 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 W Ver Quality Laws are punishable by fines up to $25,000 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 Vlork Department or corrections will be required (i.e. removals. exposing connectinos. 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 shall be performed until the Public Works Department has issued this permit. Applicant hereby pknowledges he/she ha rea 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. �� } S 9/ Permit fees are nonrefundable. Dat : _ � J 3 J l Y 1 nature: add&- rA v Owl, I hz- or �i, i 1�, 1 h 10/3/2018 City of Newport Beach Page 16 of 16 4:30:37PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/04/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2007 SABRINA TER Activity : N2018-0508 SubType : NEW Status : APPROVED OWNER: FERRY,THOMAS A TRUST Phone APPLICANT: DAVID CLOSE HOMES Phone : 949-246-3313 DAVID@DCLOSEHOMES.0 Description : REMOVE AND REPLACE APPROX. 15' OF CURB AND GUTTER PER CITY STD. INSTALL 2 NEW CURB DRAINS PER STD 184-L. INSTALL NEW 36" BOX STREET TREE. Item: 10200 PRE JOB - PW Requested Time: 1 4/2018 12:00:OOAM Requestor: WEBUSER 949-246-3313 Entered By: WEBUSER 11 Comments: ANY -AVAIL 11:30 - 1:30; PLS CALL I q°(- 3SO - sg 19 Assigned to : 77777777777` V \/ e 9 , (S A- C � = -, y F r- 4 s m Air ` Q/N Ic- 1PktN#r A-u4 Ts,4 5i' P Acc.v w O-A-u�fi TA-66�") s►4e+e wa) : cs-14k0L, 9-40-V/1v P&Y-A,P- . f"Y&s. `U46 Vr-O IPS Z ON 9AW-NA-8u'T oUL-y (i) sF1DwN okV PiAN, Z o�v kAVar Tt--A 101 vNi-K C11 oN v,&4W. aMP41tM o 6 . APP1 � &I rw � F v,,�p1e h/ANTS tb �P A�� FOH�t GNta aR1°ti�lS Logged Re#fie ZCV ? OW -WA -tr-k . 4f-r TW5 R�T1,0/4 Ric, i0.. 0--1> Aws r- AwcoK-' 1 Wit} 7Z/Z. 10/9/2018 City of Newport Beach Page 5 of 10 4:30:34PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/10/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2007 SABRINA TER Activity : N2018-0508 SubType : NEW Status : APPROVED OWNER: FERRY,THOMAS A TRUST Phone APPLICANT: DAVID CLOSE HOMES Phone : 949-246-3313 DAVID@DCLOSEHOMES.0 Description : REMOVE AND REPLACE APPROX. 15' OF CURB AND GUTTER PER CITY STD. INSTALL 2 NEW CURB DRAINS PER STD 184-L. INSTALL NEW 36" BOX STREET TREE. Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 10/10/2018 12:00:OOAM Requestor: WEBUSER 949-350-5818 Entered By: WEBUSER Comments: AM -Please schedule for 8:30AM Assigned to: 77777777777* V P 4 �f 10cle -5 -rD oti �A789tN� 7-Qc . . • y1146/2018 City of Newport Beach Page 16 of 19 4:30:49PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/27/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 2007 SABRINA TER Activity : N2018-0508 SubType : NEW Status : APPROVED OWNER: FERRY,THOMAS A TRUST Phone APPLICANT: DAVID CLOSE HOMES Phone : 949-246-3313 DAVID@DCLOSEHOMES.0 Description : REMOVE AND REPLACE APPROX. 15' OF CURB AND GUTTER PER CITY STD. INSTALL 2 NEW CURB DRAINS PER STD 184-L. INSTALL NEW 36" BOX STREET TREE. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 11/27/2018 12:00:OOAM Requestor: WEBUSER 9493505818 Entered By: WEBUSER Comments: AM - Assigned to: 777777777zz- r j V 6� ( P66- � r/ / s' 'k e� Its r"I �7 - 031 . SAL e-77CW (�� 1Z-t�V //V \�, APIP-0 VA-L— 0?--� ox -hol "*, ) 4t �uT' l W. rt4-,C- C> A- Ocp 4- 3 12/4/2018 City of Newport Beach Page 8 of 12 4:30:63PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/05/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2007 SABRINA TER d Activity : N2018-0508 SubType : NEW Status : APPROVED OWNER: FERRY,THOMAS A TRUST Phone APPLICANT: DAVID CLOSE HOMES Phone : 949-246-3313 DAVID a@DCLOSEHOMES.0 Description: REMOVE AND REPLACE APPROX. 15' OF CURB AND GUTTER PER CITY STD. INSTALL 2 NEW CURB DRAINS PER STD 184-L. INSTALL NEW 36" BOX STREET TREE. Item: 10250 FINAL - PW Requested Time: 12/5/2018 12:00:OOAM Requestor: WEBUSER IS 949-350-5818 V Entered By: WEBUSER Comments: AM- j `f Assigned to: 77777 zzzzz* ILI jo COMPLETED 'i