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Home My WebLink AboutN2018-033111164 N City of Newport Beach Permit No:N2018-0331 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 3 3 1 IIIIIII Permit Counter Phone (949)644-3311 Project No: 2068-20'tCANNED Online Inspection Request - www.newpoftbeachca.gov Online Services 1butL Inspection Requests Phone (949)644-3255 Job Address: 4633 ROXBURY RD NB Thomas:Guide: 919G3 Description REMOVE AND REPLACE DRIVEWAY APPROACH PER STD 162-L, CURB DRAIN PER STD 184-L, SIDEWALK, CURB AND GUTTER PER CITY STANDARDS Parcel #: 4750-530-7 - Legal Desc : N TR 3357 LOT 33 Owner: ZEHNER MITCHELL JAMES Contractor MATA'S CONSTRUCTION CO Phone: Phone: 714-393-6358 Address 4633 ROXBURY RD Address 910 E. 4TH ST CORONA DEL MAR CA 92625 SANTA ANA CA 92701 Contractor State Lic: 861880 Applicant: MATA'S CONSTRUCTION CO License Expire : 07 31. 2018 Phone: Address Business License BT30015664 Business Expire : 04 30, 2019 SpecialCond.: PRE JOB MEETING REQUIRED Workers' Compensation Insurance - - Carrier : WESCO INS CO Policy No: WWC3251945 W. C. Expire: 02 01, 2019 Permit Processing Fee $241.00 Sewer Connection $0.00 Total Fee $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $736.00 Traffic control Plan Check $0.00 Total Water Meters $0.00 Balance $0.00 Inspection Fee : $495.00 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 k Z, Processed By: Date : Other Department: Date Utilities Approval Date: Permit Denied -Date: Traffic Approval Date Issued Permit: y Date: General Services Approval Date: ............... LESTH PROJECT ADDRESS: DETAILED DESCRIPTI N Of PROPOSED WORK: v ST I�v-1 z-L AY C STD- 1� -L APPLICANT: jPhone• Email Address: Mailing Address: CitylState2ip: OWNER: Phone: Email Address: Mailin Address: Ci State/Zip: ALLFEOtTRA -R 1tFC�ttAfGONf �S'1E1�RE'NIR CONTRACTOR: Office Phone: Co p ny if d• erent : Jobsite Phone: • 6 -373-6 Other Phone: ail Address: Mailing Address: fh Ci 1Sta Zi C Sta a License Number & Class: Expires: Nty Business License umber: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: .......................................................'.'.'...':.':.•::.•.'........... .•.'.'.'..'.'.•.•.'.'.':.'.•.'..'.•.'.•.'.'..•.•.•..•.•:.•. #EF41f�fDAQ1. :E1E�'OSITIMFORMAfi101 ZF pli�?A41:::::::::::::::::::::::::::;:;:;:;:;:;:;:::::;:;:;:;:::::;:;:;:;:;:::::::::::::::: etunit Pa .able ..cr......... . . 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FOR OFFICE USE'taNLY Special Conditions of Permit: bj P ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS .' , Utilities: General Services: Traffic: F-771 Fire: C� Other: Engineering Technician: Public Works Specialist: Date: Permit No. t/users/Pbw(sheredlemmachhnesWslepwaftheelds 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 1 Refundable Deposit: $502.00 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 & Cover Additional _ _ _ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE T REVENUE DIVISION PRIOR TO PAYMENT OF FEES $165.00 $121.00 $165.00 $108.00 TBDeTBD $108.00 0 $ $64.00 64.00 venue Division I 1 oty. Water Meter: Installation Charge $528.00 1314" Meter $50.25 11" Meter $121.50 Water Meter Boxes: 1 1 1 /2" Meter $285.00 1" DFW Meter Box $96.66 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 B 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 �4'. Meter $4,730.00 6" Meter $7,190.00 IFS .... �. .. Certificate of Compliance Fee (+100% of hriy 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 My 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 N Permit Specialist Receipt No. Rev. 12/18/2017 -- f /users/pbw/shared/encroach/masters/ep front and back masters/ epfeesheet.xls-revised 11W7 ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED.CONTRACTOR Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800422.4133 ' TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 1 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 Authorization' to allow another party to pull a permit. An approved copy of the Compensation Insurance, or a Certified Copy thereyf. 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 EXEMP (Section 3800 Labor Code) 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 I certify that in the performance of a 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 permit shall be deemed revoked. 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 Date: Signature: 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 CONTRACTOR LICENSE EXEMPTION 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, 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 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. 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 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole encroachments. 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 Date: Signature: 4TT box over the riser. notice for Encroachment Permit 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 theb}{c r24-hour Wor 49-644-3311. California Department of Transportation. If needed, barricades can be obtained from the City al a charge of $10.00 ov ground uti citifies 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 toprotect the general public. Access to fire hydrants must be maintained at all times. affected property owner(s). 10 Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day 16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water weekend, summer between June 15 and September 15. and during the holiday season from December 19 to Quality Laws. Best Management Practices will be enforced. It is against the law to 1'1. 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 discharge construction debris into the gutter and storm drain. Felony violations of Water acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and 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. emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 17. If a refundable deposit was paid, applicant must submit a Soils Compaction 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 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 State 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 Works 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. Temporary 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 related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant hereby a knowledges he/she has read 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 issuan Permit fees are nonrefundable. Date: _ Signature' WALL TO REMAIN - - -5' HT P.L. WALL TO MATCH (E) N , 1 JPOSED FRENCH DRAIN - - 1 � h •. 'B'. PER CITY STANDARD • 8" DEEF=22.50 CU.FT.) _ 1 ( •� IN; N Q I �� 11 1 L• •�. � / 1 I I •/ — --CONNECT TO EXISTING REAR GARDEN DRAINAGE 5Y5TEM m m li � 15.00 - -- ----L __ � _ -._ ` � OO - -BOTTOMLESS TRENCH DRAIN PER FIGURE 'B'_SECTION.(E-E) - - CITY STANDARD— i 31-1 � f (c-;,-�. A(X,f �CLO N'veWa J 40 [n] - 5' HT P.L. WALL TO MATCH (E) - (e] WALL TO REMAIN r - in] +5' HT F.L. WALL TO MATCH (E) p I 6) --- PROPOSED FRENCH DRAIN PER SECTION'S'. PER CITY STANDARD (12" W x 15' LONG x 18" DEEP=22.50 CU.FT.) --CONNECT TO EXL,TING REAR GARDEN DRAINAGE SYSTEM Per 5W /6Z-` M. The minimum clearance between exterior . f 1 ^* 1 1 ` ATE FRAME OETERM NED B G/ GRATE FRAME OIMENSIO'IS. USE FRAME At A =ORN --- _` --{ + ml � CRJSFEO ROCK 24" W/FIUER CLOTH ELEVATION SECTION E-E o- Ogg c 24" wide X 18" minimum depth t•erch b- Ploce filter cloth in the t•er&. Lap 12" ® :op c- Fil bottom o` the trencr wit-i crushed rock. d- Farm and pour perimeter concrete curb. e- F0 the rest of the trench with crushed rock to DI BOTTOML V W Ric mm Um M• 6/19/2018 City of Newport Beach Page 9 of 10 4:30:39PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/20/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 4633 ROXBURY RD gu Activity : N2018-0331 SubType : Status : APPROVED OWNER: ZEHNER MITCHELL JAMES Phone Description: REMOVE AND REPLACE DRIVEWAY APPROACH PER STD 162-L, CURB DRAIN PER STD 184-L, SIDEWALK, CURB AND GUTTER PER CITY STANDARDS Item: 10200 PRE JOB - PW Requested Time: 6/20/2018 12:00:OOAM Requestor: WEBUSER 714-393-6358 Entered By: WEBUSER Comments: ANY - Assigned to: z7777777777* Inspector: �� Date: ��2 d Time: AM PM Comments: JJAI lg,eA?' 0Je v L: %fit vF �-g . iReflle F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 • 10/11/2018 City of Newport Beach Page 5 of 14 4:30:17PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/12/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 4633 ROXBURY RD � w+y�'�y!� Activity : N2018-0331 SubType : Status : APPROVED OWNER: ZEHNER MITCHELL JAMES Phone: Description : REMOVE AND REPLACE DRIVEWAY APPROACH PER STD 162-L, CURB DRAIN PER STD 184-L, SIDEWALK, CURB AND GUTTER PER CITY STANDARDS f•+:+grr�>er7r+,,ri '•CSSYC- � r.. M•�P40 sY .. ....,..._ ..s. .Z. �3;Y:� i o ..•-�.a, •k :�� .a 5.n.:1 >:r',.�,� tR ,..v#.' Item: 10250 FINAL - PW Requested Time: 10/12/2018 12:00:OOAM Requestor: WEBUSER 7143936358 S Entered By: WEBUSER Comments: AM - Assigned to: =77777777` A�t // o — i►-Z2 rYt L • G (G ,S f,,,,o� ��-Ls v � IF . \, J COMPLETED