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HomeMy WebLinkAboutN2017-0159Cityof Newport Beach 111111111111111111111111111111111111111111111111111111Jill Vic Center Drive Newport acn. CA 9266p Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online �• Services Job Address : 409 COLUMBUS CIR NB Description : Remove and replace existing driveway approach per Std 164-L. Parcel # : 4591-610-9 - Legal Desc : N TR 1237 LOT 63 Owner: PHOENICIAN STONE IMPORTS INC Phone: 0 Address : 3034 COAST HWY E CORONA DEL MAR, CA Applicant: P V M Phone : 714-736-0477 Address : 15643 PESCADOS DRIVE LA M I RADA CA 90638 Special Cond.: PRE -CONSTRUCTION MEETING REQU Permit Processing Fee : $241.00 Sewer Connection : $0.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 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: N2017-0159 Project No : Inspection Requesip4lhone (949)644-3255 Thomas:Guide: -Af9F3 06ntractor : P V M Phone : 714-736-0477 Address : 15643 PESCADOS DRIVE LA MIRADA CA 90638 Contractor State Lic: 432966 License Expire : 03 31, 2019 Business License: BT30055682 Business Expire: 06 30, 2017 Workers' Compensation Insurance - - Carrier : STATE COMP Policy No: 9069136 W. C. Expire: 12 01, 2017 Total Fee $571.00 Paid : $571.00 Balance : $0.00 Receipt No: Date: _/_/ Other Department : Date: Date: Date: _/_/ / / Permit Denied Date Issued Permit: t Date .3 /3e/ ! .l Date: / / W O ' "i C O Y �, h. .. 3 t� , , ,r i Y COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: - ,.� C' r r o -A t. vAt�r DETAILED DESCRIPTION OF PROPOSED WORK: APPLICANT: Say Ir Phone: S13 tiro 3 �� Email Address: MailingAddress: '5Lq3 lStat. "\fo CA O L c 4 OWNER: SC-" jPhone: g y 9 S4 1 �►19 Email Address: Mailing Address: `_ o� a ern7�S ` r Ci /State/Zip: ` f\ nq V� 1%Aa!, CA ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: V'N Office Phone: /`{ e13 2- 3 Company (if different): Jobsite Phone: 3 Z 3 0 33 ' Other Phone: Email Address: A `M C-0,NC4. Cy'^ Mailing Address: 3 PeSc �s �. Ci /State/Zip: r � �.� f X-- State Picense Number & Class: 31 9 L L Expires: 3 '3 i l9 City Business License Number: Expires: ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: 901, 13 to Expires: i Municipal Orations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 FOR OFFICE USE ONLY Special Conditions of Permit: Jit - `Yl �'► f ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Municipal Operations Traffic: Fire: 0 Other: Engineering Technician: ;� Permit Sp T Dat 3��t Permit No. _ N2017- f-,userWPbW/Sher"emCT8Chftast9B/ Sh«t.Ids Public Works Department 949444-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of ReportlAgreement Document Recordation Fee Monitoring Wells Inspection Fee: $241.00 Public Works Field Inspection $165.001 $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $817.00 $192.001 1 Refundable Deposit: TBDe $502.00 Improvements TBD 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 _ _ _ 1 THE FOLLOWING ITEMS REQIUIRE APPROVAL FROM THE REVENUE DIVISION PRIOR TO PAYMENT OF FEES $108.00 0 $.00 $64e 64.00 ----------- Revenue Division I i Qhr• -- Qty- lWater Meter: Installation Charge $528.001 I 1 13/4" Meter $50.25 Water Meter Boxes: 11" Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost 11 1/2" Meter $285.00 V Meter: 13.00 + 37.00 $50.00 11 1/2" Turbine Meter $700.00 2: Meter: 27.00 + 61.25 $88.25 12" Meter $425.00 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 1 13" Meter 14" $3,310.00 1" Meter: 13.00 + 38.00 $51.00 Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00e 6" Meter $7,190.00 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 17 Z; Permit S ecialist Receipt No. f/users/pbw/shared/encroachlmasters/ep front and bads masters) Rev. 1/5/20171 laosesheetAs-revised 10/21/2016 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 I_ncroachmenl f'enttils nwav he t ken out by the owner of benefited properly or a licensed contractor A licensed contractor must provide a Letter of Authonzahon 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 peanut. i- sublecl to rejection fine Citv reserves the right to void permit if work does not commence within 30 days after date of issuance 2 The Permdtee agrees to defend indeninifv and hold the City. its authorized agent officers representatives ands employees harmless from any responsibility, liability, suit or action of any description ansing out of any accident, loss or damage to persons or property occurring as a result of work undertaken under this permit 3 All work shnl! be. done in accordance wilh the approved plans. Standard Special Provisions curt! Standard Drawings of the City of Newport Beach. and in compliance with all applicable Slate laws and City ordinances. 4 Permiltee 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 nght-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 nunirmum 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 Locale and pothole existing City -owned utilities (w. water sewer or street lighting conduits) to verify locations Maintain a one -fool clearance over or under existing Ctly-owned utilities Sewer cleanouts require VCP or PVC SDR35 be used with a 4TT box over the riser 9 Properly lighted barricades nibst 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 file California Department of l ransportalion If needed. barricades can be obtained from the City at a charge of S10.00 per barricade per day. with a minimurn charge of S35 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 tunes 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. I I Any work that extends into Traffic or parking lanes and impedes the normal Ilow of traffic requires the applicant to acquire a I emporary Street Closure Pemnd hone the Public Works Department Access for fire. police and emergency vehicles must he. maintained at all limes traffic Control must be per Work Area Traffic Control Handbook fWATCH) No nighttime traffic lane closures. unless prior approval has been granted Any lane(s) closure on a major Street will only he allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday). unless approved by the Public Works Department Anv viork affecting the Slate Highway's traffic or within the Stale Highway right-of-way will require a Caltrans Perinit All vehicles shall be lawfully parked 12 This permit does not authorize the closure of sidewalk:; streets. or alleys for construction access, storage of materials. or parking of construction vehicles unless detailed on an attached temporary Street Closure 13 Applicant nttasf 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 rnaterials shall he removed within 24 hours after completion of the work If riot removed, the Cily may remove and bill the applicant Coordinate alley closures with Cfiv s refuse pick-up days by calling 949-644-3066 for the collection schedule so service is not interrupted To place if dumpster or materials in the public right-of-way. a Temporary Street Closure Permit nniSt be. obtained I«xn file Public Works Department WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Co:',.) . I /certify that 1 have a Certificate of consent t self -insure, Certificate of Worker's Compensation Insurance, or a Ce fied Co t reof. Date: 3� 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 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. 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 Inspection is required by calling Public Works at -644-3311. 15 Any above ground utility facilities will require d>cumonte. d arproval from the adjacent affected properly owner(s). 16 Homeowner contractors. and Subcontracolrs may each be liable for violation of Water Quality Laws Best Management Practices will be enforced it is against the I:ww k� discharge construction debris into the griller and storm drain felony viotahons of Wn!er duality Laws are punishable by fines rip to S25000 and of un to thnv+ yertre 1r1 Stale prison plus the full cost to clean up an illegal discharge or spill 17 If a refundable deposit was paid. applicant twist submit a Soils Conw;wile-i Certificate or Evidence of a Slurried Backfill and request a final inspection from tho Public Works Department. Monies may be held for six nwonths after final nwSpectioo before a refund will be processed 18 No trees in the public: right-of-way shall be planted, removed. Intrmwed c:i ielw:ated without approval from the General Services Department 19. All work in the public right-of-way must meet the approval of the Public. 1Vork•, Department or corrections will be. required (i.e. removals, expnsnu; cciruwc,chc.ns. etc.). Additional inspection fees may be required. 20 Permit is for standard rnaterials 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 oily. Additional wi performed may require issuance of a separate permit anchor acdditionml feces. No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Ap want hereby acknowledges a/she ha d and understands the terms and I conditions of this permit and he/she agrees to abide by them. Permit is void if work Is not commenced within 30 days after Iss ce. Permit fees are nonrefundable. Date: �1��,�7 lgnature: CITY OF NEWPORT BEACH FINANCE DEPARTMENT 100 Civic Center Drive, Newport Beach, CA 92660 P.O. BOX 1768, Newport Beach, CA 92658-8915 Permit Number: N2017-0159 Today's Date : May 09, 2017 CASH RECEIPT Plan Check Number: Receipt Number: R000076339 Job Address: 409 COLUMBUS CIR NB Description: Remove and replace existing driveway approach per Std 164-L. Owner: PHOENICIAN STONE IMPORTS INC Applicant: P V M Date Paid : Mar,30,2017 05:01 PM Total Paid : $571.00 Notation: Initial: DE Description Payment Type Check Number Card Type Payment Credit Crd FOR PLAN CHECKS ONLY: TARGET DATE: 10LIRT-11 Tendered $571.00 For status, please log on to www.newportbeachca.aov/building, and select PLAN CHECK STATUS or call (949) 644-3255 NOTICE: PLAN CHECK EXPIRES 180 DAYS FROM DATE OF SUBMITTAL Fee Items- N2017-0159 10:04 05/09/2017 Item # Description Fee Amount Pmt Amount Balance Account code 7010 Permit Processing Fee $241.00 $241.00 $0.00 5200-5016 7040 Public Wk Field Inspect. $330.00 $330.00 $0.00 5100-5014 Total Rows: 2 I C o�� / C Page 1 p�IZ b c c� CA r r. (gyp) Sys•-©�i5 WEAKEND PLANE JOINT OR COLD JOINT P.C.C. APPROACH. L REMOVE AND REPLACE d IF 5 OR LESS TYP EXISTING JOINT CRACK, OR BREAK PLAN CURB OPENING FOR 87C.F. 4' APPROACH BOTTOM (W) FOR 6 C.F. SEE NOTE 4 X ELEVATION - FL B/C E/P OF CURB GUTTER f 2" OR MATCH R EXIST. DRIVE 2'-0" X MIN. 1 AC ABOVE GUTTER 3/8" 29' MAX. EXIST. DRIVE MIN. I _--------- 1' WIDE BY 1' DEEP **6" THICK AC PATCH BACK P. C. C. EXIST AC SECTION A -A NO TES: 1. WHEN REMOVING EXISTING SIDEWALK, CURB AND GUTTER, SAWCUT AND REMOVE TO NEAREST EXISTING JOINT WITHIN 5 FEET BEYOND OPENING. 2. SLOPED "X" AREAS AND SLOPE DRIVEWAYS SHALL HAVE A COARSE BROOM FINISH. J. CONCRETE SHALL BE 560-C-3250. 4. "W" SHALL BE MINIMUM OF 10' AND A MAXIMUM OF 20' EXCEPT IN CASE OF THREE CAR GARAGE WHERE "W" MAY EQUAL 25' OR 32' FOR A 4 CAR GARAGE. CITY OF NEWPORT BEACH (APPROVED: PUBLIC WORKS DEPARTMENT RCE NO.36106 RESIDENTIAL DRIVEWAY Drawn: M.Wagner APPROACH TYPE III Date: Jan. 2004 DRAWING NO. **4" WITH ENGINEERS APPROVAL FOR NON-STANDARD PAVERS WORKS DIRECTOR Scale: N.T.S. STD-164-L . 4/11/2017 City of Newport Beach Page 1 of 10 6:34:20AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 04/11/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 409 COLUMBUS CIR AJM kiln f1-nuofc Activity: N2017-0159 SubType : NEW Status : APPROVED OWNER: PHOENICIAN STONE IMPORTS INC Phone : 0 APPLICANT: P V M Phone : 714-736-0477 Description : Remove and replace existing driveway approach per Std 164-L. ibe ueslsd i�padio�ys) Item: 10200 PRE JOB Requested Time: 4/11/2017 12:UU-MAM Requester: NBIVR 3235003325 T� Entered By: NBIVR Comments: AM Assigned to: Inspector: J- '� Date: t Time: `-3o A PM Comments: 1 // `jU E / 66 l Se-0 77 � /"oi-•%l/e�L-J r7i S,e-u s .S bAv A¢ J"" 57-1i — /6 y pew Go v o l 77 ny s ,c �a r�•f> Z- 3 •FT— I4tW Le/.r6 A/C t• �L'p 7'/ t� MZL11 fi at 04-y4,,0FZ t7a �4 mot!O T Ae-, Jll rz-) P 6•c40W •A-Tl l/&- r-7 6. O k/0d ei2 1.,/ / z- L SPe)I'/e 7rD f'D A1I;/ 75•P=1AAC Lo 9ed Ref, He F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131 Run Id: 4018 N2017 -OISq qO'q COL4MOUS UR. Inspector: Y Date: y/ Z Time: 0/3v A PM Comments: �tl�Ek/ Tht �ts� Gov Dl t7Oti� Lt/� /�2�'.-eGCS �'GlG GIST Aar:- 7V . /,/s ��s4 jj-V y�o ,� d�sT4 �.+Dla�� Gaa-1 -- Ci arMt--%L -ro Bic lam`+ niL r(::> tiE`3.aCi" JV 1/lJ7- i A44ZL w---Q bvl T _ F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 PAYMENT AUTHORIZATION P V M Vendor Name Vendor No. 15643 Pescados Drive Address La- Mirada, CA 90638 05/09/2017 New Address Date Contract No. Item of Expenditure Invoice No. Budget No. Amount 409 Columbus Circle - Refund of inspection fee due to permit 01080801-521065 $165.00 canceled and work not done. Mail Attachment With Check Single Checks Requested Direct Deposit TOTAL $ 165.00 Comments/Special Instructions: l� Debbie Elgas 05/09/2017 Requested/Prepared By Date Department/ Division Approval Date Budget Manager Approval Date Finance Dir Approval Date ;For AP Use