HomeMy WebLinkAboutN2018-0294.-W. �« City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 2 9 4
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
f e` Services
Job Address : 115 45TH ST NB
Description : NEW SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4244-131-5 -
Legal Desc :
RIVER SECTION BLK 45 LOT 25
j
Owner:
LOWE GORDON M
Phone:
714-269-2284
Address :
115 45TH ST
NEWPORT BEACH, CA 92663
Applicant:
ALL AROUND UNDERGROUND CONTRACTORS INC
Phone:
714-325-2020
Address :
989 NORTH BATAVIA STREET
ORANGE CA
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
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
Date :
Date
Date
Date:
Permit No: N'201 8-0294
Project No: 2946-2016
SCANNED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 888G6
Contractor : ALL AROUND UNDERGROUND CONTRACTORS INC
Phone : 714-325-2020
Address : 989 NORTH BATAVIA STREET
ORANGE CA
Contractor State Lic: 879753
License Expire: 06 30, 2018
Business License: BT30061214
Business Expire:
11 30, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMPENSATION INSURANCE
Policy No:
9061339
W. C. Expire:
06 13, 2018
Total Fee $635.00
Paid : $635.00
Balance : $0.00
Receipt No:
Other Department: Date:
Permit Denied Date
Issued Permit : Date :CS..'T/
a
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: // S ZyO'+
DETAILED DESCRIPTION OF PROPOSED WORK:
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Phone: Z l 7 Z.S- -20 2 0
[PPLICANT:__
mailAddress: L/ G �y phy� (j teg&_4oL. do�ailing
Address:
City/State2ip:
OWNER: �(�-tpc,N Lot,_ Phone:
Email Address: ��� PL2i N��� Z Cn►�
M iling Addresg: City/State2i
TO &;K 5 33 �
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CONTRACTOR:
e Phone: ! -
Company (if different):
Mr'
ite Phone: 715/ 7Z$- Zd td
Other Phone:
Email Address: A44., c
Mailing Address:
City/State/Zip:
State License Number & Class:
Expires: 6-26 la
City Business License Number:
Expires.-
ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Poli No: Expires:
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
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Special Conditions of Permit:
...�AL _.LUN_
Utilities:
Municipal Operations
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Permit alist
Oat
it JtQ
Permit No.
IN2018-
f/users/pbw/shar"enCroaCh/maSterstepworkShoot.xls
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
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 Refundable Deposit:
$502.001 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 FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
REVENUE DIVISION PRIOR TO PAYMENT OF FEES lA
$165.00
$121.00
$165.00
$108.00
TBD
TBD
$108.00
----
venue Division 1
f
clty.
1
IWater Meter:
Installation Charge $528.00 1
�
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66
1
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24
1
12" Meter
$425.00
1
12" Turbine Meter
$845.00
13" Meter
$3,310.00
14" Meter
$4,730.00
16" Meter
$7,190.00
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 hrly 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
Permit cialist
Receipt No.
f /users/pbw/shared/enaoach/masterstep front and back masters)
Rev. 12/18/2017
epfeesheetxls-revised 11/W17
c�q (4(00 - afli40 �2,
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 SURANCE (Sectio 3800 Labor Code)
1
Encroachment Permits pray be taken out by the owner of benefited property or a licensed contractor A licensed
I certify that I have a Certificate consent to gelf-ins e, 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 Ce ified Copy ttr ereof.
pernut and construction plan shall be kept at the job site at all times Work.. which has been done prior to issuance of
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^/ �'
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Datey �/ Si tur
after date of issuance
CERTIFICATE OF EXEMP ec r 0 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 uncle thi 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 subje t to California Wor is 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 b come subject t 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 Cod I must comp 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 r oked.
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: Signatu
Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For
NZ I
construction or connection to water lines a valid State Contractor License Class C-34 is required. For construction or
CONTRACTOR LIC NS EXEMPTION
6
connection to sewer lines a valid Slate 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,
As the Owner of the benefiting propert 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 shalt 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 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
Date: nature:
4TT box. over the riser
24-hour notice for Encro chment Per t 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
Public Works at 949-644- 311.
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
15. Any above ground utility facili es uire 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 to
protect 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 s bcontracotrs 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 Manageme Practices will be enforced. It is against the law to
1 I
January 1, unless approved by the Public Works Department.
Any work that extends into traffic or parking lanes and impedes the normal flow traffic requires the applicant to
discharge construction debris into the gutter and storm drain. Felony violations of Wafer
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 Stale
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 Work
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 connechcos,
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 publ 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 Encro ment Agreement ha been processed.
Temporary Street Closure Permit must be obtained from the Public Works Department.
21. Permit is valid for "description" of ork noted on front ly. Additional work
performed may require issuance of a parate permit and/ additional fees.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereb acknowledges he/sh asLa�hd 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.
Permit fees are nonrefundable.
Date.��; 8lgnature:
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Newport
Beach
GAS Disclaimer: Every reasonable effort has been made to assure the
accuracy of the data provided, however, The City of
lcwr+oq� Newport Beach and its employees and agents
d' a disclaim any and all responsibility from or relating to
e 0 20 40 any results obtained in its use.
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6/4/2018
6:34:11 AM
City of Newport Beach
INSP150 - Daily Inspection Request Report
Requested Inspection Date :
06/04/2018
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
115 45TH ST
AMID Information:
Activity : N2018-0294
SubType : NEW
Status : APPROVED
OWNER: LOWE GORDON M
APPLICANT: ALL AROUND UNDERGROUND CONTRACTORS I
Description : NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10200 PRE JOB - PW
Requested Time: 6/4/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: NP
Assigned to:
LOGGED
Page 2 of 15
Phone : 714-269-2284
Phone : 714-325-2020
NBIVR
7143252020
33.62069°N 117.93916°W ± 10 m WGS84
229 deg(T), 7 m, 2019-06-19 10:52:08-07:00
or,
`ate 'jA0000L
r
115 45th Street
8/18/2019 City of Newport Beach Page 14 of 14
4:30:37PM INSP1 SO - Daily Inspection Request Report
Requested Inspection Date:
06/19/2019
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
115 45TH ST
A/P/D Information:
Activity :
N2018-0294
SubType :
NEW
Status :
APPROVED
OWNER:
LOWE GORDON M
APPLICANT:
ALL AROUND UNDERGROUND CONTRACTORS
Description :
NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
6/19/2019 12:00:OOAM Requestor:
Phone : 714-269-2284
Phone : 714-325-2020
WEBUSER
714-269-2284
Entered By: WEBUSER
Comments: AM- J vC" /
Assigned to: zzzzzzzzzzz' ;Da_ -.0). 1100/ C�
COMPLETE6
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