HomeMy WebLinkAboutN2018-0042f Newport Beach B"�1111111111111111111111111111111111� 111ofa�n. cA 9�6soz11111�z
H % Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
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Job Address: 1 BEACON BAY NB
Description : REBUILD DAMAGED MONUMENT AND WALL.
Parcel # : 0502-210-5 -
Legal Desc : R S 009-42 PAR 1 POR OF PAR
Owner: CITY OF NEWPORT BEACH
Phone:
Address : 2195 ORLANDO RD
SAN MARINO, CA 91108
Applicant: PALMER MASONRY
Phone : 949-642-8442 [
Address : 2672 NEWPORT BOULEVARD
COSTA MESA CA 92627
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
LAND LEASE AGREEMENT TO BE COMPLETED
PRIOR TO FINAL AND RELEASE OF HOLD
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
Date: _/_/
Date: / /
Date:
Date :
-7
;% I
Permit No: N201i 8-Q04 :
Project No : 2649-2017 �✓ �'�
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Inspection Requests Phone (949)644-3255
Thomas:Guide: 919C1
Contractor : PALMER MASONRY
Phone : 949-642-8442
Address : 2672 NEWPORT BOULEVARD
COSTA MESA CA 92627
Contractor State Lic: 679138
License Expire : 10 31, 2019
Business License:
BT00002142
Business Expire :
12 31, 2018
Workers' Compensation Insurance - -
Carrier :
INSURANCE CO OF THE WEST
Policy No :
WSD503121102
W. C. Expire:
10 01, 2018
Total Fee $571.00
Paid : $571.00
Balance : $0.00
Receipt No:
Other Department : Date: _/_/
Permit Denied Date:
Issued Permit : Date /�
t 11. xK,EE tR _EMIT
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COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS:
DETAILED DE§CRIPTION OF PROPOSED WORK:
7'
4
APPLICANT: �� �-
Phone: —
Email Address: .14
Mailing A s::
Gj11
Ci /State/Zip:
OWNER: Phone:
Email Address:
Mailing Address:
City/State/Zip:
ALL CQNTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: ,
S
Office Phone: -
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: / )
Mailing Addpe�
/ airt /Zip: C , /o [!; o�
Sta a Lic nse er & CI
Expires:
City Business License Number:
Ex ires:/. /e
11WORKERS 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
FOR OFFICE USE ONLY
Spec' I Conditions of Permit:
ADtNTIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Municipal Operations
Traffic: 0 Fire:
Other:
�
Engineering Technician:
alist
Perm(�IM-
Date:
( 3-j IN2018-
Permit No. ' l
V
f:lusers/pbw/shareci/ercroa&/masters/epworksheetxls
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
�CS� FUtNCROAC�[T' PERMF6
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All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
PERMIT
N2018-
1 _fix-
NUMBER: v
APPLICANT:
. Y�. ,-
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/AlleyfWalk Closure:
Traffic Control Plan Check
$241.00
$275.00
$817.00
$192.00
$502.00
$65.000
Inspection Fee:
Public Works Field Inspection $165.00
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Newspaper Rack Inspection
TBD
TBD
$108.00
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box & Cover $64.00
Additional
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division
REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval:
1
Qty.
Qt� 1
(Water Meter:
Installation Charge
$528.00 1
13/4" Meter
$50.25
1
11" Meter
$121.50
Water Meter Boxes:
1
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
1
13" Meter
$3,310.00
f4'. Meter
$4,730.00
1
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 ialist
Receipt No.
>.
Plusers/pbw/shared/encroach/masters/ep front and back masters/
Rev. 12/18/2017
epfeesheet.xls-revised 1118117
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 limes. 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 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, IQss
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 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.
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 (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
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 $35.00. 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.
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 Slate 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 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 ther f. ,
Date: B Signature
CERTIFICATE OF EXEMPTION (Section 3800 Labor de)
certify that in the performance of the work under this per ' , I shall not employ
any person so as to become subject to California Worker' ompensation Laws. If,
r signing this certificate I become subject to Worker's Compensation
pro ons of the State Labor Code, I must compI ith the provisions of Section
3700 or 's permit shall be deemed revoked.
Date: Signature:
ONTRACTOR CENSE EXEMPTION
As the Owner of the be it
p perty, I certify I am personally performing all
work in the Public Right -of -
Date: �� S ature:
HOLD HARMLESS -,,TA
,_TEMENT
I understand that am locating minor encroa ents winsithin the City Right-of-
Way/Easement. As property owner it is my re obility to maintain the
encroachmen . I will be responsible for replacing the rovements if the City
removes t for maintenance of utilities or other public neZtk,,l shall indemnify
and ho the City harmless for any liability associated the minor
encro hments.
D e: lZk3wif Signature:
24-hour notice for Encroachment Permi Inspection is required by calling
Public Works at 949-644-3311.
15. Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16. Homeowner, contractors, and subconlracotrs 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 Water
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.
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 additional fees.
No work related to this encroachment permit $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and understinds 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: L�%'L-_Signatureb�td
---- - NEW LANDSCAPE LOW VOLTAGE UPLIGHTS PER H(
' �-- EXISTING CURB - TO BE REINFORCE
DNp
QED --- - - TOE OF WALL TO HAVE BRICK HEAD
ER C
PROVIDE NEW PLANTINGS, IN FRONT Of
EXISTING WATER. IRRIGATION LINE TO BE C/
HT. TO MATCH (E.)
TOP OF POST TO HAVE BRICK HE \ E
EXISTING LIGHT HOUSE FIXTURE TO E
PROVIDE POWER AS NEEDED FOR LIC
LOCATED BELOW IN PROTECTIVE PIPI
HT. TO MATCH (E.) \ \
��'�0' �\ ELECTRICAL/POWER LOCATION
TOP OF WALL TO HAVE BRICK HEADER C,
(E.) PROPERTY LINE WALL TO REMAIN\
PROTECT IN PLACE v
PROPERTY LINE
/-- PROPERTY LINE \
j\
��' PLAN VIEW
1/24/2018 City of Newport Beach Page 13 of 17
4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/25/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1 BEACON BAY
A/PID Information:
Activity : N2018-0042
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT : PALMER MASONRY Phone : 949-642-8442
PALM ERMASONRY@AOL.0
Description : REBUILD DAMAGED MONUMENT AND WALL. --
Requested Inspection(s)
11 3�
Item: 10110 CONCRETE PUBLIC WORKS ZBSER
Requested Time: 1/25/2018 12:0O:OOAM Requestor: _
Entered By: WEBUSER Vluildinq
Comments: AM -We are also requestinq ins
Assigned to : zzzzzzzzzzz` k�
el Inspector. Date:1
v
Comments: ��/'� -,ry
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsaectorSheet.doc
949-642-8442 -1✓
re-9-P11f —71y
Time: AM PM
REPT131 Run Id: 4018
1/29/2018 City of Newport Beach Page 7 of 20
4:30:31PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/30/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 1 BEACON BAY
Activity : N2018-0042
SubType : NEW
Status : APPROVED 4
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: PALMER MASONRY Phone : 949-642-8442
PALM ERMASONRY@AOL.(
Description : REBUILD DAMAGED MONUMENT AND WALL.
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Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 1/30/2018 12:00:OOAM Requestor: WEBUSER
949-642-8442
Entered By: WEBUSER
Comments: AM -Pre -grout - do you need to see
Assigned to: zzzzzzzzzzz*
Inspector: �� Date: 3 tJ t Time: X/�,, AM-),M
Comments: t�/(�T�-� J/'���T� G c—, yw
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
• 7/31/2018 City of Newport Beach Page 7 of 14
4:30:22PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/01/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 1 BEACON BAY
-F+N �:. e'�i. ?ai ai �" b.iH:6Fi"�t[Sir iK� r
Activity : N2018-0042
SubType : NEW
Status : APPROVED
OWNER: BEACH BAY COMMUNITY ASSOC Phone:
APPLICANT: PALMER MASONRY Phone : 949-642-8442
PALM ERMASONRY@AOL.0
Description : REBUILD DAMAGED MONUMENT AND WALL.
T - ,. , .. ..„. >' 7.:.. ssi 1 af` y r s-., •+ .c,} w scudua 10;
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Item: 10250 FINAL - PW
Requested Time: 8/1/2018 12:00:OOAM Requestor: WEBUSER
949-642-8442
Entered By: WEBUSER
Comments: ANY -
Assigned to : zzzzzzzzzzz"
Inspector: 7
C`1 Date: Time: AM PM
Comments:
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
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7/5/2019 City of Newport Beach Page 3 of 4
6:30:21AM INSP15O - Daily Inspection Request Report
Requested Inspection Date: 07/05/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1 BEACON BAY
AM II iiDf1lI o c
Activity : N2018-0042
SubType : NEW
Status : APPROVED
OWNER: BEACH BAY COMMUNITY ASSOC Phone:
APPLICANT: PALMER MASONRY Phone : 949-642-8442
PALM ERMASONRY a(J� 4OL.(
Description : REBUILD DAMAGED MONUMENT AND WALL.
Item: 10250 FINAL - PW
Requested Time: 7/5/2019 12:00:OOAM Requestor: WEBUSER
949-642-8442
Entered By: WEBUSER
Comments: ANY -please confirm with email
Assigned to: 77777777777*
COMPLETED
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