HomeMy WebLinkAboutN2018-05091kr,�.�r„� City of Newport Beach A92660 Permit No: N2018-0509•
100 Civic Center Drive, Newport Beach, C II� N 2 0 1 8 0 5 0 9
Permit Counter Phone (949)644-3311 Project No . 2176-2017
= Online Inspection Request - www.newportbeachca.gov / Online ;__: , 0 l
Services
Inspection Requests Phone (949)644-3255
Job Address:
1703 OCEAN BLVD NB
Thomas:Guide: 919D2
Description :
ABANDON EXISTING 1" WATER SERVICE AT MAIN AND RELOCATE
NEW 1" WATER SERVICE PER STD 502-L.
Parcel # :
0482-120-1 -
Legal Desc :
N TR 518 BLK C LOT 31
Owner:
HAGAN ANNIE & JIM
Contractor : COAST WATER & POWER
Phone:
626-487-9096
Phone: 949-548-0106 949-289-0078
Address :
1703 OCEAN BLVD
Address : P O BOX 3341
NEWPORT BEACH, CA 92661
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2019
Phone:
949-548-0106 949-289-0078[
Address :
P O BOX 3341-
NEWPORT BEACH CA 92659
Business License : BT96014951
Business Expire : 12 31, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP INS FUND
Policy No : 9087110-18
W. C. Expire: 10 01, 2019
Permit Processing Fee : $257.00
Sewer Connection :
$0.00
Total Fee
$1,566.16
Agreement Fee :
$0.00
4TT Box Cover :
$0.00
Paid :
$1,566.16
Traffic control Plan
Check : $0.00
Total Water Meters :
$684.50
Balance :
$0.00
Inspection Fee :
$528.00
Water Meter Connection :
$563.00
Receipt No
Refundable Deposit: $0.00
Total Water Meter Box:
$96.66
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Date: _/_/
Other Department : Date :
Utilities Approval
:
Date: _/_/
Permit Denied Date:
l
/ ip
Traffic Approval :
Date : _/ /
Issued Permit : Date
/55/
General Services Approval : Date : _/_/
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
1703 OCEAN BLVD
DESCRIPTION OF WORK:
ABANDON EXISTING 1" WATER SERVICE AT MAIN & RELOCATE
1" WATER SERVICE PER 502-L
APPLICANT: MIKE KILBRIDE Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
OWNER:
Phone:
Mailing Address:
City/State/Zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (if different):
COAST WATER AND POWER
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, B, C-10
City Business License Number:
BT9601491 EXP: 12-31-18
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an STATE FUND Policy No:9087110-14-2 Expires: 10/1/2018
REFUNDABLE DEPOSIT INFORMATION (if Applicable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Permit:
Utilities: � Traffic:
General Services: Other:
Engineering Technician:
Pubii s Specialist:
Date:
le) 14 S
Permit No.
N2018-
�i�lo • a-0�7
Permit Processing Fee:
Public Works Only
$257.00
Other Department
$293.00 PH
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/Alley/Walk Closure: $70.00= Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11" $70.00 Sewer Connection Fee
24" x 36" $152.001 1 4TT Box & Cover
_ _ _ Additional
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE'-R
REVENUE DIVISION PRIOR TO PAYMENT OF FEES lA
Water Meter:
13/4" Meter
$50.25
11" Meter
$121.50
11 1/2" Meter
$285.00
11 1/2" Turbine Meter
$700.00
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
14" Meter
$4,730.00
!6" Meter
$7,190.00
Development Services Fee (Plan check hourly)
Final Tract Map Checking Fee
Final Parcel Map Checking Fee - Moderate
Lot Line Adjustment Fee
Park Dedication Fee Zone _
Street EasementNacation Fee (+100% of hny over 4 hrs)
Street Tree Fee ($700 Planting Fee)
Installation Charge
Water Meter Boxes:
1" DFW Meter Box
2" DFW Meter Box
$165.00
$2,653.00
$2,653.00
$1,151.00
TBD
$1, 089.00
TBD
$176.00
$129.00
$115.00
TBD
F=J
TBD
$115.00
$.00 $6464.00
venue Division i
provai: 1
$563
$96.66
$203.24
5200-5015
5200-5026
5200-5027
5200-5028
405-470
5200-5031
030-2284
Engineering Tech:
Total AmountDue:
For Finance use only
'A
Permit ialist
Receipt
flusecs/ptYwIshafe(lencfoacr)i aster5ieD front and back masters/
Rev. 9/13/2018
epfeesheee As -revised 9M/18
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I
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, 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.
5. 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.
9. 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 lie 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.
3. 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 wort; 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 (VorATCH). 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 1 his 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 cnllection 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 It uraffe, or a Certified Cop t reo`�
Date: L 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, I 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 I
Public Works at 949-644-3311. l tom_
15. Any above ground utility facilities wiI 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 shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowleMes he/she has read anct understand 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. L
Permit fees are nonrefundable. Date: ftnature:�___-_____ _ _
LEGEND
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CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
Permit No.N 2D -Dspq
ADDRESS
1-70 3 OcErin 3t,
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY i\k Ibr�tt±.
(entity who is requesting meter and/or would get
aeposi[ reruno)
MAILING ADDRESS RECEIPT#
CITY/STATE/ZIP PHONE #
SERVICEADDRESS 1?03 IOCean P,�J�
SERVICE REQUESTED: Check aU that
► Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
( ) New Meter at existing service address
(tapping order)
( ) Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location () Residential Location () Fire Connection Fee $
(-Meter Size 1 t� Fee $ 171 y 0
( ) 4TT Box Fee $
( Meter box & Lid - Alley/Traffic Area Fee or Parkways/Sidewalk Fee $
Total Fees $ Encroachment Permit Number:_ -A 1 2-0 f R Q b—DC1
Please Complete Owner Info (Hydrant Meter exempt) needed for monthly service billing account
Customer Name (property owner) 1h eee k,a/n e t� 7oa S
Billing Address ,S/5 11$9City/Zip l-A 4 CA 4)' C"07 I
Residence Phone # Business Phone #
E-Mail Address
Social Security # or CA Drivers License
FOR OFFICE USE ONLY
CLERK DATE BUS LIC # MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORK/TAPPING ORDER NUMBER
f/users/rev/shared/water/water meter sery app 05/23/16
7I/18/2019 City of Newport Beach Page 5 of 17
6:30 16AM INSP15O - Daily Inspection Request Report
Requested Inspection Date : 01/18/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1703 OCEAN BLVD
A/P/D Information:
Activity : N2018-0509
SubType : NEW
Status : APPROVED
OWNER: HAGAN ANNIE & JIM Phone : 626-487-9096
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : ABANDON EXISTING 1" WATER SERVICE AT MAIN AND RELOCATE NEW 1" WATER
SERVICE PER STD 502-L.
Requested Inspection(s)
Item:
10215 ROUGH UTIL
Requested Time:
1/18/2019 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to :
zzzzzzzzzzz*
8/4.9/2019 City of Newport Beach Page 6 of 14
W. 6:30:35AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/19/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1703 OCEAN BLVD
A/P/D Information:
Activity : N2018-0509
SubType : NEW
Status : APPROVED
OWNER: HAGAN ANNIE & JIM Phone: 626-487-9096
APPLICANT: COAST WATER & POWER Phone: 949-548-0106
949-289-0078 mikekilbride@live.com
Description : ABANDON EXISTING 1" WATER SERVICE AT MAIN AND RELOCATE NEW 1" WATER
SERVICE PER STD 502-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 8/19/2019 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY- t
Assigned to: 77777777777*
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