HomeMy WebLinkAboutN2018-0204rNrr,�,
City of Newport Beach
IIIIIII� IIIIIIIIIIIIIIIII
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III IIIIIII Permit No: N2018 0204
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone
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Project No : 2354-2017
(949)644-3311
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Online Inspection Request - www.newportbeachca.gov
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Services
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Inspection Requests Phone (949)644-3255
Job Address:
2123 E BALBOA BLVD NB
Thomas:Guide: 919D2
Description :
INSTALL NEW 1" WATER SERVICE PER STD 502-L; INSTALL NEW 2ND LATERAL AND CLEAN OUT PER STD 406-L.
Parcel # :
0483-020-6 -
Legal Desc :
N TR 948 LOT 61
Owner:
CEFALIA JIM
Contractor : SHORELINE DEVELOPERS
Phone:
949-933-7986
Phone: 949-697-3993
:
1224 W OCEANFRONT
Address : P O BOX 551
0Address
NEWPORT BEACH CA 92661
NEWPORT BEACH CA 92661
Contractor State Lic: 890871 �� J
Applicant:
SHORELINE DEVELOPERS
License Expire: 01 31, 2019
Phone:
949-697-3993 [
Address :
P O BOX 551
NEWPORT BEACH CA 92661
Business License: BT30041079
Business Expire : 10 31, 2018 --�
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP r
Policy No: 9038773 C -
W. C. Expire: 01 01, 2019
Permit Processing Fee : $241.00
Sewer Connection :
$250.00
Total Fee $1,961.16
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Paid : $1,961.16
Traffic control Plan
Check : $0.00
Total Water Meters :
$649.50
Balance: $0.00
Inspection Fee :
$660.00
Water Meter Connection :
$528.00
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 : _�
,// 7/ a c)
Traffic Approval :
Date : _/_/
Issued Permit : �l C Date :
General Services
Approval :
Date: _/_/
W'. ] .. i �..: of •. `'!::y:
FORENCROAGHMENT
_ELOW: INFORMATION:
PROJECT ADDRESS: 21
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT: L ~ (� -
Phone: -7
Email Address: �� �_ r c7
Mailing Address: 'Z i 4 a K; , f z
City/State/Zip: ( try e S L 2,7
OWNER: Phone:
Email Address:
Mailing Address:
City/State/Zip:
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: r S 1 ;� . -
Office Phone: yYS -os��
Company (if different);.-
�z I ` LL2 `' z'✓ (f✓ L. ;
Jobsite Phone: `T c( S 7 Y S 5S-
Other Phone: a'
Email Address:
Mailing Address: �`, x (
City/State/Zip: Z
State License Number & Class: Cf +
Expires: i ! i ti
City Business License Number: j 3�,I i c 7
Expires:
WORKERS COMPENSATION INSFANCE Certificate of Insurance (Section 3800 Labor Code)
Company: 'S t`L �- C / v � c,Policy No: i e,- 3,e77 J Expires:
REFUNDABLE DEPOSIT tNFQRMATION (IfApplifrable)...::
Refund Payable 70
Mail: :Refund :To.:...:
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public Specialist:
Da a
Permit No.
Zo4
��n f./users/pb%vhhared/encroachhnasters/epworksheet.xls _�) _
Public Works Department 949-644-3311
Permit Processing Fee: Qtv. Inspection Fee:
Public Works Only $241.00 Public Works Field Inspection $165.00
Other Department $275.00 Utilities Field Inspection $121.00
General Services Inspection $165.00
Agreement Fee: Water Quality/Artificial Turf Inspection $108.00
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.001 Refundable Deposit: TBD
Monitoring Wells $502.00 Improvements TBD
Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box & Cover $64.00
Additional
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE ]Revenue Division 1
REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval:
1
Qty
• 1
(Water Meter:
Installation Charge $528.0 1
13/4" Meter
$50.25
1
11" Meter
$121.5 iL
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
�4" Meter
$4,730.00
1
16" Meter
$7,190.00
RTWA;bLLANEOUS
FEES
I
Qty.
Budget Number
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
-1 1 1 ()(-,�I•f1-o
Perm' ecialist
Receipt o.
f /users/pbw/shared/encroach/masters/ep front and back masters/
ReV. 12/18/2017
epfeesheetxls-revised 11l8/17
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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
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 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
after date of issuance.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 State Highway right-of-way
will require a Caltrans Permit. All vehicles shall be lawfully parked.
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.
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.
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 at I have a Certificate of consent to self-i sur , 9ertific to of VI(orker'.s
Come ation Insurance, or a Certified Copy the . eo
Date % �' Signature:
CERTIFICATE OF EXEMPTION ( c '0 3800 Labor Code)
certify that in the performance of the wor 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 Per t I on Is Xoqairedd balling
Public Works at 949-644-331./�j
15. Any above ground utility faciliti�si W re irk documented appro nt
affected property owner(s). / C
16. Homeowner, contractors, and su contracotrs 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 Works
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. Applipsnt herebyvwlydges he/she has read aid ratan e a and
conditions of this permit and helshe agrees to abide by them. Permit is void if work is not commenced within 30 days after.issuanw z, r
Permit fees are nonrefundable. Da 7�0 SlanatureiL_ r_
8/14/2019 City of Newport Beach Page 17 of 17
6:30:26AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/14/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2123 BALBOA BLVD E
A M Inin--adorc
Activity : N2018-0204
SubType : NEW
Status : APPROVED
OWNER: CEFALIA JIM Phone : 949-933-7986
APPLICANT: SHORELINE DEVELOPERS Phone : 949-697-3993
Description : INSTALL NEW 1" WATER SERVICE PER STD 502-L; INSTALL NEW 2ND LATERAL AND
CLEAN OUT PER STD 406-L.
Item: 10250 FINAL - PW
Requested Time: 8/14/2019 12:00:OOAM Requestor: WEBUSER
9496971955
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777* P-
GRADING CONSTRUCTION NOTES:
INSTALL 4" DIA. SCHEDULE 40 PVC SOLID
SUBSURFACE DRAINAGE PIPE LINES
INSTALL 6" DIA. ROUND GRATE INLET NDS TYPE 40 WITH RISER AND ADAPTER OR
EQUAL
CONSTRUCT MIN. 5" THICK CONCRETE FLATWORK PER SOILS REPORT
CONSTRUCT MIN. 6" THICK CONCRETE DRIVEWAY PER CITY STANDARD
CONSTRUCT DOWNSPOUT CONNECTION TIE INTO SUBSURFACE DRAINAGE PIPE
SYSTEM
CONSTRUCT 24" WIDE BY MIN. 18" DEEP BOTTOMLESS TRENCH DRAIN PER SEPARATE
DETAIL
CONSTRUCT PROPERTY LINE WALL PER LANDSCAPE PLAN
A NEW SEWER CLEANOUT NEEDS SHALL BE INSTALLED ON THE EXISTING SEWER
LATERAL PER CITY STANDARD #406-L ADJACENT TO THE PROPERTY LINE WITHIN THE
EAST BALBOA BOULEVARD RIGHT-OF-WAY.
INSTALL ROOF GUTTER DOWNSPOUTS AND SPLASH PAD
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NOTE:
ALL GRADING SHALL BE PERFORMED IN ACCORDANCE WITH THE RECOMMENDATION
AND SPECIFICATIONS SET FORTH IN THE SOILS REPORT FOR THIS PROJECT S
T�Mp� �►l�Y SN oi2t�J Cy , s6e SEcTi o-,1i A A j
LEGEND
AC
ASPHALT
CONC
CONCRETE
DS
DOWN SPOUT
EP
EDGE OF PAVEMENT
FF
FINISH FLOOR
FL
FLOW LINE
FS
FINISH SURFACE
GFF
GARAGE FINISH FLOOR
HP
HIGH POINT
INV
INVERT ELEVATION
MH
MANHOLE
PL
PROPERTY LINE
TF
TOP OF FOOTING
TG
TOP OF GRATE
TW
TOP OF WALL
WM
WATER METER
(10.67 NG) EXISTING GRADE ELEVATION
11.51 FS PROPOSED GRADE ELEVATION
LIMIT OF GRADING
Qx
2% SURFACE DRAINAGE GRADIENT AND
DIRECTION
S = 0.01 SUBSURFACE AREA DRAIN LINE GRADIENT
AND DIRECTION
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ML
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BAL
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0
212
=,,, BALBEIA
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--9.00INV
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8.88 FS
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8.98 FS
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-------6" PERFORATED PIPE
I I �
ROPER
Y LINE LIMIT OF GRADING
9.02 INV
;; 6" PERFORATED PIPE
= CONNECT T
II 9.12INV
9.88 F
CONCRETE SIDEWALKII
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ONNECTED TO
DISCHARGE PIPE
DISCHARGE PIPE
II 4 3'
_ 64- F
uP
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EX. SEWER LATERAL
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WON �►
11.30 FS
ONTRACTOR TO VE IFY
ACTUAL LOCATION
LIMIT OF GRADING
L�WALL (TYP.)
L1
11.41 FS 3 11.41 FS - w 11.48 TG
Y - 10 14 INV
P 20
`- -
2%�
o
^3 11.37 TG
- -
9.92 INV
11.51'FS
y'
11.41 FS _
11-41 FS
,
12.04 FF
III
11.41 FS� 3
2°- 2%
41 FSJ
1.4 FS 11.54 GF
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-
11.51 FS
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11.30 TO
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METER
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9.77 INV;
3—CAR GARAGE-
TRENCH DRAIN
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\11.51 FS
00
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co
11.51 FS
11.42 TG
10.00 INV
ROPERTY LINE
CONSTRUCT 24" WIDE BY 18" DEEP
BOTTOMLESS TRENCH DRAIN
PER DETAIL IN SHEET C3
Q_ PROJECT NORTH.
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A 4/18/2018 City of Newport Beach Page 5 of 10
4:30:44PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 04/19/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address • 2123 BALBOA BLVD E
AIPID Information:
Activity :
N2018-0204
SubType :
NEW
Status :
APPROVED
OWNER:
CEFALIA JIM
Phone : 949-933-7986
APPLICANT:
SHORELINE DEVELOPERS
Phone : 949-697-3993
Description :
INSTALL NEW 1" WATER SERVICE PER STD 502-L;
INSTALL NEW 2ND LATERAL AND
CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item:
10200 PRE JOB - PW
Requested Time:
4/19/2018 12:00:OOAM Requestor:
WEBUSER
9496971955
Entered By: WEBUSER
Comments: ANY -tap water add meter+box add sewer I
Assigned to : zzzzzzzzzzz*
Inspector: Date: Time: AM PM
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
4l2(ii2o18 City of Newport Beach Page 11 of 12
• 6:34:58AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/20/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2123 BALBOA BLVD E
A PI) h"xna we
Activity : N2018-0204
SubType : NEW
Status : APPROVED
OWNER: CEFALIA JIM Phone : 949-933-7986
APPLICANT: SHORELINE DEVELOPERS Phone : 949-697-3993
Description : INSTALL NEW 1" WATER SERVICE PER STD 502-L; INSTALL NEW 2ND LATERAL AND
CLEAN OUT PER STD 406-L.
Request -- S)
Item: 10070 METER BOX & PERM. PAVE - PW
Requested Time: 4/20/2018 12:00:OOAM Requestor: WEBUSER
9496971955
Entered By: WEBUSER
Comments: ANY -
Assigned to: 7777z777777*
Z�V�
G
V4'!/23/2019 City of Newport Beach Page a 11 of 21
6:30:50A'M INSP150 - Daily Inspection Request Report
Requested Inspection Date : 07/23/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2123 BALBOA BLVD E
AIFND Wai w aic
Activity :
N2018-0204
SubType :
NEW
Status :
APPROVED
OWNER:
CEFALIA JIM
Phone : 949-933-7986
APPLICANT:
SHORELINE DEVELOPERS
Phone : 949-697-3993
Description :
INSTALL NEW 1" WATER SERVICE PER STD 502-L; INSTALL NEW 2ND LATERAL AND
CLEAN OUT PER STD 406-L.
Item:
10250 FINAL - PW
Requested Time:
7/23/2019 12:00:OOAM
Requestor: WEBUSER
9496971955
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
11 13() lirylo
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