HomeMy WebLinkAboutN2018-0416City of Newport Beach
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Permit No:
100 Civic Center Drive, Newport Beach, CA 92660
N 2 0
1 8 0 4
1 6
Permit Counter Phone (949)644-3311
Project No : 0763-2017
Online Inspection Request - www.newportbeachca.gov / Online
Services
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Inspection Requests Phone (949)644-3255
Job Address:
204 COLLINS AVE NB
Thomas:Guide: 919C1
Description :
LINE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. REPLACE
DAMAGED WATER METER BOX WITH 1" BOX. PURCHASE NEW 1" METER.
**REVISED 11/19/18:
REPLACE SCE CONDUIT**
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Parcel # :
0500-911-2 -
Legal Desc :
BALBOA ISLAND SEC 2 BLK 11 LOT 16
Owner:
TRIMAR PROPERTIES
Contractor : COAST WATER & POWER
Phone:
""'R;
Phone: 949-548-0106 949-289-0078
Address :
205 ONYX AVE STE B
M,
,±
Address : P O BOX 3341
NEWPORT BEACH, CA
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 $1,653.82
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Paid : $1,653.82
Traffic control Plan
Check : $0.00
Total Water Meters :
$684.50
Balance: $0.00
Inspection Fee :
$704.00
Water Meter Connection :
$563.00
Receipt No:
Refundable Deposit: $0.00
Total Water Meter Box:
$193.32
Street Tree Fee :
$0.00
Adjustment :
$0.00
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Processed By:
Date: _/_/
Other Department : Date:
Utilities Approval
:
Date: _/ /
Permit Denied Date:
Traffic Approval :
Date: _!_/
Issued Permit : Date : i!ld-8
General Services
Approval :
Date: _/_/
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City of Newport Beach f �IIIII�V�Y l����IVYII� III I
100 Civic Center Drive, Newport Beach, CA 92660 1 N 2 41 S A 4 1 III Permit No:N2018-0416
Permit Counter Phone (949)644 3399 Protect No : 0763-2017
Online Inspecdon Request - wom.newpord achca.gov 1 Online
eNtir��y�trt Services
Inspection Requests Phone (949)644-32SiS
Job Address :
204 COLLINS AVE NB
Thomas:Guide: 919C1
Description:
LINE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. REPLACE
DAMAGED WATER METER SOX WITH 1" BOX. PURCHASE NEW V METER.
Parcel 9 :
0500-911-2 - /r-f f-i r Uf JOA A `� �� C u,01- '`�
Legal Desc :
BALBOA ISLAND SEC 2 BLK 11 LOT 16
Owner:
TRIMAR PROPERTIES
Contractor: COAST WATER & POWER
Phone:
Phone: 949-548-0106 849-289-0078
Address :
205 ONYX AVE STE B
Address : P 0 BOX 3341
NEWPORT BEACH, CA
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2019
Phone:
949-548-0106 949^289-00781
Address :
P 0 BOX 3341
NEWPORT BEACH CA 92659
Business License: BT96014951
Business Expire: 12 31, 2018
Spec lal Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier: STATE COMP INS FUND
Polley No: 9087110
W. C. Expire: 10 01, 2018
Permit Processing Fee!
$241.00
Sewer Connection :
$0.00
Total Fee
$1,477.82
Agreement Fee:
$0.00
4TT Box Cover :
$64.00
Paid :
$1,477.82
Traffic control Plan Check :
$0.00
Total Water Meters:
$649.50
Balance:
$0.00
Inspection Fee:
$330.00
Water Meter Connection :
$528.00
Receipt No
Refundable Deposit:
$0.00
Total Water Meter Box:
$193.32
Street Tree Fee :
$0.00
Adjustment:
$0.00
Processed By:
Date: 1 1
Other Department :
Date : _1_1
Utilities Approval :
Date: 1 1
Permit Denied
Date: J_I
Traffic Approval :
Date: 1 1
Issued Permit : �
Date :U <4;v f
General Services Approval ' Date: 1
:.:"h--Kscx3•-o :3ic :armvui ��r�•iati ,..�d�..•.a,s...�::.,i�e _.•-
PROJECT ADORES9:
204 COLLINS
DESCRIPTION OF WORK:
LINE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
REPLACE DAMAGED WATER METER BOX WITH V BOX
U K Gs iri 1 � iJ�3 0L4 P� Yvt eAC�( -
APPLICANT: MIKE KILURWE
Phone: 949-2S9-0078
Mailing Address:
PO BOX 3341
CItylState/Zip:
NEWPORT BEACH, CA 92659
OWNER: lPhone,
Mailing Address:
CitylState/zip:
CONTRACTOR: MIKE kILBRIAE
Office Phone: 949-548-01%
Company (if different):
COAST WATER AND POWER
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
CitylStatemp:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A 8, C-10
City Business License Number:
BT9601491 EXP: 12-31-18
ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Gompan . STATE FUND Policy No; 87110 1A-Z Ex Tres: 10/11201.$
REFUNDABLE DEPOSIT INFORMATION If Applkable )
Made Payable To: MIKE K LBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Permit:
C ob
Utilities: Traffic:
General Services: Other.
Engineering Technician:
public Wo islist:
Date: Permit No
N2013- U
zt
I 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 i
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 times, Work, which has been done prior to issuance of
a permit, is subject to rejection/fine. City reserves the right to void perrnit 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.
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, surnmer 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 1 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 (WA-iCH). 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 Callrans 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 durnpster 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 Insuragce, or a Certified Cop there��f.� �j'
Date:21 N0 V 1 " Signature:' """
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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-
WaylEasement. 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:
our notice for Encroachment Permit Inspection is required by calling
c 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 subcontracotrs 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 shall be performed until the Public Works Department has issued this permit. A plicant hereby acknowledges he/she has read and understands thl 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 is nce. i �)
Permit fees are nonrefundable. DaiW ._L.'"_ 0"_� ___...Signature: M_
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NEWPORT BEACH, CA 92662
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W?ii iN19 City of Newport Beach Page 15 of 20
6:30:10AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 09/30/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 204 COLLINS AVE
A/P/D Information:
Activity :
N2018-0416
SubType :
NEW
Status :
APPROVED
OWNER:
TRIMAR PROPERTIES Phone:
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description :
LINE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. REPLACE
DAMAGED WATER METER BOX WITH 1" BOX. PURCHASE NEW 1" METER.
"REVISED 11/19/18: REPLACE SCE CpNDUIT** `
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
9/30/2019 12:00:00AM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
ANY -
Assigned to:
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` 11/19/2018 City of Newport Beach Page 14 of 15
4:30:34PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/20/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 204 COLLINS AVE
Activity: N2018-0416
SubType : NEW
Status : APPROVED
OWNER: TRIMAR PROPERTIES Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : LINE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. REPLACE
DAMAGED WATER METER BOX WITH 1" BOX. PURCHASE NEW 1" METER.
Item:
10250 FINAL - PW
Requested Time:
11/20/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM-
Assigned to:
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COMPLETED
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