Loading...
HomeMy WebLinkAboutN2018-0065City o Newport Bp"1111111111111111111111111111111111111111111111111111111111 Oivco Bach, CA 92660 h � Permit Counter Phone (949)644-3311 U 4 Online Inspection Request - www.newportbeachca.gov / Online Services Job Address: 330 OLD NEWPORT BLVD NB Description : INSTALL 3 NEW SEWER LATERALS AND CLEAN OUTS PER CITY STD 406-L. Parcel # : 4253-810-6 - Legal Desc : N TR 1136 LOT 8 Owner: SHAOULIAN EMANUEL Phone: 949-233-6606 Address : P.O. BOX 3237 NEWPORT BEACH, CA 92659 Applicant: KANA PIPELINE INC Phone: 714-986-1400 [ Address : 1639 E MIRALOMA AVE PLACENTIA CA 92870 Permit No: N2018-0065 ; Project No : 2113-2016 Inspection Requests Phone (949)644-3255 Thomas:Guide: 888H6 Contractor: KANA PIPELINE INC Phone: 714-986-1400 Address : 1639 E MIRALOMA AVE PLACENTIA CA 92870 Contractor State Lic: 461487 License Expire : 04 30, 2018 Business License : BT30036592 SCANNED Business Expire : 08 30, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : CHUBB INDEMNITY Policy No: 54303189 W. C. Expire: 08 01, 2017 Permit Processing Fee : $241.00 Sewer Connection: $750.00 Agreement Fee: $0.00 4TT Box Cover: $192.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Inspection Fee : $825.00 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 : Total Fee $2,008.00 Paid : $2,008.00 Balance : $0.00 Receipt No: Other Department : Date: Permit Denied Date : Issued Permit: Date: Z /-,�/ COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: O at-D N/EWPtv-q- IrLV'D. DETAILED DESCRIPTION OF PROPOSED WORK: (5) Sewew- &A-r�-L CoNnfE 7o,.rr' &2 QLD N4FwI'v-W4— W Ct;s*'j - DUrnr APPLICANT twwev_ syle. L-C L'Er.if.lC Phone: - Z..? -- 1-0 Email Address: Gt Url,l6-'prZ.1 V�l'1-S PIs • �M Mailing Address: t a l f = OA-R P-t r ai-. C' /State2ip: 1 4rj,4 ggZg tip m66 WNER: Dp, "4Arjugq, f j4t-.(Aj / Phone: Email Address: Mailing Address: City/State/Zip: CONTRACTOR: KAa^ (pe-t�lt-N i Office Phone: )t� cf 7G-,36 Company (if different): Jobsite Phone: Other Phone: Email Address: 2 ti Mail' Add City/ "p: t" State Licen a umber & Class: Expires: City Business License Number: q 2 —r3003bires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal rations:949-644-3055 Utilities: 949-644-M i Urban Fo . . 949444-3083 Special Conditions of Permit: _ 7t7 .............. Utilities: � Traffic: Fire: Municipal Operations Other: Engineering Technician: -4-- ialist 17W Date: p2, a $ Permit No. N2018- d rh"Wpbw/ est)ds Public Works Department 949-6"-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 Stmet/Alley/Walk Closure: Traffic Control Plan Check 8-1/2" x 11" 24" x 36" Additional THE —FOLLOWING- ET I [Water Meter: [3/4 Meter 11"Meter 11 1/2" Meter 11 1 /2 Turbine Meter 12" Meter 12" Turbine Meter 13" Meter 4" Meter Inspection Fee: Public Works Field Inspection Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection Refundable Deposit: Improvements $65.000 Newspaper Rack Inspection $65.00 Sewer Connection Fee $143.00 4TT Box & Cover QUIRE APPROVAL FROM THE =R TO PAYMENT OF FEES 1APPn Qty. installation Charge $50.25 121.50 Water Meter Boxes: 285.00 1" DFW Meter Box 700.00 2" VFW Meter Box 425.00 R45 00 $3,310. $4,730. $7,190. $108.00 $250.00 $64.0 Division $96.66 $203.24 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 EasementlVacation 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 C Reciipt No. Permit Sneeiallist f./users/pbw/star 8n=adVMasters/ep front and back masters/ Rev. 12/18/2017 epfeesheebds{evised 1 v8/n CP-113-4?6110 ALL UNDERGROUND WORK VALL BE PERFORMED Blf A-LlC�NSED aNTRACTt?R Contact "Und+arground Servie4kWert" At least 48-Hours in Ardvancolof Arty'Ekdavati'oh,,Ot'800-422 4133 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANC ecU 800 r ode a ificate of Wor er's - 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 I certify that I have a Certificate of consent se -' Co ensation Ins ante, or a Certified C th permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of Date• Signatu e: a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days CERTIFICATE OF EXEMPTIO (S ti 3800 Labor Code) I certify that in the performance of the wo under this permit, I shall not employ after date of issuance. 2. The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and harmless from any responsibility,, liability, suit or action of any description arising out of any accident, loss employees or damage to persons or property occurring as a result of work undertaken under this permit. any person so as to become subject to California Worker's 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 become subject to 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 Code, I must comply 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 revoked. 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: Signature: Public Works Director.. A valid State Contractor License Class A can perform any work in the public right-of-way. For CONTRACTOR LICENSE EXEMPTION 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. shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L, As the Owner of the benefiting property, I certify I am personally performing all 6. All trenching and/or resurfacing 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. 9 y' Works Dept. Contractors shall 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 HOLD HARMLESS STATEMENT 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. 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 - 7. The be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be backfilling, applicant may be required to excavate site. Separate Utilities Way/Easement. As property owner it is my responsibility to maintain the encroachments. I will be responsible for replacing the improvements if the City inspected and approved before or 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 (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 Date: Signature: 4TT box, over the riser. 9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual 24-hour notice for Encroachm t P n is require by calling signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of public Works at 949-644-331 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 15. Any above ground utility facilitie wi re ent proval from the adjacent 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 affected property owner(s). 16. Homeowner, contractors, ands acotrs 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 Management Practices will be enforced. It is against the law to January 1, unless approved by the Public Works Department. discharge construction debris into the gutter and storm drain. Felony violations of Water 11, Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to Quality Laws are punishable by fines up to $25,000 and/or up to three years in State acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and 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 Certificate or Evidence of a Slurried Backfill and request a final inspection from the on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Public Works Department. Monies may be held for six months after final inspection the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way before a refund will be processed. 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 18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated without approval from the General Services Department. materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. USA 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 Works 13. Applicant must notify at 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 connections, 14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 etc.). Additional inspection fees may be required. 20. Permit is for standard materials in the public right-of-way only, unless previously may remove and bill the applicant. 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 Encroachment Agreement has been processed. Temporary Street Closure Permit must be obtained from the Public Works Department. 21. Permit is valid for "description" of work noted on front only. Additional work performed may require issuance of a separate per or ditional fees. work related ta:this encrgachment permit a;halob� per#or►ned unttl ttie Pub(fa Works Department har$<ise�d thin t?rmlt �APlntt►�t'byed�`balshefi sYre•andtndiNorrs. r4o of thi& perrnit anj� he/she' -agrees to atatde_t�y them. Pemtltls yt►ld f#rorki ryot aomnadrld wltktiq,tl,drty9r df%IAb�'armkfee+saremonrefundable; PROTECT -IN -PLACE �S2 -Aft RW EC `- 0+90.25 _ 52.95 TC 2 k-T 0 TC�- 1 +15.0052.45 FL 6 .00 51.96 TC 1 +50.50 00, 1.46 FL 50.76 TC, EXISTING 6" ACP WATE. 50.26 FL E 1 +00.00 - _ CL-EC 1 +04.0 -- �_ _ 1 +5�0 y CL INTERSECTION TES: S SEWER IMPROVEMENTS :MENT PER CITY OF NEWPORT 21 JOIN EXISTING 6" VCP SEWER LATERAL WITH BUILDING PLUMBING. EXACT LOCATION OF CONNECTION POINT TO BE B &GUTTER PER CITY OF IN PUBLIC RIGHT-OF-WAY PER CITNG.Y NEWPORT BEACHC STANDARD DRAWING NO. 406-L. E APPROACH PER CITY OF WATER IMPROVEMENTS WALK PER CITY OF NEWPORT 35 INSTALL FIRE DEPARTMENT FDC PER CITY OF NEWPORT BEACH FIRE DEPARTMENT STANDARDS. PROVIDE 2 R. TYPE "A" PER CITY OF 2-1 /2" CONNECTIONS AND JOIN BUILDING FIRE ING NO. 182-L. RISER ABOVE A CHECK VALVE PER NFPA 13. PER CITY OF NEWPORT 80-L. 'k'PROACH TYPE III, PER CITY Underground Service Alert SWING N0. 160-L-A. 84 LEWPORT Call: TOLL FREE CL DWY 2+22.08 47.97 Not F5 �_Nili_O00 48.844T t+04 7/{ -FS -- FS C2 1 +75 1 6 1 /2"CF 2+50 ,49.90 TC 49.03 TC 47.fi9 TC 47.30 TC 1 �} 49.40 FL 49.25 TC 48.53 FL �, 47.65 FL 46.80 FL \47.31 • 49.98 TC 10 48.75 FL 2+00 48.26 TC lb 2+25 TC 10 49.48 FL 48.22 FL 47.27 FL 1 +73 1 /2"CF 1 /2*CF o O 1 /2"CF 47.81 TC 47.77 FL -- _ 2+00 - - R=1000' OLD NEWPORT BOULEVARD NOTE: ALL WORK RELATED TO WATER IN THE PUBLIC RIGHT-OF-WAY SHALL BE PERFORMED BY A C-34 LICENSED PIPELINE CONTRACTOR OR AN A LICENSED GENERAL ENGINEERING CONTRACTOR. OWNER/DEVELOPER: EMANUEL SHAOULIAN, M.D. 332 OLD NEWPORT BOULEVARD NEWPORT BEACH, CA 92663 rv`eAwsls 31 NOTE: ALL WORK RELATED TO PERFORMED gY A C-42 LICD ENGINEERING CONTRACTOR. PREPARED UNDER THE SUPERVISION OF: � Q nFESS00 PROPOSED FLOW LINES 42 PROF I LE SCALE: VERTICAL 1" = 2' HORIZONTAL 1" = 10' _ 2+25 2+50 2+75 3+00 3+25 3+50 3+75 CL DWY 3 2%Ai 8 0 � h 1 lb G 47.97— FS-- b t I `~ I S N------- 84 47.8 FS Ext C2 1N \ 48.26 TC i \\\ 48.22 FL 1 /2"CF 1 /2"CF 2+50 47.69 TC 47.30 TC 47.65 FL 46j80 FL 2+25 47.31 TC 1 /2"CF 47.27 FL 1 /2"CF 10" VCP SEWER' 1 2+75 46.58 TC 45L 9 �� 3+43.00 pio 44.37 TC2+96.00 43.70 FL 45.69 TC 43.78 INV 3+60.55 43\ 49 TC 43.03 FL JOIN EXIST 47.81 TC _�- 4 350__�� 3+00 2+50 — ---- _ R=1000' v DULEVARD Ai I wnPv M AWn Tn WA4TMATFR IN THE PUBLIC RIGHT-OF-WAY SHALL BE i NUMBEN DELTA IT I RADIUS I LENGTH ,2n'.;7'2S" IQ-10 50-00 118.00 10 0 10 Scale 1 " 20 -&#5 M18 City of Newport Beach Page 7 of 13 4:30:20PM INSP1 SO - Daily Inspection Request Report Requested Inspection Date: 03MM018 Inspection Type: ENCROACH Inspection Area: PW Site Address: 330 OLD NEWPORT BLVD Activity ; N2018-0065 NEW- - - --- - Status : APPROVED _ - - -- OWNER: SHAOULIAN EMANUEL Phone: 949-233-6606 SHAOULIANQGMAIL.COM APPLICANT : KANA PIPELINE INC Phone: 714-9W1400 Description ; INSTALL 3 NEW SEWER LATERALS AND CLEAN OUTS PER CITY STD 406-L. Item: 10040 SEWER LATERAL Requested Time: 316/2018 12:00:OOAM Entered By: WEBUSER Comments: ANY -Per Mike St. Clair Assigned to: zzzzzzzzzzz* Inspector: Date: Comments: Requester. WEBUSER 714-292-3338 Time: AM PM REPT131• Run Id: 4018 ' t „�/7/2018 City of Newport Beach Page 14 of 15 6:34:04AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/07/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 330 OLD NEWPORT BLVD Activity : N2018-0065 SubType : NEW Status : APPROVED OWNER: SHAOULIAN EMANUEL Phone: 949-233-6606 S HAOU LIAN@GMAT L. COM APPLICANT: KANA PIPELINE INC Phone : 714-986-1400 Description : INSTALL 3 NEW SEWER LATERALS AND CLEAN OUTS PER CITY STD 406-L. Item: 10040 SEWER LATERAL Requested Time: 3/7/2018 12:00:OOAM Requestor: WEBUSER 714-292-3338 Entered By: WEBUSER Comments: ANY-Cont. inspec. Swer. Laterals Assigned to: jz77777777Z 3(81201'8 City of Newport Beach Page 12 of 24 '6:34:21AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/08/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 330 OLD NEWPORT BLVD k, r,��v,`� ,# k�r x� �, _ �'� d,.,, � aN �. „'s- ,, 3p� �{�,� , ko-� s-m• f1 w , ,��?z����+ �":'�� ., ���� ' • a Activity : N2018-0065 SubType: NEW Status : APPROVED OWNER: SHAOULIAN EMANUEL Phone 949-233-6606 SHAOU LIAN@GMAT L. COM APPLICANT: KANA PIPELINE INC Phone : 714-986-1400 Description: INSTALL 3 NEW SEWER LATERALS AND CLEAN OUTS PER CITY STD 406-L. Item: 10040 SEWER LATERAL Requested Time: 3/8/2018 12:00:OOAM Entered By: WEBUSER Comments: ANY - Assigned to: zzzzzzz=z* Requestor: WEBUSER 714-292-3338 LOGGED 0�8 City of Newport Beach Page s of 5 4:3O:UPM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/13/2018 Iagwetion Type: ENCROACH Inspection Area: PW Site Address : 330 OLD NEWPORT BLVD Activity : N2018-0065 Status : APPROVEDOWNER: SHAOULIAN EMANUEL Phone: 949-233-6606 SHAOULIANCGMAIL.COM APPLICANT: KANA PIPELINE INC Phone : 714-986-1400 Description : INSTALL 3 NEW SEWER LATERALS AND CLEAN OUTS PER CITY STD 406-L. Item: 10040 SEWER LATERAL Requested Time: 3/13/2018 12:00:OOAM Requ9stor. WEBUSER 714-292-3338 Entered By: WEBUSER Comments: ANY-Conbued work on sewer laterals Assigned to: Inspector: Date: Time: AM PM Comments: REPT131. Run Id: 4018 T 1 ' T - t •Y _t'rr . 10 - mw 0 -Aft aft 0 I AP w 0 W- 1� mroT�bMwAALVIA 2/4/2020 City of Newport Beach Page 22 of 26 +4:30:16PM INSP150 - Daily Inspection Request Report ' Requested Inspection Date : 02/05/2020 Inspection Type: ENCROACH Inspection Area: PW Site Address : 330 OLD NEWPORT BLVD �¢ P ©#nfo anon .. Activity : N2018-0065 SubType : NEW Status : APPROVED OWNER: SHAOULIAN EMANUEL Phone: 949-233-6606 SHAOULIAN@GMAIL.COM APPLICANT: KANA PIPELINE INC Phone : 714-986-1400 Description : INSTALL 3 NEW SEWER LATERALS AND CLEAN OUTS PER CITY STD 406-L. r r a ".z...t2eques%d Ins�ec#�onsjyy°=�.fP `:M . X .x,.. F. �r �� _ Item: 10255 FINAL - Utilities Requested Time: 2/5/2020 12:00:OOAM Entered By: WEBUSER Comments: 'AM -Final Sewer inspection' Assigned to: zzzzzzzzzzz*\� \,I S-Z -- S- r T Requestor: WEBUSER '7149861400' /V/ o. 7-,�4 �lw /c�-,r So zr74 or 1J w fV �,._