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N2018-0035
City of Newport Beach IIIII IIIIIIII IIIIIIIIII�IIIIIIIIIIIIII Permit No: N2018-0035 Or 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 3 5 h Permit Counter Phone (949)644-3311 Project No: 0051-2017 v fi Online Inspection Request - www.newportbeachca.gov / Online r r Services Inspection Requests Phone (949)644-3255 J Job Address : 1121 OXFORD LN NB Thomas:Guide: 88986 Description : NEW SEWER CLEANOUT AND LATERAL PER STD 406-L Parcel # : 1174-630-8 - 9c�nv Legal Desc : N TR 3031 LOT 8 Owner: POPPY JOHN Contractor: ORANGE COUNTY PUMPING INC Phone: 949-514-1904 Phone: 714-402-0102 Address : 1121 OXFORD LN Address : 630 S HATHAWAY ST NEWPORT BEACH, CA 92660 n^ r^I '"- C�f11 SANTA ANA CA 92711 Irr�`.; Contractor State Lic: 680703 Applicant: ORANGE COUNTY PUMPING INC License Expire : 01 31, 2019 Phone: [ Address Business License: BT30044439 Business Expire : 08 31, 2018 Special Cond.: PRE CON MEETING REQUIRED WITH PW Workers' Compensation Insurance - - INSPECTOR Carrier : STATE COMP Policy No: 9125978 W. C. Expire: 03 01, 2018 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $571.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $571.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $0.00 Inspection Fee : $330.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: Street Tree Fee $0.00 $0.00 Total Water Meter Box: Adjustment $0.00 $0.00 R 14153 : : _ Processed By: Date : _/ / Other Department: Date Utilities Approval : Date : _/ / Permit Denied Date Traffic Approval : Date : _/ / Issued Permit : Sly Date General Services Approval : Date SCANN PROJECT ADDRESS: )A r DETAILED DESCRIPTION OF PR POSE WORK: 604a"OF 11 o vc- wq PLICANT: � Phone: 74q 4fA-z-::)rr)-), Email Address: G,i oc✓ �� ,� ailing Add ress• D do l C' 'p: /? 4riL (sf 'zd �al WNER: h ramy jPhone: '? J ILfyr— EmailAddress:ess: c Mailing Address: lal a)cP.4 (ors City/StatelZip: C' iii CONTRACTOR: Office Phone: 7l r ompany (if different): Jobsits Phone: [ f� o / o Other Phone: Email Address: �� p� ed Y a , Mailing AdAress: CipyLStat ip: F /� oI State License Number & Class: $%620 3 Expires: City Business License Number: Expires: ORKERS COMPENSATION INSURANCE - Certificate om an of Insurance (Section 38W Labor Code) PolicyNo: Ex ices: uni I rations: 941f-644-30b5 Utilities• 949.644-301 t Urban tX. 949444-3083 Special Conditions of Permit: Pf-e CM 7 P&MAI�.I Traffic: erations Other: 7Engineenn 0 Fire: echnician: Permit Specialist Date: I (� Permit No. N2018- 03� f A5 Public Works Department 949-6"-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only $241.00 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection $165.00 Z . Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee 24" x 36" $143.00 4TT Box & Cover Additional 1 THE FOLLOWING ITEMS REQURE APPROVAL FROM THE E REVENUE DIVISION PRIOR TO PAYMENT OF FEES [Water Meter: 13/4" Meter 11" Meter 111/2 Meter 11 1/2" Turbine Meter 12" Meter 12" Turbine Meter 13" Meter 14" Meter %4LY. Installation Charge $50.25 $121.50 Water Meter Boxes: $285.00 1" DFW Meter Box $700.00 2" VFW Meter Box $425.00 $4,730. $7,190. TBD TBD $108.00 0 $.00 B $64 $64.00 - ,evenue Division — — 1 oprovall1 $528.001 1 1 1 $96.66 1 $203.24 1 1 1 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 gilt 5-J I , 0 0 Permit Specialist Receipt No. f:/users/pbw/shared/enaoadJmasters/ep front and back mastenY Rev. 12/18/2017 epfeesheebds-revised 11/8/17 3. 4. 5. 6. ALL UNDERGROUND WORK SHALL BE PERFORMED BY A"LICENSED.CONTRACT©R 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. No work related to this encroachment permit*halt be perfivrmed until the Public Works" Department has to conditions of this permit and helshe-agrees to abide by th m. Permit is void If work is riot commenced withl Permit fees are nonrefundable. , < WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code), Pte tify that I have a Certificate of consent to se 'nsure, Certificate of Worker'spensation Insu ance, or a Certified Copy: LZ D 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 1 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 PAPlic Works at 949-644-33VIK II �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 $25,000 and/or up to three years in Stale prison plus the full cost to clean up an illegal discharge or spill. 17. If a refundable deposit was paid, applicant must submit a Soils Compaction Certificate or Evidence of a Slurried Backfill and request a final inspection from the Public Works Department. Monies may be held for six months after final inspection before a refund will be processed. 18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated without approval from the General Services Department. 19. All work in the public right-of-way must meet the approval of the Public Works Department or corrections will be required (i.e. removals, exposing connections, etc.). Additional inspection fees may be required. 20. Permit is for standard materials in the public right-of-way only, unless previously approved by Public Works and an Encroachment Agreement has been processed. 21. Permit is valid for "description" of work noted on front only. Additional work performed may require issuance of a separate permit end/or additional fees. i"perrrilt. +AApptt p hePeby,a4knowiedg hefshe a understands the terms and fo affe� is ; �'l a"%lam 3ionatur �IMW2018 City of Newport Beach Page 2 of 18 •'$:a%sUM INSP1 SO - Daily Inspection Request Report Requested Inspection Date: 01/19/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1121 OXFORD LN Activity : N2018-0035 Statma: APPROVED OWNER: POPPY JOHN Phone : 949-514-1904 JENNAPOPPY@GMAIL.COI Description: NEW SEWER CLEANOUT AND LATERAL PER STD 406-L Item: PA"—J OB Requested Time: 1/19/2018 12:00:OOAM Requ Entered By: Comments- P Assigned to: NBIVR 4120102 C�l� Inspector: v Date: 1 `a i a Time: AM PM Comments: G,-� 7z) togged Reffie REPT131. Run Id: 4018 �rrlrml s' City of Newport Beach Pape 5 of 14 4:30:UPM INSP150 - Daily Inspection Request Report Requested Inspection Deft: 01/2&2018 Inspection Type: ENCROACH Inspection Area: PW Site Addrm: 1121 OXFORD LN Activity : N2018-0035 Status ; APPROVED -OWNER-T POPPYJOHN ------ _ - - _ __- _-PbOnG:_ 949414-M4 JENNAPOPPYOGMAI L. COI DescriDtion : NEW SEWER CLEANOUT AND LATERAL PER STD 406-L Item: 10030 CLEAN -OUT Requested Time: 1/2312018 12:00:00AM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: \j \/ / A 4�-041 je— S 77I. S wYL � L - <a 1/2512ois City of Newport Beach Page 6 of 21 6:34:13AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/25/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1121 OXFORD LN AM hOwnuMoc Activity : N2018-0035 SubType : Status : APPROVED OWNER: POPPY JOHN Phone : 949-514-1904 JENNAPOPPY@GMAIL.COI Description: NEW SEWER CLEANOUT AND LATERAL PER STD 406-L Item: • Lt4 4� — l� TTZ Requested Time: 1/25/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: 0� Y' Fo% Fps -ors %U • V Inspector: Date: ),-S 1000 Time: AM PM Comments: V t Oct -b e-4-t-1 D W-6 I Z�j 7-1 z s�o ,_ v F: \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc 1/Z6/2018 City of Newport Beach Pape 1 of 14 4:30:58PM INSP130 - Daily Inspection Request Report Requested Inspection Dab: 01262018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1121 OXFORD LN Activity : N2018-0035 $ APPROVED OWNER: POPPY JOHN Phone : 949-514-1904 JENNAPOPPYOGMAIL.COI Description: NEW SEWER CLEANOUT AND LATERAL PER STD 406-L Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 1262018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: 11.3 v Date: I Z �/� Time: 0 49:21 M Comments: Qt4 TV-3�s- REPT131. Run Id: 4018 r . '9W '. -4ftb- low, t 1/29/20?8 City of Newport Beach Page 1 of 19 6:34:17Anff INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/29/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1121 OXFORD LN AManin IIefiOfC Activity : N2018-0035 SubType : Status : APPROVED OWNER: POPPY JOHN Phone : 949-514-1904 JENNAPOPPY@GMAIL.COI Description : NEW SEWER CLEANOUT AND LATERAL PER STD 406-L IInRIP ePei n Item: 10250 FINAL - PW Requested Time: 1/29/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: J \/ Date: � � ` Time: Z x� AM LF� Comments:Z— <� - "3 Uj H S F: \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc G ETED PROPERTY LINE 86.93' OXFORD LANE (E) SIDEWALK DEFERRED SUBMITTALS I PUBLIC WORKS NOTES 1. AN APPROVED ENCROACHMENT PERMIT IS REQUIRED FOR ALL WORK ACTIVITIES WITHIN THE PUBLIC RIGHT-OF-WAY. 2. A PUBLIC WORKS DEPARTMENT ENCROACHMENT PERMIT INSPECTION IS REQUIRED BEOFRE THE BUILDING DEPARTMENT CAN BE ISSUED. AT THE TIME OF PUBLIC WORKS DEPARTMENT INSPECTION, IF ANY OF THE EXISTING PUBLIC IMPROVEMENTS SURROUNDING THE SITE IS DAMAGED, NEW CONCRETE SIDEWALK, CURB AN DGUTTER, AND ALLEY/STREET PAVEMENT WILL BE REQUIRED. ADDITIONALLY, IF EXISTING UTILITIES INFRASTRUCTURE ARE DEEMED SUBSTANDARD, A NEW 1-IN WATER SERVICE, METER BOX, SEWER LATERAL AND/OR CLEANOUT WITH BOX AND LID WILL BE REQUIRED. 100% OF THE COST SHALL BE BORNE BY THE PROPERTY OWNER (MUNICIPAL CODES 14.24.020 AND 14.08.030). SAID DETERMINATION AND THE EXTENT OF THE REPAIR WORK SHALL BE MADE AT THE DISCRETION OF THE PUBLIC WORKS INSPECTOR. 3. SEWER CLEAN OUT INSTALLED PER CITY STANDERD STD-406-L."C-42" OR "A" LICENSED CONTRACTOR REQUIRED. ALL EXISTING LANDSCAPE/HARDSCAPE TO REMAIN ALL DRAINAGE TO TIE INTO EXISTING SITE PLAN KEY NOTES 1. ALL EXISTING TO REMAIN UNLESS OTHERWISE NOTED. 2Q LOCATION OF NEW MASTER BEDROOM, BATHROOM, AND OFFICE 3. LOCATION OF NEW ENTRY LOCATION 4. LOCATION OF NEW LAUNDRY ROOM, MUD ROOM, AND PANTRY 5. LOCATION OF NEW DIRECT VENT FIREPLACE ROOF VENT 6. LOCATION NEW AC CONDENSOR UNIT. 7. EXISTING AC CONDENSOR UNIT 8. LOCATION OF NEW ELECTRICAL SUB PANEL. 9. EXISTING ELECTRICAL PANEL 10. LOCATION OF NEW ENTRY GATE 11. LOCATION OF NEW SITTING AREA 12. NEW CONCRETE PATHWAY 'N LEGEND ------ LINE OF RESIDENCE LINE OF ROOF COVERAGE •• PROPERTY LINE AREA OF NEW ADDITION OWNER: JOHN AND JENNA POPI 1121 OXFORD LANE NEWPORT BEACH, CA 9 PH: 949-514-1904 EMAIL: Jennapoppy@gmail CONTRACTOR: NIV CONSTRUCTION PROJECT CONTACT: NI` 150 N. AVENIDA SEGOV ANAHEIM,CA 92808 PHI. 949-606-6895 EMAIL: Construction.nilift LICENSE: CCL-13929624 STRUCTURAL ENGII ESUFME INC. 1800 E. 16TH ST. STE B SANTA ANA, CA 92701 PH. 714-835-2800 EMAIL: Kamran@esifine.c LICENSE: CCL-6929624 TITLE 24 ENERGY CAL PERFECT DESIGN & DEVEI DESIGN & CONSULTING 2416 W. VALLEY BLVD. ALHAMBRA, CA 91803 EMAIL: PERFECTAAA ,AOL 626-289-8808 LICENSE: M-27635 PLANS PREPARED E OHA CONSTRUCTION OSCAR ALMENDAREZ PHI. 951-990-4834 15037 ZIEGLINDE DRIVE LAKE ELSINORE, CA 925, EMAIL: OZ.ALMENDARE2