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HomeMy WebLinkAboutN2018-0417�t �,,,{� ' City of Newport Beach 11111111111111111111111111111111111111111111111111111111Permit No: N2018-0417 ` 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 4 1 7 �T Permit Counter Phone (949)644-3311 Project No ,� s Online Inspection Request - www newportbeachca gov / Online Services '+" Inspection Requests Phone (949)644-3255 Job Address: 702 MARGUERITE AVE NB Thomas:Guide: 919F2 Description : Install sewer cleanout on existing sewer lateral per City Standard #406-L. Alley restoration per City Standards. Parcel # 4590-631-0 - SCANNED Legal Desc : CORONA DEL MAR BLK 739 LOT 4 Owner: MORRILL MICHAEL S Contractor : CHASE GENERAL ENGINEERING CONTRACTOR INC Phone: 0 Phone: 714-914-6345 Address : 400 CORTES CIR �� ' "' Address : 15332 NEWCASTLE LANE CORONA DEL MAR, CA' _, HUNTINGTON BEACH CA Applicant: CHASE, INC Phone : 714-914-6346 [ Address : 16835 ALGONQUIN ST #329 HUNTINGTON BEACH, CA 92649 Special Cond.: PRE -JOB INSPECTION REQUIRED Contractor State Lic: 906147 License Expire: 11 30, 2019 Business License : BT30054273 Business Expire : 08 31, 2018 Workers' Compensation Insurance - - Carrier : STATE COMP INSURANCE Policy No : 9047185 W. C. Expire: 03 01, 2019 Permit Processing Fee $241 00 Sewer Connection $0.00 Total Fee $635.00 Agreement Fee: $0 00 4TT Box Cover: $64.00 Paid : $635.00 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: 2 44112 Refundable Deposit. $0 00 Total Water Meter Box: $0.00 Street Tree Fee $0 00 Adjustment : $0 00 Processed By : Date _/ / Other Department : --------Date: Utilities Approval Date _/ / Permit Denied - Date: Traffic Approval Date _/_/ Issued Permit :'� '�— Date: `t 1261 IT General Services Approval : Date 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 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 lob 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 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, 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 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 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 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 Insurance, or a Certified Copy thereof. Date: 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 Publi 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 Waver 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 ingpecbun before a refund will be processed 18 No trees In the public right-of-way shall be planted, removed, trimmed, cr relocated without approval from the General Services Department 19 All work in the public right-of-way must meet the approval of the P:;bhc Work: Department or corrections will be required (i e removals, exposinq cones-ctinos. 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 acknowledges he/she has Zreadunderstands the terms andconditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 daysj�,(&Wnce.g1l Y Permit fees are nonrefundable. . , jj��'' Date: __ Ignature: F COMPLETE -THE BELOW INFORMATION:: ... PROJECT ADDRESS: 70.1, DE-7ILED DESCRIPTION OF PROPOSED WO K: v " _ i f , APPLICANT: Phone: Email Address: Mailion Address* C' /State/Zip: OWNER: Phone: Email Address: Mailing Address: City/State/Zip: .;:' ,, -:r;; ALL'CONTRACTOR 1NFORMATtON JS'REQUIRED-PCEt+ SE'C©�IIP CONTRACTOR: Office Phone / 3 Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing Addr Ci State/Zip: Stgte License Ntfmb & Class: Expires:// ,j City Busidess License Number: Ex Tres: .3/ WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Q"Z ^ �/,� Policy No: &ZZIS = Expires: / FfEFUN¢A .LE:DEPOSIT INFORMATlOt4.([rAppliCa4/�)::-:.- ... -.. .... -Mail. Refund.to -: ... ; ... . . FOR OFFICE USE ONLY Special Conditions of Permit: r?ra-idb uttec4 ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public Works Specialist: mod: Date: 7 -15—t $ Permit No. NZO%T - Oh l'T P/users/p bw/shered/encroach/masters/epworksheeLris Public Works Department 949-644-3311 Permit Processing Fee: Q Inspection Fee: Q . Public Works Only $241.00 I Public Works Field Inspection $165.00 Z. 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 $502.001 Improvements TBD Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00 0 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143.00 4TT Box & Cover $64.001 1 Additional •---------------- —--------------� [ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Te'7erurDivisionREVENUE DIVISION PRIOR TO PAYMENT OF FEES pproval: 1 [Water Meter: Installation Charge $528.001 13/4" Meter $50.25 1 11" Meter $121.50 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 12" Turbine Meter $845.00 13" Meter $3,310.00 �4" Meter $4,730.00 16" Meter $7,190.00 uty. tsuaget Numoer Certificate of Compliance Fee (+100% of My 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 2..W 4 (035. , 5��5 ►y Permit Specialist Receipt No. tR — O l9 2 f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 12/18/2017 epfeesheetAs-revised 11/8/17 .i/16/2018 City of Newport Beach Page 19 of 22 6:34:03AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/16/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 702 MARGUERITE AVE AIPID Information: Activity : N2018-0417 SubType : Status : APPROVED OWNER: MORRILL MICHAEL S Phone: 0 APPLICANT: CHASE, INC Phone : 714-914-6346 Description : Install sewer cleanout on existing sewer lateral per City Standard #406-L. Alley restoration per City Standards. Requested Inspectiion(s) Item: 10030 CLEAN -OUT Requested Time: 8/16/2018 12:00:OOAM Requestor: WEBUSER 714 914-6346 Entered By: WEBUSER Comments: ANY - Assigned to: zzzzuzzzzz* 1d� I City of Newport Beach Newport Beach Police Dispatch Public Works Department Phone:949-644-3717 Phone:949-644-3311 Fax:949-644-3318 APPLICATION FOR TEMPORARY STREET I SIDEWALK USE OR DUMPSTER PLACEMENT City of Newport Beach Municipal Code 1Z6Z010 Permit for Temporary Street Closure APPLICANT INFORMATION Name: v/ City of Newport Beach Business License No Company Name: Address: 8-T 300 3 5�2'i City/Zip: Exact Location of Encroachment: �D Z 7lil� ,-ram fir �^iz rT� A�I'C (Use street address pproxlniate number of feet from nearest Intersection) Reason for Encroachment: Franchised Hauler or _— Dumpster Company Name: N t �'"--� �_ Size: Date Use to Begin: Date Use to End: "L'q (Maximum 14-Days)) Time of Closure: r to _'/;, DIAGRAM LOCATION OF ENCROACHMENT BELOW: Newport Beach Po Department (94 644-3717 sal. #.-N ACNE D A copy of this permit must be visible on the dash of each vehicle authorized to park in resented parking spots The applicant is responsible for notifying Police Dispatch of any road closure, detour, or reserved parking See reverse side of this permit for regulations covering use of this permit. ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS: K"f oCCcs3 opera► +o ad ioccai- Prop2r-Hts CITY RESERVES THE RIGHT TO REVOKE OR MODIFY CONDITIONS AT ANY TIME 1 I, (Permttee) hereby certify the information provided is true and correct, and I agree to comply with the terms and conditions on t front and back of this permit Permitee guarantees to indemnify and hold the City of Newport Beach h s a2dinst anyyl s, liabif erjudgments for damages arising out o Xt aFti Ps X �i� 7 / Date: Reviewed by: Date: Approved by: Date: Permit Fee: $ Receipt No• F tU5 MPe'd9AShar dV,14 STERS�STREET JLOSURE MA57ER51[7emp SCeet Clos­ Applicat on XIsjShrelt Fu F,r„r.ce use only NO FF-E - Wr4t Assoc; o4494 wiv% efW000"04 Abtiri fdZ01� — 0 41-7 7--k ♦ •r NEC. N E W P 0 R T 8 E A C H 1�4 ' 0 40 8( Feet Disclaimer: Every reasonable effort has been made to assure th, accuracy of the data provided, however, The City of Newport Beach and its employees and agents disclaim any and all responsibility from or relating to any results obtained in its use. 8/27/2 8/28/2018 City of Newport Beach Page 15 of 15 '6:34:38AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/28/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 702 MARGUERITE AVE AIM IIIllliaaml1lioac Activity : N2018-0417 SubType : Status : APPROVED OWNER: MORRILL MICHAEL S Phone: 0 APPLICANT: CHASE, INC Phone : 714-914-6346 Description : Install sewer cleanout on existing sewer lateral per City Standard #406-L. Alley restoration per City Standards. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 8/28/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: 77777777777# 45s" 714 914-6346 'r/-0j - -, P P .4/17e kes.4md;w- M Ak PACIFIC IV 7/15/2020 City of Newport Beach Page 2 of 21 4:30:40PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07/16/2020 Inspection Type: ENCROACH Inspection Area : PW Site Address : 702 MARGUERITE AVE A/P/D Information: Activity : N2018-0417 SubType : Status : APPROVED OWNER: MORRILL MICHAEL S Phone: 0 APPLICANT: CHASE, INC Phone : 714-914-6346 Description : Install sewer cleanout on existing sewer lateral per City Standard #406-L. Alley restoration per City Standards. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 7/16/2020 12:00:OOAM Requestor: NBIVR 3302898464 Entered By: NBIVR Comments: AM OTL Assigned to :