HomeMy WebLinkAboutN2017-0302City Vof Newic Center Dport Bea100 rive, NewportBhach, CA92660 IIIIrIINilIIIIIIIIIIII III III�IIIIIIIIIIIIIIIIzIIIII Permit No: N2017-0302
1' Permit Counter Phone (949)644-3311 Project No
Z Online Inspection Request - www newportbeachca gov / Online ? _
Services
Inspection Requests Phone (949)644-3255
Job Address 1800 KINGS RD NB Thomas:Guide: 888.16
Description : Private improvements within the Kings Road right-of-way. Improvements include a 5-foot wide colored concrete entry walkway, 42-inch high stucco
mailbox, and 18-inch high stucco planter wall. Encroachment agreement required per City Council Policy L-6
Parcel # : 0492-213-0 -
Legal Desc : N TR 1221 LOT 16
Owner: CARDEN SCOT L WILLIAM
Phone : 0
Address : 30832 OLYMPIC PL
LAGUNA NIGUEL, CA
Applicant: INSTANT LANDSCAPES
Phone: 949-795-0648 [
Address : 28562 OSO PARKWAY #D243
RANCHO SANTA MARGARITA, CA 92688
Special Cond.: EA REQUIRED
Permit Processing Fee :
$0.00
Sewer Connection :
$0 00
Agreement Fee:
$817 00
4TT Box Cover:
$0.00
Traffic control Plan Check .
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$0.00
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 . Date:
Utilities Approval : Date :
Traffic Approval : Date:
General Services Approval . Date.
Contractor : INSTANT LANDSCAPES
Phone : 949-347-0700
Address : 28562 OSO PKWY #D-243
RSM CA 92688
Contractor State Lic: 842586
License Expire : 07 31, 2018
Business License:
BT30011792
Business Expire:
10 31, 2017
Workers' Compensation Insurance - -
Carrier :
WESCO INSURANCE
Policy No:
WWC3225863
W. C. Expire:
08 15, 2017
Other Department :
Total Fee $817.00
Paid : $817.00
Balance : $0.00
Receipt No:
Date .
Permit Denied Date
Issued Permit : G� Date:l �1 L Q
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPLET15-THESELOW INFORMATION
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
lPhone:
APPLICANT: j & rfTj
Email Address:
Mailin Address:
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Ci /State/Zip:
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OWNER: -10.,-OVA t4r-ac." 5
Phone:
Email Address:
Mailing Address:
City/StatelZip:
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR:S T
Office Phone:
Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
MailiAddress:
N Z oso
City/State/Zip:
State License Number & Class:
yZ 71�6 b Expires: q
City Business License Number:
TST Od 1)'-4 9 Z Ex ires: 10 kzy
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Compan :vJ C->` U Policy No:QExpires: OS I
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k"FUHDABJ�E.D.EPOSITINFQRMi0.iIQN.(KApp/icab/e):.
... .
Rotund Pa :able Tis:.:
Mail. Re#und'Td; ..
FOR OFFICE USE ONLY
Special Conditions of Permit:'Eb Q
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public Works Specialist:
R.6; 1
Date:
(o -(P- ►-7
Permit No.
1 N2.01" 1- OS02-
tfusers/pbw/shaMdWcroaWmasters/epMrksneet AS
Public Works Department 949-644-33 t
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Q Inspection Fee:
$241.00 Public Works Field Inspection
$275.00 Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192.001 1 Refundable Deposit:
$502.00 Improvements
Q
$165.00
$121.00
$165.00
$108.00
TBD
TBD
Street/AlleylWli'alk 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__i 4TT Box & Cover $64.00
Additional
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE J9e*;e_rurDiviqion
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I
1
Qty.
Q
(Water Meter:
Installation Charge
$528.00
13/4" Meter
$50.25
Water Meter Boxes:
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost
11 1 /2" Meter
$285.00
1 " Meter: 13.00 + 37.00
$50.00
11 1/2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25
$88.25
12" Meter
$425.00
12" Turbine Meter
13" Meter
$845.00
$3,310.00
For Tragic & Alley Areas (Box +
1" Meter: 13.00 + 38.00
Cover = Cost)
$51.00
14" Meter
$4,730.00
2" Meter: 27.00 + 162.00
$189.00�
6" Meter
$7,190.00
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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
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44 SJ
V _ `.0
Permit Specialist
Receipt No.
:R ` ,
00
2 - $ 2
f /users/pbw/shared/encroach/masters/ep front and back masters/
Rev 1/5/2017
epfeesheet As -revised 10/2112016
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Lcast 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 job site at all limes 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 shal! 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 Imes 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 feel of any City utilities, unless approved by the Public Works Department Locate and pothole
existing City -owned utilities he 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 S35 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 hetween June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department
1 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 most 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 Slate 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 nsuurrance, or a Certified Copy the
Date: 'T Signature:
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
certify that in the performance of the work under this permit, 1 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
Public Works at 949-644-3311. 1-7
15 Any above ground utility facilities will require documented approval from the adjacent
affected properly owners)
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 I elony violations of Wafer
Quality Laws are punishable by fines up to $25,000 and/or up to three years in Stake
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 Compachcri
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 Work,
Department or corrections will be required (i e removals exposing connecting,".
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
I 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 r and understands the terms and
ft�I
conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days aLBnee. SignatUre: Date: jG
Permit fees are nonrefundable. (
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Exhibit "A"
Sheet 1 of 1
3/8/2018 City of Newport Beach Page 15 of 24
6:34:21AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/08/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1800 KINGS RD
AIP/D Information:
Activity : N2017-0302
SubType :
Status : APPROVED
OWNER: CARDEN SCOT L WILLIAM Phone: 0
APPLICANT: INSTANT LANDSCAPES Phone : 949-795-0648
Description : Private improvements within the Kings Road right-of-way. Improvements include a 5-foot
wide colored concrete entry walkway, 42-inch high stucco mailbox, and 18-inch high stucco
planter wall. Encroachment agreement required per City Council Policy L-6.
Requested Inspections)
Item: 10250 FINAL - PW
Requested Time: 3/8/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to zzzzzzzzzzz*
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