HomeMy WebLinkAboutN2018-0017�wH'r'r,4T City of Newport Beach 1111111111111111111111111111111111111111111111111111111
Permit No: N2018-0017 =
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 1 7
� n Permit Counter Phone (949)644-3311 Project No : 2767-2017 SCANNED.
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„w Online Inspection Request - www newportbeachca.gov / Online '�. 1 D
Services
Inspection Requests Phone (949)644-3255
Job Address : 1600 MARINERS DR NB Thomas:Guide: 8891135
Description : EP to remove and replace ex. driveway approach, remove ex. street tree on Deborah Lane, planting street tree on Mariners Drive (Magnolia little gem),
2 gray carraige walks (1 on Deborah Lane and 1 on Mariners Drive).
Parcel # : 1174-211-3 -
Legal Desc : N TR 3004 LOT 19
Owner: BOILER JEFF
Phone:
Address : 1600 MARINERS DR
NEWPORT BEACH CA 92660
Applicant: SANCHEZ ROBERT
Phone : 714-747-7544 [
Address : 1617 W 7TH ST
SANTA ANA CA 92703
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee :
$0.00
4TT Box Cover:
$0 00
Traffic control Plan Check :
$0.00
Total Water Meters '
$0 00
Inspection Fee :
$495.00
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 :
Contractor : ALLPRO CONSTRUCTION SERVICE
Phone : 714-747-4544
Address : 1617 WEST 7TH STREET
SANTA ANA CA 92703
Contractor State Lic: 1012456
License Expire : 03 31, 2018
Business License :
BT30061768
Business Expire:
01 31, 2019
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS
Policy No :
9216219
W. C. Expire:
12 22, 2018
Total Fee $736.00
Paid : $736.00
Balance : $0.00
Receipt No
Other Department : Date
Permit Denied : Date
Issued Permit : Date 11T
City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660 Illp N 2 0 1 8 0 0 1 7
k ^ Permit Counter Phone (949)644-3311
Online Inspection Request - www newportbeachca.gov / Online
r• `` Services
Permit No: N2018-0017
Project No : 2767-2017
Inspection Requests Phone (949)644-3255
Job Address : 1600 MARINERS DR NB Thomas:Guide: 889B5
Description : 02/23/18 - REVISED: City to plant street tree
EP to remove and replace ex. driveway approach, remove ex. street tree on Deborah Lane, planting street tree on Mariners Drive (Magnolia little gem),
2 gray carraige walks (1 on Deborah Lane and 1 on Mariners Drive).
Parcel # : 1174-211-3 -
Legal Desc : N TR 3004 LOT 19
Owner:
BOLER JEFF
Contractor : ALLPRO CONSTRUCTION SERVICE
Phone :
Phone : 714-747-4544
Address :
1600 MARINERS DR
Address : 1617 WEST 7TH STREET
NEWPORT BEACH CA 92660
SANTA ANA CA 92703
Contractor State Lic: 1012456
Applicant:
SANCHEZ ROBERT
License Expire: 03 31, 2018
Phone :
714-747-7544 [
Address :
1617 W 7TH ST
SANTA ANA CA 92703
Business License : BT30061768
Business Expire: 01 31, 2019
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP INS
Policy No: 9216219
W. C. Expire: 12 22, 2018
Permit Processing
Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
Agreement Fee :
$0.00
4TT Box Cover:
$0.00
Paid :
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance:
Inspection Fee :
$660.00
Water Meter Connection :
$0.00
Receipt No
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$1,564.45
Adjustment :
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval
Date
Date
Date
Date
$2,465.45
$2,465.45
$0.00
Other Department : Date
Permit Denied Date
Issued Permit : i,. Date: I
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: (} (J M Q / A/E�S /1/�i✓ % [
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: b L� r S�ti L
Phone: 71 7 — % 5-V
Email Address: ACff6Ati 1 g j_ - C�
Mailing Address:
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City/State/Zip:
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OWNER:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
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RE"LEASEt`��OfficePhone:
ffONTRACTOR:
different):
Jobsite Phone:
Other Phone:
Email Address: ro��-�t`1 q)
Mailing Address: ILt ��'^
City/State/Zip:
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State License Number 8t Class:
�-S% Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: ,ZGI$ Expires:/2
MunicipalOperations: 949-644-3055
Utilities: 949-644-3011
Urban Forest 949-644-3083
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.,1 . FOR OFFICE USE ONLY
Special Conditions of Permit: I�-�
Cff
ADDITWHAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Municipal Operations
Traffic: Fire:
Other:
Engineering Technician:
Permit S list
Date:
Permit No.
N2018- OOII
f /users/pbw/shared/encroach/masters/epworksheet As \L--� t I
Public Works Department 949-6"-3311
100 Civic Center Drive, Newport Beach, CA 92660
L
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
c�
N2018- 6 fl1 %
I �.
NUMBER:
APPLICANT:
Permit Processing Fee:
Inspection Fee:
Public Works Only
$241.00
Public Works Field Inspection
$165.0
C�7)
Other Department
$275.00
Utilities Field Inspection
$121.0
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$1910o0
Refundable Deposit:
TBDB
Monitoring Wells
$502.00
Improvements
TBD
Street/AlleyfWalk Closure:
$65.00
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
$64.00
Additional
_q _ _ _
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division
]Approval:
REVENUE DIVISION PRIOR TO PAYMENT OF FEES
1
1
Qty.
QtY' 1
[Water Meter:
Installation Charge
$528.00 1
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
B
12" Meter
$425.00
1
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
1
�4" Meter
$4,730.00
16" Meter
$7,190.00
1
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
1 030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
� `/ 3
Permit Sneciallist
Receipt No.
f /users/pbw/shared/encroach/masters/ep front and back masters/
Rev 12118/2017
epfeesheet xls-revised 1118/17
c;I-Aep `7 c)-D I %
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I
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 job site at all times Work, which has been done prior to issuance of
a permit, is subject to refection/fine City reserves the right to void permit if work does not commence within 30 days
after date of issuance
2 1 he 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
1 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
5 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
B 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 Slate 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 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"
Coin a sation Insurance, or a Certified Co�there�of.,e�'/ d Signatur
[[[[[[ CERTIFICATE OF EXEMPTION (Section abor 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
Public Works at 949-644-331 �S
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 Work,
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. Applicant hereby acknowledges he/she has read and understands the terpAs 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 Issuance. /
Permit fees are nonrefundable. Date 1 yL l Signature:
City of Newport Beach Public Works Dept.
PUBLIC WORKS PRE -JOB CHECKLIST
Public Works Inspector: JULIO VELASCO
Date: 1
Permit: N201" '7
Mobile 714-315-4860
Address:
Email iavelasco@newportbeachca gov
STANDARD DRAWING (STD) / ITEM REVIEWED
Reviewed (Y /
N)
Mark -out remove and replace (R&R) limts: These areas can include but are not limited to Sidewalk (S/W) curb and gutter (C&G) driveway
(D/W) approach, AC street. PCC alley and walkways
STD 105-L-A - Underground Consrtuction Requirements Notes
STD 105-L-B - Trench Resurfacing - Types of Pavement Restoration
STD 105-L-C - Roadway Utility Trench Detail
STD 105-L-D - Parkway Utility Trench Detail
STD 105-L-E - Roadway Utility Pothole and Bore Detail
STD 105-L-F - Moritorium Roadway Trench Detail
STD 105-L-E - Monitoring Well Capping Detail
STD 140-L - Typical Alley Section: -
STD 160-L-A - Commerical Driveway Approach Type I:
STD 162-L- Residential Driveway Approach Type I: Typical D/VV Approach
STD 164-L- Residential Driveway Approach Type III: - Rolled Curb
STD 180-L - Sidewalk Details: -
STD 181-L-A -Curb Access Ramp Details I: Case "A" to 'G"
STD 181-L-B - Curb Access Ramp Details II: Case 'H" to "J"
STD 181-L-C - Curb Access Ramp Notes:
STD 181-L-D - Curb Access Ramp Detectable Warning Surface: Wausau Tile Inc of Wisonsin ADA-2 (U3008) Color A-90
STD 182-L - Standard Curb Sections Types A & B: -
STD 184-L - Curb Drains: -
Tree Planting Detail
Parkway Tree Designation List
Email Arborist, Kevin Pekar 949-644-3197 kpekar@newportbeachca.gov, a photo of your tree (must be actual tree to be planted), before
job -site delivery, for his review.
`
COPIES OF STDs PROVIDED?
/�- 6� i ti , C
NOTES:
All City stardard drawings can be found in the link below: http //www newportbeachca gov/government/departments/public-
works/resources/standard-drawings/view-all-standards#Public_Works_Department
1/17/2018 City of Newport Beach Page 5 of 20
4:30:38PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/18/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1600 MARINERS DR
Activity : N2018-0017 (4 Z - /_
SubType : NEW /g0 -- L.
Status : APPROVED
OWNER: BOILER JEFF Phone:
APPLICANT: SANCHEZ ROBERT Phone : 714-747-7544
Description : EP to remove and replace ex. driveway approach, remove ex. street oa=nolorah Lane,
planting street tree on Mariners Drive (Magnolia little gem), 2 arragg..wa 1 on
Deborah Lane and 1 on Mariners Drive). TNV __ _
Item: 10 PREJOB-PW
001O�Requested Time: 1/1
Reque r:
714-747-7544 -- /Z666/2�
Entered By: WEBUSER
Comments: AM-
Assigned to: zzzzzzzzzzz' q - 711 ._V., S-7
Inspector: `� Y Date: Time: 16 - A PM
Comments: J�' 1` / ZL �1��f�T�G 0 cf 7-
Ee�
-T-
Logged
effl
LA- E
REPT131 Run Id: 4018
1,�3/2�18 City of Newport Beach Page 7 of 20
6:34:47AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/23/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1600 MARINERS DR
A/P/D Information:
Activity : N2018-0017
SubType : NEW
Status : APPROVED
OWNER: BOLER JEFF Phone:
APPLICANT: SANCHEZ ROBERT Phone : 714-747-7544
Description : EP to remove and replace ex. driveway approach, remove ex. street tree on Deborah Lane,
planting street tree on Mariners Drive (Magnolia little gem), 2 gray carraige walks (1 on
Deborah Lane and 1 on Mariners Drive).
Requested Inspection(s) (,
Item: 110 S
Requested Time: /2018 12:00:00AM Requestor: NBIVR
Entered By: NBIVR
Comments: PM
Assigned to:
Inspector: /
Date:
Comments:
r
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
7147477544
Time: -4 m
REPT131 Run Id: 4018
3/8/2018 City of Newport Beach Page 13 of 24
6:34:21AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/08/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1600 MARINERS DR
"it) Information:
Activity :
N2018-0017
SubType :
NEW
Status :
APPROVED
OWNER:
BOLER JEFF Phone:
APPLICANT:
SANCHEZ ROBERT Phone : 714-747-7544
Description :
02/23/18 - REVISED: City to plant street tree
EP to remove and replace ex. driveway approach, remove ex. street tree on Deborah Lane,
planting street tree on Mariners Drive (Magnolia little gem), 2 gray carraige walks (1 on
Deborah Lane and 1 on Mariners Drive).
Requested Inspections)
Item: 10250 FINAL - PW
Requested Time: 3/8/2018 12:00:OOAM Requestor: WEBUSER
714-747-7544
Entered By: WEBUSER
Comments: AM -
Assigned to : ZzzzzZZZZZZ*
(— I ) ILI;
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