HomeMy WebLinkAboutN2017-0432Ci y of Newport Beach
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Drive,enter BeaJr,ch, cA9z66o I2III
tePeritCor Phone (949)644-3311
Online Inspection Request - www newportbeachca gov / Online
Services
IIIIIII II Permit No: N2017-0432'
III2
Project No
SCANNED
Inspection Requests Phone (949)644-3255
Job Address -
3027 E COAST HWY NB
Thomas:Guide: 888H6
Description
2 soil borings in sidewalk on Iris Avenue adjacent to address to collect soil and soil
gas samples Sidewalk restoration per City Standards.
Parcel # :
4591-850-2 -
Legal Desc :
TR 323 LOTS 1/2/3 BILK H
Owner:
RCEA LIMITED PARTNERSHIP
Contractor : J & H DRILLING CO INC
Phone:
0
Phone: 714-994-0402
Address :
501 VIA LIDO SLID
431 WALNUT AV
Address : BUE
NEWPORT B AOCH, CA rOMPL E T
A PARK, CAENUE
Contractor State Lic: 740854
Applicant:
AEI CONSULTANTS
License Expire : 09 30, 2017
Phone:
310-798-4255 [
Address :
2207 W 190TH STREET
TORRANCE, CA 90504
Business License : BT30060199
Business Expire : 08 31, 2018
Special Cond.:
Pre -job inspection required
Workers' Compensation Insurance - -
Carrier : REDWOOD FIRE AND CASUALTY
Policy No : JHWC805838
W. C. Expire: 01 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-
$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
- f--4-1�-�
STraffic
Approval -
Date : //
Issued Permit .
Date
General Services Approval Date . _/ /
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
302`7 F. (,00si- i-1;91tiu+
PERMIT N2017-
NUMBER:
APPLICANT:
AEt Ca►1&v1+*,k%
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Q Inspection Fee:
$241.00 1 Public Works Field Inspection
$275.00 Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192001 1 Refundable Deposit:
$502 00= Improvements
Qtv.
$165.00 2
$121.00
$165 00
$108.00
TBD 1ITBD
Street/Alley/Walk 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 1 4TT Box & Cover $64.00
Additional
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division
REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval:
Qty.
(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
F::]
2: Meter: 27 00 + 61.25 $88.25
12" Meter
$425.00
12" Turbine Meter
13" Meter
$845.00
$3,310.00
For Traffic & Alley Areas (Box + Cover = Cost)
1" Meter: 13 00 + 38.00 $51.00
14" Meter
$4,730.00
2" Meter: 27 00 + 162.00 $189.00 B
16" Meter
$7,190.00
Qty.
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
;zodi
+' S71-
Permit Specialist
Receipt No.
f /users/pbw/shared/encroach/masters/ep front and back masters/
Rev 1/5/20171
lepfeesheet As -revised 10121/2016
_a_ T WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPLETE THE BELOW I FO ATI N
PROJECT ADDRESS: 2
COT E• COA6T 14WY G0901 Ok DELMAR g26Z5
'
DETAILED DESCRIPTION OF PROPOSED WORK:
2 Sot 1, berg iH sidewalk a1wq 10C A%4fnuc Uslhg 0 llnmW
104r,r h drjilim riq, tD collets soil 4nd soil gas
yarn+ kt
APPLICANT: AUCIA. SIEtr EL- Phone: 310- jq- ZS5
Email Address: QS tit (�� UIft211 Lfh1f
Mailin Address:
2M w. 190M ST
City/State/Zip:
TOWWXWC.F CA 9oW4
OWNER: RC EA LP Phone:94-125-424
0
Email Address: ' S CY. i:om
Mailing Address:
6w NeWpOeT CM pR M UP00
City/State/Zip:
N Qk"Er
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR:
$TFIE t40Qgk
Company (if different): s
1JRIwl�%
Office Phone: '414• 9Q4.0402
Jobsite Phone:
Other Phone:
Email Address: SM010,0 i! 11CRICO- Ccm
Mailing Address:
"'SI WPLNVT ANCNVf
City/State/Zip:
PbJZK CA gOGZO
State License Number & Class:
C•5} obS Expires: •30.20r'
City Business License Number:
6T300601141 Expires: 8.31• is
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: 2MWIXID FIRE ': CASUAU`/ Policy No: JNwC Q05830 Expires: 1 J1 I2mS
REFUNDABLE DEPOSIT INFORMATION (if Applicable):
Refund Payable To:
Mail Refund To:
FOR OFFICE USE ONLY
Special Conditions of Permit: --pre. -'ob ohs tc,}irn v-vitd,
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services
Traffic: Fire:
Other:
Engineering Technician:
r�od
Public Works Specialist:
Tsai
Date:
'v-22-C
Permit No.
N Zap - 04 2-
Public Works Department 949-644-3311
2 direct push
be '
Air Comp
VaCUL
Syste
Machine
0 17.5 35
SCALE: 1" = 35'
-- Approximate Subject Property Boundary N
+ Proposed Interior Basement Sampling Location (5 ft bgs)
O Proposed Exterior Sampling Location (25 ft bgs)
•
C
AEI Consultants
2207 West 190th Street, Torrance, California 90504
SITE MAP
3027 East Coast Highway I FIGURE 2
Corona Del Mar, CA 92625 Project No. 376439
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
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
1
Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed
I certify at I have a Certificate of consent to self -insure, Certificate of Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit An approved copy of the
Compen ation Insurance, or a Certified Copy they f.
permit and construction plan shall be kept at the lob site at all times Work, which has been done prior to issuance of
1 —
V'S 3
a permit, is subject to rejection/fine City reserves the right to void permit if work does not commence within 30 days
Dat�. Signature:
after date of issuance
OrCERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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
I certify that in the performance of the work under this permit, I shall not employ
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
construction or connection to water lines a valid State Contractor License Class C-34 is required For construction or
CONTRACTOR LICENSE EXEMPTION
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,
As the Owner of the benefiting property, I certify I am personally performing all
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.
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
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
HOLD HARMLESS STATEMENT
7
The 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 -
be inspected and approved before concrete is ordered/poured Sewer, pipelines, and subgrade construction must be
Way/Easement. As property owner it is my responsibility to maintain the
inspected and approved before backfilling, or applicant may be required to excavate site Separate Utilities
encroachments. I will be responsible for replacing the improvements if the City
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 0e 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
24-hour notice for Eneroachmen Permit Inspection is required by calling
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions All
"Manual
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of
Public Works at 949-644-3311.
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
ti
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 facilitis will require documented approval from the adjacent
protect the general public Access to fire hydrants must be maintained at all times
affected property owners)
10
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break Memorial Day
16 Homeowner, contractors, and subcontracotrs 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
1 1
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
discharge construction debris into the gutter and storm drain Felony violations of Water
acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and
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
emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control
17 If a refundable deposit was
P paid, applicant must submit a Soils Compaction
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
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
the Public Works Department Any work affecting the State Highway's traffic or within the State Highway right-of-way
Public Works Department Monies may be held for six months after final inspection
will require a Caltrans Permit All vehicles shall be lawfully parked
before a refund will be processed
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
materials or parking of construction vehicles unless detailed on an attached Temporary Street Closure
without approval from the General Services Department
13
Applicant must notify USA at 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
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
etc ) Additional inspection fees may be required
may remove and bill the applicant Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
20 Permit is for standard materials in the public right-of-way only, unless previously
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 permit and/or additional fees
No work related to this encroachment permit ghall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she he read and understands the terms 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: __.__ __�IZ Signature.
1/24/2022
City of Newport Beach Page 2 of 21
6:30:39AM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/24/2022
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 3027 COAST HWY E
A/P/D Information:
Activity :
N2017-0432
SubType :
NEW
Status :
APPROVED
OWNER:
RCEA LIMITED PARTNERSHIP Phone: 0
APPLICANT:
AEI CONSULTANTS Phone : 310-798-4255
Description :
2 soil borings in sidewalk on Iris Avenue adjacent to address to collect soil and soil gas
samples. Sidewalk restoration per City Standards.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
1/24/2022 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
'ANY-'
Assigned to :
TZIWZ*