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IIIII Permit No: N2017-0435-
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100 Civic Center Drive, Newport Beach, CA 92660 N 2
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Project No, 2358-2014
Permit Phone (949)644-3311
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Online Inspection Request - www newportbeachca gov / Online
Services
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Inspection Requests Pho�
Job Address:
3235 OCEAN BLVD NB
Thomas:Guide: 919E3
Description :
INSTALLATION 17 TEMPORARY CAISSONS AND 4 PERMANENT CAISSONS
IN THE OCEAN BLVD PROW. COUNCIL REVIEW/APPROVAL REQUIRED.
Parcel # .
0521-205-4 -
Legal Desc :
TR 1026 LOT 16(AND SELY1/2 -R/S 12-35- LOT 15
Owner:
TANNIR NIZAR M & NADA
Contractor : KAZ INVESTMENTS MGMT INC
Phone:
0
Phone: (714) 787-8097
Address :
5237 CEDAR CREEK DR
Address : 2901 W COAST HIGHWAY STE 200
HOUSTON, TX
NEWPORT BEACH, CA 92663
Pl ETED
Contractor State Lic: 1023867
EOMApplicant: MARTIN BARD
License Expire : 02 28, 2019
Phone:
949-645-5854 [
Address
Business License: BT30058144
Business Expire : 02 28, 2019
Special Cond.:
COUNCIL APPROVED 10/10/17.
Workers' Compensation Insurance - -
ADDITIONAL FEES WILL BE REQUIRED FOR
Carrier : BENCHMARK
INSPECTIONS.
Policy No : CST5012192
W. C. Expire: 02 04, 2019
Permit Processing Fee $0.00 Sewer Connection :
$0.00
Total Fee $817.00
Agreement Fee :
$817.00 4TT Box Cover:
$0.00
Paid : $817.00
Traffic control Plan Check $0.00 Total Water Meters .
$0.00
Balance: $0.00
Inspection Fee .
$0.00 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: /n
Traffic Approval :
Date: _/ /
Issued Permit : Date. t /_/ ` v
General Services
Approval : Date _/ /
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Q .
$241.00
$275.00
$817.00
$192.00
$502.00
Inspection Fee: Q .
Public Works Field Inspection $165.00
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Street/Alley/Walk Closure: $65.00Newspaper 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
_ _ _ _
THE FOLLOWING ITEMS REQUfRE APPROVAL FROM THE R
REVENUE DIVISION PRIOR TO PAYMENT OF FEES A
TBDBTBD
$108.00
$ $64.00
64.00
venue Division I
1
Qty.
. 4tY• . 1
1Water Meter:
Installation Charge $528.00 1
13/4" Meter
$50.25
Water Meter Boxes: 1
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 B
12" Meter
$425.00
12" Turbine Meter
$845.00
For Traffic & Alley Areas (Box + Cover = Cost) 1
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00� 1
4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00
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 hry 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
Permit Specialist Receipt No. pal
� U f /users/pbw/shared/enuoachlmasters/ep front and back masters/
JV Rev 1 /5/2017 ^ gZ l 3 3 apfeesheet xis -revised 10/212016
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 WORKER'S COMPENSATION INSURANCE (Section 3800 bor Code)
1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed I certify that I have a Certificate of consent to s If-insur ificate of Worl er's
contractor must provide a Letter of Authorization" to allow another party to pull a permit An approved copy of the Co ertsation Insura ce, or a Certified Copy h eof. /
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 Dat 0 z,.2 Signature:
after date of issuance
2 The Permittee agrees to defend, indemnify and hold the City, its authorized agent officers, representatives and CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
employees harmless from any responsibility, liability, suit or action of any description ansing out of any accident, loss I certify that in the performance of the work under this permit, I shall not employ
or darnage 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 C mpensation 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 orke 's Compensati n
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 e visions of Se io
4 Peanittee guarantees all work performed under this permit to be free of hidden and latent defects Any failures shall (I/
3700
be corrected within two weeks after notification to the satisfaction of the Public Works Director or this ermit hall be deemed revoked. /
5 A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the Date: G G Signature: G�1' �✓
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. 1 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
9 Properly lighted barricades must be provided and maintained around all trenches excavations and obstructions All 24-hour notice for Encroachnlen Permit Inspection is required by calling
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 Public Works at 949-644-3311. ��
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 15 Any above ground utility facilities will require documented approval from the adjacent
protect the general public Access to fire hydrants must be maintained at all times affected property owner(s)
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
January 1, unless approved by the Public Works Department discharge construction debris into the gutter and storm drain Felony violations of Water
1 1 Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to Quality Laws are punishable by fines up to $25,000 and/or up to three years in State
acquire a Temporary Street Closure Permit from the Public Works Department Access for fire police and 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 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, er 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 PUbhc VVork',
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 durnpster 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 shall be performed until the Public Works Department has issued this permit. Applicant hereVy acknowledges he/she hasand sta s the t s d
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. D�� �?i
Permit fees are nonrefundable. Da t ___ Signature:
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10/1512018 City of Newport Beach Page 4 of 19
8:34:48AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 10/15/2018
Inspection Type: ENCROACH
Inspection .Area : PW
Site .address : 3235 OCEAN BLVD
A/P/D Information:
Activity : N2017-0435
SubType :
Status : APPROVED
APPLICANT: MARTIN BARD Phone : 949-645-5854
OWNER: TANNIR NIZAR M & NADA Phone: 0
Description : INSTALLATION 17 TEMPORARY CAISSONS AND 4 PERMANENT CAISSONS IN THE
OCEAN BLVD PROW. COUNCIL REVIEW/APPROVAL REQUIRED.
Requested Inspection(s)
Item: 10200 PRE JOB - PW
Requested Time: 10/15/2018 12:00:OOAM Requestor: WEBUSER
949-282-9448 — P-R-Fd
Entered By: WEBUSER
Comments: AM -PRE -GRADE (aD 9AM
Assigned to : zzzzzzzzzzz*
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1/24/2022
City of Newport Beach Page 3 of 21
6:30:39AM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/24/2022
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 3235 OCEAN BLVD
A/P/D Information:
Activity :
N2017-0435
SubType :
Status :
APPROVED
APPLICANT:
MARTIN BARD Phone : 949-645-5854
OWNER:
TANNIR NIZAR M & NADA Phone: 0
Description :
INSTALLATION 17 TEMPORARY CAISSONS AND 4 PERMANENT CAISSONS IN THE
OCEAN BLVD PROW. COUNCIL REVIEW/APPROVAL REQUIRED.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/24/2022 12:00:OOAM
Entered By: WEBUSER
Comments: 'ANY-'
Assigned to : Tizzazz*
Requestor: WEBUSER
rIN /Op/
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