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Permit No:
Center Dport
Newporth
oo Beach, CA szsso
Permit Counter Phone (949)644-3311
Project No
Z
Online Inspection Request - www newportbeachca gov /Online
Services
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Inspection Requests Phone (949)644-3255
Job Address:
1506 PARK AVE NB
Thomas:Guide: 919D1
Description .
Installation of approx. 65 sq. ft. mortar set brick over reinforced concrete base with tree
well removed/damaged by Park Avenue bridge work.
Parcel # .
0501-911-3 -
Legal Desc :
BALBOA ISLAND SEC 5 LOT 27 BLK 7 WILY 30 FT AND WLY30 FT LOT
28BLK
Owner:
BROMBERG STEVEN D
Contractor : M P L ENTERPRISES INC
Phone:
0
Phone: 714-545-1717
Address :
1506 PARK AVE
Address : 2302 S SUSAN ST
NEWPORT BEACH, CA
SANTA ANA CA 92704
Contractor State Lic: 409169
Applicant:
M P L ENTERPRISES INC pLETE
C/O�
License Expire : 09 30, 2017
Phone:
714-545-1717 [
Address :
2302 S SUSAN ST
SANTA ANA CA 92704
Business License: BT00013142
Business Expire : 04 30, 2018
Special Cond.:
Workers' Compensation Insurance - -
Carrier : NEW YORK MARINE
Policy No: PWC170370117203
W. C. Expire: 06 01, 2018
Permit Processing Fee $0 00 Sewer Connection :
$0.00
Total Fee $0.00
Agreement Fee :
$0 00 4TT Box Cover:
$0.00
Paid : $0.00
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�
f Date S /
Other Department : Date :
Utilities Approval
: Date. _/_/
Permit Denied Date.
Traffic Approval :
Date: _/_/
JJnn
Issued Permit Date : 8 /3V/�_
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
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 that I have a Certificate of consent to self -in re, Certificate of Worker's
contractor must provide a Letter of Authorization" to allow another party to pull a permit An approved copy of the
C pensati n Insurance, or a Certified Copy then
permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of
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a permit, is subject to rejection/fine City reserves the right to void permit if work does not commence within 30 days
ate: �I r
�Ignature:
after date of issuance
CERTIFICATE 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 Provistons 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 lie 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 boy over the riser
24-hour notice for Encroachment 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
15 Any above ground utility facilities will require documented approval from the adjacent
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
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
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 paid, applicant must submit a Soils Compaction
Handbook (WATCH) No nighttime traffic lane closures, unless prior approval has been granted Any lane(s) closure
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
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
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 Work;
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 fr nt only. Additional work
performed may require issuance of a separate perm /or additional fees
No work related to this encroachment permit 4hall be performed until the Public Works Department has Issued this permit. Applicant hereby a n wledges he/she h r rid 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.
Date:
Permit
fees are nonrefundable.
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PARK AVE - __-
Newport
selalmer: Every reasonable effort has been made to assure the
Beach Di
accuracy of the data provided, however, The City of
G I $ Newport Beach and its employees and agents
disclaim any and all responsibility from or relating to
¢aEW°Oa>0 any results obtained in its use.
° °ee 0 20 40
fiI Imagery: 2009-2013 photos provided by Eagle
Feet Imaging www.eagleaenal.00m
-IC00.•
. A License - License Detail Page 1 of
Contractor's License Detail for License # 409169
)ISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this
nformation, you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the
link or button to obtain complaint and/or legal action information
Per B&P 7071 17 , only construction related civil judgments reported to the CSLB are disclosed
Arbitrations are not listed unless the contractor fads to comply with the terms of the arbitration.
Due to workload, there may be relevant information that has not yet been entered onto the Board's license database.
Business Information
M P L ENTERPRISES INC
2302 SOUTH SUSAN STREET
SANTA ANA, CA 92704
Business Phone Number-(714) 545-1717
Entity Corporation
Issue Date 07/20/1981
Reissue Date 09/27/2007
Expire Date 09/30/2019
License Status
jThis license is current and active.
All information below should be reviewed.
Classifications
C27 - LANDSCAPING
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with AMERICAN
CONTRACTORS INDEMNITY COMPANY
Bond Number: 100123022
Bond Amount: $15,000
Effective Date: 01 /01 /2016
Contractor's Bond History
Bond of Qualifying Individual
The qualifying individual MICHAEL PARKER certified that he/she owns 10 percent or more of the voting stock/membership interest
of this company; therefore, the Bond of Qualifying Individual is not required
Effective Date: 09/27/2007
Workers' Compensation
'This license has workers compensation insurance with the NEW YORK MARINE AND GENERAL INSURANCE COMPANY
Policy Number: PWC170370117203
Effective Date: 06/01 /2017
Expire Date: 06/01/2018
Workers' Compensation History
Miscellaneous Information
tps: //w-,%-vv 2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=409169 08/29/201
heck A License - License Detail
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Page 2 of
Other
Personnel listed on this license (current or disassociated) are listed on other licenses
tps://wtik-,k-2.cslb.ca.gov/OnlineSer�,,ices/CheckLicenseIl/LicenseDetail.asps?LicNum=-I09169 08/29/201
1/24/2022 City of Newport Beach Page 6 of 21
6:30:39AM INSP15O - Daily Inspection Request Report
Requested Inspection Date : 01/24/2022
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1506 PARK AVE
A/P/D Information:
Activity : N2017-0441
SubType :
Status : APPROVED
OWNER: BROMBERG STEVEN D Phone: 0
APPLICANT: M P L ENTERPRISES INC Phone : 714-545-1717
Description : Installation of approx. 65 sq. ft. mortar set brick over reinforced concrete base with tree well
removed/damaged by Park Avenue bridge work.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/24/2022 12 OO:OOAM Requestor: WEBUSER
11
Entered By: WEBUSER
Comments: 'ANY-'
Assigned to : zz IIWz*
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