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HomeMy WebLinkAboutN2017-0488W$,(,A City of Newport Beach III I IIIIIIIII IIIII II� II IIIIIIIII I III Permit No: N2017-048.k 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 4 8 8 '. Permit Counter Phone (949)644-3311 Project No : 0353-2017 Online Inspection Request - www newportbeachca gov / Online ' Services + Inspection Requests Phone (949)644-3255 Job Address : 907 CERCIS PL NB Thomas:Guide: 889F3 Description : RECONSTRUCT EXISTING DRIVEWAY APPROACH PER STD 162-L; REMOVAL OF DECORATIVE CARRIAGE WALK AND STEPPING STONES IN PARKWAY. Parcel # : 4400-541-5 - Legal Desc : N TR 5018 LOT 2 l Owner: CERVANTES HUGO S S/MONTERO Contractor : LION CONSTRUCTION Phone: Phone: 714-747-0745 Address : 907 CERCIS PL Address : 5300 BEACH BLVD #110-209 NEWPORT BEACH CA 92660 COMPLETEDBUENA PARK CA 90621 Contractor State Lic: 795197 Applicant: LION CONSTRUCTION License Expire : 05 31, 2019 Phone: 714-747-0745 [ Address : 5300 BEACH BLVD #110-209 BUENA PARK CA 90621 Business License : BT30060640 Business Expire : 09 30, 2018 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP Policy No: 9043360 W. C. Expire: 02 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: C)9Xa ,3[7C'1 / Traffic Approval . Date: _/_/ Issued Permit : Date General Services Approval : Date : _/_/ g MIFF PROJECT ADDRESS: DE AILED DESCRIPTION OF PROPOSED WO K: APPLICANT: 113hone: - Email Address: Ma' 'n Ad res • / Y,el l City/State/Zip: G l OWNER: f7a ,I Phone: Email Address: Mailin Address: Cit /State/Zip: > /oiLL EONTRAGTOR INFORMATION IS�RE tRE[kPCEASE--OMPWp T FI CONTRACTOR: Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: ®� Mailing Address: City State/ ip: State License Number Class: 794z97Ex Tres: / Ci Business License Number: Expires: WORKERS CO PE SATION INSU CE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Lofsa Expires: Z l ...:. REFUNQABL_1*:QEPO$1T jNFQRMAT10I�t.(Ifapp/ able :::. `. : x :::: < :. :..` ......... . ::::: :: . ..... .. . . ..:........ R00d Pe able-T6:.. - :::..=:=:::::. , ..... ;, .... < .........::......:. ;. ,. . ail- ke"fu id -To .:::: :.::-. FOR OFFICE USE ONLY 'A Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS - Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Publi or Specialist: (J Date: C)2-1 I n Permit No. I N 2(c,-- Plusers/pbw/shered/encroach/maslers/epworksheeLxls I -- Public Works Department 949-644-3311 Permit Processing Fee: Public Works Only $241.0 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection $165.0 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements StreeVAlley/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 REQUIRE APPROVAL FROM THE _ R I REVENUE DIVISION PRIOR TO PAYMENT OF FEES A TBD TBD $108.00 0 $250.00 64 $64.00 genus Diviston 1 1Y- (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) 1 11 1/2" Meter $285.00 1" Meter: 13.00 + 37.00 $50.00� 1 11 1/2" Turbine Meter $700.00 2: Meter: 27.00 + 61.25 $88.25 1 12" Meter $425.00 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 13" Meter $3,310.00 1" Meter: 13.00 + 38.00 $51.00 1 14" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00P t6" Meter $7,190.00 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 My 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 �5,1 1 . D v Permit Sp \t Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheetxis-revised 10/212016 D3� 3-Zo�7 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-i sure, Certificate of Worker's contractor must provide a "Letter of Authorization' to allow another party to pull a permit An approved copy of the Compensation Insurance, or a Certified Copy there 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 rejection/fine City reserves the right to void permit if work does not commence within 30 days Date; Signature: 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 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 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 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 15 Any above ground utility facilities will require documentlVapproval 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 er 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 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 fines Quality Laws are punishable by fs up to $25,000 and/or up to three years in State prison plus the full cost to clean ne 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, 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 $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and understands the sand 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. Dat _____Signature: _ _ _ REMOVE PORTION OF (E) &DRIVEWAY; REPLACE W/ LANDSCAPING TO MATCH (E) EMOVE (E) APRON: EPLACE W/ CURB PER (E) CITY SPEC LAND SCAPE P.L. 12.00' (E) (E) CERCIS PL LAND SCAPE LAN•�. SCAPE ` 202 I MAX �FJ E-'' DRIVEWAY LAEND SCAPE 0�.� (END SCAPE \ ` pt 30 GAE TE (E) (E) LAND �, (E) WGATE& LAND r. SCAPE SCAPE - '- 0 Z.O 1-7 — D� 963 — qU% G�46—t S City of Newport Beach - Public Works Dept. Date: 9 z 7/1 % PUBLIC WORKS PRE -JOB Public Works Inspector Julio Velasco - Mobile 714-315-4860 Email javelasco@newportbeachca.gov Activity Reviewed (Y / N) Mark -out remove and replace (R&R) limts: These areas can include but are not limited to Sidewalk (S� curb and gutter (C&G), driveway (D/W) approach, AC street, PCC'dlftgand walkways. ---- NOTE: M City stardard drawings can be found in the link below: http://www. gov/go - w ndard-drawings/view-aN-sfandwdsMhbft_Works_Dgwrbna t STD 105-L-A - Trench Resurfacing: - ��— STD 105-L-13 - Trench Resurfacing: - 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= Approach STD 164-L- Residential Driveway Approach Type III: - Rolled Curb STD 180-L - Sidewalk Details: - STD 181-LA - 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: STD 182-L - Standard Curb Sections Types A & B: - STD 18" - Curb Drains: - STo 0 - c -- 3 2 !9-6 - Cav6-ea 7-i!57 / x pz- 9/26/2017 City of Newport Beach Page 4 of 20 4:30:19PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/27/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 907 CERCIS PL rl Activity : N2017-0488 SubType : NEW Status : APPROVED OWNER: CERVANTES HUGO S S/MONTERO Phone: APPLICANT: LION CONSTRUCTION Phone : 714-747-0745 Description : RECONSTRUCT EXISTING DRIVEWAY APPROACH PER STD 162-L; REMOVAL OF DECORATIVE CARRIAGE WALK AND STEPPING STONES IN PARKWAY. Item: 10200 PRE JOB - PW 30 Requested Time: 9/27/20 Requestor: NBIVR 7147470745 Entered By: NBIVR Comments: AM Assigned to: Inspector: Date: Time: PM Comments: -✓/ uT C©/c% �—p� V -- o r t ,-*17- -�3 A,, , -- G, jZ Legged Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 1/17/2022 City of Newport Beach Page 2 of 5 6:30:51AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/17/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address : 907 CERCIS PL A/P/D Information: Activity : N2017-0488 SubType : NEW Status : APPROVED OWNER: CERVANTES HUGO S S/MONTERO Phone: APPLICANT: LION CONSTRUCTION Phone : 714-747-0745 Description : RECONSTRUCT EXISTING DRIVEWAY APPROACH PER STD 162-L; REMOVAL OF DECORATIVE CARRIAGE WALK AND STEPPING STONES IN PARKWAY Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/17/2022 12:00 OOAM Entered By: WEBUSER Comments: 'AN Assigned to : zz z* Cl Requestor: WEBUSER 11 CmP l� �r 6OeA �0