HomeMy WebLinkAboutN2017-0516fCity Newport Beach IIIIIIIIlllllllIIIIIIIIIIIIIIII Permit No: N2017-051 6
oo Civic Beach, CA 92660 I il,III II
Permit Counter Phone (949)644-3311 Project No
Z Online Inspection Request - www newportbeachca gov / Online SCANNEb
Y%. Services
'+'+ ""' Inspection Requests Phone (949)644-3255
Job Address: 850 AVOCADO AVE NB Thomas:Guide: 919E1
Description . Install 1-inch water service per City Standard #502-L and install a backflow device per City Standard #520-L All work within City water easement on
private property.
Parcel # :
4422-720-5 -
Legal Desc :
P.M. 270-15 PAR 1 POR PAR
Owner:
IRVINE CO
Contractor : WEST COAST BACKHOE SERVICES INC
Phone:
0
Phone: 714-840-6246
Address :
550 NEWPORT CENTER DR
Address : 10681 CHESTNUT AVENUE
NEWPORT BEACH, CA
STANTON CA 90680
COMPLETEDContractor State Lic: 639268
Applicant:
WEST COAST BACKHOE SERVICES
License Expire : 03 31, 2019
Phone:
714-840-6346 [
Address :
10681 CHESTNUT AVENUE
STANTON, CA 90680
Business License : BT30060393
Business Expire : 09 30, 2018
Special Cond.:
Pre -job inspection required
Workers' Compensation Insurance - -
Carrier : EMPLOYEE GROUP
Policy No : RWCC64396948
W. C. Expire: 10 01, 2018
Permit Processing Fee .
$241.00
Sewer Connection .
$0 00
Total Fee
$1,270.50
Agreement Fee :
$0.00
4TT Box Cover.
$0 00
Paid :
$1,270.50
Traffic control Plan Check :
$0 00
Total Water Meters :
$649.50
Balance :
$0.00
Inspection Fee :
$330 00
Water Meter Connection :
$528.00
Receipt No
Refundable Deposit
$0.00
Total Water Meter Box :
$50 00
Street Tree Fee
$0 00
Adjustment :
$0.00
Processed By .
Date: _/ /
Other Department .
Date:
Utilities Approval :
Date : _/_/
Permit Denied
Date:
Approval
Date � _/ /
Issued Permit :
c , 1Traffic
Date :6 0/��/ �% f
General Services Approval
Date . _/_/
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
bH 19 zpr �— I to 1 1-inch woiee' s¢rv"ce, Per toy gya
Phone:-7[q-f>40 3
APPLICANT: �,�C S
Email Address: TWLL.GCSYL m 5 is 1,� 1Ivy
Mailin Address: A.,U "
10913 t Cln es� '—
City/� (e2ip� q
� -1
OWNER: o�� Phone: C44�(-�25� 27�'(
Email Address:
Mailing Address:
t N pou 2� ►�
City/S te/zip:
�� �� �t t z� l
CONTRACTOR: UZ- S
Office Phone: LLt q0 314
Company (if different): Wes} Coos- Balk oe Svvices
Jobsite Phone: ui ' `{ -2q Zl.
Other Phone:
Email Address: G ��V�OA & TTr�
Mailing Address:
v-13 G� i
City/State/Zip:
( i '-I L C-4
State License Number & Class:
P, - (o 3a Z b `' Expires: 3-31-19
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: RW Expires:
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
Special Conditions of Permit: ?vt-iolo ins ec*-0v% wind
�. = -
Utilities:
Municipal Operations
Traffic: 0 Fire:
Other:
Engineering Technician:
Permit Specialist
Date:
Permit No.
IN2017- 0510
P/users/pbw/shared/encroachfmasters/epworksheet )ds
Cpv1o'S
(0 Z(, - Lt914 4Z(o
Public Works Department 949-W-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee: Q
Public Works Only $241.00 1
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee: Qty.
Public Works Field Inspection $165.00 *2-
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit: TBD
Improvements TBD
Street/Alley/Walk Closure: $65.00Newspaper 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__i 4TT Box & Cover $64.00
Additional
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I
I
Qh►-
1
{Water Meter:
Installation Charge $528.00L1 J
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 1 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 Tragic & 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 $189.00B
16" 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 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
Zod ; N 1. 270.
Permit Specialist Receipt No.
f /users/pbw/shared/encroach/masters/ep front and back masters/
Rev. 1/5/2017 epfeesheet xis -revised 10/21rz016
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 Codd)
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 -insure, Certific a of orker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit An approved copy of the
CompZnstion Insurance, or a Certified Copy there f.
permit and construction plan shall be kept at the job site at all times Work which has been done prior to issuance of
Z
a permit, is subject to refection/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 (ection 340 La or 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 (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
Date: Signature:
4TT box over the riser
24-hour notice for Encroachment Permit Inspectic 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 An above round utility facilitie
Y 9 Y quire mented 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 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 t
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 dram 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
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 Ids th 4ms and
hesre�ad�arw_underst
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./macPermit
fees are nonrefundable.
Dat �? llgnature
•f
10118/2617 City of Newport Beach Page 5 of 21
4:30:10PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 10119/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 850 AVOCADO AVE
Activity: N2017-0516
SubType :
Status : APPROVED
OWNER: IRVINE CO Phone: 0
APPLICANT: WEST COAST BACKHOE SERVICES Phone : 714-840-6346
Description : Install 1-inch water service per City Standard #502-L and install a backflow device per City
Standard #520-L. All work within City water easemen
Item: 10200 LPRE JOB - PW
Requested Time: 10/19/2017 17700TMM Requestor: NBIVR
6264947426
Entered By: NBIVR 5
Comments: AM
Assigned to:
Inspector:
,j k/
Date: 16) C- 1 _7 Time: 9=30 A PM
Comments: �' �✓� cet&P5 4
F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\I nsoectorS heet.doc
r le - s
REPT131 Run Id: 4018
10/23/2017 City of Newport Beach Page 3 of 16
6:34:24AM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
10/23/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
850 AVOCADO AVE
+t3&rtvra� ,../.: i "rr `..;' '�.`` �•-d:u'fc',...�`T t�: ��-- 1'M,'h •..F.r ,. }.�
�-3'M wi k ` !� ^Y:. 'S; .7C'=r. �. �:' �.T.•ti. 'f.. SDI - :%
'3-, "r �, i i-i�': �,
�r ....��.i?c:•,'�V•y"iJL
w,✓e=..,'J.. ..1 �.. --.s, ,.
.. :r?4!r`�'.'.j'.
..
Activity :
N2017-0516
SubType :
Status :
APPROVED
OWNER:
IRVINE CO
Phone: 0
APPLICANT:
WEST COAST BACKHOE SERVICES
Phone : 714-840-6346
Description :
Install 1-inch water service per City Standard #502-L and install a backflow device per City
Standard #520-L. All work within_ City
water easement on private property.
yyy,��g� .�} s�
111, Y, Yt
'.ire. r _ �..� �'F"t t"�'t,5:3C'x''i.
:�' i;�
• F .�'; �.,
Item: 10215 ROUGH UTIL
Requested Time: 10/23/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: ..j V Date: n Z 3 ZI -7 Time: 5 _-,49 �M PM
Comments: — S,—IL/ C--
S /G'l i l L S
%_ ,3 .,
F. \Users\PBW\S hared\ENCROACH\MASTERS\FORMS\I nspectorSheet. doc
10/23/2017 City of Newport Beach Page 4 of 7
r 4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/24/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 850 AVOCADO AVE
.Fir
4-.`R. vr�: a.;:zv� "t.:� ,•f, Ys, tv,..'+.iYs/�Y":'t w,..• .ieT,l'kj, d ,=! J2. `,:`ht>+tF•r
/^.., t' ?F
s-,T.N:',.:°``~~r'.K'.:`�4.:.,?i�:acAY::-:§�4rfra.ii:�% F`+Nf•�':%�.�?r;T t' ','lklt *.4:4,�tr. kx,y3"..e, s.. s
Activity: N2017-0516
SubType :
Status : APPROVED
OWNER: IRVINE CO Phone : 0
APPLICANT: WEST COAST BACKHOE SERVICES Phone : 714-840-6346
Description: Install 1-inch water service per City Standard #502-L and install a backflow device per City
Standard #520-L. All work within City water easement on private pro
,k,, �_ -<:e iz �FY✓�. -�„Y: .�,.�r•rn.ar-±[isx;� _ t' - +�, �;e. a,r.j-'�i"^=�+i;�"-'�..;' x'" .�,js" `n'-�,"sl•.;`ifi �,r^.. v,�
' _ 'i,'.'...: r� `,:'�::�sx4�;iY iY'qq..,,�� _ �'+°"�-. ...,....''i'�".�!" : s' d �,r���N� � ��`"'�4. S'+� }��jr.,�,,� �t3^'fk.�.",� ,:.,_..•_�
� ,T'!. �t": 1. •�.f'"�Ml s•�,. y?kvr �C :�M:/�AC.�f.'l: k. t�'N�, ,X'}'�a M1Yt'�il ;.w. a:'
Item: 10215 ROUGH UTIL
Requested Time: 10/24/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: `�� Date: l D `f ( Time: AM PM
Comments: 60/2
A"
F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\I nsoectors heet. doc
REPT131 Run Id: 4018
1/17/2022
6:30:51AM
City of Newport Beach Page 5 of 5
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/17/2022
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 850 AVOCADO AVE
A/P/D Information:
Activity :
N2017-0516
SubType :
Status :
APPROVED
OWNER:
IRVINE CO Phone: 0
APPLICANT:
WEST COAST BACKHOE SERVICES Phone : 714-840-6346
Description :
Install 1-inch water service per City Standard #502-L and install a backflow device per City
Standard #520-L. All work within City water easement on private property.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
1/17/2022 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
'ANY-'
to 4L
Assigned to :
zz z
Co cj,
a