HomeMy WebLinkAboutN2017-0564City of Newport Beach
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III II
IIIIIIII III Permit No: N2017-056�
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3311
Project No .
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Online Inspection Request - wvrvv.newportbeachca
gov /Online
Services
Inspection Requests Phone (949)644-3255
Job Address :
1 PUBLIC ROW NB
Thomas:Guide:
Description :
Perform 9 soil borings (approx 5-15 feet in depth) on Bayside Drive between
East Coast
Highway and Jamboree Road and Jamboree Road/Marine
Avenue between
East Coast Highway and Balboa Island bridge for upcoming City CIP project.
`-� ANNE D
Parcel # :
Legal Desc :
Owner:
CITY OF NEWPORT BEACH
Contractor : LEIGHTON CONSULTING INC
Phone:
Phone: 949-253-9836
Address :
Address : 17781 COWAN
IRVINE CA
CMPFETED
Contractor State Lic: 858635
Applicant:
LEIGHTON CONSULTING, INC
License Expire : 05 31, 2019
Phone:
941-681-4284 [
Address :
17781 COWAN
IRVINE, CA
Business License : BT30007746
Business Expire : 02 28, 2018
Special Cond.:
PRE -JOB INSPECTION REQUIRED
Workers' Compensation Insurance - -
NO FEE PERMIT (CITY PROJECT)
Carrier : STARSTONE NATIONAL INSURANCE
Policy No: T10170590
W. C. Expire: 09 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:
Date : _/_/
Other Department : Date : _/_/
Utilities Approval
:
Date : _/_/
Permit Denied Date
Traffic Approval :
Date : _/_/
Issued Permit — T- Date:
General Services
Approval :
Date
- 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
1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed
contractor must provide a "Letter of Authorization" to allow another party to pull a permit An approved copy of the
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
after date of issuance
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
or damage to persons or property occurring as a result of work undertaken under this permit
3 All work shall be done in accordance with the approved plans Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances
4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects Any failures shall
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
Public Works Director A valid Slate 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
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,
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
Works Dept Contractors shall obtain permits to perform excavation or trench work from the California Division of
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
7 The Public Works Department Inspectors must inspect all work in the Public right-of-way Forms and subgrade must
be inspected and approved before concrete is ordered/poured Sewer, pipelines, and subgrade construction must be
inspected and approved before backfilling, or applicant may be required to excavate site Separate Utilities
Department or General Services Department inspections may be required depending on scope of work performed.
B All trench restoration must be inspected by the Public Works Department No utility installation(s) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department Locate and pothole
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
4TT box over the riser
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions All
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
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 minimurn 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
10 Work within or near beach sensitive areas will not be allowed during, City holidays spring break Memorial Day
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department
1 I Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and
emergency vehicles must be maintained at all limes Traffic Control must be per Work Area Traffic Control
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
the Public Works Department Any work affecting the State Highway's traffic or within the State Highway right-of-way
will require a Caltrans Permit All vehicles shall be lawfully parked
12 This permit does not authorize the closure of sidewalks streets, or alleys for construction access, storage of
materials or parking of construction vehicles unless detailed on an attached Temporary Street Closure
13 Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences
14 Refuse or unused materials shall be removed within 24 hours after completion of the work If not removed, the City
may remove and bill the applicant Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted To place a dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) _
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
Compensation Insurance, or a Certified Copy thereof.
Date: f i7. 770 I Signature: rr
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to California Worker's Compensation Laws. If,
after signing this certificate I become subject to the Worker's Compensation
provisions of the State Labor Code, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date:
Signature:
CONTRACTOR LICENSE EXEMPTION
As the Owner of the benefiting property, I certify I am personally performing all
work in the Public Right -of -Way.
Date:
Signature:
HOLD HARMLESS STATEMENT
I understand that I am locating minor encroachments within the City Right-of-
Way/Easement. As property owner it is my responsibility to maintain the
encroachments. I will be responsible for replacing the improvements if the City
removes them for maintenance of utilities or other public need. I shall indemnify
and hold the City harmless for any liability associated with the minor
encroachments.
Date:
Signature:
24-hour notice for Encroachment Permit Inspection is required by calling
Public Works at 949-644-3311. &F
15 Any above ground utility facilities will require documented approval from the adjacent
affected property owners)
16 Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
Quality Laws Best Management Practices will be enforced It is against the law to
discharge construction debris into the gutter and storm drain Felony violations of Water
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
17 If a refundable deposit was paid, applicant must submit a Soils Compaction
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
Public Works Department. Monies may be held for six months after final inspection
before a refund will be processed
18 No trees in the public right-of-way shall be planted, removed, trimmed, or relocated
without approval from the General Services Department
19 All work in the public right-of-way must meet the approval of the Public Work;
Department or corrections will be required (i.e. removals, exposing connections,
etc ) Additional inspection fees may be required.
20 Permit is for standard materials in the public right-of-way only, unless previously
approved by Public Works and an Encroachment Agreement has been processed.
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 hereby acknowledges he/she has 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 aft i 17 2C�rr�
Permit fees are nonrefundable. Date: �____ _ Signature: __�'
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: �',� S,�JP j}�, V+z »�„� pCF+ C_A.,-V/FBI
DETAILED DESCRIPTION OF PROPOSED WORK: Dn II geV-1(7)
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APPLICANT: L C(q tl 1'C r\; CL NS L),.T? AX-7 f INC.
Phone: e3q i - S I -4 2,9cl
Email Address: SPUU-JA 1.R G
Mailing Address:
I'7 7 � I CCWPrf\;
City/State/Zip:
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OWNER: Cf ri. C)F NCt,ti�f��� 6�1}C(� Phone:
Email Address: QhyCt'lu� �x �1�� >>'t b�'r�c 1, • / MICk- AK(AM E A
Mailing Address: V
Ci y/State/Zip:
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ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: LC1(-�w-vt, CcN_CCLi1IUE6 t i tJC-.
Office Phone: 1146i-2Sb -i 1,i
Company (if different):
Jobsite Phone: 94q-3cl y - 230i
Other Phone: (I4-'? -65-1 - Z `
Email Address: ;P��`� � �� UC16tMrL6POOP•«tu
Mailing Address: 1'77�?I CCV:_W
City/State/Zip:
i�iliA;Z- f�
State License Number & Class:
�5 C 3y Expires: y 3
City Business License Number:
B F 300E-T7 cf 6, Expires: 02- t2j3j 1
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company:'I Policy No: T i 0 i -70 c;9 O Expires: Cj I Zt, I�
REFUNDABLE DEPOSIT INFORMATION (If Applicable):
Refund Payable To:
Mail Refund To:
FOR OFFICE USE ONLY
Special Conditions of Permit: ire-'ob fe ;re A
No e+,,i+- (C: +y 'Pro�Q
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
ocL.
Public Works Specialist:
Date:
it-"1—
Permit No.
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Public Works Department 949-644-3311
Project Details:
Project Name: Bayside Drive Improvement Project
Project Limits: Bayside Drive between East Coast Highway to Jamboree Road and
Jamboree Road between East Coast Highway and Bayside Drive
Project Owner/Contact: City of Newport Beach (Patrick Arcienega)
Applicant. Leighton Consulting, Inc.
Contact: Sreekar Pulijala (Direct: 949-681-4284; spulilala(Dleightongroup com)
Scope of Work:
We propose to perform a subsurface exploration consisting of drilling, logging, and
sampling of 9 borings along the subject streets. Seven borings will be drilled to a depth
of 5 feet below existing grade and two borings will be drilled to a depth of 5 feet below
existing grade. Approximate location of the proposed borings is shown on Figure 1. All
borings will be drilled to the proposed depths or auger refusal, whichever is shallower,
and will be logged by a member of our technical staff. A summary of proposed borings
is presented in Table 1.
Table 1 — Summary of Proposed Geotechnical Exploration
Boring
ID
Approximate Location
Proposed Depth
of Boring (feet)
LB-1
WB Bayside Drive between PCH
and Harbor Island Road
5
LB-2
EB Bayside Drive between Harbor
Island Road and Promontory Drive
5
LB-3
WB Bayside Drive between Harbor
Island Road and Promontory Drive
15
LB-4
15
LB-5
EB Bayside Drive between
Promontory Drive and Jamboree
Road/Marine Way
5
LB-6
15
LB-7
Jamboree Road between PCH and
Bayside Drive
5
LB-8
15
LB-9
Marine Way south of Bayside Drive
5
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-
Bayside Drive Improvement Project
City of Newport Beach, California
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11/13/2017 City of Newport Beach Page 1 of 18
4:30:31PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/14/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1 PUBLIC ROW
Activity : N2017-0564
SubType :
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: LEIGHTON CONSULTING, INC Phone : 941-681-4284
Description : Perform 9 soil borings (approx 5-15 feet in depth) on Bayside Drive between East Coast
Highway and Jamboree Road and Jamboree Road/Marine
Avenue between East Coast Highway and Balboa Island bridge for upcoming City CIP
item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 11/14/2017 12:00:OOAM Requestor: NBIVR
9493942301
Entered By: NBIVR
Comments: NP
Assigned to:
COY4 r-,,c foy Co ✓-r Pt3 '� porz• kr�l� S q►^o� ;v � c � �'� `l. �„�, � A�c �
i'►'�e X N° C � �Q f l 12c, �� - bi rt.- �jo le (►rG r��C Can /U�
1/19/2022 City of Newport Beach Page 15 of 34
6:30:37AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
01/19/2022
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address:
1 PUBLIC ROW
A/P/D Information:
Activity : N2017-0564
SubType :
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: LEIGHTON CONSULTING, INC Phone : 941-681-4284
Description : Perform 9 soil borings (approx 5-15 feet in depth) on Bayside Drive between East Coast
Highway and Jamboree Road and Jamboree Road/Marine
Avenue between East Coast Highway and Balboa Island bridge for upcoming City CIP
project.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/19/2022 12:00:00AM Requestor: WEBUSER
Entered By: WEBUSER
Comments: 'A
Assigned to : zA04
J4�-/4 -,,,/