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HomeMy WebLinkAboutN2018-0300City of Newport Beach IIIIIIIIIIIIIIIIII1IIIIIIIIIIIIIII100 Civic Center Drive, Newport Beach, CA 92660 (�JpiiN 2 0 1 8 0 3 0 0 I �111 Permit Counter Phone (949)644-3311 x, iz Online Inspection Request - www newportbeachca gov / Online mot. Services Job Address Description Parcel # Legal Desc : Owner: Phone: Address Applicant: Phone: Address 210 COLLINS AVE NB Thomas:Guide: CONSTRUCT 2 NEW GRAY CONCRETE CARRIAGE WALKS PER CITY STD 180-L. 0500-910-9 - BALBOA ISLAND SEC 2 BLK 11 LOT 13 CRONIN TERENCE E 0 25 NIELSEN LN LENOX, MA CRONIN TERENCE E Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Permit Processing Fee $241.00 Sewer Connection : $0.00 Agreement Fee - $0 00 4TT Box Cover $0.00 Traffic control Plan Check $0 00 Total Water Meters : $0.00 Inspection Fee - $330 00 Water Meter Connection $0.00 Refundable Deposit: $0.00 Total Water Meter Box: $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By : Utilities Approval Traffic Approval . General Services Approval Y Permit No: N2018-0300 Project No SCANNED Inspection Requests Phone (949)644-3255 919C1 compi ITfO Contractor: R K CONSTRUCTION Phone : Address : 604 BALBOA DRIVE SEAL BEACH CA Contractor State Lic: 603491 License Expire : 05 31, 2020 Business License : BT30063416 Business Expire : 06 30, 2019 Workers' Compensation Insurance - - Carrier : EXEMPT Policy No : no employees W. C. Expire: Total Fee $571.00 Paid : $571.00 Balance : $0.00 Receipt No. Date /_/ Other Department : Date: Date _/_/ Permit Denied Date L Date _/_/ Issued Permit . Date Date COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: le-/o GG S DETAILED DESCRIPTION OF PROPOSED WORK: G Tn��T Z 2 cL) GG►vcYL vfr— C f jrt ao-1 �S APPLICANT: I,C �yK,t� ,�GT/�'^-- Phone: -7 Email Address: /� f.F Wvs e1�w th , 6 te' — Mailing Addr ss: r'Wa4A- E)YL. City/State/Zip: CA 01*0 OWNER: -rCIII G Vp,m) jrV I Phone: A (36 ?6 Email Address: Mailing Address: ZS N1151-Puy L City/State/Zip: d Ww �.IMM - : CONTRACTOR: G vLT'f(sy' Office Phone: Company (if different): 'S �C Jobsite Phone: Other Phone: GAL 1*�Z% Email Address: Mailing Address: City/State/Zip: State License Number 8. Class: 3- t — C--29 -C-54 O 3 Expires: SS 3l - 20a City Business License Number: la'T' _3 00 C '4 11v Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: N I- Policy No: Expires: I Municipal Oerations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 ./itd � }:: a+3si�.`^ .. �'i>.,t:... ,iF:�� �:. �- rxc..'A` `` ,C^: -t'i• ^..a,F ?3' k` r�' �'F� ?�".w_1°� �',' > f 2 7 .q : �`'�. :. �'� Special Conditions of Permit: l -.SAILRECANREO FR©M FOLLOW—W FPEPAR' M . M ' Utilities: � Traffic: Fire: 0 Municipal Operations Other: Engineering Technician: PerffMialist Date: l E Permit No. I N2018- 0!300 f /users/pbw/shared/encroach/masters/epworksheet xls Public Works Department 949-6"-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Q Inspection Fee: Public Works Only $241.0 Public Works Field Inspection Other Department $275.00 Utilities Field Inspection General Services Inspection Agreement Fee: Water Quality/Artificial Turf Inspection Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: Monitoring Wells $502.00 Improvements TBDBTBD Street/Alley/Walk Closure: $65.000 Newspaper 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 4TT Box & Cover $64.00 Additional We _ _ _ _ _ _ •-----------------— — — — — — — — — ---- I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 l REVENUE DIVISION PRIOR TO PAYMENT OF FEES lApproval: 1 I Qty- Q 1 [Water Meter: Installation Charge $528.001 13/4" Meter $50.25 11" Meter $121.50 Water Meter Boxes: 11 1/2" Meter $285.00 1" DFW Meter Box $96.66 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 1 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 14" Meter $4,730.00 6" Meter $7,190.00 FEES s 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: To a Amount Due: For Finance Use Only 'DI I - 00 Permit Specialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 12/18/2017 epfeesheet As -revised 11 /8/17 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 -insure, 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 thereof. 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 Specral 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 co 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 t is permit shall be deemed revoked. 5 be corrected within two weeks after notification to the satisfaction of the Public Works Director A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the Dat —S '��/ Signatur 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 tie 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: 4Tl boy over the riser 24-hour notice for Encroachmen 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 S10 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 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 t is against the law to 11 January 1, unless approved the Public Works Department Any wort: that extends into traffic or parking lanes and impedes the normal flow 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 (WAliCH) 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 Slurred 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 Callrans Permit All vehicles shall be lawfully parked before a refund will be processed 12 This permit noes 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 relocateo 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 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 hereby acknowledges he/she has Lead-end44adjrstands 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. Q Permit fees are nonrefundable. Date;/^ _/`-Signature: (%�-�_� _ _ `'�� C�YLIGK �twwz��L U L� s10Pt !D G P[An TE R ,-,4�s-r aGyt- ab� f Nrw 5TD - /80- �- 1 � E eLAN �o�et 1,7 , M'�'�� � owwvn� By -:? mm.