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HomeMy WebLinkAboutN2017-0181.;Sw1'C,4, City of Newport Beach I �JpllIIIII III II IIIIIII IIIIIII III I Permit No:N2017-0181 100 Civic Center Drive Newport Beach CA 92660 N 2 0 1 7 0 1 8 1 -- ,..arr Permit Counter Phone (949)644-3311 Online Inspection Request - www newportbeachca gov / Online Project No 2265-2016 rT ,_ - - �.fV y C. ��'+ Services w'`�` Inspection Requests Phone (949)644-3255 Job Address 927 ALEPPO ST NB Thomas:Guide: 889E4 Description REMOVE HARDSCAPE IN PARKWAY AND PLANT SOD Parcel # 4400-341-4 - Legal Desc : N TR 4893 LOT 32 Owner: GRAHAM JOSHUA P & LILI Contractor : FINELINE CONSTRUCTION Phone: COMPLETED Phone: 714-536-9968 Address : 927 ALEPPO ST Address : 1835 WHITTER AVE #E5 NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Contractor State Lic: 848833 Applicant: NASIM/RICHART DESIGN License Expire : 10 31, 2018 Phone : 949-422-9191 [ Address : 1041 W 18TH STREET A-106 COSTA MESA CA 92627 Business License : BT30057318 Business Expire : 11 29, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : GRANITE STATE INS Policy No: 1685493 W. C. Expire: 04 03, 2017 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 Date General Services Approval Date _/_/ !if_'i•`'(' .. iiu Sr .i'rrr •. fir. ,{.k i - '% �•� s . COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: 2 DETAILED DESCRIPTION OF PROPOSED WORK: . CV-VtrtSe- A lkoq� sD4 1 PPLICANT. 'Q Phone: / q — 1-0' — Email Address: Mailing Address:_ � City/Stat /Zip:� OWNER:, �o& 14 A Phone: I Z — Z--' Email Address: Mailing dress: 2 ? / �- City/S te/Zip: Ale c�tii �►1:LCONTRACTOR INFORM H 1S"REQ LEASE +COMPLETE CONTRACTOR: f Zl,� Office Phone: Company (if different): Jobsite Phone: 7— Other Phone: Email Address: ' VVL e B ✓yl _ Mailing Address: 2 Cit�yy/State ip: /� �(Yl&� (2,4-- l Z State License Number & Clas �Ex ires: City Business License Nu ber: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Orations: 949444-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 3 FOR OFFICE IJ>SE IL.Y Special Conditions of Permit: Y�� �- ` l ' IVRf� i7P11MlAL i0WIIR�te MM ._ 6til.WWM MPARIMEM Utilities: Municipal Operations Traffic: 0 Fire: Other: Engineering Technician: Permit alist 1) Date- 4[ 1i3 Permit No. </ N2017. f /users/pbw/shared/encroach/masters/epworksheet As Public Works Department 949444-3311 100 Civic Center Drive, Newport Beach, CA 92660 Al � ;��. `z' Rt'., - _ '�`. ,'';;'� '�a� r h . - '•?i.�4- �t�l't.��y �y?�����,' AH Fees are Non -Refundable unless Otherwise Stated PROJECT ADDRESS: � /� v PERMIT N2017- NUMBER: APPLICANT: Permit Processing Fee: Public Works Only $241.00 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 $165.00 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: $65.000 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 J4TT Box & Cover $64.00 Additional 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Teipproval: venue Division 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES DIVISION PRIOR TO PAYMENT OF FEES 1 Qh+- , aty. (Water Meter: Installation Charge $528.00 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 11 1/2" Turbine Meter $700.00 2: Meter. 27.00 + 61.25 $88.25 12" Meter $425.00 12" Turbine Meter 13" Meter 14" $845.00 $3,310.00 For Traffic & Alley Areas (Box + Cover = Cost) 1 1" Meter: 13.00 + 38.00 $51.00 1 Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00� 16" Meter $7,190.00 Q - Budget Number 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 Amou t Due: For Finance Use Only Permit Snadalist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters! Rev 1/5/20171 epfeesheetAs-revised 10/21no1s 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 1 Fncroachmenl Peunits may be taken out by the owner of benefited property of a licensed contractor A licensed contractor must pfovfde 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 lob site at all times Work which has been done prior to issuance of a permit is subject to felectionrfine City reserves the right to void permit if work does not commence within 30 days after dale of issuance 2 -1 he PernOtee agrees to defend indenuaif� and hold the f;rty its authouzed agent officers representatives and employees harmless from any responsibility, liability, suit of action of any description arising out of any accident, loss of damage to persons of properly occurring as a result of work undertaken under this permit 3 All work shalt be done na accordance with the approved plans Stanchvcl Spee,Ia! Prowsurns ,Ind SI In I Ircl Dr All of the City of Newport Beach and in compliance with all applicable State laws and Gily 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 salisfarhon 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 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 connection to sewer Imes 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 Contractor,, 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 most be inspected and approved before concrete is orderedlpouied 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 maV be required depending on scope of work performed 8 All trench restoration must be inspected by the Public Work,, Department No utility installation(s) shall be allowed over or within 5 feet of any (:ity utilities unless approved by the Public Works Department Locate and pothole existing City -owned utilities ne water sewer or street lighting conduits) to verify locations Maintain a one -foot clearance over or under Pxishnq CitV-awned utilities Sewer cleanouts require VIP or PVC SDR35 be used with a 4 fT boy over the riser 9 Properly lighted barricades mint he 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 Waming Signs Sights and Other Devices for the Ilse in Performance of Work Upon Highways" issued by the California Department of transportation If needed oarncades can be obtained from the City at a charge of $10 00 per barricade per day with a nunimuni charge of $35 00 It is the responsibility of the applicant to place barricades to protect the general public Ac cess to fire hvdrants must be maintained at all times 10 Work within or near beach Sensitive .areas will not be allowed during, City holidays spurq hfeak Memorial Day weekend summer between June 15 and September 15 and during the holiday season from December 19 to January 1 unless approved h, the Public Viorks Department 1 1 Any work that extends into traffic of pafkinq 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 times Traffic Control must be per Work Area Traffic Control Handbook (WATt:H) No nighttime traffic One closures unle,,s prior approval has been granted Any lanes) closure on a macir 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 vv)rk affecting the State Highway s traffic or within the Slate Highway right-of-way will require a Caltrans Permit All vehicles shall be lawfully parked 12 Thi,, permit does not author. e the Closure of sidewalks streets or alleys for construction access Storage of materials of packing of r onstruc tion 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 of 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-wav a Temporary Street Clostve Permit must be obtained from the Public Works Department WORKER'S COMPENSATION INSURANCE (Sectio 3800 or Cgde) I certify that I have a Certificate of consent to self -ins e, Ce Ica f orker's Compensa ion nsur nce, or a Certified Copy thereof Date: l Signature. _ 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 It n th Ity Right-of- Way/Easement. As property owner it Is my respo Ilfty o foci tarn the encroachments. I will be responsible for replacing the pr e i the CIty removes them for maintenance of utilities or other pu d indemnify and hold the Ciyy%harmless for any liabilrt i thh�or encroaq,hments. , 24-hour n Rublic V* Signature armit Inspection is required by calling 1 1-eAny above ground utility facilities will require documented approval from thF idjacenl affected properly ownerisr 16 Homeowner contractors, and ,ubcontracoIr,, may each be liahk lot viol,ihons or 1V ales Quality t aws Best Manaqenient Practice,, will be Nnfofc,Pd It is aganisl the law 10 discharge construction debris into the quttet and storm drain I elony inlatton,, of "';arc Oualrty I aws are punishable by fine,, up to S25 000 and%or up to three year, nn 5int prison plus the full cost to clean up an illegal discharge or spill 17 If a refundable deposit was paid applicant riufst Submit a Sail,, Crnnpacli(" Certificate or Evidence of a Slurried Backfill and request a final inspection trnm thr- Public Works Department Monies may be held for six month,, after final w;pectiurn before a refund will be proce,,sed 18 No trees in the public right-of-way shall be planted, removed lumnied c, i,dw,aked 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 exposin q conwr c,tiow,, etc ) Additional inspection fees may be required 20 Permit Is for standard materials in the public right-of-way of y, unle,,s pfc�viously approved by Public Works and an Encroachment Agreement as been pro( r ,,sed 21 Permit is valid for description of work noted on from nnly dditinf m)rk performed may require Issuance of a separate permit an or addfW, I No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereb kno ledges he/she has read n e s e rms 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. \ / Permit fees are nonrefundable. Date,X //? Signature c