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