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Home My WebLink AboutN2017-0188;T j in n City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request - www newportbeachca gov / Online Services V by . �0 . 11 N 2 0 1 7 0 1 8 8 Permit No: N2011-0188 Project No : 0633-201T Inspection Requests Phone (949)644-3255 Job Address: 617 NARCISSUS AVE NB Thomas:Guide: 919F2 Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. PURCHASE 1" WATER METER (PROPERTY HAS EXISTING 1" SERVICE AND BOX) *UPDATED 10/18/17 TO INCLUDE: INSTALL 2ND SEWER LATERAL AND CLEAN OUT PER STD 406-L, INSTALL 2ND 1" WATER SVC PER STD 502-L. Parcel # - 4590-741-8 - Legal Desc : CORONA DEL MAR BLK 640 LOT 17 Owner: 617 NARCISSUS LLC COAST WATER &POWER 9 9 0106 COMPLETED Address : 617 NARCISSUS AVE Addressor BOX548- 3341 CORONA DEL MAR, CA 92665 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 Applicant: COAST WATER & POWER License Expire : 07 31, 2019 Phone: 949-548-0106 [ Address : P O BOX 3341 NEWPORT BEACH CA 92659 Business License : BT96014951 Business Expire : 12 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 30, 2017 Permit Processing Fee : $241.00 Sewer Connection : $500.00 Total Fee $2,995.00 Agreement Fee : $0.00 4TT Box Cover: $128.00 Paid : $2,995.00 Traffic control Plan Check : $65.00 Total Water Meters $1,299.00 Balance : $0.00 Inspection Fee : $660.00 Water Meter Connection : $1,056.00 Receipt No Refundable Deposit: $0 00 Total Water Meter Box $102 00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: (C Date : to R/J -7 Other Department : Date Utilities Approval : Date : Permit Denied Date _/_/ Traffic Approval : Date : _/ / Issued Permit Date A C /l C-/� General Services Approval : Date : _/_/ WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 617 NARCISSUS DESCRIPTION OF WORK: n 5,`�� E(L S 01 L REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L PURCHASE 1" WATER METER. PROPERTY HAS EXISTING 1" SERVICE & BOX APPLICANT: MIKE Kit -BRIDE Phone: 949-289-0078 Mailing Address: City/State/Zip: PO BOX 3341 NEW PORT BEACH. CA 92659 OWNER: Phone: Mailing Address: City/State/Zip: CONTRACTOR: ti11KE KILBRIDE Office Phone: 949-548-0106 Company (if different): (OAST W ATER AND POW ER Jobsite Phone: 949-289-00'78 Other Phone: FAX: ()49-548-1616 Mailing Address: PO BOX 3341 City/State/Zip: NEW PORT BEACH, CA 92659 State License Number & Class: 73N400 A, B. (-10 City Business License Number: BT9601491 EXP 12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: STATE FUND Policy No:9087110-14-2 Expires: 101U20177 REFUNDABLE DEPOSIT INFORMATION (If Applicable) Made Payable To: MIKE KILBRIDE: Vendor No: 9833 Mailing Address: PO BOX 3341. N E:W PORT BEACH, CA 92659 FOR OFFICE USE ONLY Special Conditions of Permit: 1- 1 4/'. LT ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Other: Engineering Technician: Public orks Specialist: Date: C' Permit No. IN2017- n, FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT AN Fees Are Ilion.=Reforndable Unless'Ctherwise Stated PROJECT ADDRESS: - r (O�� NQ✓C�SSUS PERMIT N 1� _ 0 l�$ NUMBER: APPLICANT: TO BE COMPLEI 3LIC WORKS DEPARTMENT Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Inspection Fee: $241 00 ',Public Works Field Inspection S165 0 ) $275 00 Utilities Field Inspection $121 General Services Inspection $165 00 Water Quality/Artificial Turf Inspection $108 00 $817 00 $192 00 Refundable Deposit: TBD $502 00 Improvements TBD Street/Alley/Walk Closure: $65 00Newspaper Rack Inspection $108 00 Traffic Control Plan Check a 8-1/2" x 11" $65 00 Sewer Connection Fee $250 00 ` 24" x 36" $143 00 4TT Box & Cover $64 00 Additional -THE F . OWING ITEMS REQUIRE AP�RO�[AL.FROM THE Revenue.l]ivisinn . ' . REVENUE. DIVISI.QN. PRK)rR, TO PAYMENT OF, FEES . ' ]Approval -- City, [Water'Meter, lnstaHation Charge $528_04' 13/4" Meter $50 25Water Meter Boxes: 11" Meter $12.1 5 ForParkw.ay & Sidewatk Area -(Box t Cover= Cost]*. [1 1/2" Meter $285 0 1" Meter 13.00-+ 37 00 350 00 ' 1 [1)12" Turbine Meter $700 00 2 Meter 27 00• +. 61 25 $88 25- • 1 1`2" M(�tef $425 00 . 1 t2"'Turbine Meter. . $845 00 For Traffic & Alley Areas (Box + Cover*= Cost1 [3" Meter $3 31D.00 . 1 " Meter. 13 46. + 38 60 '$51 olt,2,1� �4" Meter . . . .$4 730 00 2".Meter 2.7.00- + 162 00 $189.0 1 t6" Meter ' $7,190 00 � Qty. Budget Number Certificate of Compliance Fee (+100'.1,, 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 07900 5200-5028 Park Dedication Fee Zone _ TBD 405-470_ Street Easement/Vacation Fee (+100% of hrly over 4 hrs) $1 02200 5200-5031 Street Tree Fee (S700 Planting Fee) TBD 030-2284 Engineering Tech: tal Amount Due: For Finance use oniy Permit Speci Receipt No. 3,ev 10121,2C16 (W� �> .. n d-��• .r_ d�- - ,r;� inn rd5�ws nr- d I 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 fob site at all times Work, which has been done prior to issuance of a permit, is subject to refection/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 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 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 fie 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 rninimum 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 1 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 times 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 Com ejs�flo Insurance, or a Certified Cop reof. Date: t t 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 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 • m"i" Date: � 1� Signature: 24-hour notice for Encroachment Permit Inspection is required by calling Public Works at 949-644-3311. 15 Any above ground utility facilities will require documented approval from the adjacent affected property owner(s) 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 Stale 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 Works 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 $hall be performed until the Public Works Department has issued this permit. Applicant hereby ackn `'Kedges he/she head k, n�i d 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 after issuance. L" Permit fees are nonrefundable. Date: _� ____Signature: LEGEND REE VA _ POWER POLE SEVVER CLEANOLt- = VVATER MAR SO\ I :I'20DERTf I TNG' 11 S�t"A �l i CITY OF NEWPORT BEACH ENCROACHMENT PERMIT QERmrT No. JAI ��i - ' \ [� s-%vk W IL `-ATE.iLht, -Zj\) <ke pn Dot ��G a --- to �c%�\Js i ADDRESS to\, N Akt ss%4c aPP� C-AN-- OWNER DESCRIPr_ON 0= WOh CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REQUESTED BY /`[ 1 I b r,, d e (entity who is requesting meter and/or would get hydrant deposit refund) MAILING ADDRESS l?0 !aO X 3 3 Lt � RECEIPT# CITY/STATE/ZIP 1"J6 . COq qg . (p 5 1 PHONE # ! ' S 18 �D 1040 SERVICE ADDRESS tD 1 / �a —SERVICE REQUESTED: Check all that apply ( ) Hydrant Meter Deposit required (tapping order) )New Meter New service address (tapping order) ( ) New Meter at existing service address (tapping order) ( ) Meter Upgrade Existing service address (work order) ( ) Irrigation only ( ) Commercial Location ( ) Residential Location ( ) Fire Co nection Fee $ ( Meter Size / Fee $ /oZ% • s b ( 4TT Box Fee $ id (,/Meter box & Lid - Alley/Traffic Area Fee $ rJ � or Parkways/Sidewalk Fee $ Total Fees $ Encroachment Permit Number: Alao1 ? " 0189 Please Complete Owner Info (Hydrant Meter exempt) needed for monthly service billing account Customer Name (property owner) ! 7 d r,?_ r S Sy C Billing Address ton NU.rGtSS S Aje- , City/Zip WA X A Ca(D;_5 Residence Phone # Business Phone # E-Mail Address Social Security # or CA Drivers License FOR OFFICE USE ONLY CLERK DATE BUS LIC # MID# DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED NEW ACCOUNT NUMBER NOTES WORK/TAPPING ORDER NUMBER fusers/rev/shared/water/water meter sere app 05123/ th