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HomeMy WebLinkAboutN2018-0010q.l*,12-l0 iyvocNteeropo tBeaBeach,CA92660 IIII IIIIIIIIIIII IIIII IIIII IIII IIII II Permit No:N2018-0010 N 2 0 1 8 0 0 1 0 Permit Counter Phone (949)644-3311 Project No : 0007-2018 v x.►,, v Online Inspection Request - www.newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address : 2800 NEWPORT BLVD NB Thomas:Guide: 888H7 4. Description : DEMO EXISTING WALL PARTIALLY IN THE RIGHT OF WAY. INSTALL CONSTRUCTION FENCING ADJANCENT TO WALL. REPAIR ANY DAMAGED SIDEWALK PER CITY STANDARD. Parcel # : 0470-520-8 - Legal Desc : NEWPORT BEACH SEC A BLK 225 LOT 1 AND POR OF LOT 2 Owner: AVILA Phone: 0 Address : 3809 SEASHORE DR NEWPORT BEACH, CA Applicant: AVILA Phone : [ Address 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 Date : Date: Date: Date: / / SGANNU' Contractor : CEM CONSTRUCTION Phone : 562-714-2886 Address : 8207 BROOKGREEN RD DOWNEY CA 90240 Contractor State Lic: 951234 License Expire : 08 31, 2018 Business License : BT30057237 Business Expire : 11 30, 2018 Workers' Compensation Insurance - - Carrier : WESCO INSURANCE COMPANY Policy No : WWC3165694 W. C. Expire: 11 21, 2018 Total Fee $571.00 Paid : $571.00 Balance : $0.00 Receipt No: iz _ $ �r, 3 Other Department : Permit Denied Date: Issued Permit : f �`�— - 'Y Date: 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 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 t 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 I Permitlee 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 i 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 i 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 3 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 (ie 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 3 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 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 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 authonze 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: 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 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: I24-hour notice for Encroachment Permit Inspection is required by calling I 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 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 Agreet� ent 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 end/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 hasZVand(ui(derstands th,0..tarFlls and conditions of this permit and he/she agrees to abide by them. Permit is void If work is not commenced within 30 days SAWS 48ce. �Permit fees are nonrefundable. I Date: �/±Q_ignatu n � r•. COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAI D DESCRIPTION OF PROPOSED WO K- D [- C- x? S ti' I- -A T- L-OrA i i r\ \z7 2 A L'- 13+_zQ- Z , 0, �-J ?O>A(P- ► -1 At ,V Ct 'eiAr-rJ AVD, APPLICANT: f Phone: - L Email Address: Mailin A dress: ea for c ,�:n, City/SZip ��� OWNER: f. a tv,,,_ L Phone: 5- 7, EmailAddress: Mailing Address: Ci /State/Zip: AWL CONTRACTOR NtFORMATM IS RE E COMPLETE_ .. . CONTRACTOR: Z r — 1"Company Office Phone: (if different): c Jobsite Phone: Other Phone: Email Address: Cf- d/ G Cl 2- I✓- /4j - 1 Q t,�v OL (D f/L k , C WL--1 Mailing Address: ��7 Ci /State/Zip: State License Number & ClAss: _5 Expires: 31-0 City Business License Number: j6 rffiO 6!�--7Expires: !/ WORKERS CO PENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Compan : Q Policy No: 1 k S1 !QQ VDExpires: Municipal Oerations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Municipal Operations Traffic: 0 Fire: 0 Other: Engineering Technician: Zqx: Permit Specialist ,godly Date: I L-tt —��s Permit No. N2018-Ct>10 f /users/pbw/shared/encroach/masters/epworksheet As Public Works Department 949-W-3311 100 Civic Center Drive, Newport Beach, CA 92660 C E M CONS T R0CTIOi'\,' January 8, 2018 City of Newport Beach 1000 Civic center Dr, New Port Beach, CA 92660 8207 BROOKGREEN RD. DOWNEY, CALIFORNIA 90240 5621708-0016 5621708-3586 Lic. # 951234 Authorization letter Subject: Authorization Letter Sergio Avila is authorized to pull permits on behalf of CEM Construction Corp Please contact our office with any concerns regarding this matter. Office Ph: 562-659-8213 Respectfully, CEM Construction Emigdio Carrillo Jr., M.S., P.E. 2 L CV ih I I wl wwwwww�' � �,wwwwwww � � ! 11 I F-1 I X I II uJ•O ' I — — � — — I II I X IX � I I I �► ' I I • I - 1.44 I ICI I w-> 1.23 _l ix II a I DEMO IT-1 1l8" { 1.44 • *- - - - -A • I 1.42 i - 1[ 1.391I I I�tpl L1.3T7II 1 I, III,-1.36 RIII III I p • �K IIIII I I IIIII I I III • IIII I I II I Patio o 100 j 1.34 11.33 r _ \� W I II► I I 1 I II, I • IIII I I IhI,1.31�I I I N *IIII I I I IIII o f L1.35 --IIII III II I)K N I : IIIII I II 'I II ► I .� 4W I 1 � Ijll'll II III 1.46 I I ' � Utility • I III I 1.45) II I - j' / 7+7 (E) Service I I 102 I (E) Bar (Lengi 1 E 24.8) 1 II I , 53�a II 103 5A� - ! QSTING CONDITI 0-1 � ss, N.L+ I I E .pining R( 1.20 ( ) �. 1.43 104 Nib it 'I I I I I I I I I II I I I I I 14' _.. 7' - 10" , CEMCO-1 OP ID: RC ACORD` CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDD/1'YYY) TE(MMI ONY r017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hunter Insurance Services, Inc Agency Licit OD94594 1950 Cordell Ct. Ste 101 Ell Cajon, CA 92020 Miriam E. Rothey CONTACT NAME Miriam E. Rothey PHONE AX o E N8-815-7639 A'CNo: 619-465-1926 c No, ADDDRESS miriam@hunteronline.com INSURER(S) AFFORDING COVERAGE NAIC INSURERA Acceptance Indemnity Ins. Co. 20010 INSURED C E M Construction Corporation INSURER B United Financial Casualty Co. 11770 Emigdio Carillo 8207 Brookgreen Rd Downey, CA 90240 INSURERC National Union Fire Insurance 19445 — INSURER D Falls Lake Fire S Casualty Co. INSURER E Navigators Specialty Ins. Co. 36056 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE 94SD WVD POLICY NUMBER MMIDOffYYY MMIDDffYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCLIFRENCE 1 1,000,00 -�'_LAIM>LIA0E L],>�_�_LIP ARS1100023300 08/13/2017 08/13/2018 — PPEMI E�Ea:r,-urreroa s 50,0 MFDE,F',An�m.-p�r.on, f 5,0 F1=F=�_'NAL',AD.IN,VIP, f 1,000,00 ,,EN'L A,}� E'-ATE LIMIT AFFLIELFEF '_-ENEF'AL A,_ --,FEE ATE i 2,000,00 FF.- I� X A,--,-, f 2,000,00 f ;'THEE' A LlrOMOBILE LIABILITY=MEJNED �IN�,LE LIMIT Ea 3:.Id"n[I 1,000,000 Ec41L, IN,A_IR, tPrr [,:i nI — t B X aN, ALIT 022219174 05/20/2017 05/20/2018 E+_'DIL r IN r IF r (Fer a cnlentl f ALL"'t�NEDCHEC�JLED A LIT'"' PPC'PERT, DAMAC,E 1 N .ti NED HIF ED ALIT,:' ALIT, IF'=•r a.iidanh - — --- -- UMBRELLA LIAB IIF EA?H0,-'_LIFFENCE { 4,000,OW F.DED A,;.,FEC-ATE s 4,000,000 C EXCESS LIAB _LAIAI_-AwC�E EBU025820036 10/18/2017 10/18/2018 — __ PETENTIC 1 i $ 1 WORKERS COMPENSATION XTATUTE •H = EF' AND EMPLOYERS' LIABILITY YIN Y� EL EACH ACCIDENT f 1,000,0 D AN, FF'_'F'PIETC�F','F'AFTNEF'+E ECUTI'�E FLA00757700 11/21/2017 11/21/2018 '"�FFI� EF•AIEM1IEEF' E •CLLIDED NIA 1,000,00 (MandatoryinNH) EL DzI EA>E EAEMFLO,EE f E L CM -EASE F _41C , LIMIT Is 1,000,0 If va> dt' nD� under C'ELCF IFTION C'F C'F'EF ATIC'N Do4,ry E Property Section II101015699 01/25/2017 01/25/2018 41,0 33,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks SchedWe, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION PROOFOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Proof Of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. 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