HomeMy WebLinkAboutN2018-0405rwN't'�,4r City of Newport Beach
oo 4 100 Civic Center Drive, Newport Beach, CA 92660 IIIIN N 2 0 1 8 0 4 0 5
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
c•`: ` Services
Job Address :
121 EMERALD AVE NB
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Parcel # :
0500-112-1 -
Legal Desc :
BALBOA ISLAND RESUB SEC 1 BLK 1 LOT 18
Owner:
STONEWOOD HOMES
Phone:
714-904-8994 JODI@STONEWOODHOMESCA.CO
Address :
22 LARCHWOOD
IRVINE CA 92602
Applicant: SHARIAT FRANK
Phone : 949-310-6364 [
Address : 23512 CALVERTON CIRCLE
LAGUNA NIGUEL CA
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
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Permit No: N2018-0405
Project No : 14WJANNED
Inspecjebri uests Phone (949)644-3255
919C1 ," A
Contractor: SHARIAT FRANK
Phone:
Address : 23512 CALVERTON CIRCLE
LAGUNA NIGUEL CA
Contractor State Lic: 741241
License Expire : 10 31, 2019
Business License: BT30064133
Business Expire : 08 31, 2019
Workers' Compensation Insurance - -
Carrier : EXEMPTION ON FILE
Policy No:
W. C. Expire:
Permit Processing Fee
$241.00
Sewer Connection : $0.00
Total Fee
$635.00
Agreement Fee:
$0.00
4TT Box Cover: $64.00
Paid :
$635.00
Traffic control Plan Check :
$0.00
Total Water Meters : $0.00
Balance:
$0.00
Inspection Fee :
$330.00
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. _/ /
L4
1_ :..:.. . ..... ... .
PROJECT ADDRESS: ,
DETAILED DES PTION OF PROPOSED WORK:
APPLICANT:
Phone:
Email Address: ' S D d G -
Mailm AddresV. -
City/State/Zip:, Q
OWNER: (v Phone:
V
Email Address:
Mailing Address:
City/State/Zip:
EONTRAGTOR INF,QRMATION ISREQUIRED-pt
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CONTRACTOR: FrZ /�•�//� i4 jZ 1/,vT
Office Phone: I -i'
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: A o
Mailing Address:
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City/State/Zip:
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S ber & Class:
�] / Z Expires: �C�
City usiness Li ense Number:
3� Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: C X- Policy No: Expires:
R FUHUAR(-:QE'OSIT1NfQR�IlltliTlO.4.(tfApp/ioble
Refund fty ble T6, :* ..: < : - ::< ::::. .. ,... ; . ;...;
iMJail:Refund-To; .:: ; .
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS =' '
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public4ftrks Specialist:
(IL
Da
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Pe it No.
2LI S-
P/users/pbwfshared/encroachlmasters/epworksheetAs \ 1 •
12�-2c,k7
Public Works Department 949-644-3311
Permit Processing Fee:
Inspection Fee:
Public Works Only
$241.001
Public Works Field Inspection
Other Department
$275.001
Utilities Field Inspection
General Services Inspection
Agreement Fee:
Water Quality/Artificial Turf Inspection
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$192.001
Refundable Deposit:
Monitoring Wells
$502.001
Improvements
Street/Alley/Walk Closure:
$65.000
Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11"
$65.00
Sewer Connection Fee
24" x 36"
$143.00
4TT Box & Cover
Additional
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE
REVENUE DIVISION PRIOR TO PAYMENT OF FEES
$165.0
$121.00
$165.00
$108.00
TBD
TBD
$108.00
$$64.0�
$64.0
Revenue Division
I
Qty.•
IWater Meter:
Installation Charge $528.00
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 1
B
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
�4" Meter
$4,730.00
16" Meter
$7,190.00
Certificate of Compliance Fee (+100% of My 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 amount Due:
For Finance Use Only
Permit Specialist
Receipt No.
f /users/pbw/sharedlencroach/masters/ep front and back masters/
Rev 12/18/2017
epfeesheet xis -revised 1118/17
OR
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 1
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
perinil 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
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
8 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 lie 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 minimum charge of S35 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 l raffic 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 Pefuse 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)
1 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 tNs permit shall be deemed revoked. ^
Date: � r / Signature: �� 1
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:
24-hour notice for Encroachment Permit Inspection is required by calling
Public Works at 949-644-33111./ 3 �4
15 Any above ground utility facilifieS�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 dram 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 VIork-,
Department or corrections will be required (i e removals, exposing connecbo,is,
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 shall be performed until the Public Works Department has issued this permit. Applicant herb 96knowledges he/she has rea Tstands T�
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 C
Permit fees are nonrefundable./_Signature: __
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9SN IMU S Disclaimer:
N E w a o R T B E A H Every reasonable effort has been made to assure the
accuracy of the data provided, however, The City of
Newport Beach and its employees and agents
0 20 40 disclaim any and all responsibility from or relating to
any results obtained in its use.
u i
a Feet
C7(/Fp0.N`'
Chisel "S" on face of concrete
f� 10 curb over lateral. 3" high
�l letter. Y4" deep. —7
Sidewalk (or alley surface)
Riser, Coulder or Fernco coupling
do stopper to be installed 6"
below finshed grade.
Minimum Slope: Y4" per linear foot
or 2.00%
Curb do gutter
Finished street surface
45*
SPECIAL NOTE: Under no circumstances shall ABS pipe or fittings
be allowed! All sewer laterals shall be inspected by the Utilities Dept.
and be replaced if necessary to meet current city standards. Sewer lateral connection
per STD-405—L
CONSTRUCTION NOTES:
OInstall sewer cleanout cover per applicable
portions of STD-511—L. Triangular cover with
"S" on top.
O 4" (or 6") SDR-35 PVC sewer pipe with
gasketed, integral bell and spigot joints.
O 4" (or 6") SDR-35 PVC 45' bend.
O 4"x 4" (or 6"x 6") SDR-35 PVC wye branch
fitting.
O4" (or 6") ABS stopper (where laterals are
stubbed)
O 4" (or 6") short piece, SDR-35 PVC, 6"
long.
O4" (or 6") rubber mechanical banded seal
clamp. Femco or City approved equal.
O4" (or 6") private sewer pipe.
O 8"x 4" (or 6") wye branch fitting. SDR-35
PVC.
10 Install ABS stopper in rubber coupling. Use
Mission Clay Products stopper or approved
equal.
11 Sidewalk replacement shall be in full panel.
GENERAL NOTES:
1. For slope less than Ya per foot a 6" lateral shall be used with a minimum
slope = )A" per foot.
2. A cleanout shall be installed on all sewer lateral connections.
3. Cleanout shall be installed at property line.
4. Sewer cleanout covers shall be Brooks products No. 4TT or J.&R. No. 4T
marked sewer.
5. Cleanout covers placed in sidewalks may be Brooks Products No.1 —RB
and No.1—R (concrete cover) or J.&R. No. 1—R by special permission only.
6. Sewer cleanout riser pipe material shall be SDR-35 PVC except where
existing sewer main is VCP in which case VCP pipe and fittings shall be
used.
7. PVC shall be SDR-35 per ASTM 3034.
8. PVC pipe and fittings shall be bedded with Y4 crushed rock material.
In areas of ground water or tide water %" crushed rock.
9. Where VCP materials are used, bedding shall be standard.
10. Single family residences shall be 4" diameter all others shall be 6".
11. Saddle type connections to sewer mains are prohibitied, except by special
permission from the Utilities Superintendent. (Then only on old concrete
mains with heavy flows.)
12. Glue or solvent joints are prohibited.
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
SEWER LATERAL WITH
CLEANOUT
APPROVED:
RCE, NO 36106 PUBLIC WORKS DIRECTOR
Drawn M Elias Scale N T S
i
8/10/2018 City of Newport Beach
6:34:18AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/10/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 121 EMERALD AVE
A/P/D Information:
Activity :
N2018-0405
SubType :
NEW
Status :
APPROVED
OWNER:
STONEWOOD HOMES
JODI@STONEWOODHOME
APPLICANT:
SHARIAT FRANK
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspections)
Item:
10030 CLEAN -OUT
Requested Time:
8/10/2018 12:00:00AM Requestor:
Entered By: NBIVR
Comments: PM /
Assigned to : ,, ZAl
L2
Page 1 of 14
Phone : 714-904-8994
Phone : 949-310-6364
NBIVR
6264835096
'8/13/2018 City of Newport Beach Page 2 of 19
6:34:29Ao-M INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/13/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 121 EMERALD AVE
A/P/D Information:
Activity :
N2018-0405
SubType :
NEW
Status :
APPROVED
OWNER:
STONEWOOD HOMES
Phone : 714-904-8994
JODI@STONEWOODHOME
APPLICANT:
SHARIAT FRANK
Phone : 949-310-6364
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item:
10030 CLEAN -OUT
Requested Time:
8/13/2018 12:00-OOAM Requestor:
NBIVR
6264835096
Entered By:
NBIVR
Comments:
AM
Assigned to :
BOA,?
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n..
1.800.352.56
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8/20i2018 City of Newport Beach Page 11 of 12
• 6:34:20AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 08/20/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 121 EMERALD AVE
AIP/D Information:
Activity :
N2018-0405
SubType :
NEW
Status :
APPROVED
OWNER:
STONEWOOD HOMES
JODI@STONEWOODHOME
APPLICANT:
SHARIAT FRANK
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
8/20/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: PM-
Assigned to zzzzzzzzzzz`
Phone: 714-904-8994
Phone: 949-310-6364
WEBUSER
6264835096