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City of Newport Beach IIIIIIIII II II II Illlllpllllllllllllllllll
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8
Permit Counter Phone (949)644-3311
Online Inspection Request - www newportbeachca gov / Online
Services
0 3 2 8 III Permit No: Nal8 0328'
Project No: 22 ' •
Inspection Requests Phone (949)644-3255
Job Address
720 W BAY AVE NB
Thomas:Guide: 919B1
Description :
REFORESTATION OF 14 STREET TREES: 6 - QUEEN PALMS (18' BTH), 8 MAGNOLIAS
(36" BOX), AND PAYMENT FOR 4 TREES TO BE PLANTED
ELSEWHERE IN
THE CITY @
"
$859.00/EACH. NEW IRRIGATION, LANDSCAPE AND REMOVE THE RIVER ROCK AROUND THE EXISTING TREEUIl `.`
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Parcel # :
0480-100-3 -
Legal Desc :
EAST NEWPORT BILK A LOT 169 ALL -INC BET SAME & HIGH TIDE
'
LINE- THE
Owner:
NEWPORT HARBOR YACHT CLUB
Contractor : EMERALD LANDSCAPE SERVICES INC
Phone:
Phone:
Address :
720 BAY AVE W
Address : 531 W CROWTHER AVENUE
NEWPORT BEACH, CA 92661
PLACENTIA CA
Contractor State Lic: 754049
Applicant:
EMERALD LANDSCAPE SERVICES INC
License Expire : 09 30, 2018
Phone:
714-844-2200 [
Address :
1041 N KEMP STREET
ANAHEIM, CA 92801
Business License : BT30046218
Business Expire : 02 28, 2019
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : OAK RIVER INS CO
Policy No : EMWC807363
W. C. Expire: 10 31, 2018
Permit Processing Fee
$241.00
Sewer Connection
$0.00
Total Fee
$5,327.00
Agreement Fee
$0.00
4TT Box Cover:
$0 00
Paid :
$0.00
Traffic control Plan Check .
$0.00
Total Water Meters :
$0.00
Balance:
$5,327.00
Inspection Fee :
$1,650.00
Water Meter Connection
$0.00
Receipt No:
Refundable Deposit.
$0.00
Total Water Meter Box.
$0.00
Street Tree Fee :
$3,436.00
Adjustment :
$0.00
Processed By :
Date . _/_/
Other Department : Date .
Utilities Approval :
Date : _/_/
Permit Denied Date :
41 V
Traffic Approval : Date : _/ / Issued Permit Date
General Services Approval : Date
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPUTE ELO INFORUTION
PROJECT ADDRESS: Newport Harbor Yacht Club 720 W. Bay Ave.
DETAILED DESCRIPTION OF PROPOSED WORK:
Landscape & irrigation work in public right-of-way. Reforestation of trees located along the
front of 720 W. Bay Aver ,� Z c-Lit'T
' [-
APPLICANT: Jan Brindle Phone: (310) 344 1519
Email Address: janbrindle@me.co
Mailing Address: 720 W. Bay Ave. City/State/Zip: Newport Beach, CA 92661
OWNER: Newport Harbor Yacht Club Phone: (949) 673 7730
Email Address: karen.turanskv@nhycstaff.orq
Mailing Address: 720 W. Bay Ave.
City/State/Zip: Newport Beach, CA 92661
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: Emerald Landscape Services, Inc.
Office Phone: (714) 844 2200
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: emerald@elsinc.biz
Mailing Address: 1041 North Kemp St.
City/State/Zip: Anaheim, CA 92801
State License Number & Class: City Business License Number:
754049 Expires: 9/30/18 BT30046218 Expires: 2/28/19
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Berkshire Hathaway Policy No: EMWC807363 Expires: 10/13/18
REFUNDAKE DEPOSIT INFORMATION (lf Applicable :...
Refund -Pa able To:
Mail Refund To: _
FOR OFFICE USE ONLY
Special Conditions of Permit: 71
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: L ] Fire: [::=
Other:
Engineering Technician:
Pub' ks Specialist:
Date:
1 �t S,
Permit No.
L
f /users/pbw/shared/encroach/maslerslep%wrksheet xls
Public Works Department 949-644-3311
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 $165.0
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__J 4TT Box & Cover $64.00
Additional
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1
[ REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: [
IWater Meter:
Installation Charge $528.00 1
13/4" Meter
$50.25
1
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66 1
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 �
12" Meter
$425.00
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
1
�4" Meter
$4,730.00
16" Meter
$7,190.00
[
Certificate of Compliance Fee (+100% of hrly over 3 hrs)
$288.00
Development Services Fee (Plan check hourly)
$155.00
Final Tract Map Checking Fee
$2,488.00
Final Parcel Map Checking Fee - Moderate
$2,488.00
Lot Line Adjustment Fee
$1,079.00
Park Dedication Fee Zone
TBD
Street Easement/Vacation Fee (+100% of hrly over 4 hrs)
$1,022.00
Street Tree Fee ($700 Planting Fee)
TBD
It.
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405-470
5200-5031
l OQ030-2284
Engineering Tech:
Amount Due:
For Finance Use Only
Ztal
7
Perini cialist
Receipt No.
f /users/pbw/shared/encroach/masters/ep front and back masters/
i
Rev. 12/18/2017
epfeesheet xis -revised 11/8/17
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 ansing 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 $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 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 380,E abor Code) '
I certify that I have a Certificate of consent to self-insur art icate of Worker's
Compensation Insurance, or a Certified Copy thjereof.r— Ij
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:
24-hour notice for Encroachmeny Permit Ino�on is required by calling
Public Works at 949-644-33111. / f __ { 'Jon
15 Any above ground utility facilities will require docuiwfented 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 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 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 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 addAnal fees
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby7aknowleds he/she has read and u e to ds 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.Permit fees are nonrefundable. DW q_ f ' Signature:.. _ _ __ _ __
W POOT
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PCe>ul sli' ar=:hall
c/c Newpol I Harborr 11cic? 11 Club
720 W. Bay Avenue
Nlew)r l Beach CA 92661
0ea1r Paul,
W ,roe^ Bo u''i a: bhR
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At the Ma), 1, 2018 Parks, Beaches, and., Recreeaiion Ccmmr ission meeting, the
Con,)n-fission approved the reforestation �equesi of 16 City frees located along the
front of 720W. Bay Avenue,
With the approval of 11he reforeslation requesi, a one -for -one, replacement of the
;fees removedwill be ai tine applicani's cast:
• 6 Queen Palms { 18' BTH)
• 6 Magnolias (36" box)
• 4 to be planted elsewhere in the City ($859 each, totaling $3,436)
Please forward payment to,
City of Newport Beach
ATTN: Kevin Pekar
592 Superior Avenue
Newport Beach CA 92663
City Arborist Kevin Pekar will be your contact in regards to this matter:
ekU _u newportpeachca.gov or (949) 644-3197.
$Ir�ct�'t t .1y;.
Thom Coughr r;, Interim Deputy Director
Municipa, Opc-rctions Department
Cc: Council Member Diane Dixon
Central Newport Beach Community Association
7/2/2018 City of Newport Beach Page 1 of 11
4:30:40PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/03/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 720 BAY AVE W
Activity : N2018-0328
SubType : NEW
Status : APPROVED
OWNER: NEWPORT HARBOR YACHT CLUB Phone :
APPLICANT: EMERALD LANDSCAPE SERVICES INC Phone : 714-844-2200
Description : REFORESTATION OF 14 STREET TREES: 6 - QUEEN PALMS (18' BTH), 8 MAGNOLIAS
(36" BOX), AND PAYMENT FOR 4 TREES TO BE PLANTED ELSEWHERE IN THE CITY
@ $859.00/EACH. NEW IRRIGATION, LANDSCAPE AND REMOVE THE RIVER ROCK
AROUND THE EXISTING TREE WELLS.
Item: 10200 PRE JOB - PW
Requested Time: 7/3/2018 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR 7149204297
Comments: AM
Assigned to: 77^
Inspector: zi C� Date: Time: AM PM
Comments:
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REPT131 Run Id: 4018