HomeMy WebLinkAboutN2018-0335„,.,,4r City of Newport Beach I II IIIIIIIIIIIIIIIIIIN IIII IIIIIIIII Permit No: N20 ti 84335
100 Civic Center Drive, Newport Beach, CA 92660 I N 2 0 1 8 0 3 3 5 III
Permit Counter Phone (949)644-3311 Project No : 0129-2017-'
t Online Inspection Request - www newportbeachca gov / Online SCA `�(” r,j 5 •• 1
�•''�' Services
Inspection Requests Phone (949)644-3255
Job Address
333 ONYX AVE NB
Thomas:Guide: 919D1
Description :
REMOVE LOW BRICK PLANTER FROM R-O-W AND PORTION OF BRICK ENTRY WALK IN R-O-W AND REPLACE WITH S G Apj) GRAY CONCRETE
Parcel #
0501-413-4
Legal Desc :
BALBOA ISLAND SEC 3 BLK 18 LOT 22
A
Owner:
LEDERER FAMILY LIVING TRUST
Contractor : CARROLL RONALD L GEN CONT >rtSRS INC
Phone:
Phone: 714-749-0622
Address :
1096 LAKEVIEW CAYON RD
Address : P 0 BOX 7829
WESTLAKE VILLAGE CA 91362
HUNTINGTON BEACH CA 92615
Contractor State Lic: 682756
Applicant:
CARROLL RONALD L GEN CONTRACTORS
INC
License Expire : 10 31, 2018
Phone:
714-749-0622 [
Address :
P O BOX 7829
HUNTINGTON BEACH CA 92615
Business License : BT30050837
Business Expire: 02 28, 2019
Special Cond.:
Workers' Compensation Insurance - -
Carrier : W/C EXEMPT
Policy No : (NO EMPLOYEES)
W. C. Expire:
Permit Processing Fee $241 00
Sewer Connection
$0.00
Total Fee $406.00
Agreement Fee :
$0.00
4TT Box Cover:
$0 00
Paid : $0.00
Traffic control Plan Check : $0 00
Total Water Meters :
$0.00
Balance: $406.00
Inspection Fee -
$165.00
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:
�Z/
Traffic Approval :
Date _/ /
Issued Permit Date
General Services
Approval :
Date _/_/
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: ? ' C1 1
DETAILED DESCRIPTION OF PROPOSED WORK:
c
APPLICANT;:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
OWNER:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
IF �..,
71CONTRACTOR:
Office Phone:
different): I
y CTu' fZ11 1
Jobsite Phone: / y %vcl. 0 6 3�,3--
Other Phone:
Email Address:
Mail in ddres - P
v t x
City/S te/ ip:
�2 Avl '�
Stote License Number & Class:
Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Compan : Policy No: Expires:
Municipal rations: 949-644-3055
Utilities: 949-6"-3011
Urban Forestry: 949-644-3083
tISE OW
Special Conditions of Permit:
_ADDITIONAL iIONiAL APFIMAL REQUOtED- FROM THE FOLLOWING DEPARTMENTS
Utilities:
Municipal Operations
Traffic: Fire:
Other:
Engineering Technician:
Per p . ialist
tS�I
Date:
Permit No.
IN2018-
f /users/pbw/shared/encroach/masters/epworksheet As
Public Works Department 949-W-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
iE
Inspection Fee:
Public Works Only
$241.0
Public Works Field Inspection
Other Department
$275.00
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
$165.00
$121.00
$165.00
$108.00
TBD
TBD
Street/AlleyfWalk 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 4TT Box & Cover $64.00
Additional
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division I
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: l
1
oty.1
[Water 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 1
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 1
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
�4" Meter
$4,730.00
16" Meter
$7,190.00
uty.
Maget Numder
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 Amount Due:
For Finance Use Only
Perm' ialist
Re a pt No.
(Pk
f/userslpbw/sharedlencroach/masterslep front and back masters/
Rev 12/18/2017
epfeesheet As -revised 11/8117
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
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
1
Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit An approved copy of the
Compensation Insurance, or a Certified Copy thereof.
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
Date: Signature:
after date of issuance
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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
I certify that in the performance of the work under this permit, I shall not employ
or damage to persons or property occurring as a result of work undertaken under this permit
any person so as to become subject to California Worker's Compensation Laws. If,
3
All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
after signing this certificate I become subject to the Worker's Compensation
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances
provisions of the State Labor Code, I must comply hith IFW provisions of Section
4
Permrttee guarantees all work performed under this permit to be free of hidden and latent defects Any failures shall
be two to the of the Public Works Director
3700 or t ermit al �e deemed revoked.
corrected within weeks after notification satisfaction
t
5
A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the
Date Signature:
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
CONTRACTOR LICENSE EXEMPTION
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,
As the Owner of the benefiting property, I certify I am personally performing all
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
work in the Public Right -of -Way.
Works Dept Contractors shall obtain permits to perform excavation or trench work from the California Division of
Date: Signature:
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
HOLD HARMLESS STATEMENT
7
The Public Works Department Inspectors must inspect all work in the Public right-of-way Forms and subgrade must
I understand that I am locating minor encroachments within the City Right -of -
be inspected and approved before concrete is ordered/poured Sewer pipelines, and subgrade construction must be
Way/Easement. As property owner it is my responsibility to maintain the
inspected and approved before backfilling, or applicant may be required to excavate site Separate Utilities
encroachments. I will be responsible for replacing the improvements if the City
Department or General Services Department inspections may be required depending on scope of work performed
removes them for maintenance of utilities or other public need. I shall indemnify
8
All trench restoration must be inspected by the Public Works Department No utility installation(s) shall be allowed
and hold the City harmless for any liability associated with the minor
over or within 5 feet of any City utilities, unless approved by the Public Works Department Locate and pothole
encroachments.
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 VCR or PVC SDR35 be used with a
Date: Signature:
4TT box over the riser
24-hour notice for Encroach rpeqPgri-nitAispection is required by calling
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions All
"Manual
signs flags, lights and other warning and safety devices shall conform to the requirements of the current of
Public Works at 949-644-3311.
I
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
15 Any above ground utility facilities will require documented approval from the adjacent
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
affected property owner(s)
10
Work within or near beach sensitive areas will not be allowed during, City holidays spring break Memorial Day
16 Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
Quality Laws Best Management Practices will be enforced It is against the law to
1 1
January 1, unless approved by the Public Works Department
Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
discharge construction debris into the gutter and storm drain Felony violations of Water
acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and
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
emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control
17 If a refundable deposit was paid, applicant must submit a Soils Compaction
Handbook Iv` A T CHj 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
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
the Public Works Department Any work affecting the State Highway's traffic or within the State Highway right-of-way
Public Works Department Monies may be held for six months after final inspection
will require a Caltrans Permit All vehicles shall be lawfully parked
before a refund will be processed
12
"this permit does not authorize the closure of sidewalks streets or alleys for construction access, storage of
18 No trees in the public right-of-way shall be planted, removed, trimmed, or relocated
materials or parking of construction vehicles unless detailed on an attached Temporary Street Closure
without approval from the General Services Department
13
Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
19 All work in the public right-of-way must meet the approval of the Public Work;
must notify all affected residents 24 hours in advance of restricted access and any inconveniences
Department or corrections will be required (i e removals exposing connections,
14
Refuse or unused materials shall be removed within 24 hours after completion of the work If not removed, the City
etc ) Additional inspection fees may be required
may remove and bill the applicant Coordinate alley closures with City s refuse pick-up days by calling 949-644-3066
20 Permit is for standard materials in the public right-of-way only, unless previously
for the collection schedule so service is not interrupted To place a dumpster or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreement has been processed
Temporary Street Closure Permit must be obtained from the Public Works Department
21 Permit is valid for "description" of work noted on front only Additional work
performed may require issuance of a separate perm and/Ofadditional fees.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby kno leAes he/she has' d"qrstands 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. ((a/ �—
Permit
fees are nonrefundable.
Dat � __1Signatur
RLCarroll
General Contractors
January 1, 2018
City of Newport Beach Building Dept.
I, Ron Carroll the President and owner of Ronald Lawrence Carroll General Contractors, Inc.
Authorize, Katie Harrison permission to pull permits on my (Ron Carroll) behalf.
Thanks
Ronald Lawrence Carroll
General Contractors, Inc.
76-16
By : Ron Carroll its President
CA License B682756
P.C. Box 76?9. F1L'nt1nzton Beach. California 92615
(714)'19 ^522 • rr,a,l. ncarrotlgc@gmail corn • CA License #B682756