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Home My WebLink AboutN2018-0367�rry�r City of Newport Beach�111111lIIIIIIlllllllllllll111111111111l111111111 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 3 6 7 '- Permit Counter Phone (949)644-3311 r Online Inspection Request - www newportbeachca gov / Online Services Job Address: 3303 VIA LIDO NB Description : DEWATERING INTO CITY SEWER ALONG VIA LIDO. MAX DISCHARGE 200GPM Parcel # 4231-120-2 - Legal Desc : TR 907 LOT 1201 TO 1204 INC -INC NELY1/2 OF ABAN ALLEY ADJ- Owner : CHURCH 1 ST CHRIST Phone: 0 Address : 3303 VIA LIDO NEWPORT BEACH, CA Applicant: CHURCH 1ST CHRIST Phone : [ Address : Special Cond.: PRE JOB MEETING REQUIRED WITH PW INSPECTOR & UTILITIES 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 Thomas:Guide U 12�-1� - [at Permit No: N2018-0367 Project No : 1618-2018 SCANNED Inspection Requests Phone (949)644-3255 888H7 Contractor : LANDSEA HOLDINGS CORP �® Phone : 949-345-8080 Address : 7525 IRVINE CENTER DR STE 200 IRVINE, CA 92618 Contractor State Lic: 1008070 License Expire : 10 31, 2019 Business License : BT30062565 Business Expire : 03 31, 2019 Workers' Compensation Insurance - - Carrier : CYPRESS INS CO Policy No : LAWC910835 W. C. Expire: 07 01, 2019 Total Fee $571.00 Paid : $571.00 Balance : $0.00 Receipt No: Other Department : Date: Permit Denied Date -�7 Y` J Issued Permit: �� Date' / WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT COMPL8T15 THr: 88LOW INFORMATION PROJECT ADDRESS: 3303 Via Lido, Newport Beach, CA 92660 DETAILED DESCRIPTION OF PROPOSED WORK: Discharging groundwater into one (1) 8in live sewer lateral existing on Lido Villas property on the side of Via Lido street at a flow rate not exceeding 200 gpm. Flow rate will eventually decrease until groundwater is gone Duration: about 4 weeks - Start date: ASAP APPLICANT: Thuan Vo Phone: 949-272-9836 Email Address: tvo@landsea.us Mailing Address: 7525 Irvine Center Dr., Ste 200 City/State/Zip: Irvine, CA 92618 OWNER: LS-Lido LLC Phone: 949-345-8080 Email Address: tvo@landsea.us Mailing Address: City/State/Zip: Irvine, CA, 92618 7525 Irvine Center Drive, Ste 200 ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: Landsea Holdings Corporation Office Phone: 949-345-8080 Company (if different): LS-Lido LLC Jobsite Phone: 949-910-3510 Other Phone: Email Address: tvo@landsea.us Mailing Address: 7525 Irvine Center Drive, Ste 200 City/State/Zip: Irvine, CA, 92618 State License Number & Class: B - 1008070 Ex ires:10/31/2019 City Business License Number: BT30062565 Expires: 3/31/19 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: (, , �. ✓1 ' Policy No: ��; C C 0 xpires: ., l 2t REFUNDABLE DEPOSIT INFORMATION (IfApplicable):** Refund Payable To: Mail Refund To: FOR OFFICE USE ONLY Special Conditions of Permit: Q P 1A,1 Red l� ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public W ecialist: Date: __7L d Permit No. Neu 1$_ 03>01 f /users/pt�v/shared!encroach/masterstepworksheet As 0 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 $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBD Street/AlleyfWalk Closure: $65.000 Newspaper Rack Inspection $108.00 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 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division I REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: 1 may- . QtY• 1 jWater Meter: Installation Charge $528.00 I 13/4" Meter $50.25 1 11" Meter $121.50 Water Meter Boxes: 11 112" Meter $285.00 1" DFW Meter Box $96.66 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 B 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 1 4" Meter $4,730.00 16" Meter $7,190.00 Qty. Budget Number Certificate of Compliance Fee (+100% of hriy 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 �c 13� J 00 Permit Sp e ' Receipt No. f /users/pbw/shared/encroach/masterstep front and back masters/ ev 12/18/2017 epfeesheetxis-revised 11/8117 ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR ' 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 Co a ation Insurance, or a Certified C permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of Vtheof. a permit, is subject to rejection/fine City reserves the right to void permit if work does not commence within 30 days DatSignatu 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 with the provisions of Section 4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects Any failures shall 3700 or this permit shall be deemed revoked. 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 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 6 connection to sewer lines a valid State Contractor License Class C-42 is required 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 0e 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 Date. Signature: 4TT boy over the riser 24-hour notice for Encroachment P it Inspection 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 Warning Signs Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the Public Works at 949-644-3311. 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 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 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 1ViA i CH/ 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 Backfdl and request a final inspection from the the Public Works Department Any work affecting the State Highways 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, of 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 tot the collection schedule so service is not interrupted To place a dumpsler 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 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 herby acknowledges he/she as read 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. Permit fees are nonrefundable. Date: _ . ___ _ Signature: 9 i� i e RAIN FOR WEIR TANI I 1 hF A "+� i4 yl4 � 1 � 1 1. 1 y�,pr CALIBRATED FLOW METER TAMPER PROOF (LOCK AND ND CHAIN)� CONTROL THROTTLE VALVE iw DISCHARGE LIMIT 2009pm it DISCHARGE ,,GRAVITY FLOW TO SEWER �hq -% �. e ihI M �If4„� i It k IL NI , I t e TRENCH/SHIELD ALONG RED LINE I� 75�y4 F ' i Q N Z J L C JUL ,?,U 2018 8Y`. S.R.3, 10 \01 ENGINEERING JOBS\01-16689\02 AUTO(