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Home My WebLink AboutN2018-0485City of Newport Beach 11111111111111111111111111111111111111111111111111u1111ach,CA92660 2� n Permit Counter Phone (949)644-3311 v t Online Inspection Request - www newportbeachca gov / Online c• `` Services Job Address Description Parcel # Legal Desc : Owner: Phone: Address 601 E BALBOA BLVD NB INSTALLATION OF 4" FIRE SERVICE CONNECTION FOR SPRINKLER SYSTEM 0481-230-1 - BALBOA TR BLK 8 LOT 1 NEWPORT BALBOA LLC 8923 LINDANTE DR WHITTIER, CA 90603 C/O LEE GINA & CHEN Applicant: PRECISION FIRE SYSTEMS Phone : 949-337-3317 Address : 27068 LA PAZ RD #212 ALISO VIEJO CA 92656 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 : $495.00 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: Permit No: N2018-0485-y Protect No : 0733-20SCAN ! V E D' Inspection Requests Phone /(,949))6664444-3255 1 ' 919132 Contractor : PRECISION FIRE SYSTEMS Phone : 949-337-3317 Address : 27068 LA PAZ RD #212 ALISO VIEJO CA 92656 Contractor State Lic: 906248 License Expire : 11 30, 2019 Business License : BT30052678 Business Expire : 09 30, 2018 Workers' Compensation Insurance - - Carrier : EXEMPT NO EMPLOYEES Policy No : W. C. Expire: Total Fee $736.00 Paid : $736.00 Balance : $0.00 Receipt No Other Department . Date Permit Denied Date Issued Permit Date : _ COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: _ N�•�-�c "-7J� r- /� �ilZ�� Sc -CU�cE C �j �j a'lc'^j ► rz'5 Spp- lj/CLrVZ- s ,z APPLICANT: C 1phone: i 331 7 Email Address: Mailing Address: ��-0-2 2) 2 ty/State/Zip: O 01 5� OWNER: lkl 0 L a4 i tit / LD cV?- Phone:( 07,3 O Email Address: Mailing Address: City/State/Zip: KfRjWTOR RED is CONTRACTOR: / r C)A) (l C Office Phon (�'FS— %/ 12� Company (if different): Jobsite Phone: Other Phone: Email Address: S r OJt Mailing Address: 27Ce, PA2 R-0 City/State/Zip: r a U (� State License Number & Class: 1 i. C/ O f& 01 g Expires: / o o f City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: /v /,A- Policy No: Expires: _ Municipal Oerations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 Special Conditions of Permit: ADDMONAL APPROVAL REQtXRED FROM THE FOLLOWING DEPARTMENT$ Utilities: Traffic: 0 Fire: 0 Municipal Operations Other: Engineering Technician: Permit Specialist Date: Permit No. N2018- oy f/userJpbw/sharetl/encroachlmasterslepwbrksheet As L ` Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Inspection Fee: $241.00 Public Works Field Inspection $275.00= Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817.00 $192.001 Refundable Deposit: $502.001 Improvements $165.0 $121.00 $165.00 $108.00 TBD TBD Street/AlleylWalk 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 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 l REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I I Qty- Q I [Water Meter: Installation Charged 1 13/4" Meter $50.25 $5 v3 -:p 11" Meter $121.50 Water Meter Boxes: 1 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 1 12" Turbine Meter $845.00 1 13" Meter $3,310.00 4" Meter $4,730.00 16" Meter $7,190.00 Qty. Budget Number 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 4-13c,—.c)� Permit S cialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 12/18/2017 epfeesheet As -revised 1118/17 t��32c,�1 0V--,-tv 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 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 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 Slate 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 he 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 4TT boy 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 11 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 Stale 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 Refuse or unused materials shall be removed within 24 hours after completion of the work If riot 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 dumpsler 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 compI h the provisions of Section 3700 r t 's permit shall be deemed revoke / Date: Signatu C 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 requir y calling Public Works at 949-644-33'\1./ 15 Any above ground utility facilities will requir�umented 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 Writer 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 Compachcn Certificate or Evidence of a Slurried Backfill and request a final inspe tion from the Public Works Department Monies may be held for six months after flrl inspPcbun 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 1Nork, 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 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 has read and understands the terms and I conditions of this permit and helshe agrees to abide by them. Permit is void if work is not commenced within 30 days after issuance. �� Permit fees are nonrefundable. Dat ZO Signature: �t� w III :�. I■ �,.I II0,,-�� -- - -- u .,,� I •-I I I L t "An approved encroachment permit is required for all work activities within the public right-of-way" Yr� I ,it - 4'-0" 1„�� \ 110'-0"�4"C900CL2 Ir, r� " C900 MATN N --.—-,— — — — — —- I III • .I-. CITY I;1 Kt;' 11YUHAN I LMA I M) 65' 0" FRONT OF FT ST OCEAN FRONT ALLEY 4"x2. 5"x2. 5" FDC installed above Wilkins 350ADA-BGVTC wit Check Valve with minimum 15" clearance to man -door /(" Approved RESILIENT WF,DGE Gate Valve - FLxMJ per, 507- ROAD PLATE per NB-STD-511-I. 6"X4" Approved FI, Stainless Steel Tapping Sleeve per NB 507-I, Approved Listed 4" Wilkins D( 350ADA per NB-STD-517-I, TIVUST BLOCK per NB-510-1,--A apNIEtJ[ DwwTMEN' DEV�%P47F OFSUICH GOW MUNtTY hQT ` ; OR GON3TFTUIE _ 1N t= G11Y AN5 �.Eg iF THFSE �db,KGt,F PNY r II F3UFt (3'ND POI ti ;ij iN�. VA ,` 10 "t-1JT�NFIH THE �FRpvnlNUORYNF��tj)t� PCH F t F{ THIS 111 <,OMF'�• ttl SPEI J,. i 11NN�? STRUI ,4Y t,112k.��tKF,,.1 I Y IU �' II -- -r -4---� _�-------' ct "Al AU PRO('OSI-D INSTALLATI ACCLI"I'AM FT() NI?WPOIZT )iI:A('11 LII�(- I)! PAP FIRF r RVVIVNI F u,m 10/4/2018 City of Newport Beach Page 2 of 21 6:34:51AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/04/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 601 BALBOA BLVD E NP/D Information: Activity : N2018-0485 SubType : NEW Status : APPROVED OWNER: NEWPORT BALBOA LLC Phone: APPLICANT: PRECISION FIRE SYSTEMS Phone : 949-337-3317 md@precicionfiresystems.co Description : INSTALLATION OF 4" FIRE SERVICE CONNECTION FOR SPRINKLER SYSTEM. Requested Inspection(s) Item: 10080 SERVICE CONNECTION - UTIL Requested Time: 10/4/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: PM Assigned to : 9493373317 LOGGED P.O*. BOX 4921 GARDEN GROVE, CA 92842-4921 nvol-ce t�-s- t S wosi�t t� SOLD TO SHIP TO G O 1 E. B•w.ISo� �t,l/� STANDING TIME: YOU ARE ALLOWED 10 MINUTES PER CU_ YARD UNLOADING ARRIVE START FINISH STMW4G TWE TDAE FROM ARRIVAL AT JOB TO F[MSM EXCESS TIME CHARGED @ V-00 PER MDRM. • ORDERED USED PRODUCT DESCRIPTION Price Each Amowd 7,03 s S "Z S c.uk-PILe N► Ott No21cE oar driv«� wiu makc every effort to place � where � emstemes desiRmales, bat the DFi iVFRY cowpony a�sno= oo respenscbiwy br pecxonal kW" or damages ;aside cacti «�►>� 1� d Doc to inVmu rt Awww wW& ace eat "ow cemt of sfWr ddim", to coslomw mooepts conctm as is. This c MR" *11 ox accept awry nspoes& ft for the color or NSd" 1=010. All m000ts ace doe NET 30 days. In the event payment is mot made whin 3o dgs lftw &e M IMAL TERMS dale, I / %% Wm to pay if collection k made by suit err o&uvhw a coaaomable ooneys ibq plus a MMCE CHMOE of 2% pa moot. Tine wM W a =-00 soc i clmW on all resumed cheeks SiS ftm of owner or agent cocntaft sooe{x = ofWe above. :TAX Unda the Mech&"s Lein Law. any combactm imboce� supplies «other pmm who b* NOTICE to i"nm a property bat is mat paid for I& wock err soMr&ies, bw the rift M a -R roes a cWm � Jow ImMly. Then macs that allwaeouct I ea ft rw "Mq eomld be OVBRi>� sold by a coots oboes, mad the proceeds used W sot * the itdeblmess. M& can U"m even - wrm pM "w own eomhaaw in f t% if to wilmnmaeto4 tmbecer, or supow oemaitts kmpaw• Tout! Freshly mixed anaete wry mm BURNS or SM nMffA*nM Womr pco/eetive eawk CAUTION boots. and "mm at all boon. Avoid =mart wit your ski% and vaa* oQoWamal w ma TEIt1a exw promptly wit wata. us" cea+em mew" Beta into to aye, rhea imsme ftl . Rep mt several times amd seek irradiate moo*[ natation. KEEP OUT OF THE IMACfl 01" P.O. Ntt[ *w CHILDREN AND PETSI Qwa mw m to of wastes wam in an mwmmatt W soft %V .DO NOT DUMP KIM CITY DRAW S"r MI I have ;eyiewed 0ti Kimus, and agree to the Terms abova X 10/5/2013 City of Newport Beach Page 2 of 7 6:34:21AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/05/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 601 BALBOA BLVD E A/P/D Information: Activity : N2018-0485 SubType : NEW Status : APPROVED OWNER: NEWPORT BALBOA LLC Phone: APPLICANT: PRECISION FIRE SYSTEMS Phone : 949-337-3317 and@precicionfiresystems.co Description : INSTALLATION OF 4" FIRE SERVICE CONNECTION FOR SPRINKLER SYSTEM. Requested Inspection(s) Item: 10080 SERVICE CONNECTION - UTIL Requested Time: 10/5/2018 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: PM Assigned to - --�; - Z- - Z,4" �/ � r iea g,'fi kP