HomeMy WebLinkAboutN2018-0067City of Newport Beach 11111111111111111111111111111111111111111111111111111
G, 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 6 7
4 n Permit Counter Phone (949)644-3311
v Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address : 706E BAY AVE NB
Description : INSTALL SEWER CLEAN OUT ON EXISITNG LATERAL PER CITY STD 406-L.
Parcel # : 0481-331-5 -
Legal Desc : BALBOA TR RESUB OF BILK 9 LOT 4 AND BALBOA BAY FRONT TR LOT 4
BLK G
Owner: KONG BILLY
Phone : 949-365-6211
Address : 706 E BAY AVE
NEWPORT BEACH CA 92661
Applicant: T & T CONSTRUCTION SERVICES
Phone: 714-608-1082 [
Address : 9985 ASTER CIRCLE
FOUNTAIN VALLEY CA
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
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
U / .a. is
Permit No: N201 8-0067,
Project No : 2011-2016 a -' "� ". i + ! .i
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919C2
Contractor : T & T CONSTRUCTION SERVICES
Phone : 714-608-1082
Address : 9985 ASTER CIRCLE
FOUNTAIN VALLEY CA
Contractor State Lic: 650089
License Expire : 07 31, 2018
Business License: BT30062081
Business Expire :
02 28, 2019
Workers' Compensation
Insurance - -
Carrier :
STATE COMP
Policy No:
9045107
W. C. Expire:
10 01, 2018
Total Fee $635.00
Paid : $635.00
Balance : $0.00
Receipt No
Date: —/_/ Other Department : Date:
Date : / / Permit Denied Date :
Date : _/—/ Issued Permit : rC Date
Date
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PROJECT ADDRESS: -7
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: ✓1 Phone:
Email Address: ,n , A,
Mailin Addre s:
City/Stp t-e/Zip:
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OWNER: < < Phone: ( C — l
Email Address: S �a ; �OY�-
Mailing Address: OG
City/State/Zip t _
-PLEASE COMPLETE
...ALL CONTRACTOR INFORMATION IS REQUIRED
CONTRACTOR: --FLA
Office Phone: 7�y _ 0
Company (if different): `-
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Jobsite Phone:
Other Phone:
Email Address:
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Mailing Address: �
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City/State/Zip:
F0,A Alle4
State License Number & Class:
p 0 9 `I Expires: 0 18
City Business Licensef Number:
Expires:
WORKERS COMPEN TION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: `fe c) Policy No: Expires: l0 /g
REFUI�QAB(_E:QE)?£3$1T tNFQRMATIO (tfAppli a4le):.":.::'::. :: : ":: ; ...: ." .":.:: . ..
Refund NOW T*r
ail Refupd.To;
FOR OFFICE USE ONLY
Special Conditions of Permit:
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ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public Works Specialist:
J
Date:
Permit No.
M % I ,
P/users/pbw/shared/encroactVmasWVapmrksheetAs `-
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 $121.0
9--t44
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
TBDBTBD
$108.00 0
Traffic Control Plan Check
8-1/2" x 11" $65,00 Sewer Connection Fee $250.00
P::JT
24" x 36" $143.00 4TT Box & Cover $64.00
Refundable Deposit:
Improvements
Street/AIIeyf Walk Closure: $65.00Newspaper Rack Inspection
Additional
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES lApproval:
_ _
Revenue Division 1
I
1
Y-
, Y- . 1
[Water Meter:
Installation Charge
$528.00
13/4" Meter
$50.25
1
11" Meter
$121.50 Water Meter Boxes:
1
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
1
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
1
1
�4" Meter
$4,730.00
I
6" 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 My 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 'alist
Receipt No.
f/users/pbw/shared/encroach/masters/epfront and back masters/
Rev. 12/18/2017
epfeesheet As -revised 11 /8/17
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
i 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
1 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
3 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
3 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
3 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 (ie 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
3 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 I 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 Refuse 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)
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
Compepsation Insu rice, or a Certified Cop th eof. /�
Date - ( Signature: `'� /
CERTIFICATE OF EXEMPTION (Section 3800 La or 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 Encroachme t Permit Inspection is required by calling
Public Works at 949-644-331 f
15 Any above ground utility facilities will require cl-�Lena 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 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 Work,
Department or corrections will be required (i.e. removals, exposing connectioos,
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 ac ,n�o/wlleedges he/she has read and understands the terms and I
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: f`1_l g __Signature:
FE
Sidewalk (or alley surface)
Riser, Caulder or Fernco coupling
do stopper to be installed 6"
below finshed grade.
Minimum Slope: Y4" per linear foot
or 2.00%
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.
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. Fernco 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.
Chisel "S" on face of concrete
curb over lateral. 3" high
letter. Y4" deep.
Curb do gutter
Finished street surface
GENERAL NOTES:
45'
Sewer lateral connection
per STD-405—L
1. For slope less than Y; per foot a 6" lateral shall be used with a minimum
slope = Ya" 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.t—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 3/4 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 NVORKS DEPARTMENT
SEWER LATERAL WITH
CLEANOUT
APPROVED:
RC'1 \O +filOfi PC RLI(' WORKS DIRT C OR
DRAWING NO.
—`tvV—