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Home My WebLink AboutN2018-0053City of Newport Beach r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 rl to Online Inspection Request - www newportbeachca.gov / Online Services Job Address : 208 FERNLEAF AVE NB Description : EMERGENCY SEWER REPAIR Parcel # : 0520-710-4 - Legal Desc : RESUB OF CORONA DEL MAR LOT 10 BLK 133 AND SWLY1/2LOT 12 BLK 133 Owner: KUYKENDALL ALICE Phone: 0 Address : 208 FERNLEAF AVE Applicant: PATTERSON CONSTRUCTION Phone : 949-723-1800 [ Address : 15 CORPORATE PLAZA STE.150 NEWPORT BEACH CA 92660 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 $65.00 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: Date Utilities Approval : Date Traffic Approval : Date General Services Approval : Date: Permit No: N2018=0053 Project No . t - Inspection Requests Phone (949)644-3255 Thomas:Guide: 919E2 Contractor : COAST WATER & POWER Phone : 949-548-0106 949-289-0078 Address : P O BOX 3341 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 License Expire : 07 31, 2019 Business License : BT96014951 Business Expire : 12 31, 2018 Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No : 9087110 W. C. Expire: 10 01, 2018 Total Fee $700.00 Paid : $700.00 Balance: $0.00 Receipt No Other Department : Date: Permit Denied Date: Issued Permit: %1 -Date: INBOUND NOTIFICATION -. FAX RECEIVED SUCCESSFULLY TIME RECEIVED REMOTE CSID DURATION PAGES STATUS January 26. 2018 at 3.06.01 PM P5T 110 4 Received L I PROJECT ADDRESS: AILED DESCRIPTION OF PROPOSED WORK: 1'1�A�1 PLICANT: LTZ Phone: '/ , it Address: a T ,com nine Address. 3 To %02& City/State/23p: s wNER: Phorw: Email Address -ling Address: City/Staternp: ONTRACTOR:hft'tk&L'r Oftlee Phone: ' dJ ompany (It different): Jobsite Phone: Other Phone mail Address: ailing Address- CityfStatelrip• R fate License Number & Class: Ex City Business Llcensb Number: E tees `1 ORKERS COMPENSATION INSURANCE - Certificate of insurance (Section 3800 Labor Code) �7 an . Poi No: 2 ?11 E Ines: /0 ties:. gigj,�{Qt'( lilban dories . S'B�t-30S.1' .' IVA Special Conditions of Permit: Utilities: Traffic: Municipal operations Other: Fire: l� EngIn7 Technician: jP*rmqA3P"l1st Date: L2-0, <� Permit No. I I `mac.n d.ar -4* 9$33 Public Works Departinout M9-644-3311 tog Civic CeoW Orlve, Newport Beach, CA 92660 Permit Processing Fee: Inspection Fee: Public Works Only $241.00 1 Public Works Field Inspection $165. 0 Other Department $275.00 Utilities Field Inspection $121. General Services Inspection $165 00 Agreement Fee: Preparation of Report/Agreement $817.00 Oocument Recordation Fee $192.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit; TBD Monitoring Wells $502 00 Improvements TBD Street/AlleyiWalk Closure: $65.00 Newspaper Rack Inspection $108 00 Traffic Control Plan Check 8-112" x 11" S65.00 Sewer Connection Fee $250 00 24" x 36" $143.001 1 4TT Box & Cover $64 Op Additional I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM TNT Revenue Division I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: (Water Meter: 13/4" Meter $50 25 11" Meter $121.50 11 V2" Meter $285.00 11 1/2" Turbine Meter $700 00 12" Meter $425 00 12" Turbine Meter $845 CO 13" Meter S3,310 00 14" Meter S4 730 00 16" Meter $7 190.00 Glty• Installation Charge $528.00 1 { Water Meter Boxes: 1" DFW Meter Box $96 66 1 2" DFW Meter Box $203 2,41 { { Qty. Budget Number Certificate of Compliance Fee i+100% of hiiy over 3 hrsf S288.00 5200-5029 Oevelopment Services Fee (Play check hourly) $155.00 5200-5015 Final Tract Map Checking Fee 52.488.00 5200-5026 Final Parcel Map Checking Fee - Moderate $2.488.00 5200-5027 Lot Line Adjustment Fee S1,079.00 5200-5028 Park Dedication Fee Zone TBD 405-470 Street EasementNacation Fee 1,+100% of hri j over 4 hrsl $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance Uss Only Permit Spt Receipt No. I+ �I i uscvprnd6hs-.Ti! all UeiY mi_ era' v Rev -111$J2017tVvy-row •1 -r.: 1—d Ii,tio;7 City of Newport Beach Newport Beach Police Dispatch Public Works Department Phone:949-644-3717 Phone:949-W-3311 Fax:949-644-3318 APPLICAT1gN FQR'f`ENIPt, W.Y STREET i SIDEW+ LI. , C .2§URi oR DUMP_S7M- R PLACEMENT - City of Newport 82ach Municipal Code 12.62.010 Permit for Temporary Street Closure Name MIKE KILBRIDE )party Name: COAST WATER & POWER c cv of Ngw ort 3e:cr 8uslreae _csnsa No ress P.O. BOX 3341 1— rzfp NEWPORT BEACH, CA 92659-8341 Phone- Cay 949-289-0078 Night Location of Encroachment: ST96014951 Use sreei address ok approximate number of tjCt"Vom nearest Ir-ersectton) Teasofor Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below. n OTE: No work on holiday(s) or weekends. Dabe Closure to Begin: ! • Z l 't Q Date Closure to End_ Iff (Maxlc'um 14 -ays) Time of closure: 7:00 AM to 5:00 PM TION OF ENCROACHMENT BELOW: 09,14 is• - N 0 e pLk I NJ - A copy of this permit must be visible on the dash of each vehicle authorizers to park in reserved ,parking spots- ( The applicant is responsible for notffyfng Police Despatch of an road closure, detour, or reserved parkin_ �I See reverse side of this permit for regulations covering use of this permit. ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS: 1) Flagman aperation per 2006 W.A.T.C.H. Manual, Pages 47-48. ` 2) Provide access to emergency vehicles if needed- 3) Notify adjacent residents 48-ilrS prior to closure' 41 Place delineators around construction area. 51 Plate and backfill excavations durinq non -construction. I, {Perrnrteey hereby certity the information provided is true and corra:ct, and I agree to Jomvly with the terms and condit,o❑s or the front and back of this p:+rmd. Psnrlitee aL1a:ar1taes'o rnjernntiv and hold tile C,ty r_,f Newpet E f'a gams any claims Naha y, or t dgm� s &; mages ansinq out of permrtele 5�acttii%n lest X Date: 1 r I y< Approved 6y: -'�'� T•'3 an_3c r. -I NWn— luhral Fgevtiorlert.ESr IJUgn(3(a�i -1t _l Glom' At. N`ar•rn-v l:+]u-fF 4 2-0,g LEG -END = PgW�P Pot SEWER Q-EANOt-rr WATER METER BOX L-NTEFLIrvE of PP.Opr=RTY LINE -� ADDP.ESS APPLICANT i I,L' OWNER DES(TPTI0N tail W0P. CITY OF NEWPORT BFAC-i ENCROACHMENT PERMIT PERMIT No, N 2 61 %7 -- CCk) 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 Cox e►5sation Insurance, or a Certified Copy there f. 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 Date1 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, liabi(ity, 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 Permitlee 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 Imes 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 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 Date: Signature: 4TT box, over the riser 24-hour notice for Encroachment Permit Insp fon i rpqu' ed 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 949-644-331 el or - Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the ve, California Department of Transportation If needed, barricades can be obtained from the City at a charge of $10 00 15 Any above ground utility facili('k 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 State 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 (WATCH) No nighttime traffic lane closures, unless prior approval has been granted Any lane(s) closure Certificate or Evidence of a Slurried Backfill and request a final inspection from the 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 nght-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 VVIork, 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 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 pcknowledges he/she has r ad and understarWs thp 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. Dater l Signature: !� Elgas, Debbie From: nila@mikekilbrideltd.com Sent: Friday, January 26, 2018 3:18 PM To: Elgas, Debbie Subject: 208 Fernleaf Debbie I just faxed over a permit app for 208 Fernleaf. Andrew Patterson is going to come in and pay for it. He has our permission to do so. I forget what else you need from me? Nlla -4