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HomeMy WebLinkAboutN2014-0370City of Newport Beach111111111111p111111111111111111111p111111p11p111permit No: N2014-0370 100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 4 0 3 7 0 - F + Permit Counter Phone (949)644-3311 (I roject NO 1988-2013 o 'Af Online Inspection Request- www.newportbeachca.gov/Online -. 5 'm,. Services ,. Inspection Requests Phone (949)644-3255 Job Address : 2006 PORT WEYBRIDGE PL NB Thomae:Guide: 889G6 Description : INSTALL NEW SEWER CLEANOUT PER STD -406-L ON EX'G SEWER LATERAL. R/R SIDEWALK PER STD -180-L. Parcel #: 4580-812-7 - REV' F"iD Legal Desc : N TR 6624 LOT 30 Owner: TAVA PORT STREETS LP Phone: 0 Address : 2006 PORT WEYBRIDGE PL NEWPORT BEACH, CA Applicant: CALIFORNIA BORING INC Phone: [ Address : Special Cond.: PRE -CON WITH PUBLIC WORKS INSPECTOR REQUIRED. NEW SFR PC 1988-2013 Permit Processing Fee : $242.00 Sewer Connection : $0.00 Agreement Fee: $0.00 4TT Box Cover: $54.72 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Inspection Fee : $308.00 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: Sep o'mr- Date: B /13 / 14 Traffic Approval : Date : _/_/_ General Services Approval: Date: _/_/_ Contractor : CALIFORNIA BORING INC Phone: 05 31, 2015 Address : 770 NORTH ECKHOFF STREET Carrier: ORANGE CA Contractor State Lic: 926968 License Expire : 01 31, 2015 Business License: BT30043300q Business Expire : 05 31, 2015 Workers' Compensation Insurance - - Carrier: FEDERAL INSURANCE Policy No: 1000001235 W. C. Expire: 08 15, 2014 Total Fee Paid : Balance Receipt No: 0 49555 $604.72 $604.72 $0.00 Other Department : Date : _/_/_ Permit Denied : Date : Issued Permit : SL Date: � / 13/ Id 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 1.800-227-2600 or 811 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 O % f`G a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days Date: 8/ISIIy 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 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 shall be deemed revoked. be corrected within two weeks after notification to the satisfaction of the Public Works Director. permit 5. A valid State licensed contractor must perform all construction within the public dght-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 connection to sewer lines a valid State Contractor License Class C-42 is required. CONTRACTOR LICENSE EXEMPTION 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 inspections by encroachments. 1 will be responsible for replacing the improvements if the City the Municipal Operations Department 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 (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 Date: Signature: 4TT box over the riser. pections should be requested by calling the Public Works Inspection 9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. A "Manual signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of Line 949-644-3255. INITIALS: Agill Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the nest at: California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00 15. All above ground facilities shall comply with the Municipal Code, including but not limited 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. to Chapter 13.20. 10. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day 16. Homeowner, contractors, and subcontractors 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 11. 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 emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 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 Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure Evidence of a Slurried Backfill and request a final inspection from the Public Works on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Department. Monies may be held for six months after final inspection before a refund will the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way be processed. 12. will require a Caltrans Permit. All vehicles shall be lawfully parked. 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 Municipal Operations Department, Parks and Street Trees 13. Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant Division. 19 All work in the public right-of-way must meet the approval of the Public Works Department must notify all affected residents 24 hours in advance of restricted access and any inconveniences. All USA marks or corrections will be required (i.e. removals, exposing connections, etc.). Additional shall be removed prior to Final Public Works Inspection. inspection fees may be required. 14. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City 20. Permit is for standard materials in the public right-of-way only, unless previously approved may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 by Public Works and an Encroachment Agreement has been processed. for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a 21 permit is valid for "description' of work noted on front only. Additional work performed Temporary Street Closure Permit must be obtained from the Public Works Department. 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„, ermit. Applicant hereby acknowledges he/she has read and 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, unless otherwiseap r7oved by the Public Works Department. Permit fees are nonrefundable. Please note:. Preparation of Encroachment Agreement fee is non-refundable. Date$//,31jY Signature: /�� WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT COMPLETETI-IE BELOIN.INFORMATION: . PROJECT ADDRESS: Zpv afnl W2 i> 1 L. DETAILED DESCRIPTION OF PROPOSED WORK: (0a1(St WA/A ?uVV-t' :;rAIs Cleev'x* 0.•1 6KO , q*$*/ olv araPt_, t( SkG� - I&V' L S{c1-40(o L lPhone'kZ6104 103 APPLICANT: pvk &VM/ Email Address: 'f-"@ +(-( -cowl Mailing Address: o "st—, City/State/Zip: '+/VA 91,806 OWNER: a L( Phone: -S Z'JF3SZ Email Address: Pin , 6nwl Mailing Addres1p: Add ALL CONTRACTOR INFORMATION IS REQUIRED-PLEASE COMPLETE > CONTRACTOR: , mm bb✓ Office Phone: /1/` 63 Z - i � Company (if different): Jobsite Phone: Other Phone: Email Address: y' �(j0. ,GdYl1 Mailing Address: 3s7 �ialAJO Sf City/State/Zip: /9A1R , y7 State License Num Class: 12 IIA �1 Expires: ! 30 City Business License Number: 7,300,1,3300 Expires: V3111c WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company:�Cd�N�1115tNGtA1LP� Policy No: Q 7.36 Expires: $/S /91 REFUNDABLE: DEPOSITJNFORM.ATION (If :App/rcablej:::: Refund payable: To Mail';Refund To , FOR OFFICE USE ONLY lecial Conditions of Permit: 5F I2, rt-(,-1 u IOblic, VJ94Q Ind _w l w/`e0f• ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: 0 Fire: 0 Other: Engineering Technician: Public Works Specialist: �r� Date: 8113114 Permit No. N2014- 03-?() flusers/pbw/shamd/encroach/masters/epworksheet.xls Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: 9Inspection Fee: Aty. Public Works Only $242.00 Public Works Field Inspection $154.00 z Other Department $319.00 Utilities Field Inspection $198.00 General Services Inspection $154.00 Agreement Fee: Preparation of Report/Agreement $900.00 Refundable Deposit: TBD= Document Recordation Fee $209.00 Monitoring Wells $495.00= Improvements TBD= Street/Alley/Walk Closure: $55.00 Sewer Connection Fee $250.00 Traffic Control Plan Check 4TT Box & Cover $54.72 8-1/2" x 11" $55.00 24" x 36" $139.00 Additional Insfallafi i:;- 3 t:,yyl ivieter:::4,G:: -,14 tL 2 Meter. l 22:84:+:19,5-75, hri16YH44Wil ki 1x011922:1: 1 Certificate of Compliance Fee (+100°i of hriy over 3 hrs) $288.00 For Finance use only 5200-5029 Development Services Fee TBD Receipt No. Rev. 12-01-2013 5200-5015 Final Tract Map Checking Fee $3,489.00 5200-5026 Final Parcel Map Checking Fee - Simple $374.00 5200-5027 Final Parcel Map Checking Fee - Moderate $2,297.00 5200-5027 Final Parcel Map Checking Fee - Complex $3,489.00 5200-5027 Lot Line Adjustment Fee $1,089.00 5200-5028 Park Dedication Fee Zone_ TBD 405-470_ Street Easemt/Vacation Fee (+100% of hriy over 4 hrs) $983.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance use only Public Works Specialist: Receipt No. Rev. 12-01-2013 f luserslpbw/shared/encroach/masterslepfeesheetxls-revisetl oecemb� r 2013 ��®b �a�wJ} W N�WRsvfi� dlxaw ; Xzoaz31y r 6i°Y3'49°w 65.90' TpTAL IMF AO • a v -x a.ex .ex. c. xs-.___ P Pd -•, 'Y1 LAWN 5082: PLG f.,, :C 141.ILi 1921% ?Y i33 FS I 1 j� 10&.2 F6 172 ,cgwy o air/ II 1 t�' . S W x PA V� K 1 sYam, g . FP=102.50 FPn101.56 nPSPdwca t. . LAM Al N617$1YW 65W map 19 N P.A. 1 sttwr PcaoeNsc LAWN s� Sc ,+t-1 Iew0 nitro IAH L¢ 99!611PI F:L PNHu � I.IXa° Fl{Cit 1k6 C9F'WNt 5,;• i cant. 11 w. MH. 9,yP s'a l . g z �*� Q z G r" %6PORT WEYBRIDGE PLACEe7 dlov p CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT 100 CIVIC CENTER DRIVE P.O. BOX 1768 NEWPORT BEACH, CA 92658-8915 (949) 644-3311 PLAN CHECK CORRECTION LIST Date September 3, 2013 Plan Check No. 1988-2013 Project Address 2006 Port We bridge Place Project Description NSFR Reviewed By David Keely, Senior Civil Engineer dkeely@newportbeachca.gov (949)644-3349 NOTE: To expedite the re -check process, the Applicant needs to return this Correction Sheet and respond to the stated corrections either hereon or through an attachment. Corrections: 1. Note on the Plans "An approved encroachment permit is required for all work activities within the public right-of-way." 2. Note on the Plans "A City encroachment agreement is required for all non- standard private improvements within the public right-of-way." 3. Note on the Plans "A Public Works Department encroachment permit inspection is required before the Building Department Permit Final can be issued. At the time of Public Works Department inspection, if any of the existing public improvements surrounding the site is damaged, new concrete sidewalk, curb and gutter, and alley/street pavement will be required and 100% paid by the owner. Said determination and the extent of the repair work shall be made at the discretion of the Public Works Inspector." 4. Per Chapter 13 of the City Municipal Code, a new Australian Willow street tree shall be planted along the Port Weybridge Place frontage. Show on the Plans the location where the new street trees will be planted. 1 oe 2 5. Please verify the location of the existing sewer lateral for the proposed sewer cleanout. Based on City records the existing sewer lateral is located approximately 10 feet from the easterly property line. 6. Please verify the parkway and sidewalk widths between the Site Plan and topographic survey. 7. Please fully dimension the public right of way. �? 8. Port Weybridge Place is on the City's street -cut moratorium list. Trenching into said street as a part of this development will require extensive street repair work. Details of such repair work may be obtained from the Public Works Department. 9. All work related to water in the public right-of-way shall be performed by a C-34 licensed Pipeline Contractor or an A Licensed General Engineering Contractor. 10. All work related to wastewater in the public right-of-way shall be performed by a C-42 licensed Sanitation Sewer Contractor or an A Licensed General Engineering Contractor. 11. Install ground cover or turf in the dirt parkway adjacent to the driveway approach. 12. Reconstruct the damaged and broken driveway approach per City Standard STD -162-L. 2 ort Cust Encompass Detail Acct. Type: Business Tax License #: BT30043300 Bus.ID: 0072182 Name: CALIFORNIA BORING INC Owner Name: GUTIERREZ,SARAH Owner Phone: 714-448-8339 Owner Type: Exp. Date: 5/31/2015 S Addy:3030E RONADO ST City, St, Zip: -N EIM, CA 92806 B Addrl: 3030 E CORONADO ST B Add r2: B Addr3: ANAHEIM, CA B Zip: 92806 Phone: 714-632-1596 FEIN: 7159 SEIN: 2961909 Established: 5/10/2013 SIC: 1799 -MISC SPECIAL TRADE CONTRACTORS # of Emps: 0 usr1: 553032 usr2: usr3: usr4: usr5: usr6: 187223343 usr7: Emergency Contact Info Contact: ???? Phone: ???? Page 1 of 1 http://apps.eitynet.newportbeachea.gov/masteridIENC detail_CP.asp?EID=BT30043300 08/13/2014 Check a License - License Detail - Contractors State License Board Page 1 of 2 DEPARTMENT OF CONSUMER AFFAIRS die Contractors State License Board Contractor's License Detail - License # 926968 ,I DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 926968 Extract Date 8/13/2014 CALIFORNIA BORING INC Business Information Business Phone Number: (714) 632-1596 l� 3030 E CORONADO STREET O ANAHEIM, CA 92806 `• Entity Corporation _.. ... ______ .... .... ._ fjl Issue Date 01/07/2009.. Expire Date 01/31/2015 ACTIVE License Status This license is current and active All information below should be reviewed. CLASS DESCRIPTION Classifications A GENERAL ENGINEERING CONTRACTOR M ,\ CONTRACTOR'S BOND d This license fled a Contractor's Bond with SURETEC INSURANCE COMPANY. P� Bond Number: 5128234 Bond Amount: $12,500 Effective Date: 12/02/2011 Bonding Contractor's Bond History BOND OF QUALIFYING INDIVIDUAL 1. This license filed Bond of Qualifying Individual number 5128859 for GUTIERREZ SARAH LINDA in the amount of $12,500 with SURETEC INSURANCE COMPANY. Effective Date: 12/22/2011 BQI's Bond History Workers' Compensation WORKERS' COMPENSATION https://www2.cslb.ca.gov/OrtlineServices/CheckLicenseIIlLicenseDetail. aspx?LicNum=9... 08/13/2014 Check a License - License Detail - Contractors State License Board Page 2 of 2 This license has workers compensation insurance with FEDERAL INSURANCE COMPANY Policy Number: 1000001235 Effective Date: 08/15/2013 Expire Date: 08/15/2014 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. PersonnelList I Other Licenses Conditions of Use I Privacy Policy Copyright © 2010 State of California https://wwvt2.cslb. ca. gov/OnlineServices/CheetcLicenseII/LicenseDetail.aspx?LicNimi=9... 08/13/2014 08-14-2014 Inspection Request Reporting Page 7 5:13 pm NEWPORT 13EACHrCA - CITY Requested Inspect Date: Friday, August 15, 2014 Assigned To: Unassigned Inspection Type: ENCROACH Inspection Area: PW Site Address: 2006 PORT WEYBRIDGE PL NB 2006 PORT WEYBRIDGE PL A/P/D Information Activity: N2014-0370 Type: ENCROACH Sub Type: Status: APPROVED Const Type: Occupancy: Use: Insp Area: PW Owner: TAVA PORT STREETS LP Phone: 0 Description: INSTALL NEW SEWER CLEANOUT PER STD -406-L ON EX'G SEWER LATERAL. R/R SIDEWALK PER STD -180-L. Reauested Insoection(s Item: 10060 PIPE INSTALLATION - UTIL Requested Time: 12:00 AM Requester: NBIVR Phone: 7806861005 Comments: AM Assigned To: Entered By: NBIVR NB Action: Time Exp: Inspector: 7u:<" Date: x' / `i Time: AM PM j Comments: Logged Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc %VA13 Rim 4 18 14 Nage o Requested Inspect Date: Tuesday, August 19, 2014 Assigned To: Unassigned Inspection Type: ENCROACH Inspection Area: PW Site Address: 2006 PORT WEYBRIDGE PL NB 2006 PORT WEYBRIDGE PL A/PID Information Activity: N2014-0370 Type: ENCROACH Sub Type: Status: APPROVED Const Type: Occupancy: Use: InspArea: PW Owner: TAVA PORT STREETS LP Phone: 0 Description: INSTALL NEW SEWER CLEANOUT PER STD -406-L ON EX'G SEWER LATERAL. R/R SIDEWALK PER STD -180-L. Reauested Inspection(s - Item: 10030 CLEAN-OUT Requested Time: 12:00 AM Requester: NBIVR Phone: 7606861005 Comments: AM Assigned To: Entered By: NBIVR NB Action: Time Exp; Comment:e iNfiTt-chatproperty for pre-1'ob inspec— iof and to go over materials to be used. Work was originally called in for Friday, 8715-14 and has now been postponed until Tuesday, 8-19-14. Inspector: Date: Comments: Logged F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc R>yPT-13-1---- - - - REPT131. Time: AM PM -Run _Id: __538.8.. Run Id: 4018 12-12-1014 Inspection Request Reporting Page 4 3:30 Dm NEWPORT BEACH CA - CITY Requested Inspect Date: Monday, December 15, 2014 Assigned To: Unassigned Inspection Type: ENCROACH Inspection Area: PW Site Address: 2006 PORT WEYBRIDGE PL NB 2006 PORT WEYBRIDGE PL A/P/D Information Activity: N2014-0370 Type: ENCROACH Sub Type: Status: APPROVED Const Type: Occupancy: Use: Insp Area: PW Owner: TAVA PORT STREETS LP Phone: 0 Description: INSTALL NEW SEWER CLEANOUT PER STD -406-L ON EX'G SEWER LATERAL. R/R SIDEWALK PER STD -180-L. Requested Insoectionls Item: 10255 FINAL - Utilities Requested Time: 12:00 AM Requestor: NBIVR - Phone: 1714759715 Comments: AM Assigned To: Entered By: NBIVR NB Action: Time Exp: Inspector: Date: l �'. `� Time: AM PM Comments: �= r F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc -Rust 34......6474 REPT131 Run Id: 4018