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Home My WebLink AboutN2017-0045City of Newport Beach 1111IIIIIIIIp111111111p111111p111p11111p111l II Permit No:N201Y-0045 100 Civic Center Drive: Newport Beach, CA 92660 Permit Counter Phone N 2 0 1 7 0 0 4 5 Project No>-v,,;-_�(9) (949)644-3311 Online Inspection Request / Online SC NNED -www,newportbeachca.gov Services Inspection Requests Phone (949)644-3255 Job Address: 1 PUBLIC ROW NB Thomas:Guide: Description: PERFORM MAINTENANCE TO EXISTING OCSD SEWER MANHOLES TO INCLUDE REMOVAL OF EXISTING FRAMES AND COVERS AND REPAIR OF ROAD PER CITY STD Parcel # : Legal Desc Owner: AYALA ENGINEERING Contractor : AYALA ENGINEERING Phone: Phone: 714-823-7179 Address: Address : 8482 E. MEADOWRIDGE ST ANAHEIM, CA 92808 Contractor State Lic: 959385 Applicant: AYALA ENGINEERING License Expire : 03 31, 2017 Phone: 714-823-7179 [ Address : 8482 E. MEADOWRIDGE ST ANAHEIM, CA 92808 Business License: BT30048915 Business Expire : 10 28, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance -- Carrier: STATE COMPENSATION INS. FUND Policy No: 9004955 W. C. Expire: 02 08, 2017 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $1,131.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $1,131.00 Traffic control Plan Check : $65.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $825.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: $0,00 Total Water Meter Box: $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date: _/_/_ Other Department: Date: Utilities Approval : Date: _/_/_ Permit Denied Date: Traffic Approval : Date : _/_/_ Issued Permit Date General Services Approval : Date: _/_/_ WORKHEE FOR Er�IcaAHnnr�T PR�iir CITY OF NEWPQRT BEACH PUBLIC WORKS DEPARTMENT GO E.TMEMEl•Q RUJEC7 /aDDRESS:JtJoA i c+ - A s 1 osE 4 �2� Jn ✓t opts Co e orro nt s � � DETAILED DESCRIPTION OF PROPOSED WORK: UN C_ 6 1= Eec STr�J G 1^2A M.ES_ t,—PAIY2 O �OADWA ( �CYZ Cl7 STANLIA✓t1J APPLICANT: iZICArtva A ALA Phone: 14- Sa I- I 9,2 Email Address: p,c 2 e l l co Mailing Address: CifylState/Zip: M D S NA Inn.. A 'l 42Cr6 OWNER: 02A"E CoaNT Sq r 0 Phone: ;I - Email Address: w @ O CO AA_ Mailing Address: City/StatelZip: l0 4 o� r_14 - eA Ala7O� ALL CONTRACTOR INFORMATION IS REQUIRED CONTRACTOR: A XIALA -PLEASE COMPLETE Office Phone: 14 -kal3 - 71.7 Company (if different): Jobsite Phone: Other Phone: EmallAddress: �fCA2oo�A Ac n� Co^'�- Mailing Address: g(0a c. k4-AOow2rD citylStatelZip: n1A 1 C a o State License Number N Class: g% Expires: -3 - City Business License Number: O Expires: le)-31 -19 WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code) Com an oMP L 2 ' Policy No: Ly5-- Expires:a•&-i RL=FUN.DAi L.E:DPPUS.IT:iN'F .ATIOPt:i(f Af7phcabte.l i>i; : >:: S;i: ;:: >:: 5 >: > ;>::: >: >:>; : ;7 :::::: `: ;:::::; ...;.: RePiiliciT': :2:.:,7-:77-`S:-iS:[::: ::>r'7X': ::•:•:..... 5 :: :: 5:::?:>: i :::•i.i:<i>: >[F:% X X <'IQi P!a .ah ... u.......... Mail Re ............................ FOR OFFICEUSE ONLY', Special Conditions of Permit: j c < ADDITIONAL' APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Traffic: Fire: General Services: Other: Engineering Technician: Public W Specialist: Date: 2,j n Permit No. Z L ffuse�slybvdShnreJfeMroaGJmaSletsfepvvoBsheel.xk Public Works Department e49-844-3311 r'RVJGU I MV YRGJJ. � r r,"Tu r r NUMBER: N2017- aozi`s APPLICANT: Permit Processing Fee: zQ� + 'Inspection Fee: -Q Public Works Only $241.0gli 1_ Public Works Field Inspection $165 0 Other Department ____J ,) $275.0 Utilities Field Inspection $121. General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: TBD Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk Closure: $65.0 Newspaper Rack Inspection $108.00 0 Traffic Control Plan Check 8-112' 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 lApproval: _ _---i RevenueDivision REVENUE DIVISION PRIOR TO PAYMENT OF FEES Qty. Qt . I (Water Meter: Installation Charge $528.00 1 13/4" Meter $50.25 Water Meter Boxes:' 11" Meter $121,50 For Parkway & Sidewalk Area (Box + Cover = Cost) i 11 1/2" Meter $285.00 1" Meter: 13.00 + 37.00 $50.00F:::1 1 11 1/2" Turbine Meter $700.00 2: Meter: 27.00 + 61,26 $88.25 12" Meter $425.00 1 12" Turbine Meter 13" $845,00 For Traffic & Alley Areas (Box + Cover = Cost) Meter $3,310.00 I"Meter: 13,00 + 38.00 $51.00� 1 14" Meter $4,730.00 ' 2" Meter: 27.00 + 162.00 $189.00 1 6" Meter $7,190.00 Qty. Budget Number Certificate of Compliance Fee (+100% of ndy over 3 hrs) $288.00 5200-5029 Development Services Fee (Plan check hourly) $165.00 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 hdy over 4 hrs) $1,022`,00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering. Tech: Total Amount Due: For Finance Use only , Permit Specialist Receipt No. C " -\ r/users/pbw/shared/encroach/masters/ep Rant and back masters/ Rev. 1/5/2017 epfeesheetkls-revised 10121/2016. TERMS AND CONDITIONS OF ENCROACHMENT PERMIT 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 rejectionifine. City reserves the right to void permit if work does not commence within 30 days after date of issuance. 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. 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. 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. 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. All trenching and/or resurfacing shall conform to City Standard 106-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 sharing 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. 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 inspections by the Municipal Operations Department may be required depending on scope of work performed. 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 (te: 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. 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 they 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. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day weekend, summer between June 16 and September 15, and during the holiday season from December 19 to 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 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 Caitrans Permit. All vehicles shall be lawfully parked. 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. 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. All USA marks shall be removed prior to Final Public Works Inspection. 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 selfJi , re, Carticate ,Compensation Insurance, ore Certified Copy there Date: /— 2 G - /7- Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 1 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: CnepeciYotYs ettgnY be requakted.pY�aailing�titi�?FtfkllY�aA/4'f�s�liPSAectYcir Reclaest lne aN 8" 9�BK4'�3255 INITIALS e 16, All above ground facilities shall comply with the Municipal Code, including but not limited to Chapter 13.20. 16. Homeowner, contractors, and subcontractors 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 $26,000 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 Backfil 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 Municipal Operations Department, Parks and Street Trees Division. 19. All work in the public right-of-way must meet the approval of the Public Works 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. 2/23/2017 City of Newport Beach Page 4 of 10 4:30:37PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/24/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW .. ,A1P/0, Infarmatiot�' Activity : N2017-0045 SubType : NEW Status : APPROVED APPLICANT: AYALA ENGINEERING Phone : 714-823-7179 ricardo@ayalaengineering.cc Description : PERFORM MAINTENANCE TO EXISTING OCSD SEWER MANHOLES TO INCLUDE REMOVAL OF EXISTING FRAMES AND COVERS AND REPAIR OF ROAD PER CITY STD ' Requested Inspeclaor�Cs) � . Item: 10020 PERMANENT PAVING- PW Requested Time: 2/24/2017 12:00:OOAM Requestor: NBIVR 7148237179 Entered By: NBIVR pG� drtYs/r�� Comments: AM el pole - Assigned to Inspector: �,� Date: Z Zc{ /7 Time: 9. 'y� MOM Comments: 1 W-0 -r 40 a7-�, V `s'61 PA- y - Fat- S TV-'°s-L- i)�k' ,4 - MMU MyJd1l!� r111i r dC F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Ins ectorSheet.doc REPT131 Run Id: 4018 2127/2017 City of Newport Beach Page 5 of 8 6:35:01AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/27/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW Activity : N2017-0045 SubType: NEW Status: APPROVED Item: 10210 PUBLIC WORKS Requested Time: 2/27/2017 12:00:OOAM Requestor: Entered By: WEBUSER Comments: AM-Bayside N. of PCH - Pub.ROW/Asphalt Assigned to: zzzzzzzzzzz` Inspector: Date: 1, S-1 17 714-823-7179 Time: /; J,C AM 6) Comments: SEj T --LL Y" 13(A: G�N� ELF_ Fln pt�t F:\Users\PB W \Shared\E N C ROACH\MASTERS\FORMS\I ns oectorS h eet.doc REPT131 Run Id: 4018 2/28/2017 City of Newport Beach Page 6 of 11 6:34:03AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 02/28/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW Activity : N2017-0045 SubType: NEW Status : APPROVED APPLICANT: AYALA ENGINEERING Phone : 714-823-7179 ricardo@ayalaengineering.cc Description : PERFORM MAINTENANCE TO EXISTING OCSD SEWER MANHOLES TO INCLUDE REMOVAL OF EXISTING FRAMES AND COVERS AND REPAIR OF ROAD PER CITY STD Item: /Do zc, ��l✓ 't — ) Requested Time: 2/28/2017 12:00:OOAM Requestor: WEBUSER 714-823-7179 Entered By: WEBUSER Comments: AM-Bayside N of PCH - Pub. ROW/Asphalt Assigned to: zzz'zz>zzzzzz* l Inspector: a �a Date: - / -Z-0 1'% Time: 10 ' Ste' AM,)PM Comments: t F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc 1) REPT131 Run Id: 4018