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N2017-0290
�wr„ City of Newport Beach II IIIIIII�III�IIIIIIII�III�IIIIIIIIIII�IIII II Permit No: N2O1 T-O29�i '4 fi 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 9 0 9 Project No : 1882-2014SCANNEs Permit Counter Phone (949)644-3311 a Online Inspection Request- www.newportbeachca.gov/Online '�c+.au*�,.,r.. Services Inspection Requests Phone (949)644-3255 Job Address : 4645 ORRINGTON RD NB Thomas:Guide: 919G4 Description : NEW V WATER SVC PER STD 502-L, ABANDON EXISTING WATER SVC @ MAIN. NEW CURB DRAIN PER STD 184-L, CONSj �G�I g S ``��% RAMP PER CITY STD, PLUG Rr'jj CC VI V V EXISTING DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW SIDEWALK PER STD 180-L. Parcel # : 4750-510-9 - Legal Desc : N TR 3357 LOT 63 Owner: MASANAO TOMOYA Contractor: GALLO BUILDERS INC Phone: 949-499-6244 Phone: 949-683-3500 Address: C/O MARK SINGER Address: 1278 GLENNEYRE ST #412 1100 BALBOA AVE LAGUNA BEACH CA 92651 LAGUNA BEACH CA 92651 ` w39 Contractor State Lie: 852218 Applicant: GALLO BUILDERS INC Expire: License 01 31, 2019 Phone: 949-683-3500 [ Address : 1278 GLENNEYRE ST #412 LAGUNA BEACH CA 92651 Business License: BT30028998 Business Expire : 08 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier: BENCHMARK INS Policy No: CST5009111 W. C. Expire: 11 20, 2017 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee $1,600.50 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $1,600.50 Traffic control Plan Check : $0.00 Total Water Meters : $649.50 Balance: $0.00 Inspection Fee : $660.00 Water Meter Connection : $528.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $50.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date: _/_/_ Other Department : —Date: Utilities Approval: Date: _/ / Permit Denied Date : y ' J,af/ � Traffic Approval: Date:_/_/ Issued Permit: Date: General Services Approval : Date : _/_/_ il NN /R lly^,�y� MCA`" gQ PN �§ �.iI�, S'f'�Z1AR14y� �-0f -1t 'lr� 3t� COMPLETE THE BELOW INFORMAT ON' PROJECT ADDRESS: f nlllnl 0 DETAILED) , IPTION OF PROPpSED WORK: ,�� , (( L ortY o0gt I—e.(7 Si��L Phone: /PYci • G 8 3. 5`7Z41 APPLICANT: M( (ItS Email Address: It i t/ f&e PL Mailing Address: //d"S Al. C+ .rr #Ic!! City/State/Zip: GrE✓r✓ (5'Lrarla � c12is/ OWNER: e n o R QSAr'9 o Phone: GYf •%%T ci %� Email Address: /'tile �Ir/�—o F�vir rSf �C= C&4, Mailing Address: _ City/State/Zip: W' 1L,`L`C2NTI AGTOR;INFORIIAATION IS',REQUIREQMCEASE`CrOMpLETE CONTRACTOR: ,6A6(.W eu4.9g S .5:-t-iG. Office Phone: �w�' 7(S•GISIS Company (if different): lJobsite Phone: C/ f(7 • 6 $ - Other Phone: Email Address: µlye (off u1���rp pylo GoM Mailing Address: Iles N, coPsf ldirn�+� C'tyJs6tVr'� Ge State License Number & Class: $ Sa.- 21$ "$ " Ex ires: 1 Y/ / City Business License Number: 7-7 00Z-6gar1b Expires: S LTI 1'J I WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: 13Qr'C44-M%f'W__ Polic No:C YO-9l l l Expires: t ((910/'1 ]Municipal O erations: 949-6443066 Utilities: 9496443011 Urban Forestry: 949-644-3083 FOR QFFIGE°USE ONLK Special Conditions of Permit-) ADDItIQIJAL"APPROVAL-REQUIREDR�M THE FOLLOWING DEPAIRT,MENTS Utilities: Municipal Operations Traffic: Fire: 0 Other: Engineering Technician: Permi p cialist Mate, I I Permit No. N2017- OO M f./users/pbw/shemd/encman/masters/epmo sheet xis Q fool. 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 StreettAlleyfWalk Closure: Traffic Control Plan Check 8-112" x I 24" x 36" Additional $241.0 $275.00 $817.00 q $192.00 $502.00 $65.00= $65.00 $143.00 N2017- U1-ein [U Inspection Fee: t . Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover TBD TBD $108.00 $$64,0000B 64. 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 EasementlVacation Fee (+100%of hrlyover 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBDI 030-2284 Engineering Tech: Total Amount Due: j `�t + (ccv ..151�1 For Finance use only t 1 Permit I' It Receipt No. ; /p��j\ Y - Rev. 1/5/2017 f /users/pbw/sharetl/encroach/masters/ap front and back masters/ epfeesheet.xls-revised 1021/2016 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 unifier 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 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. 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 orderedlpoured. 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 fie: 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. 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 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 daysby 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, Cert'ftate of Worker's Ci6moensation Insurance. or a Certified Coowthereof. / i CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 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 1 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 required by calling u tic Works at 949-644-3311. 15. Any above ground utility facilities will require documented approval from the adjacent affected property owner(s). 16. Homeowner, contractors, and subcontracotm 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 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 perm/ and/or additional fees. �� iIo IQ m �� m ;. "7110/2017 City of Newport Beach Rage 1 of 10 4:30:13PM INSP150 - Daily Inspection RequestReport_ Requested Inspection Date: 07/11/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address:. 4645 ORRINGTON RD, Activity : N2017-0290 SubType: NEW Status : APPROVED OWNER: MASANAO TOMOYA Phone: 949 499-6244 APPLICANT: GALLO BUILDERS INC Phone : 949-683-3500 Description : NEW 1" WATER SVC PER STD 502-L, ABANDON EXISTING WATER SVC 6 MAIN. NEW CURB DRAIN PER STD 184-L, CONSTRUCT NEW CURB ACCESS RAMP PER II CITY STD, PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L, CONSTRUCT NEW DRIVEWAY APPROACH PER STD 162-L, NEW SIDEWALK PER`STD 180-L. jItem: 10200 PRE JOB - PW C., S 0 Requested Time: 7 - Requestor: NBIVR Entered By: NBIVR 22✓��194496835725 L®Yc9ed Comments: AM I�'v — Assigned to: Inspector: J �� Refill Date: 711 1-7 Time: M M Comments: ";rs w� F1G� SfkL iGoti�. v) 45 lty 0T12s' <c o, rd- A,, dv � secs s S 6 Y sLci s.D' ® 12 PF, J CDili C . &'1> <4�f- L-&e'✓ Geri ' G>cw®ALG H-7— 7-�r- . 2 WU 3 T- LAf'C411.1fx2:,r 6 oyC 4 LA - F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131_ -- Run Id: 4018 LEGEND CONCRETE PAVEMENT A.C. PAVEMENT FF FINISH FLOOR PE PAD ELEVATION TC TOP OF CURB FL FLOW LINE TG TOP OF GRATE (105.62) EXISTING ELEVATION 105.55 T. C. - 105- - EXISTING CONTOUR FS FINISH SURFACE FG FINISH GRADE TW TOP OF WALL INV INVERT ELEVATION GF GARAGE FLOOR DS DOWN SPOUT HP HIGH POINT FG FINISH GRADE TP TOP OF PLANTER CONSTRUCTION NOTES: 1U CONST. RESIDENTIAL DRIVE APPROACH TYPE 1, PER CITY STD.162-1- (W = 25'; X = 4') 2� CONST. CONC. PAVEMENT 6" THICK (J3 CONST. CONC. PAVEMENT 4" THICK 4� CONST. SLOT DRAIN PER DETAIL HEREON �5 CONST. PLUG FOR ABANDONED DRIVEWAY PER CITY STD. 165-L © CONST. CONC. SIDEWALK PER CITY STD. 180-L 7� SAW -CUT AND JOIN EXIST. PAVEMENT ® CONST. 4" 0 PVC, SCH. 40 OR APPROVED EQUAL DELETED 10 EXIST. CLEANOUT, PROTECT IN PLACE 11 CONST. WATER FEATURE PER ARCHITECTURAL PLANS 12 CONST. BRIDGE PER ARCHITECTURAL PLANS 13 CONST. 12" x 12" AREA DRAIN PER NDS PART NO'S. 1216 & 1214 14 CONST. PRIVATE DRAIN THROUGH CURB PER CITY STD. 184-L 15 CONST. 12" WIDE BY 12" DEEP A.C. PAVEMENT 16 DELETED 17 CONST. AREA DRAIN PER NDS PART NO. 11 OR APPROVED EQUAL 18 DELETED 19 CONST. FIREPIT PER ARCHITECTURAL PLAN /A !^AKICT All v A" ADDA IIDAIKI DCD kirw DADT Kill AAn nO ADDDAVCII C1111A1 CONSTRUCTION NOTES: 1O CONST. RESIDENTIAL DRIVE APPROACH TYPE 1, PER CITY STD.162-L LEGEND (W = 25'; X = N) J CONST. CONC. PAVEMENT 6" THICK CONCRETE PAVEMENT O CONST. CONC. PAVEMENT 4" THICK A.C. PAVEMENT FF FINISH FLOOR ® CONST. SLOT DRAIN PER DETAIL HEREON PE PAD ELEVATION O CONST. PLUG FOR ABANDONED DRIVEWAY PER CITY STD. 165-L TC TOP OF CURB © CONST. CONC. SIDEWALK PER CITY STD. 180-L FL FLOW LINE O7 SAW -CUT AND JOIN EXIST. PAVEMENT TG TOP OF GRATE ® CONST. 4"0 PVC, SCH. 40 OR APPROVED EQUAL (105.52) EXISTING ELEVATION DELETED 905.55 T.C. — io5— - EXISTING CONTOUR 10 EXIST. CLEANOUT, PROTECT IN PLACE FS FINISH SURFACE 11 CONST. WATER FEATURE PER ARCHITECTURAL PLANS FG FINISH GRADE 12 CONST. BRIDGE PER ARCHITECTURAL PLANS TW TOP OF WALL 13 CONST. 12" x 12" AREA DRAIN PER NDS PART NO'S. 1216 & 1214 INV INVERT ELEVATION 14 CONST. PRIVATE DRAIN THROUGH CURB PER CITY STD. 184-L GF GARAGE FLOOR 15 CONST. 12" WIDE BY 12" DEEP A.C. PAVEMENT DS DOWN SPOUT 16 DELETED HP HIGH POINT 17 CONST. AREA DRAIN PER NDS PART NO. 11 OR APPROVED EQUAL FG FINISH GRADE 18 DELETED TP TOP OF PLANTER 19 CONST. FIREPIT PER ARCHITECTURAL PLAN nnkll*r ell -p" AMC noAIM oeo nine MADr Kin 9AA no AMOOnVCn Ent C SECTION C-C 1" = 10' ?' PONDING -PTH — )P T v 112 110 z106 106 104 25 102 100 26 98 2s 2s 30 4"0 PVC SCH. 40 31 ' 32 EXIST. SLOPE 33 R M O L� 35 36 R A NSHOWN ON PLAN 3© 38 CONCRETE PLANTER DET. 7.5' & 15' LONG, INSIDE DIMENSION 44 39 (NTS) 40 wrva 1. s w rv%,, ours. ffu EXIST. CURB & GUTTER, PROTECT IN PLACE EXIST. TREE, PROTECT IN PLACE EXIST. SIDEWALK, PROTECT IN PLACE EXIST. WALL, PROTECT IN PLACE REMOVE EXIST. STRUCTURE REMOVE EXIST. WALL REMOVE EXIST. DRIVE APPROACH REMOVE EXIST. SIDEWALK REMOVE EXIST. PAVEMENT REMOVE EXIST. TREE REMOVE EXIST. POOL CONST. METAL FENCE PER LANDSCAPE ARCH. PLANS CONST. WALLS (VARIABLE HEIGHTS) PER SEPARATE PLAN CHECK CONST. CURB ACCESS RAMP, CASE "H" PER CITY STDS. 181-L-B & CONST. CURB ACCESS RAMP, CASE " L" PER CITY STDS. 181-L-B & CONST. PLUG FOR 3"0 PIPE IN EXIST. SIDEWALK REMOVE EXIST. OUTLET OR DRAIN CONST. 1" WATER SERVICE PER CITY OF NEWPORT BEACH STD. EXIST. WATER SERVICE / METER TO BE ABANDONED AT MAIN CONST. CAISSON ON GRADE BEAM PER STRUCTURAL PLANS CONST. CURB ACCESS RAMP DETECTABLE WARNING SURFACE PER CITY OF NEWPORT BEACH STD. 181-L-D ® CONST. CONC. PLANTER BOX PER STRUCTURAL PLANS MI Qa � ;:: TRACT 3357 FF 106.50 PE 105.7 Existing residence IB Existing residence . . . . . . . . . . B FF 106.50 p ? I a "T -'1�0�492 NR Lo v z 2 11 1 C31 ri,6MI I to -, z 100!d (106. )TC I �) EXIST. CONC --;kND -G 7 UTTEF to z 106.51 TC - OC (:Wrmanhole 40 EXIST. CO C. CURB A G I �) ol Ll� Iz Ol* I-- I