Loading...
HomeMy WebLinkAboutN2017-0614$� City of Newport Beach ['�I II e c� t 100 Civic Center Drive, Newport Beach, CA 92660 II II �IIIIII III III II�ll 0 lull ll111111 Permit No: N2U'�7-661 ':. N 2 0 1 7 0 6 1 4 F o-r Permit Counter Phone (949)644-3311 Project No : 2224-2016 .: , Online Inspection Request- www.newportbeachca.gov/ Online E) €;� ! Services Inspection Requests Phone (949)644-3255 Job Address : 615 BEGONIA AVE NB Thomas:Guide: 919E2 Description: REMOVE EXISTING CARRIAGE WALK AND INSTALL NEW GRAY CONCRETE CARRIAGE WALK, INSTALL 2 NEW CURB CORES PER STD 184-L. Parcel#: 4590-851-9 - Legal Desc : CORONA DEL MAR BLK 629 LOT 15 Owner: Address: WATERPOINT PROPERTIES LLC 180 GLENDORA STE 202 eM 17p Y GLENDORA CA 91741 Applicant: BUILDING WORX INC Phone: 909-373-7461 [ Address: 8780 PRESTIGE CT RANCHO CUCAMONGA CA 91730 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Permit Processing Fee: $241.00 Sewer Connection: $0.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 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: Date Date : —/—/— Date Date Contractor: BUILDING WORX INC Phone: 909-373-7461 Address : 8780 PRESTIGE CT RANCHO CUCAMONGA CA 91730 Contractor State Lic: 901795 License Expire : 08 31, 2018 Business License: BT30040115 Business Expire : 07 31, 2018 Workers' Compensation Insurance - - Carrier: STATE FUND Policy No: 9116685 W. C. Expire: 06 01, 2018 Total Fee $571.00 Paid: $0.00 Balance: $571.00 Receipt No: Other Department : Date Permit Denied Date .1 Issued Permit : { Date MORWR THESE PROJECTADDRESSi -' i DETAILED DESCRIPTION OF PRO OSED WORK: Phone: 0Z 4t5 APPLICANT: I l kjf Email Address: l(/1� `L/,/Vv* f' / , ft Mailing Address: City/State/Zip: Phone: OWNER: Email Address: Mailing Address: City/State/Zip: 0 CONTRACTOR: ooildi, A Lw�>c IR_ qqj% Office Phone: Company (if different): lJobsite, Phone: Other Phone: Email Address: Mailing Address: /96- Al, State Licenl74umber &Class: gee % Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: REUNOABLE.PEPS$1T)NfORIIiIAIQN.{(fApp/ts�iiil€) '? ...... etlRefundTo;, , ,,. '' C { Li y W +I' k h A 4rv1T 'IAPST' : M SFOI�.�f HIDE. SE�yY:, Special Conditions of Permi �C - llg Qu(Ao pbDITlOffALAPPR!]VALREQUIREpFRQM f�IEFOLL�511�1IilDEPAIYTMEli1F. Utilities: Traffic: Fire: General Services: Other: Engineering Technician: Pu rks Specialist: Date: Permit No. i L) fJusem/pbrWshamdlencmachfmaste Wep% afMheeLxl q -20 / � Public Works Department 949-644-3311 I 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 rejection/fine. 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 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. 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. 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. 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. 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. 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 thou 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. 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. 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) certify that I have a Certificate of consent to self -insure, Certificate of Worker's Com a aid Insurance, or a Certified Cggqppy tJpereof, Dateli Signature4�/// CERTIFICATE OF EXEMPTION (Section 3800 Labor 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 Encroachment Permit Inspection is required by calling Public Works at 949-644-33111. / /1'W1 15. Any above ground utility facilities will require documented 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 debfis 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 permit and/or additional fees. Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Street/AlleyNValk Closure: Traffic Control Plan Check 8-1/2" x 11" 24" x 36" Additional Qy Inspection Fee: $241.O0 ) Public Works Field Inspection $165. $275.009 Utilities Field Inspection $121.00 ,E] General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $.00 $192192.00 Refundable Deposit: TBDE] $502.00 Improvements TBD $65.00= Newspaper Rack Inspection $108.00 0 $65.00 Sewer Connection Fee $250.00 $143.00� 4TT Box & Cover $64.00 Certificate of Compliance Fee (+1o0%ofhrlyover 3 hrs) Development Services Fee (Plan check hourly) Final Tract Map Checking Fee Final Parcel Map Checking Fee - Moderate Lot Line Adjustment Fee Park Dedication Fee Zone _ Street Easement/Vacation Fee (+100% of hriy over 4 hrs) Street Tree Fee ($700 Planting Fee) $155.00 $1, $1, 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470 5200-5031 030-2284 ---------------------- Engineering Tech: Total Amount Due: For Finance use only /) .nn Permit Speciali Receipt No. f/users/pbwlsharedlencroarh/masters/ep front and back masters/ 1118117 G: 11/8/2017 epfeesheet.xls-revised ,121712017 City of Newport Beach Page 6 of 16 4:30:63PM INSP15O - Daily Inspection Request Report Requested Inspection Date: 12/08/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 615 BEGONIA AVE Activity : N2017-0614 SubType: NEW Status: APPROVED OWNER: WATERPOINT PROPERTIES LLC Phone : APPLICANT: BUILDING WORX INC Phone : 909-373-7461 ryqn@buildingworxinc.net Description : REMOVE EXISTING CARRIAGE WALK AND INSTALL NEW GRAY CONCRETE CARRIAGE WALK INSTALL 2 NEW CURB CORES PER STD 184 L s.,e �T 44.E �,'4 .+:` p �`RsgUes etl,Inspec ion S) , 4hE '..k. n w¢ `�. '. I.." a - Item: 10200 PRE JOB - PW Requested Time: 12/8/2017 12:00:OOAM Requestor: WEBUSER 949-842-0636 Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz' Log 19 faf°t 1/8/2018 City of Newport Beach Page 1 of 8 15 ,!14:06AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/08/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 615 BEGONIA AVE AIPID'lnficu'i`nai%na " ` . Activity : N2017-0614 SubType: NEW Status : APPROVED OWNER: WATERPOINT PROPERTIES LLC Phone : APPLICANT: BUILDING WORX INC Phone : 909-373-7461 ryqn@buildingworxinc.net Description: REMOVE EXISTING CARRIAGE WALK AND INSTALL NEW GRAY CONCRETE CARRIAGE WALK. INSTALL 2 NEW CURB CORES PER STD 184-L. Regyeslme�it insectiortii{s) Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 1/8/2018 12:00:OOAM Requestor: NBIVR 9498420636 Entered By: NBIVR Comments: AM Assigned to: Inspector: �")kI Date: Comments: � h� A8 Time F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc f REPT131 Run Id: 4018 1/16/2018 City of Newport Beach Page 3 of 12 16:34:3zAM INSP1SO - Daily Inspection Request Report Requested Inspection Date : 01/16/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 615 BEGONIA AVE AIP/D information: Activity : N2017-0614 SubType: NEW Status: APPROVED OWNER: WATERPOINT PROPERTIES LLC Phone : APPLICANT: BUILDING WORX INC Phone : 909-373-7461 ryqn@buildingworxinc.net Description : REMOVE EXISTING CARRIAGE WALK AND INSTALL NEW GRAY CONCRZTE CARRIAGE WALK, INSTALL 2 NEW CURB CORES PER STD 18 - . Requested Inspection(s) Item: 10110 rVa l f� �` 7 Requested Time: 1/16/2018 12:00:OOAM Requestor: BIVR Entered By: NBIVR 98420636 Comments: AM Assigned to: }} Inspector: V y Date: , Time: AM PM \ Comments: C/4t&i2 e7o i2_M S C Pee S:12 Q- L . JJ - r�-7 '70 F: \Users\PB W \Shared\ENCROACH\MASTERS\FORMS\I n soectorS heet.doc 1i17/2018 City of Newport Beach Page 1 of 8 4:34:17AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/17/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 615 BEGONIA AVE A/PiD Information: Activity: N2017-0614_, SubType: NEW Status : APPROVED OWNER: WATERPOINT PROPERTIES LLC Phone : APPLICANT: BUILDING WORX INC Phone : 909-373-7461 ryqn@buildingworxinc.net Description: REMOVE EXISTING CARRIAGE WALK AND INSTALL NEW GRAY CONCRETE CARRIAGE WALK. INSTALL 2 NEW CURB CORES PER STD 184-L. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 1/17/2018 12:00:OOAM Requestor: Entered By: NBIVR Comments: AM Assigned to: Inspector: Date: t 1 1-7 /I b NBIVR 9498420636 Time: t -� AM6; Comments: iOtvTx--At- TD r�- SslP4 G91 F:\Users\PBW\SharedkENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131 Run Id: 4018 1149/2018 City of Newport Beach Page 14 of 18 �� :34:38AM INSPI50' Daily Inspection Request Report Requested Inspection Date : 01/1.9/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 615'BEGONIA AVE Activity : N2017-0614`' SubType: NEW Status : APPROVED OWNER: WATERPOINT'PROPERTIES LLC Phone`: APPLICANT: BUILDING WORX INC Phone": 909-373-7461 rygn@buildingworxinc.net ` Description : REMOVE EXISTING CARRIAGE WALK AND INSTALL NEW GRAY CONCRETE CARRIAGE WALK, INSTALL 2 NEW CURB CORES PER STD 184-L Item: 10250 FINAL - PW Requested Time: 1/19/2018 12:00:OOAM Requestor:WEBUSER 'Entered By B ER r— 909-781-8170 Comments: PM- U`' /y `3� z i��'7 Assigned to: zL�Zzz` Inspector: l ( !Date: J D - Time AM PM Comments:' F:\UserskPBkAAShared\ENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131: -- Run Id: 4018 �gwrr,� City of Newport Beach II�IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II Permit No: N2014-0113 c+ - 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Project No: u.. Online Inspection Request- www.newportbeachca.gov/Online nN¢r Services Inspection Requests Phone (949)544-3255 Job Address : 3440 IRVINE AVE NB Thomas:Guide: 889D1 Description : Remove the sidewalk to repair broken Costa Mesa Sanitation District (CMSD) sewer pipe. Repair of concrete sidewalk to be performed under separate permit. *"'CMSD PERMIT MAY BE REQUIRED FOR SEWER REPAIR.."` 'CANINE® Parcel # : 4393-620-7 - Legal Desc : TR 706 LOT 78 SWLY1/2 Owner: ROWS 1986 PARTNERS Contractor: O C PLUMBING Phone: 0 Phone: Address : 3440 IRVINE AVE Address: 361 OAK PLACE SUITE P NEWPORT BEACH, CA BREA CA Contractor State Lie: 859290 Applicant: O C PLUMBING License Expire : 08 31, 2015 Phone: [ Address -Business License: BT30045960 Business Expire: 01 31,2015 Special Cond.: Preconstuction meeting required with Workers' Compensation Insurance - - Public Works inspector. Carrier : EMPLOYEE SERVICE GROUP COSTA MESA SANITATION DISTRICT Policy No: 429030 PERMIT MAY BE REQUIRED. W. C. Expire: 07 01, 2014 Permit Processing Fee : $242.00 Sewer Connection: $0.00 Total Fee $396.00 Agreement Fee: $0.00 4Tf Box Cover: $0.00 Paid : $396.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $154.00 Water Meter Connection : $0.00 Receipt No: ZQ _ 44so+ 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 : 1—� Date: S/ [� /1'4 General Services Approval : Date : _/_/_ 0 .T2v lAJf_ AV 1—. xLA%, -T— !S s o&H r— (CANT: OGPc01" j3I1v(T Phone: 7jt/-2S6- Address: g Address: p Citty(/State/Zip: 04(4- n+&C, SJ18L V !�2`Li G4 0j2b'� :R: �W Phone: gY9-3ZC' Address: g Address: City/State/Zip: y0-; V",f-A-VL /t w�"7-/dGfrrff�« ;/iLL;CONTRACTOR,INFORM/ TI,QN IS REQUIt EbYPLEASE� M RACTOR: ©C pL(jM61V — Office Phone: ?lq-2 any (if different): Jobsite Phone: 71 Y-r Other Phone: ill Email Address: JEiVive— cc, - Mailing Address: City/State/Zip: 6/ 0A1� P sort- Sz( State License Number & Class: City Business License Number: S L O G-3(,7 G(-/ Expires: IS__13 t; O Expires:/ WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Comnanv: LO"I/5'VLl' 'S Policy No: L129 03 0 Expires: ->/`i Conditions of Permit: Utilities: Traffic: Fire: 0 General Services: Other: Engipje/ertin�g Technician: Public Works Specialist: Date: Permit No. Imo, tIv Q I �1014 N2014- 0113 f:lusers/obw/shared/encfoach/masters/eoworksheet.xls Uc,P-V"A( 4 poly') Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: tt, . Inspection Fee: Public Works Only $242.00 (I) I Public Works Field Inspection $154.00ffl 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"x36 $139.00�' Additional .Y I::....:. 2 Meter32 84 + 195 75 $2 i ...5..0..............J.. .1 Q Budget Number Certificate of Compliance Fee (+l 00% of hriy over 3 hrs) $288.00 5200-5029 Development Services Fee TBD 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 6200-5027 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/VacationFee (+100%ofhriyover 4hrs) $983.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance Use only `Sr Public Works Specialist: Receipt No. Rev. 12-01-2013 fluserslpbwlshared/encroach/mesterstepfeesheet.xls-revised Decemb :r2013 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 Ins rance, 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 a permit, is subject to rejectiontfine. City reserves the fight to void permit if work does not commence within 30 days Date: r / Signature: after date of issuance. / 2. The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and CERTIFICATE OF EXEMPTIO Section 3800 Labor Code) 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 pennit. 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 of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances: after signing this certificate I become subject to the Worker's Compensation 4. Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall provisions ons of the State Labor Code, I must comply with the provisions of Section be corrected within two weeks after notification to the satisfaction of the Public Works Director. 3700 this shall be deemed revoked. s per mit 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 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. I 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 vrithin 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. 9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual ns- p - -- -- -- -y- - --- -- _ —,. �nsper:.fiOns should be. requested by Calking th IIC WorksInspeCtlon_ signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the Request Line at: 949-644-3255.. INITIALS: 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 15. All above ground facilities shall comply with the Municipal Code, including but not limited 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. Check a License - License Detail - Contractors State License Board Page 1 of 2 DEPARTMENT OF CONSUMER AFFAIRS Contractors state License Board Contractor's License Detail - License # 859290 ADISCLAIMER: 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 c 859290 AND RESIDENTIAL INC dba O C PLUMBING Business Information Business Phone Number: (714) 256-2324 361 OAK PLACE SUITE P License Status Extract Date 3/11/2014 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION Classifications C$6__..- PLUMBING C42 SANITATION SYSTEM �`CONTRA�TOR'S BOND This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number: SC6067926 Bond Amount: $12,500 Bonding Effective Date: 03/02/2009 Contractor's Bond History BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) GLAZIER KEVIN ROBERT certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. https://www2.cslb.ca.gov/OnlineServices/CheckLicenseIIlLicenseDetail.aspx?LicNum--8... 03/11 /2014 Check a License - License Detail - Contractors State License Board Page 2 of 2 Effective Date: 07/16/2008 BQI's Bond History WORKERS' CO ,,........., __....... ....,.......,.. ..., .� ... ..............� , ...,............. MPENSATION An employee service group holds the workers compensation insurance. Policy Numbeer290330 Workers' Compensation Effective Date: 07/01/2012 Expire Datolt07/01/2014 Workers' Compensation History .......... ........ .---- .......... _.__ __ .... _._._.__. --------------- ---------- -- DATE DESCRIPTION Miscellaneous Information 08/25/2005 LICENSE REISSUED TO ANOTHER ENTITY Personnel List Conditions of Use I Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII[LicenseDetail.aspx?LieNum=8... 03/11 /2014 Cust Page I of I Encompass Detail Acct. Type: Business-T.kx License #• (BT30045960 Bus. ll :-0074531_—J Name: OC PLUMBING Owner Name: KEVIN GLAZIER Owner Phone: 714-476-4651 Owner Type: C---- _, Exp. Date:�1/31/2015 S Addy'`3ei-OAK--P1�ACE SUITE P City, St, Zip: BREA, CA 92821 B Addr1: 361 OAK PLACE SUITE P B Addr2: B Addr3: BREA, CA B Zip: 92821 Phone: 714-256-2324 FEIN: 0862 SEIN: 2751405 Established: 1 /2212014 SIC: 1711 -PLUMBING, HEATING & AIR-CONDIT # of Emps: 0 usr1: 563404 usr2: usr3: usr4: usrS: usr6: 187292927 usr7: Emergency Contact Info Contact: ???? Phone: ???? http://apps.citynet.newportbeachca.jzov/masterid/ENC detail CP.asn?EID=BT30045960 03/11/2014 1/22/2018 City of NeWport Beach Page 13 of 14 4:1 :48PM INSP160 - Daily Inspection Request Report Requested Inspection Date: 01/23/2018 Inspection Type : ENCROACH Inspection Area : PW' Site Address: 3440 IRVINE.AVE Activity : N2014-0113 SubType: Status : APPROVED ' OWNER: ROWS 1966 PARTNERS_ Phone:: 0 Description : Remove the sidewalk to repair broken Costa Mesa Sanitation District (CMSD) sewer pipe. ' Repair, of concrete sidewalk to be performed under separate permit. *CMSD PERMIT MAY BE REQUIRED FOR SEWER REPAIR;"' Item: 1102,60 FINAL - PW Requested Time: 1/23/2018 12:00:00AM Requestor:; WEBUSER Entered By: WEBUSER'" Comments: ANY - Assigned zzzzzzzzzzz* S to: I COIWI'PLETED