HomeMy WebLinkAboutN2018-0071City of Newport Beach100
Civic
Counter Pho(949)644- Drive,
Beach,
11 CA 92660 N 2 0 1 8 0 6 7 1
Permit
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u . Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address : 1801 W COAST HWY NB
Description: INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L.
Parcel#: 0491-610-1 -
Legal Desc : IRVINE SUB LOT IRREG 2.16 AC M/L IN TRACT
Owner: COUNTY OF ORANGE
Phone: 0
Address : 13042 OLD MYFORD RD
IRVINE, CA
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078[
Address: P 0 BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
AF r°HFEa ' 1l
Permit Processing Fee :
$241.00
Sewer Connection :
$250.00
Agreement Fee:
$0.00
4TT-$ex-Cover :
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$495.00
Water Meter Connection :
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date:
Utilities Approval :
Date:
Traffic Approval:
Date:
General Services Approval :
Date :
Permit No: N2018-0071
Project No :
Inspection Request
Thomas:Guide: 888J6
Contractor: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078
Address : P 0 BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License:
BT96014951
Business Expire :
12 31, 2018
Workers' Compensation
Insurance --
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire:
10 01, 2018
Total Fee $1,050.00
Paid: $1,050.00
Balance: $0.00
Receipt No:
Other Department : Date : _/_/_
Permit Denied Date : _/ ,/_
Issued Permit: Date `�// `a/
r
N'
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
1801 w caasT HWY
DESCRIPTION OF WORK:
INSTALL SEWER LATERAL & CLEAN -OUT PER 406-L
APPLICANT: MIKE KILBRIDE Phone: 949-289-0078
Mailing Address:
PO BOX 3341
CitylStatelZip:
NEWPORT BEACH, CA 92659
OWNER:
Phone:
Mailing Address: City/State/Zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (If different): lJobsite
COAST WATER AND POWER 1
Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
City/StatelZip:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, 0, G10
City Business License Number.
OT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE.- Certificate of Insurance (Section 3800 Labor Code)
Company: STATEFUND Policy No: 9087110-14-2 Ex Tres: 10/1/2018
REFUNDABLE DEPOSIT INFORMATION (/f A l/cable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
j]
IMailing Address: PO BOX 3341, NEWPORT BEACH CA 92659
941
Special Conditions of Permit,
MUM
Utilities: Traffic: O
General Services: Other:
Engineering Tech 'clan:
Publi k Specialist:
Date:
Perm �iit+ljNo.
N201.9 -1
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Permit Processing Fee:
- -
Public Works Only $241.00�
(T ,,
Other Department $275.00
Agreement Fee:
Preparation of ReportlAgreemont $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
$165.0
$121.0
$165.00
$108.00
StreetlAlleytWalk Closure: $65.00= Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.Otl ,
24" x 38" 143.00H _ 4TT Box & Cover $84.00 1�
^ Additional
E THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE ___revenue DNlsIoin
(Water Meter:
Installation Charge
$528.00=
1314" Meter
$60.25
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box
$96.66
i1 1 /2" Turbine Meter
$700.00
2" DFW Meter Box
$203.24�
12" Meter
$425.00
12 Turbine Meter
$845.00
13" Meter
$3,310.00
14" Meter
$4,730.00
16" Meter
$7,190.00
Certiilcate of Compliance Fee (+100% of hrry 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
5200-6025
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_
StreetFasemthri Vacation Fee (+100%ofhdyover4hrs)
$1,022.00
8200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Tot I Amount Due:
For Flnancs Ose only
Permit S e lal it
Receipt No.
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Rev. 11/8/2017
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= WATER METER BOX
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ADDRESS
1v 01 W o &
Permit No. 0 % 0031
1/31/2018
STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION
ENCROACHMENT PERMIT
TR-0120 REV. 6/2012
Print Permit
Permit No.
12-18-6-MC-0011
'
1M[ColRtelPM
In compliance with:
12 / ORA 11126.048
en It Approval Date
®Your application of
01l31/2018
,Tannery 4, 2016
ee Paid
Deposit
❑ Utility Notice No.
Of
820
edormance Bond Amount (1)
Payment I
❑ Agreement No.
of
0. 00
Is 0.00
and Company
❑ R1W Contract NO.
Of
nd Number (1)
Is and Nun
TO: COAST COMMUNITY COLLEGE DISTRICT
1370 Adams Avenue,
Costa Mesa, CA 92626
Attn: JEFF HERBERT
714-432-5826
,PERMITTEE
and subject to the following, PERMISSION IS HEREBY GRANTED to
Install, maintain, and remove temporary traffic control to install sewer lateral tie-in
under sidewalk within State Right of Way at 1801 West Coast Highway in the City of Newport
Beach.
All performed work shall be in accordance with current Caltrans Standard Specifications and
Standard Plans, the Encroachment Permits Manual, the latest edition of California MOTCD,
the attached Provisions, and Permit plan stamp -dated JANUARY 04, 2018.
Permittee shall contact Shahryar Deravi, State Permit Inspector, at 657-328-6403 between
10:30 AM and 1:00 PM a minimum of five working days prior to the start of work and a pre -
construction meeting will be scheduled at the earliest mutually agreeable time. Failure to
comply with this requirement will result in suspension of this permit.
THIS PERMIT IS NOT A PROPERTY RIGHT AND DOES NOT TRANSFER WITH THE PROPERTY TO A NEW OWNER
The following attachments are also included as part of this permit (Check applicable):
E Yes
❑ No
General Provisions
In addition to fee, the permittee will
❑ Yes
N No
Utility Maintenance Provisions
be billed actual costs for:
❑ Yes
N No
Storm Water Special Provisions
N Yes ❑ No Review
NYes
❑ No
Special Provisions
NYes El No Inspection
❑ Yes
END
A Cal -OSHA permit, if required: Permit No.
E Yes ❑ No Field Work
❑Yes
N No
As -Built Plans Submittal Route Slip for Locally Advertised Projects
❑ Yes
N No
Storm Water Pollution Prevention Plan I Water Pollution Control Plan
(if any Caltrans effort expended)
0-Yes E No The information in the environmental documentation has been reviewed and considered prior to
approval of this permit.
This permit is void unless the work is completed before April 30, 2018
This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized.
No project work shall be commenced until all the other necessary permits and the environmental clearances have been obtained.
PERMIT ENGINEER:Ed Khosravl APPROVED:
COPIES TO:
Permtttee
File: 18-0011 \\\
S. Deravi Ryan Cha rlain, DI 'ct Director
Mainlenanos BY:
v%i MAHESH R. BHATT. P.E.. District Permit Engineer
hto:/looms/bin/crint oermiLoho7(d=211427 111
COAST COMMUNITY COLLEGE DISTRICT
121S-6MG-0011
JANUARY 31, 2019
ALL WORK TO BE PERFORMED EITHER FROM 9:00. AM - 3.30, PM MONDAY THROUGH FRIDAY
OR NIGHT'WORK
ANY EXCAVATION WITHIN STATE RIGHT OF WAY NEE, DS. TO BE BACKFILLED, AND
COMPACTED PER. CALTRANS STANDARDS.
STATE FACILITIES DAMAGED DURING AND WITHIN THIS PROJECT SHALL BE RESTORED
AND/OR RECONSTRUCTED PER CALTRANS STANDARDS,
The. following advance notificationprocedure•shall be followed for permitted work.activities requiring Traffic Control
within the State Right of Way:
By Noon Monday, permittee shal l submit,: completed copy of the attached District 12 Closure Schedule Forin to the
assigned Permit Inspector by email (as shown on the Closure Schedule Form) for the following week period, defined.as
Saturday through the following Friday. -If Monday is a designated holiday, the schedule shall be submitted on Tuesday.
Incomplete, illegible or inaccurate information will be returned for correction and resubmittai. Permittee/Pennittee's
contractor wi If be notified of disapproved closures or closures that require coordination with other parties as a condition of
approval. If email is unavailable,. the schedule may be called in by calling the assigned Permit. Inspector; and the
completed Form be submitted to the Permit Inspec tar during the,pre jab meeting.
• ADA Compllance requirements (DI6:82-05yshall be maintained and adhered to at all time:
Permittee shall contact the LOCAL LAW ENFORCEMENT JURISDICTION at least49 hours prior to implementing
traffic control measures. All closures shall conform to. State standards and. shall follow Chapter 8 of the Safety
Manual.
Except for.installing, maintaining and removing traffic control devices; any work.encroaching within 3 feet of the edge.
of a travel lane for areas with a posted speed limit below 45mph, or 6 feet of the edge of a travel lane, for areas with a
speed limit posted:at45mph or higher, shall require closing of that: travel lane. Any work encroaching within 6 feet of
the edge of theshoulder; shall require closing of that shoulder. Permittee shad notify the Department's
Representative, and obtain approval of; all traffic: control, lane closures or detours, at least seven (7) WORKING
DAYS prior to;setting up of anytraffic control:' Orange vests and hard hats shall be worn at all.times while working
within State right-of-way.
By acceptance of this permit, the permittee understands and agrees to reimburse the State for all costs incurred for
performing corrective work in the event that the permittee orpermittee's representatives fail to install, replace, repair,
restore, or remove facilities to state specifications for the immediate safe operation of the highway and satisfactory
completion of all permit work. State forces may perform corrective work.orit maybe contracted put Understood is
that the above charges are in addition to permit fees, and an invoice will be sent to permittee for said charges after
satisfactory completion of all work. The issuance of the permit Shall not set as. precedence for other permits approved
in the. future.
• It is the responsibility of the permittee, permittee's agents, or contractors to comply with all provisions of this permit
and instructions from the State permit inspector. Permittee shall keep the permit:package or copies thereof, et the
work site at all times and show it upon request to any Department representative or law enforcement officer. When the
permit package is not availabie;.then immediate suspension of permit will occur.
Permittee shall furnish the necessary inspection to provide for public safety and to insure thatall work within or
affecting the State's right of way pursuant to thispermit is in accordance with State.Standards and requirements. The
State permit inspectors;will monitor the work authorized under this permit and the work is subject to the approval of
the State permit inspectors.
Page i of
COAST COMMUNITY COLLEGE DISTRICT
1218-6MC-0011.
JANUARY 31, 2018
• Permittee.shall remain solely responsible for compliance: withall requirements -of this permit. -
Prior to performing any work pursuant to this permit, the permittee shall obtain all necessary permits and
authorizations required. of other governmental agencies and by law. The permitItee shall make the necessary
arrangements with the appropriate agencies to monitor and test performed work to ensure accordance with
requirements of those agencies,
American National. Standards Institute (ANSI) compliant Class II vests and hard hats shall be worn while working
within Staters rigWof-way. Workers working at night will be required to wear ANSI Class III warning garments. Class
III compliance can be achieved by combining ANSI Class E pants worn with an ANSI Class It vest.
• The State permit Inspector must ascertain .and agree to all work details and. all aspects of traffic control or no work
shall begin on this permit.
:If a safe passageway cannot be provided, appropriate signs and barricades shall be installed -at the limits and in
advance of constructionat the nearest Crosswalk or Intersection to detour pedestrians to facilities across the
street.
• When the. work area encroaches upon a sidewalk, walkway, or crosswalk area, special consideration must be
given to pedestrian safety. Protective barricades, fencing, handmilsand.bridges, together with warning and
guidance devices and signs must be utilized so that the passageway for pedestrians, especially ,Blind and other
physically handicapped is safo and well defined and shown on the approved permit plan.
• Personal vehicles of the C.ontractor's employees shall not be parked. on paved shoulders or traveled way within the
limits of this work.
• Unless otherwise approved by the State Permit inspector no work that interferes with public traffic shall be
performed on weekdays between 6:00 AM and g:00 AM, and between 3:00 PM and 6:30 PM.
• The full width of traveled way shall be open for use by public.trafficon Saturdays, and designated legal holidays, after
3:00 PM on Fridays and on the day preceding designated legal holidays, and when construction operations are not
actively in progress.
• Except as specifically provided herein, all requirements of the Vehicle Code and other applicable laws must: be
complied with in all particulars.
• No lane may be closed or obstructed:at any Gme unless specifically allowed per the encroachment permit, shown
in approved traffic control plans, andlor as directed by the Department's Representative.
The Permittee's work shall be. subordinated to any operations which the Department may conduct and shall not
delay, nor interfere with the Department's Forces or Departments Contractors.
• Should any deviation from these procedures or conditions be observed, all work shall be suspended until satisfactory
steps have been takento ensure compliance.
In.the event of any discrepancy between Permittee's Permit Plans and these Permit Special Provisions, these Special
Provisions shall'prevail.
Immediately following completion of the work permitted herein, Permittee shall flit out and fax the attached Work
Completion Notice to 657-128-6504 to initiate final permit processing.
Page 2 of 2
2/7/2018 City of Newport Beach Page 15 of 15
,6:34:34AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
Inspection Type:
Inspection Area :
Site Address:
Activity :
N2018-0071
SubType:
NEW
Status:
APPROVED
OWNER:
COUNTY OF ORANGE
02/07/2018
ENCROACH
PW
1801 COAST HWY W
Phone: 0
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Iescrintion : INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L.
Item: 10215 ROUGH UTIL
Requested Time: 2/7/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM-Mikep_mikekilbrideltd.com
Assigned to : zzzzzzzzzzz"
r o
Inspector: �/ Date: Time: AM PM
Comments:
G
/v /s ef
1111,070M./NEWS
�YiL
ME ,
y
F:\Users\PB W \S hared\ENCROACH\MASTERS\FORMS\I n soectorS heet. doc
2/20/2018
6:34:12AM
Activity
SubType
Status
City of Newport Beach
INSP15O - Daily Inspection Request Report
Requested Inspection Date :
02/20/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
1801 COAST HWY W
N2018-0071
NEW
APPROVED
Page 5 of 11
OWNER: COUNTY OF ORANGE Phone: 0
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L.
Item: 10040 SEWER LATERAL
Requested Time: 2/20/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz*