HomeMy WebLinkAboutN2017-0440City of Newport Beach II�I�III'll�lll�lll�lllll�f f �Illl�lf `III Permit No: N201 %-0440
.' 100 Civic Center Drive, Newport Beach, CA 92660
n; Permit Counter Phone (949)644-3311 Project No : 1115-2017
+g Online Inspection Request - www.newportbeachca.gov / Online `
"avuu'�4. Services
Inspection Requests Phone (949)644-3255
Job Address:
1820 SANDALWOOD LN NB
Thomas:Guide:
889C4
Description:
TWO (2) CURB SORES PER STD-184-L
Parcel # :
1174-731-8 -
SCANNED
Legal Desc :
N TR 3763 LOT 52
Owner:
COX BRIAN & LAURA
Contractor:
NEW WEST LANDSCAPES
Phone:
949-466-1984
�j
Phone:
949-661-2767
Address:
1820 SANDALWOOD LN
`
Address :
32158 CAMINO CAPISTRANO
NEWPORT BEACH, CA 92660
SAN JUAN CAPISTRANO CA 92675
Contractor State
Lie: 653313
Applicant:
MIKE MCCURDY
License Expire :
09 30, 2018
Phone:
7142927249 [
Address
Business License: BT30050648
Business Expire:
04 30, 2018
Special Cond.:
Workers' Compensation
Insurance - -
Carrier:
INS CO OF THE WEST
Policy No:
WSD50334280
W. C. Expire:
04 01, 2018
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Total Fee $406.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid : $406.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance : $0.00
Inspection Fee :
$165.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit:
Street Tree Fee :
$0.00
$0.00
Total Water Meter Box:
Adjustment :
$0.00
$0.00
Processed By:
Date: / /_
Other Department :
Date
Utilities Approval :
Date :
_/_/_
Permit Denied
Date: _/ /
Traffic Approval:
Date:
_/_/
Issued Permit : _1 i°�'C_,
n
Date: 6 /Zg/ �-)
General Services Approval :
Date :
_/
/,
��fViyy� r. 7ry r_
NFOR TO
PROJECT'ADDRESS: Sa
DETAILED DESCRIPTION OF PROPOSED WORK:
C
Phone:
APPLICANT: `
Email Address:
Mailing Address:
City/State/Zip:
OWNER:
Phone:
Email Address:
Mailing Address: City/State/Zip:
=i MtL2QERAC C)R,I IF lRMURROURLfis
CONTRACTOR:
ice Phone:
Company (if different):
Jobsite Phone:9 ( 4 -2A-7-1R
Other Phone:
Email Address: c�
Mailing Address:
a
City/State/Zip:
-7s
State License Number& Cla s:
' Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
k �£(lftl}tk EIEP(3S7TtMfOt21VIATi<QN.(/fApplts Ole ............. .-.
FEePundF�ayabls.T.o...> .......:..... .............. _ :. .......:...:. ,.. .....:.......
atI Refupd To:.....::... . ...:............. . ...1.... ......... . : ,:. .
$......§
G_
Special Conditions of Permit:
A,CIO ITIONAL APPROVAL;RPOUR BD_FREIIVI THE FQkLOWING DEP�tFtTIV1E1tT� „ 3
Utilities:
General Services:
Traffic: O Fire:
Other:
Engineering Technician:
Public Works Specialist:
Date:
Permit No.
Null- 0qq
FluserslpbWshemtlfencro /masters/apwolksheeLwls
Public Works Department 949-644-3311
I
2.
3.
4.
5.
6.
7.
8.
9.
10.
if.
12,
13,
14.
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 he 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 fe: 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 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.
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 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)
rtify that I have a Certificate of consent to self -insure, Certificate of Worker's
ompensation Insurance, or a Certified Copy' thereof.
Date: &f2 _—,rQS7 Signature:
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:
r notice for Encroachment Permit Inspection is required by calling
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 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 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 permit end/or additional fees.
L 1 IN rljl IN
RARDSCAPE PROJECTS
), STAIRS, ETC.)
side set
back
SEE
DETAIL
11An
I
m
9
__ 1
; __G„Cb.Core ScknAa\uLA ?�Qro �r
16 `dSITE PLAN
Per C.tY SrkA
J.
Note: _ �'S``''-
-l$4-"L,
IT IS THE RESPONSIBILITY OF THE PERMITTEE TO MAKE SURE THAT ALL WORK COMPLIES
WITH THE NEWPORT BEACH STANDARD DRAINAGE PLAN. NO PLAN REVIEW IS PERFORMED
ON THE SITE PLAN PRIOR TO PERMIT ISSUANCE. COMPLIANCE WILL BE VERIFIED BY
BUILDING DEPARTMENT INSPECTOR.
LEGEND:
F.F. FINISH FLOOR ELEVATION 3"MIN.(TYP.), ELEVATION CHANGE- EXCEPT @ DOORWAYS
TOC TOP OF CURB ELEVATION AIL
FG FINISH GRADE ELEVATION FL PROPERTY LINE
FL FLOW LINE ELEVATION • AREA DRAIN
PERFORATED FRENCH DRAIN LINE
DRAIN PIPE (NON -PERFORATED)
PROJECT ADDRESS;
OWNER'S NAME. TELEPHONE NUMBERAt _ ic,Sit$
CONTRACTOR
y
CONTRACTORS NAME1 �� _ V e (A &I -Cf. , ,rA . TELEPHONE NUMBER;4,/,l-T7A-7
DIMENSIONS DETERMINED BY
GRATE FRAME DIMENSIONS.
USE FRAME AS A FORM �
6" MIN. 'MDE PEDSTRIAN SAFE
FRAME & GRATE 3/6" SLOT
9/12/2017 City of Newport Beach Page 10 of 10
6:34:10AM INSPISO - Daily Inspection Request Report
Requested Inspection Date :
09/12/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
1820 SANDALWOOD LN
SubType:
Status : APPROVED
OWNER: COX BRIAN & LAURA
APPLICANT: MIKE MCCURDY �g
)escription : TWO (2) CURBjORES PER STD-184-L
Item: 10250 FINAL - PW
Requested Time: 9/12/2017 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: ANY -after 10 please
Assigned to: z=zzzzzzz'
Inspector: ti\\� Date: 414 f
Phone : 949466-1984
Phone : 7142927249
WEBUS
714-292-7249
Time: %6 s 1 A
�j PM
Comments:L u
F:\Users\PBWkShared\ENCROACHkMASTERS\FORMS\InspectorSheet.doc