Loading...
HomeMy WebLinkAboutN2018-0276Cit y Newport Beach 11pi1111111111111111111111m111111111� ivCenter DBeach, CA 92660 1111�111 Permit Counter Phone (949)644-3311 1 S Online Inspection Request - www.newportbeachca.gov / Online n Services Gq uYY�' Job Address : 2017 CENTELLA PL NB Description : NEW DRIVEWAY APPROACH PER STD-162-L (W=13'-9") Parcel #: 4261-110-3 - Legal Desc : N TR 3379 LOT 3 Owner: BRETT RICH Phone: 314-456-8779 Address: 2017 CENTELLA PL NEWPORT BEACH, CA Applicant: ALBERT KOHLER Phone: 918-871-1591 [ Address : P.O. BOX 3476 Special Cori PRE CON MEETING REQUIRED WITH PW INSPECTOR Permit No: N2018-0276 Project No: 1101-2017 Inspection Requests Phone (949)644-3255 Thomas:Guide: 889C3 SCANNED Contractor : ALBERT W KOHLER COMPANY Phone: (619)871-1591 �� COMP Address : P O BOX 3473 Contractor State Lic: 1007070 License Expire : 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: / Business License : BT30063296 Business Expire : 05 23, 2019 Workers' Compensation Insurance - - Carrier : Policy No W. C. Expire: Total Fee $571.00 Paid : $571.00 Balance: $0.00 Receipt No: Q_ 8-7725 Other Department : —Date: Permit Denied Date: Issued Permit : ✓If 01 il! -Date: 5 / 23/ 1 g WORKSHEET FOR ENCROACHMENT PERMIT, CITY OF AEWPORT BEACH . .:�3��w�4,x,F`�f�?�,^ 1'PUBLICINORICS'DEPARTAAENT COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: \-7 rr ill �_ DETAILED DESCRIPTION OF PROPOSED WORK: �lelvcwGUV STD— 1102-L U ' APPLICANT: f G o l-�/ Phone: 61f - � `7/ - /� I Email Address: A o4 L'- Q (Le , caRr Mailing Address: City/State/Zip: OWNER: n /f /�<<� Phone: I - ya - 97 __" Email Address: v/ i17 S e � Mailing Address: CitylState/tip: ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: A/ „y Office Phone: / f f-7/ - lf f� Company (if different): Jobsite Phone: - 6 - e 7 7 Other Phone: Email Address: L) cq,/c,, dhy /iwY Mailing Address: / U 1 '0. o j� City/State/Zip: /� 1 State License Number & Class: 11 (DO 7°10 Expires: 70/g City Business License Number: U b Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) L Q"' o -r Policy No: Expires: .Company: Municipal Oerations: 949-644-3055 Utilities: 949444-3011 Urban Forestry: 949-644-3083 FOR OFFICE USE ONLY Special Conditions of Permit: .PKP rgvis�p14- r.yj IMrr i=wlG (2C�Qll l 2Pcf uJ V1 nec rU Vz- I ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Municipal Operations Traffic: Fire: 0 Other: Engineering Technician: Permit Specialist Date: 51 z3/1 a Permit No. N2018- Oa71 fNs WPNVISl8a eM aW asteWepw Shs lxis Public Works Department 949-644-3311 0 I - 2 0 M 100 Civic Center Drive, Newport Beach, CA 92660 ;' FEE WORKSHEETaFOR ENCROACHMENT PERMIT , � � ;CITY OF YVNEWPORT BEACH , < ; r r> -v rPUBOC W§ DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT N2018- 201i c -i e I I Q NUMBER: APPLICANT: A l l _P- I 0 1 e rz Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Street/Alley/Walk Closure: Traffic Control Plan Check O Inspection Fee: $241.00 - I l Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $.00 $192192.00 Refundable Deposit: $502.00 Improvements $65.00= Newspaper Rack Inspection O . $165.00 (2 ) $121.00 $165.00 $108.00 TBD TBD $108.00 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 24" x 36" $143.00 4TT Box & Cover ----- $64.00---' Additional _ _ _ THE LOWING IM FOLTES REQUIRE APPROVAL FROM E Re TH,venue Division 1 Qty. , -Y (Water Meter: Installation Charge $528.00 13/4" Meter $50.25 1 11" Meter $121.50 Water Meter Boxes: 1 11 1/2" Meter $285.00 1" DFW Meter Box $96.66 1 11 1/2" Turbine Meter $700.00 F::]] 2" DFW Meter Box $203.24 1 12" Meter $425.00 1 12" Turbine Meter $845.00 1 13" Meter $3,310.00 1 14" Meter $4,730.00 16" Meter $7.190.00 Certificate of Compliance Fee (+too /p of hrly over 3 hrs) $288.00 Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.00 Final Parcel Map Checking Fee - Moderate $2,488.00 Lot Line Adjustment Fee $1,079.00 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 Park Dedication Fee Zone _ TBD 405-470_ Street EasemenWacationFee (+100%ofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance Use only 5� I.00 Permit Specialist Receipt No. / r/userslpb /snwedlenvoaWmasterslep front and back masters/ Rev. 12/18/2017 _ Lh eafaesneet xtsaevi a 1118117 I ALL UNDERGROUND, WORK SHALL BE PERFORMED BY A LIC,ENSED:CONTRACTOR I Contact "Underground Service Alert" At Least 48=Hours.in Advance.of Any Excavation at,800.422.4133 6. 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 rejeclionlfine. City reserves the right to void permit it work does not commence within 30 days after dale of issuance. The Permitted agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives antl employees harndess 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 permil. All work shall be done in accordance with the approved plans, Slarodard Special Provisions and Standard Drawings of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances. Permitted 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 Slate 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 Stale Contractor License Class -42 is required, ed. 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 whemhazardous 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 backhlring, or applicant may be required to excavate site. Separate Utilities Department or General Services Department inspections tray be required depending on scope of work performed All trench restoration must be inspected by the Public Works Department. No utility installations) shall be allowed over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locale and pothole existing City -owned utilities lie: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot clearance over or under existing Chy-owned utilities. Sewer cleanouts require VCR or PVC SDR35 be used with a 4TT boy over the riser. Properly lighted barricades final 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 S10.00 per barricade per day, with a minimum charge of S35.00. It is the responsibility of the applicant to place barricades to protect the general public. Access to fire hydrants roust 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 Slate Highway's traffic or within the Slate 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 malenals, or parking of consbudlpn 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 play 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 durnpster 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, Certificate of Worker's Compensation Insurance, or a Certified Copy thereof. Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) I certify that in the performance of the work under this permit, 1 shall not employ any person so as to become subject to California Worker's Compensation Laws. If, after signing this certificate 1 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. / ) 2;J'�( _Date: ,7 S Signature: CONTRACTOR LICENSE EXEMPTION As the Owner of the benefiting property, I certify I am personally performingall 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 Public Works at 94 spection is required by calling 15. Any above ground utility facilities will require documented approval (rain 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. It 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, er relocated without approval from the General Services Department. 19. All work in the public right-of-way must meet the approval of the Public Wlorkc 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. INo work related'tothis encroachment permit -shall be. performed -until the Public:Works Departmentihas,issued this permit.': Applicant hereby acknowledgesthelshe'has-read and.unde—rstarl the terms, and. conditions of this permit and helshetagrees to abide by them. Permit is.void If work is not commenced within'30 days after. issuance. Permit fees are nonrefundable. xy ( :� .Date O-Z?J•�S Signatuure: d rim PARA6E oZ ' MVENIAY EXI5TIN6 3Erz 6RA55 \ PL 143.82 (EJ REMOVE AND C.ONSTRUGT NEW 5TD-162-L SITE PLAN IsokernO MAXIMUS Direct Vent Gas Fireplaces and Chimney System Operation, Maintenance and Owner's Manual Ikem MAXIMUS Models 80D46 & 82D48 6 PRODUCT OF EARTHCORE® INDUSTRIES, LLC r�esaua ® Ir Issued: September 201 Revision: 000 US ©2016 Earthcore Industries, LLC Tested and Listed to ANSI Z21,50(2014) _ Listing Services Report NO. F14-100 wm roans wax.oase ronc� w"axwauaamca w�w"aoeumrcaa ARCHITECT b °wnNrenamc aAem°rzaion GEORGE BEHNAM, ARCHITECT 1150 E. ORANGETHORPE AVE. q IOa PLACENTIA, CA c125"10 TEL '114-572-2354 R-5 U CONSTRUGTION TT NUMBER OF LNIT: LOCATION ON PRI WAIL < 5' ONE HC 6UILDIN6 AREAS R-5 = EXISTING THESE NUMBERS AND ARE NOT TC DEFERRE FIRE SPRINKLER 1 ZONE 2 LOT SIZE 3 OCCUPANCY 4 NUMBER OF I 5 EXISTING LIV 6 F8 NEW LIVING C 7 NEW FAMILY (C TOTAL LIVIh 9 E. 2 GAR 6? 10 EXISTING PC 11 FOOTPRINT 12 LOT COVERAG 3,541 Sq. Ft. I '13 PROPOSED NOTES "15%ANGE OF BEACH DOES REWIREMENT RESTRICTIONS PROPERTY O COMMUNITY A CONSTRXTIC "PRIOR TO PI R16HT-OF-N FROM THE R RECYCLE M THE NONHAL KST BE IN i "PENCC-5, re REWIRE 0 1 6/1/2016 City of Newport Beach Page 17 of 17 6:34:36AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/01/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 2017 CENTELLA PL --- - - ----- - A/P/D Information: -- - ---- - — - - Activity : N2018-0276 -----__---- — SubType: Status : APPROVED APPLICANT: ALBERT KOHLER Phone : 918-871-1591 OWNER: BRETT RICH Phone : 314-456-8779 Description: NEW DRIVEWAY APPROACH PER STD-162-L (W=13'-9") _Requested In Item: 10100 FORMS WITH COMPACTION - PW Requested Time: 6/1/2018 12:00 OOAM Requestor: WEBUSER 3144568779 Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz' W /� d V-e r Vz 1 a�re4 `p �etl- �00bz 6� tc� Tyr 4or SA t- 6/4/2018 City of Newport Beach Page 15 of 15 6:34:11AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/04/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 2017 CENTELLA PL A/P/D Information: Activity : N2018-0276 SubType: Status : APPROVED APPLICANT: ALBERT KOHLER Phone : 918-871-1591 OWNER: BRETT RICH Phone : 314-456-8779 Description: NEW DRIVEWAY APPROACH PER STD-162-L (W=13'-9") Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 6/4/2018 12:00:OOAM Requestor: WEBUSER 2132155445 Entered By: WEBUSER Comments: AM - Assigned to : zz?zzzzzz ?z,r` Co.Lc,^��� ��✓r�� rv, h Go��z W / 1 r