HomeMy WebLinkAboutN2018-0304City of Newport Beac0
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Permit No:
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Civic Center Drive, NewporthCA 92660
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Permit Counter Phone (949)644-3311
Project No : 0572-2018
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Online Inspection Request - www.newporbeachca.gov
Services
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SCANNED
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Inspection Requests Phone (949)644-3255
Job Address :
702 AVOCADO AVE NB
Thomas:Guide:
919E1
Description :
REMOVE STONE PAVERS IN PARKWAY AND
REPLACE WITH SOD; REMOVE SHRUBS AT BACK OF SIDEWALK.
Parcel #:
4590-810-6 -
Legal Desc :
N TR 682 LOT 11
Owner:
DORCHESTER WENDY L
Contractor:
RVM CONSTRUCTION INC
Phone:
Phone:
714-632-9420
Address :
702 112 AVOCADO AVE
Address :
1200 N JEFFERSON ST #J
CORONA DEL MAR, CA 92625
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ANAHEIM CA 92807
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Contractor State
Lc:586334
Applicant:
RVM CONSTRUCTION INC
License Expire :
01 31, 2020
Phone:
714-632-9420 [
Address :
1200 N JEFFERSON ST #J
ANAHEIM CA 92807
Business License : BT30062680
Business Expire
: 03 31, 2019
Special Cond.:
Workers' Compensation
Insurance - -
Carrier :
FALLS LAKE FIRE
Policy No:
FLA00791700
W. C. Expire:
01 01, 2019
Permit Processing Fee : $241.00
Sewer Connection:
$0.00
Total Fee $406.00
Agreement Fee,
$0.00
4TT Box Cover :
$0.00
Paid : $0.00
Traffic control Plan Check : $0.00
Total Water Meters :
$0.00
Balance : $406.00
Inspection Fee :
$165.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit: $0.00
Total Water Meter Box :
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date: _/_/
Other Department:
Date:
Utilities Approval
:
Date: _/_/
Permit Denied
Date
Traffic Approval
Date
Issued Permit :
Date:
:
: _/_/
General Services
Approval :
Date
ME
,WOOR�KSHE clnr oR N NEiivaoRT H HNT,PERMIT
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COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: "76iZ AUC -K E
DETAILED DESCRIPTION OF PROPOSED WORK:
2� W�c;i.IL 7P�)�;Q.$ Sr--1 /aTi.KWA� 2E OUE St�l �w?jS T>u
LAtit�Z 'Z�EV\7t, CXTSst C-WALk'L
PPLICANT: L (AILS ty15
Phone:( k`+ 31S 02(o44
Email Address: Q-A, ' 430( hnCC3 uc}T0K) • Ccx^/
Mailing Address:
City/State/Zip:
OWNER: — ' ctL1 C1 r Phone: L\U32_ - °(tl Z(2
Email Address:
Mailing Address: OZ. AUpCA'1)c) pa} t City/State/Zip: Cot crag VVIA'Z
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE.
CONTRACTOR: V C�vJ�CLuC�Stl tJ
Office Phone:(-1 t
Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address:
Jr--(T& 0 l
City/State/Zip:
Ar\tA"Z( IrA 0A 92-YO-7
State License Number & Class:
5%6 33" Expires: t '31 'ZJ
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
Municipal Oerations: 949-644-3055
Uti I ities: 949-W-3011
Urban Forestry: 949-644-3083
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Municipal Operations
Traffic: Fire:
Other:
Engineering Technician:
Permit alist 7Da?,e:
"
Permit No.
-
N2018OSOL
tluserslpMlshaWlenMaMMast8Wep OMSheBL%le
Public Works Department 949.644-3311
100 Civic Center Drive, Newport Beach, CA 92660
' FEE WORKSHEET`FOR ENCROACHMENT PERMIT
' CITY OF NEWPORT BEACH
t 'PUBLIC WORKS: DEPARTMENT,
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS: l hh� � '1 PERMIT
VL/ �t NUMBER: N2018- h
APPLICANT:
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/AlleylWalk Closure:
Traffic Control Plan Check
Inspection Fee:.
$241.00 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
$165.00
$121.00
$165.00
$108.00
TBDBTBD
$108.00 0
8-1/2" x 11" $65.00= Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box 8, Cover $64.00
— Additional—
• --- -------- ---------
I THE FOLLOWINGITEMS REQUIRE APPROVAL FROM THE Revenue Division
(Water Meter:.
13/4" Meter $50.25
11" Meter $121.50
11 1/2" Meter $285.00
11 1/2"Turbine Meter $700,00
12"'Meter $425.00
12" Turbine Meter $845.00
13" Meter $3,310.00
14" Meter $4,730.00
Qty
Installation Charge $528.00
Water Meter Boxes:
1" DFW Meter Box $96.66 B
2"'DFW Meter Box $203.24
' _ - _ ' _ _�rrV VLLLf\t•LV VV „LLV - r
Certificate of Compliance Fee (+100% 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
Park Dedication Fee Zone TBD
Street EasemenWacationFee (+100%ofhrlyover 4hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBDI
QtY.
Budget Number
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
Per ecialist
Receipt No.
UuwVpb lsharedfencroaWmasters ep front anG back masters)
Rev. 12118/2017
epfeesheet xls-revise 11/8117
O�-)a a� o IS
ALL UNDERGROUND -WORK SHALL BE PERFORMED *BY A LICENSED':CONT:RACTOR'
Contact"Underground Service,AII At Least 48-Hours.in Advance ,of An"Ex" avation at 800-422-4133
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 Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a penmil. An approved copy of the
Com ensati0 Insurance, or a Certified Cop the
pernut and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of
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a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
Date: G' I iy Signature:
after date of Issuance.
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
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
I certify that in the performance of the work under this permit, 1 shall not employ
or damage to persons or property occurring as a result of work undertaken under this permit.
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
after signing this certificate I become subject to the Worker's Compensation
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
provisions of the State Labor Code, I must comply with the provisions of Section
4.
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
3700 or this permit shall be deemed revoked.
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
Dale: Signature:
Public Works Director. A valid Slate 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
CONTRACTOR LICENSE EXEMPTION
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,
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
Dale: 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 whenhazardousground 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 nest
I understand that I am locating minor encroachments within the City Right -of -
be inspected antl 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 Utilities
encroachments. I will be responsible for replacing the improvements if the City
Department or General Services Department inspections may be required depending on scope of work performed.
removes them for maintenance of utilities or other public need. 1 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 within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
encroachments.
existing City -owned utilities lie: water, sewer, or street lighting conduits) to verily 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.
24-hour notice for Encroachment Permit Insp cti 1 quired by calling
9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions, All
"Manual
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of
Public Works at 949-644-3311
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by Ilse
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10,00
utility
15. Any above ground utfacilities will require documented approval from the adjacent
per barricade per day, with a minimum charge of S35.00. It is the responsibility of the applicant to place barricades l0
protect the general public. Access to fire hydrants must be maintained at all tunes.
affected property ownility
10.
Work within or near beach sensitive areas will not be allowed during, City holidays, spring Wreak, Memorial Day
16. Homeowner, contractors, and subcontracolrs may each be liable for violations of Water
weekend, Sumner between June 15 and September 15, and during the holiday season from December 19 to
Quality Laws. Best Management Practices will be enforced. 11 Is against the law to
11,
January 1, unless approved by the Public Works Department
Any work that extends into Iraftic of 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 S25,000 and/or up to three years in Stale
prison plus The full cost to clean up an illegal discharge or spill.
emergency vehicles nwsl be maintained at all times. Traffic Control must be per Work Area Traffic Control
17 If a refundable deposit was paid, applicant must submit a Soils Compaction
Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure
Certificate or Evidence o(a Slurried Backflll and request a final inspection from the
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 Stale Highway's traffic or within the Stale Highway right-of-way
Public Works Department. Monies may be held for Six months after final inspection
will require a Callrans Permit All vehicles shall be lawfully parked.
before a refund will be processed.
12.
Thls 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 General Services Department.
13.
Applicant must notify USA at 1-800.227-2600 2 days before starting any underground construction. Applicant
19, All work in the public right-of-way must meet the approval of the Public Works
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
Department or corrections will be required (i.e. removals, exposing connections,
14,
Pefuse or unused materials shall be removed within 24 hours after completion of the work. If riot removed, the City
etc.). Additional inspection fees may be required.
may remove antl bill the applicant. Coordinate alley closures with City refuse pick-up days by calling 949-644-3066
20. Permit is for standard materials in the public right-of-way only, unless previously
for the collection schedule so service is not interrupted. To place a Carouster or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreement has been processed.
Temporary Street Closure Permit most be obtained from the Public Works Department
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.
No work related to this encroachment permihshall.be performed until the Public Works Department has issued this permit.', Applicant hereby acknowledges'helshe ha and. understand the,term ,and,
conditions of this permit and helshe,agrees to abide by them. Permit is void if work is not commenced within 30.days after.issuance.
Permit fees arenonrefundable. - r -, a ; Date: jJJ SL atu ;�,� _ __ -
6/27/2018 City of Newport Beach Page 11 of 16
4:30:51PM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
06/28/2018
Inspection Type :
ENCROACH
Inspection Area :
PW
Site Address :
702 AVOCADO AVE
Activity : N2018-0304
SubType: NEW
Status: APPROVED
OWNER: DORCHESTER WENDY L Phone:
APPLICANT: RVM CONSTRUCTION INC Phone : 714-632-9420
Description : REMOVE STONE PAVERS IN PARKWAY AND REPLACE WITH SOD; REMOVE
SHRUBS AT BACK OF SIDEWALK.
Requested In
Item: 10250 FINAL - PW
Requested Time: 6/28/2018 12:00:OOAM Requestor: WEBUSER
714-357-0264
Entered By: WEBUSER
Comments: AM -
Assigned to : zzzzzzzzzzz'
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