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Cityof Newport Beach
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Permit No: N2U1 $'01 sd.
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3311
Project No : 2135-2016 SCANNED
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Online Inspection Request - www.newportbeachca.gov / Online
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Services
Inspection Requests Phone (949)644-3255
Job Address:
1807 PORT WHEELER PL NB
Thomas:Guide:
889G6
Description :
RECONSTRUCT DRIVEWAY (STD-162-L), 2 CURB DRAINS 9STD-184-L), R/R CURB GUTTER AND SIDEWALK
AS REQUIRED BY PW INSPECTOR
Parcel # :
4582-640-2 -
Legal Desc :
N TR 7029 LOT 70
Owner:
FREELY WILLIAM B
Contractor :
M CO
Phone:
0 4
b 66bb Phone
4T393 63 $STRUCTION
Address :
1807 PORT WHEELER PL
Address :
910 E. 4TH ST
NEWPORT BEACH, CA
SANTA ANA CA 92701
Applicant: FREELY WILLIAM B
Phone: i
Address :
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
Contractor State Lic: 861880
License Expire : 07 31, 2018
Business License:
BT30015664
Business Expire :
04 30, 2018
Workers' Compensation
Insurance - -
Carrier:
WESCOINS CO
Policy No :
WWC3251945
W. C. Expire :
02 01, 2019
Total Fee $571.00
Paid : $571.00
Balance : $0.00
Receipt No:
Date :
_/_/_
Other Department :
Date
Date :
_/_/_
Permit Denied
Date
Date :
/
/
Issued Permit :
Date : 3/Zrrl /b-
Date
ALL UNDERGROUND. WORK SHALL BE PERFORMED BY A LICENSED.CONTRACTOR
Contact "Underground Service,All At Least 48•Hours in Advance of Ally Excavation of 800-422.4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1. Encroachmenl 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 if work does not commence within 30 days
alter date of issuance.
2. The Permitlee 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.
3. All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
of the City of Newport Beach, antl in compliance with all applicable State laws and City ordinances.
4. 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.
5. 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 Slate Contractor License Class C-34 is required. For construction or
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,
in the alley, where a mininmm 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.
7. 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 backflling, 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.
8. 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 verily locations. Maintain a one -fool
clearance over or under existing City -owned utilities. Sewer cleanouts require VCR or PVC SDR35 be used with a
4T I box over the riser.
9. 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 limes.
10. Work within or near beach sensitive areas wilt not be allowed during, City holidays, spring break, Memorial Day
weekend, summer between June 15 antl September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department.
1 I, 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
ernergency 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.
12, 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.
13, 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.
14, 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 dumpsler 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'
Compensationdnsurance,. or a Certified Copy U7.ereoi _ /
CERTIFICATE OF EXEMe74CN (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 tire 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 949-644-3311k��--
15. Any above ground utility facilities will require documented approval from the adjacent
affected properly owners).
16. Homeowner, contractors, and subcontracons 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 and/or additional fees.
No work related to this encroachment permit shall be performed until the Public. Works. Department has issued this permlt:'(Applicant hereby ackno ledges he/stie hasaead and on
iferstands theterms'a'nd'.
conditions of this permit and he/she agrees to abide, by them Permit lsmoid If work is not commenced within'30 days after Issuance:
P,ermltfeesare;nonrefundable.dr . -iti-- �ate•.3LZY Ighatur _
WORKSHEET FOR ENCROACHMENT PERMIT,,,. .
-�CITY,OF'NEWPORTiBEACH '• � i
-'PUBLIC WORKS DEPARTMENT
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PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK: ✓ I
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2135
APPLICANT:
Phone: ��
Email Address:
Mailing Address:
Cit ISta IZip:
OWNER: De5 Phone: 3�
Email Address:
Mail' g Addr s: Cit /fate/Zip:
I Q�Q
ALL CONTRACTOR INFORMATION IS 'REQUIRED -'PLEASE COMPLETE
CONTRACTOR:
Office Phone:
Com an (if di rent): 6
It IaV-Other
Jobsite Phone:
Phone:
E�rnail Address:
Mailing Addrles • +
alit 7.t
Cit /Stat Zip:
%0
StAte License umber & Class:
Ex Tres: C
City Business Lic nse Number:
Expires:
FWORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
REFUND'ABCE:D.EPOSIT:INFORMATION:(!/Applrcab/e):;;:.:::... " '
Refund Pa able To
Mad Refund:To- _ .... _:
FOR OFFICE USE ONLY
Special Conditions of Permit: - (�
ADDITIONAL APPROVAL, REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire: 0
Other:
EnCiineermq Technician:
Public Works Specialist:
Date:
23
Permit No.
2(-->LY-)'0
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Public Works Department 949-644-3311
ZONSTRUCTION NOTES: t''�- Z►3s- 2�Ib
CONSTRUCT ON -SITE PATIO/WALKWAY, SEE LANDSCAPE ARCH. PLANS
FOR MATERIAL TYPE.
2. CONSTRUCT ON -SITE DRIVEWAY. SEE LANDSCAPE ARCH. PLANS FOR MATERIAL
TYPE, SUBGRADE SHALL BE SOIL ENGINEER'S RECOMMENDATIONS.
3 CONSTRUCT 6" DIA. AREA DRAIN INLET (DOMED GRATE). NDS MODEL 80.
`% CONSTRUCT 4" DIA. P.V.C. (SDR-35 OR SCH. 40) DRAIN PIPE AT 1.0% MIN. SLOPE.
\5� CONSTRUCT 3" CURB DRAIN PER CITY OF NEWPORT BEACH STD. 184-L
(PUBLIC WORK PERMIT REQ'D.)
�06. CONSTRUCT LOW RETAINING WALL (THIGH) ALONG PROPERTY LINE WITH WOOD FENCE
ON TOP (TOTAL HEIGHT 6' MAX.)
CONSTRUCT BOTTOMLESS TRENCH DRAIN WITH TRAFFIC RATED GRATE (USE GRATING
PACIFIC MODEL H-1212-EZ OR APPROVED EQUAL)
CONSTRUCT 4" DIA. AREA DRAIN INLET (FLAT GRATE). NDS MODEL 80.
O9 CONSTRUCT 24.5' LONG BY 9' WIDE BIORETENTION BASIN
FOR WATER QUALITY CONTROL
10 CONSTRUCT 4" DIA. PERFORATED P. V.C. (SDR-35 OR SCH.40) DRAIN PIPE AT
I % MIN. SLOPE
11 CONNECT ROOF DOWNSPOUT TO UNDERGROUND DRAIN SYSTEM.
12 INSTALL SINGLE ROW OF SANDBAGS (2 BAGS HIGH) FOR EROSION CONTROL.
13 INSTALL NEW SEWER CLEANOUT ON EXISTING SEWER LATERAL WITH TRAFFIC -GRADE
BOX AND COVER PER CITY STD. 406-L
14 CONSTRUCT NEW DRIVE APPROACH PER STD. 162 -L (W= 18', X= 3')
3 PROTECT EXIST WATER METER IN PLACE.
16 REMOVE EXIST. NONSTANDARD HARDSCAPE FROM PARKWAY AND REPLACE
WITH LANDSCAPING TO MATCH EXISTING PARKWAY
17 PROVIDE SILT FENCE AS NECESSARY FOR EROSION CONTROL
18 PROTECT EXISTING WALL IN PLACE
19 PROTECT EXISTING STREET TREE IN PLACE
20 CONSTRUCT ENERGY DISSIPATOR BOX
6'-7"
NEW WOOD
VARIES �I
12
! . co
5'-1"
EQ.
co�`,
NEW RESIDENCE
-CONSTRUCT FOUNDATION
/CURB AS NEC. TO
_ _MA_INTAIN-3_
EXISTING FF
C.L.
PORT
WHEELER
PLACE
44' 37' 00' w
65.0i� - - - - -
- - - - --- T
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5
24 m
-CURB CUTTER
00
14
CO �PC DRIVE GRASS
GRASS 'fJ SS DRIVE APRON
^b nirlcJ 13
12
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N 14" 3'1
7
CONC SIDEWALK
W 5. 2 . .....
100.76 1OL55vs .-Ab
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I HEWAY GRAfS
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3/2�/2018 City of Newport Beach
,4:30:33PM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
03/30/2018
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
1807 PORT WHEELER PL
Activity : N2018-016C
SubType :
Status: APPROVED
Page 7 of 15
OWNER: FREELY WILLIAM B Phone : 0
Description: RECONSTRUCT DRIVEWAY (STD-162-L), 2 CURB DRAINS 9STD-184-L), R/R CURB
GUTTER AND SIDEWALK AS REQUIRED BY PW INSPECTOR
Item: 10200 PRE JOB - PW
Requested Time: 3/30/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: ANY -
Assigned to : u777777�zz'
Inspector: lS (14-0o-3
Comments:
►)C- »Pot,r u«," DI
JUSC
Date: 3-30-1
WEBUSER
714-393-6358
Time: fl AM PM
b,1vC JoSb GOPtCS of S-ru. ZAn0S ASNsfl tat, 'M CALL KSyt.) A$wr
11VA; amrS taE RE-+#,wES S,0040ck d Cu44 CurrEC•
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F:\Users\P B W \Sha red\ENCROACH\MASTERS\FORMS\I nso ectorS hee t.doc
REPT131 Run Id: 4018
4/9/2018 City of Newport Beach
- 6:34:39AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
04/09/2018
Inspection TN pe :
ENCROACH
Inspection Area :
PW
Site Address :
1807 PORT WHEELER PL
_
A/P/D Information:
Activity : N2018-0160
SubType:
Status : APPROVED
OWNER: FREELY WILLIAM B
Phone : o
Page 3 of 10
Description: RECONSTRUCT DRIVEWAY (STD-162-L), 2 CURB DRAINS 9STD-184-L), R/R CURB
GUTTER AND SIDEWALK AS REQUIRED BY PW INSPECTOR
_ —. — - --- Requested Inspection(s) -- ----- - —
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 4/9/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to : zzzzzzzzzzz'
c��e � ��� i`-Cl✓ t�t�Lss�
714-393-6358
CUXI-freZ c�?Grk-
6115/2018 City of Newport Beach Page 8 of 8
6:34:24AM INSP15O - Daily Inspection Request Report
Requested Inspection Date :
06/15/2018
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
1807 PORT WHEELER PL
[
AIPID Information:
Activity :
N2018-0160
SubType :
Status :
APPROVED
OWNER: FREELY WILLIAM B Phone : 0
Description: RECONSTRUCT DRIVEWAY (STD-162-L), 2 CURB DRAINS 9STD-184-L), R/R CURB
GUTTER AND SIDEWALK AS REQUIRED BY PW INSPECTOR
Item: 10250 FINAL - PW
Requested Time: 6/15/2018 12:00:OOAM
Entered By: WEBUSER
Comments: ANY-
Assigned to : zzzzzzzzzu`
A)Lv.F
Requestor:
WEBUSER
7143936358
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