HomeMy WebLinkAboutN2017-0113SWIll,4r City of Newport Beach 1111111111111111111111111111111111111111111111111111111111
.4 ;, 100 Civic Center Drive Newport Beach, CA 92660
Permit Counter Phone (949)644-3311
Online Inspection Request - www newportbeachca.gov / Online
ems' Services
Job Address: 1930 PORT RAMSGATE PL NB
Description : BUILD SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4582-021-2 -
Legal Desc :
N TR 6624 LOT 64
Owner:
CAMPBELL DEWAIN & JENNY
Phone:
Address :
1930 PORT RAMSGATE PL
NEWPORT BEACH, CA 92660
Applicant: GARDNER JACK JR
Phone: 951-212-9408 [
Address : 3772 SIERRA AVENUE
NORCO CA 92860
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Thomas:Guide:
Contractor:
Phone :
Address
Permit No: N2017-0113
Project No: 0803-2016
Inspection Requests Phone (949)644-3255
889G6
GARDNER JACK JR
951-212-9408
3772 SIERRA AVENUE
NORCO CA 92860
Contractor State Lic: 470911
License Expire: 04 21, 2017
Business License :
BT30058310
Business Expire :
03 31, 2017
Workers' Compensation Insurance - -
Carrier :
MIDWEST EMPLOYERS CAS CO
Policy No:
BNUWC0136179
W. C. Expire:
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$635.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid :
$635.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee :
$330.00
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
Traffir. Annrnval •
Date
Issued Permit:
Date : / /
General Services Approval : Date: _/_/
t
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: /9 7,0
DETAILED DESCRIPTION OF PROPOSED WORK:
1-e-Av'- oo \
-
jPhone: O �y�
lAPPLICANT:
EmallAddress:
Mailing Address:
City/State/Zip:
OWNER: Phone:
Email Address:
Mailing Ad r :
City/State/Zip:
c.� 9
ALL CONTRACTOR INFORMATION IS REQUIRE"LEASE COMPLETE
CONTRACTOR:
Office Phone:
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: p J
Mailing Address:
Derr
ip•
City/Stat7-DZ4C,0
State LicenRe Number & Class:
L f 7OR < < Expires:
Ci usiness Licens6 Number:
'Si 0 Expires.
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : Polic No: Ex Tres:
Municipal Orations: 949-644-3065
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
FOR OFFICE USE ONLY
Special Conditions of Permit:
k
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities: Traffic: 0 Fire: U
Municipal Operations Other:
Engineering Technician:
IPMeecialist
Dat;1-,1 1'I
Permit No.
1 N2017- Q
ruse.sroaM,SharWerwjoad"SSWWeaworkshW.)as
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Q Inspection Fee:
$241.00 1 Public Works Field Inspection $165.00
00 Utilities Field Inspection 1.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
$817.00
$192.00 Refundable Deposit:
$502.00 Improvements
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee
24" x 36" $143.00 4TT Box & Cover
Additional
_ _ _ _ _
I
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE
REVENUE DIVISION PRIOR TO PAYMENT OF FEES
TBDBTBD
$108.00 I�
1 11
---------
Revenue Division
Qty.
. Sri• . 1
(Water Meter:
Installation Charge $528.00
13/4" Meter
$50.25
Water Meter Boxes:
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost
11 1/2" Meter
$285.00
1" Meter: 13.00 + 37.00 $50.00
11 1/2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88.25
12" Meter
$425.00
1
12" Turbine Meter
$845.00
For Traffic & Alley Areas (Box + Cover = Cost)
13" Meter
14"
$3,310.00
1" Meter: 13.00 + 38.00 $51.00 1
Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00,
6" Meter
$7,190.00
Certificate of Compliance Fee (+100% of hrly 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
5200-5026
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_
Street Easement/Vacation Fee (+100% of hry over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
--- ---
TBD
--.
..-
---
030-2284
-- - -- ....
Engineering Tech: Total Amount Due: For Finance Use Only
P r, .,,°
Permit Specialist Receipt No.
f:/users/pbw/shar"encroach/masters/ep front and back mastww
Rev. 1/5/2017 epfeesheetAs-revised 10Q1=16
6 y Lk
3772 SIERRA AVE. NORCO, CA 92860 PH. (951) 212-9408 FAX (951) 848-0852 EMAIL JGARD27746@AOL.COM
March 7, 2017
CITY OF NEWPORT BEACH, CA
To Whom it may concern,
MIKE MOCABY AS AN AGENT OF JACK GARDNER PLUMBING HAS THE AUTHORITY TO OBTAIN A PLAN CHECK AND
PERMITS.
Sincerely,
JACK GARDNER PLUMBING
a'L7J9:. ,\ 5 :5, C 3F;
'heck A License - License Detail Page 1 of
Contractor's License Detail for License # 470911
DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this
information, you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law (BAP 7124 6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the
link or button to obtain complaint and/or legal action information.
Per B&P 7071 17 , only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
Due to workload, there may be relevant information that has not yet been entered onto the Board's license database.
Business Information
JACK GARDNER JR
3772 SIERRA AVENUE
NORCO, CA 92860
Business Phone Number:(951) 212-9408
Entity Sole Ownership
Issue Date 03/21/1985
Expire Date 06/30/2018
License Status
This license is current and active.
All information below should be reviewed.
C36 - PLUMBING
C16 - FIRE PROTECTION CONTRACTOR
B - GENERAL BUILDING CONTRACTOR
A - GENERAL ENGINEERING CONTRACTOR
Classifications
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with BUSINESS ALLIANCE INSURANCE COMPANY.
Bond Number: G61201793314
Bond Amount: $15,000
Effective Date: 12/30/2016
Contractor's Bond History
Workers' Compensation
This license has workers compensation insurance with the MIDWEST EMPLOYERS CASUALTY COMPANY
Policy Number: BNUWC01 36179
Effective Date: 04/21/2016
Expire Date: 04/21/2017
Workers' Compensation History
Miscellaneous Information
11/06/2015 - CASH DEPOSIT LTR SENT $15,000
01/14/2016 - CASH DEPOSIT 15K FOLLOW UP LTR SENT
ttps://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetaii.aspx?LicNum=470911
03/07/201
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, indemnity and hold the City, its authorized agent, officers, representatives an
employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss
or damage to persons at property occurring as a result of work undertaken under this permit.
All work shall be 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 inspections by
the Municipal Operations Department 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 (ie: water, sewer, or street lighting conduits) to verity 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 1400-227-2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences. All USA marks
shall be removed prior to Final Public Works Inspection.
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 3f90 Labordej—-
I certify that I have a Certificate of consent to self -in r Ce ' ate of Worker's
ompensation Insurance, or a Certi 'ed Copy thereof,%
Date: 1;- 2- X-7 gnature:
CERTIFICATE OF 9XIEMPTION (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 1 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. 1 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.
VDate: Signature:
adefls'should:fio--rf O"t*dl*Ulltrtt nth* uIlMl uest Wne Ott 9494M"255. INITIALS:
15. All above ground facilities shall comply with the Municipal Code, including but not limited
to Chapter 13.20.
16. Homeowner, contractors, and subcontractors 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 Municipal Operations Department, Parks and Street Trees
Division.
19. All work in the public right-of-way must meet the approval o e Public Works Department
or corrections will be required (i.e. removals, exposin c nnections, etc.). Additional
inspection fees may be required.
20. Permit is for standard materials in the public right-of-w y ly, unless previously approved
by Public Works and an Encroachment Agreement h en processed.
21. Permit is valid for "description" of work noted on o only. Additional w rk performed
may require issuance of a separate permit and/or d ' final fees.
r
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7 /
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hr 4 FS
0 21 /cLEANOUT SIDEWALK 8
30 STRIP AIN
TO OU
STRIP DRAIN
TO OUTLET'.
14 22
OUTLET p
24
ao • F� 60
3
2 •
`spry a�, 14
AC PAVEMENT
1N�,�
Rp, , 4-10
1
03
LC
Q-
`y TO THE FACE OF CURB
2
Q NEW LANDSCAPE
NEW CONCRETE STEPPING STONES
NEW CONCRETE PAVERS
10 AREA DRAIN WITH PIPE OUT TO FACE OF
CURB
11 PER SCE, NEW COMMUNICATION BOX TO
BE INSTALLED BY SCE
12 PER SCE, NEW HAND HOLD TO BE
INSTALLED BY SCE
13 NEW PHONE LOCATION
14 NEW 3" ROUND CONDUIT BENEATH NEW
SLAB
15 NEW 200 AMP ELECTRICAL PANEL
16 EXISTING ELECTRICAL PANEL TO PROVIDE
TEMPORARY POWER DURING
CONSTRUCTION. REMOVE AFTER NEW
PANEL IS IN OPERATION. PATCH THE
WALL AS REQUIRED
17 EXISTING WATER METER WITH NEW
TRAFFIC GRADE BOX AND COVER
18 PLUG THE EXISTING DRIVEWAY
APPROACH PER CITY STANDARD
STD-165-L / 182-L. SEE SHEET
C-3.
19 INSTALL NEW DRIVEWAY PER CITY
STANDARD STD-162—L. SEE SHEET
C-3.
20 EXISTING WATER METER AND SERVICE
SHALL BE OUTSIDE THE PROPOSED
DRIVEWAY APPROACH.
21 INSTALL A NEW SEWER CLEANOUT
WITHIN THE PUBLIC RIGHT OF WAY, IN
SIDEWALK PER CITY STANDARD
STD-406-L. SEE SHEET C-3.
22 NEW CONCRETE SLAB 4" THICK WITH #
4 REBAR ® 18" ON CENTER EACH
WAY. PROVIDE INTEGRALLY MIXED
COLOR AS SELECTED BY OWNER
23 36-INCH BOX STREET TREE WHICH IS
REQUIRED BY PUBLIC WORKS.
LIQUIDAMBAR STYRACIFLUA. TO MATCH
TREE PLANTED IN FRONTAGE 45 TO
THE EAST.
24 DRAIN OUTLET PER STD-184-L. SEE
SHEET C-3
L E G E N D
DO -
DRAIN OUTLET
FF -
FINISH FLOOR
FFG-
FINISHED FLOOR OF GARAGE
FL -
FLOWLINE
FS -
FINISHED SURFACE
EG -
EDGE OF GUTTER
NG -
NATURAL GROUND
TC -
TOP OF CURB
TF -
TOP OF FENCE
TBX -
TELEPHONE BOX
TW -
TOP OF WALL
WM -
WATER METER
Q -
FOUND MONUMENT
-
NEW CONCRETE SURFACE
NORTH
SCALE: 1 /4" = 1 ' —O"
1
W
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2
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GRADING PLAN
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Project No:
3209
B.D. Submittal: 02/01 / 16
Revision
1 a
Revision
2
Revision
3 '
Revision
4
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6
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1712017
4:30:51 PM
City of Newport Beach Page 11 of 15
INSP150 - Daily Inspection Request Report
Requested Inspection Date: 03/08/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1930 PORT RAMSGATE PL
Activity : N2017-0113
SubType : NEW
Status : APPROVED
OWNER: CAMPBELL DEWAIN 8 JENNY Phone:
APPLICANT: GARDNER JACK JR Phone : 951-212-9408
Description : BUILD SEWER CLEAN OUT PER STD 406-L.
Item: 10200 PRE JOB - PW
Requested Time: 3/8/2017 12:00:OOAM Requestor: WEBUSER
714-454-6320
Entered By: WEBUSER 'OY
Comments: AM -Call Mike for schedule e 3c)4**
Assigned to: 77777777777*
Inspector: Date: Time: QI A PM
Comments: ►'w� T3 • 0/b- 51'r /�-e,-yV-z L- OALP�./0�6
Qt.flj,r.
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
REPT131 Run Id: 4018
11912017 City of Newport Beach Page 3 of 11
430:48PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 03/10/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1930 PORT RAMSGATE PL
M1
. ... , .l�e• � �".,may-a 1�Cno.,..� . ... .a ,. �.. - n�.+e�.'1��.'s-ei+..�-i��....eY.Y.,
Activity: N2017-0113
SubType : NEW
Status : APPROVED
OWNER: CAMPBELL DEWAIN & JENNY Phone :
APPLICANT: GARDNER JACK JR Phone : 951-212-9408
Description : BUILD SEWER CLEAN OUT PER STD 406-L.
Item: 10215 ROUGH UTIL
Requested Time: 3/10/2017 12:00:OOAM Requesters NBIVR
7144546320
Entered By: NBIVR
Comments: AM q:00
Assigned to:
Inspector: y Date: 1 1-7 Time: 6.30 Ak PM
I
Comments: cam" 4-0a 1VAS sGve
Reftle
F:\Users\PBWN\Shared\ENCROACH\MASTERS\FORMSNnsoectorSheet.doc
REPT131 Run Id: 4018