HomeMy WebLinkAboutN2017-0226cofNewport Beach
111111111111111111111111111111111111111111111111111111111 Permit No:N2017-0226� ,oCity
iCenter Dach, CA92660 -
Permit Counter Phone (949)644-3311 Project No: 1803-2015
�.. v Online Inspection Request - www.newportbeachca.gov / Online
-" Services
111,0A. Inspection Requests Phone (949)644-3255
Job Address: 1700 MIRAMAR DR NB Thomas:Guide: 919132
Description : NEW PARKWAY PLANTING, ONE (1) NEW 36-INCH RUSSETT MAGNOLIA, CONFIRM FENCE WALL REMOVAL
Parcel # :
0482-222-7 -
Legal Desc :
N TR 518 BILK K LOT 1
Owner:
BROWN JACK & KATHY
Phone:
Address :
1700 MIRAMAR DR
NEWPORT BEACH, CA 92661
Applicant: PENINSULA HOME BUILDERS INC
Phone : 949-723-0147 [
Address : 101 SHIPYARD WAY #A
NEWPORT BEACH CA 92663
Special Cond.: PRE -CON MEETING REQUIRED WITH PW
INSPECTOR
;CANNED
Contractor: PENINSULA HOME BUILDERS INC
Phone : 949-723-0147
Address : 101 SHIPYARD WAY #A
NEWPORT BEACH CA 92663
Contractor State Lic: 842666
License Expire : 07 31, 2018
Business License: BT30008665
Business Expire : 07 31, 2018
Workers' Compensation Insurance - -
Carrier : WC EXEMPT
Policy No: NO EMPLOYEES
W. C. Expire:
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$571.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid :
$571.00
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 :
$0.00
Processed By:
Date: _/_/
Other Department :
Date:
Utilities Approval :
Date: _/_/
Permit Denied
Date :
Traffic Approval :
Date: _/_/
Issued Permit :� 4 t l
Date :
_�L_/ 4 /
General Services Approval : Date: _/_/
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: j '? C)() �• ,� � _
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: C 4 Phone: °I 9 ,Z
Email Address:
Mailing Address:
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City/State/Zip,
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OWNER: jPhone:
Email Address:
Mailing Address:f"�`
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City/State/Zip: /
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ALL CO[�'[[�A 'aR ��IEaRMA' t t' it: 11� LEAMDOMPLETE
CONTRACTOR: i�C /� , ,
Office Phone:
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Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
Mailing/Address:
City/S/�ta)te2ip: / / '9 / /
License Number 8 lass:
(t Ex ires:
City Busin License Number:4/ Ex ires:
KERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Lan : PolicyNo: Expires.
Municipal Orations: 949-644-3065
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
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Special Conditions of Permit:
DEP�R$
Utilities:
Municipal Operations
Traffic: 0 Fire: 0
Other:
Engineeri Technician:
Permit Specialist
Date:
itil� 2(, l -1
Permit No.
N2017- b22
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Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1 L ncroachrnent Pennds may be taken out by the owner of benefited properly or a licensed contractor A licensed
contractor must provide a Teller of Authorization to allow anolher party to pull a permit An approved copy of the
permit and construction plan shall be. kept at the job site at all tinges VJork. which has been done prior to issuance of
a permit, is subject to rejection/fine Citv reserves the naht to void permit if work does not commence within 30 days
after dale of issuance
2 The Perruitlee 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 ansing out of any accident, loss
or damage to persons or properly occurring as a result of work undertaken under this permit
3. All work shal! be done in accordance with the approved plans. Slandanl Special Provisions and Strrulanl Drawmgs
of the City of Newport Beach. and in compliance with all applicable Slate 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 Stale 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 andior resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L.
in the alley. where a minimum half-allev 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
1. 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
8 All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feel of any City utilities. unless approved by the Public Works Department Locate and pothole
existing Citv-owned utilities fie water sewer or street lightinq conduits) to verify locations Maintain a one -foot
clearance over or under existing Crly-owned utilities Sewer cleanouts require VCP or PVC SDR35 be. used with a
4TT boy. over the nsei
9 Properly lighted barricades must be provided and maintained around all trenches excavations and obstructions All
signs, flags. lights and other warning and safety devu:es 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 California Department of I ransportation If needed barricades can be obtained frorn the City at a charge of S 10 00
per barricade per day with a nnnimum 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 tunes
10 Work within or near beatlg sensitive areas will not be allowed durng. City holidays sprang break. P.lemorial Day
weekend. surnmer between June 15 and September 15. and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department.
I I Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a lemporary Street t;losure Ilernut from the Public Works Department. Access for fire. police and
emergency vehicles must be maintained at all times Traffic Control roust be per Work Area Traffic Control
Handbook (WATCH) No nighllime traffic lane closures, unless prior approval has been granted Any lane(s) closure
on a major street will oniv 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 Stale Highway's traffic or within the Slate Highway right-of-way
will require a Caltrans Perrnit All vehicles shall be. lawfully parked
12 l his permit does not aulhonze the closure of sidewalks streets, or alleys for construction access. storage of
materials, or parking of construction vehicles unless detailed on an attached l emporary Street Closure
13 Applicant must notify USA at 1-800-227.2600 2 days before starting any underground construction. Applicant
musl notify all affected residents 24 hours in advance of restricted access and any inconveniences
14 Refuse Or unused materials shall L•e removed within 24 hours after completion of the work If riot removed. the City
may remove and bill the applicmil 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 he obtained from the Public Works Department
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
certify that I have a Certificate of consent to self -insure, Certificate of Workp.r s
Compensation Insurance, or a Certified Copy thereof.
Date:
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 to provisions of Section
3700 or this permit, shall be deemed revoked.
c'
abate: > y 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. 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.
Date:
Signature:
24-hour notice for Encroachment Permit Inspection is required by calling
I'Public Works at 949-644-3311.
15 Any above ground utility facilities will require documented Mlproval fermi the adlac ent
affected property owner(s)
16 Homeowner, contractors. and subcuntmcolrs rnav each be liable for violation, of �A/,+lei
Ouaety Laws Best Management Practices will be enforced II is against the law to
discharge construction debris into the gutter and storm dram f e.lony violations of `^dirt;-^r
Uuahly Laws are punishable by fines up to S2`, 000 and'or rip to three ve,,grr: .^.1 tilalc•
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 CCJrnpar ricer
Certificate or Evidence of a Slurried Backfill and request a final inspection lion, Ili(-
Public Works Department. Monies may be held for six rnorgths after final inspection
before a refund will he processed.
18. No trees in the public: right-of-way shall he planted, reniov6td. Itanned. oN wlcx.rrted
without approval from the General Services Department
19. All work in the public, right-of-way must meet the approval of the Public Work%
Department or corrections will be required (i.e. removals. exposing connc!ct,r•ns.
etc.). Additional inspection fees may be required.
20. Permit is for standard materials in the public right-of-way only, unless PlOVIOusly
approved by Public Works and an Encroachment Agreement has been ptocessed
21. Permit is valid for "description of work noted on front only. Additional work
performed may require issuance of a separate permit andor additional fees.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges helshe has read a d nderstands the terms and
conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days after issu 7e.
Permit fees are nonrefundable. �,�Date: S// ? Signature:
1100 JV, n
c
Permit Processing Fee: Q
Public Works Only $241.00
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
NUMBER: N2017- C Z 2 �
Inspection Fee:
Public Works Field Inspection $165.00 1
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Street/Alley/Walk Closure: $65.00 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
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES A
TBD
TBD
$108.00
00
$$64..00
64
-----
venue Division
1
mil•
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 1
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) 1
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00 1
14" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00e
6" Meter
$7,190.00
Certificate of Compliance Fee (+100% of hriy 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 EasementlVacation Fee (+100% of hry over 4 hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBD
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
1•00
Permit, S ecialsst
Receipt No.
7 / I
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BRICK PA\tNO 5HALL BE '
L I M I T€D- -TO -25 %--GF -PROJEGT-
--FRONT-ADE 6 -SET -iN- C0NC-.
ROMAN BRICK TO BE REMOVI
4 DROUGHT TOLERANT OROU�
COVER TO BE INSTALLED
TYP.
/2\
IN5TAL4> BOX
R0sSr:T MAGNOLIA
I,,T FENCE 56" ABOVE GRADE
1 /
1
1
11 1
1 i
BRICK PAVING SHALL BE
LIMITED TO 25% OF PROJECT
FRONTAGE 8 SET IN GONG.
TO BE PROTECTED IN ROMAN BRICK TO BE REMOVED
8 DROUGHT TOLERANT GROUND
COVER TO BE INSTALLED
TYP.
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5412017 City of Newport Beach Page 6 of 12
4:30:30PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/05/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1700 MIRAMAR DR
Activity : N2017-0226
SubType:
Status : APPROVED
OWNER: BROWN JACK & KATHY
Phone:
APPLICANT: PENINSULA HOME BUILDERS INC Phone : 949-723-0147
Description: NEW PARKWAY PLANTING, ONE (1) NEW 36-INCH RUSSETT MAGNOLIA, CONFIRM
FENCE WALL REMOVAL
Item:
Requested Time:
10250 FINAL - PW
5/5/2017 12:00:OOAM
Entered By: NBIVR
Comments: AM
Assigned to :
Inspector:
Requestor: NBIVR
9496786021
Date: $� S-2 Time: 0: A) M PM
Comments: [ Q X 015,'c.7' i,,-) 40—Q
ol Toox: f t+D Tz3s
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F:\Users\PBW\SharedkENCROACH\MASTERS\FORMS\InspectorSheet.doc
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Logged
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REPT131 Run Id: 4018
5/15/2017 City of Newport Beach Page 2 of 13
6:34:19AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/15/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1700 MIRAMAR DR
A M Mdbneafioic
Activity : N2017-0226
SubType :
Status : APPROVED
OWNER: BROWN JACK 8 KATHY Phone :
APPLICANT: PENINSULA HOME BUILDERS INC Phone : 949-723-0147
Description: NEW PARKWAY PLANTING, ONE (1) NEW 36-INCH RUSSETT MAGNOLIA, CONFIRM
FENCE WALL REMOVAL
fieques�sd insipeetlon(s)
Item:
10250 FINAL - PW
Requested Time:
5/15/2017 12:00:OOAM Requestor: NBIVR
9496786021
Entered By:
NBIVR
Comments:
AM
Assigned to:
Inspector: �J l/ Date: l ( Time: . ors AM M
Comments:i�/�%'S
• Env' �!L en k_&V /`U to r". fo 7z�) S 4 te—
11
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoedorSheet.doc