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Home My WebLink AboutN2017-0483•�4r:. oCityofCenter Drive, ofNewport Bea Beach, CA 92660 I IIIGIII III IIIII IIIII IIIII IIII III�I III IIIII IIIII Ih llll Permit Counter Phone (949)644-3311 to Online Inspection Request - www.newportbeachea.gov / Online Services Job Address Description : Parcel # : Legal Desc Owner: Phone : Address 130 39TH ST NB Thomas:Guide: REPLACE DAMAGED ADA RAMP AT CORNER OF BALBOA AND 39TH ST PER CITY STD. 4233-220-1 - RIVER SECTION BLK 38 LOT 16 SPRAGUE RICHARD E 431 SANTA ANA AVE NEWPORT BEACH CA 92663 Applicant: BERK CUSTOM HOMES INC Phone : 949-300-5152 [ Address : 428 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 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 Permit No: N2017-0483 Project No : 2955-2013 . Inspection Request4 -' 888G6 Contractor: BERK CUSTOM HOMES INC Phone : 949-300-5152 Address : 428 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 Contractor State Lic: 1017631 License Expire: 08 31, 2018 Business License: BT30057033 Business Expire : 10 31, 2017 Workers' Compensation Insurance - - Carrier : WC EXEMPT Policy No: (NO EMPLOYEES) W. C. Expire: Total Fee $571.00 Paid : $571.00 Balance: $0.00 Receipt No: Date : _/_/ Other Department : Date: Date : _/_/ Permit Denied` Date: _> Date : / / Issued Permit: �' t% Date: `/ 4,�Jl _�"L l Date : / / COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: /80 Sg-"h S} . DETAILED DESCRIPTION OF PROPOSED WORK: -�, , f> APPLICANT: / ,—, f-1 / e r7 Phone: ci H Email Address: I ,, -h- an �'' ,��r iC Cc �S+z�ri h v� n�; < c-'Y'1 Mailing Address: q_2 t gel Zivrl. City/State/Zip: ,( OWNER: s urc LC C Phone: 9'-1 cl .3 Email Address: ,-j +4-ar--q c 0 - Mailing Address: L/,Z of _A_ye City/State/Zip: _A,-r, LL+Dv-t CA- WE ffONTRACTOR: �_n_Office Phone: `d � 1 C different): Jobsite Phone: 9 i-! Other Phone: Email Address: Mailing Address: - City/State/Zip: - State License Number & Class: / G i 9 / Expires: b c City Business Licensb Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Polic No: Expires. Municipal Orations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 Special Conditions of Permit: lei Utilities: Municipal Operations Traffic: 0 Fire: D Other: Engineering Technician: alist Pe 17M Date: cj' Permit No. IN2017-0q 3 f:/users/ptw/shareden=adVmmWWepworksheetxls [ - 'ZO -' J — � �� Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Public Works Only $241. Other Department $275.0 Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection $165.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Street/Alley/Walk Closure: $65.000 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 _ _ _ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R I REVENUE DIVISION PRIOR TO PAYMENT OF FEES A TBDBTBD $108.00 Q $00 $64..00 64 --- venue Division 1 1 Ohl• 1Water 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 1 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.DOe 16" 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 hriy 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 rl J , C-"'0 Permit Spe<ialist Receipt No. 3111, f/userslpbw/shar"encroadVmasters/ep front and back masters/ Rev. 1/5/2017 epfeeshestAs{evised 10121/2016 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 WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)' 1 Encroachment Permits may be taken out by the owner of benefited properly or a licensed contractor A licensed I certify that I have a Certificate of consent to self -insure Certificate of Worker's contractor must provide a "Letter of Authorization' to allow another party to pull a permit. An approved copy of the Compensation Insurance, or a Certified C 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 Date: f ' e: after date of issuanceVi CERTIFICATE F EX N (Secti 00 Labor Code) 2. The Permiltee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and employees harmless from any responsibility, liabiljty, suit or action of any description arising out of any accident, loss I certify that in the perfor ante of this permit, I shall not employ or damage to persons or property occurring as a result of work undertaken under this permit. any person so as to becomes o 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. provprov si 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 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 Date: Signature: 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 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 Date: 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 when hazardous ground 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 must 1 understand that I am locating minor encroachments within the City Right -of - be inspected and 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. I 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 (ie. water, sewer, or street lighting conduits) to verify 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 Encroachmen Permit Inspection is required 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 safely devices shall conform to the requirements of the current of Public Works at949-644-3311.• Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the f California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00 •�" 15. Any above ground utility facilities will require documented approval from the adjacent 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. affected property owner(s). 10. Work within or near beach sensitive areas will not be allowed during. City holidays, spring break. Memorial Day 16 Homeowner, contractors, and subcontracotrs may each be liable for violations of Water weekend, summer between June 15 and September 15, and during the holiday season from December 19 to Quality Laws. Best Management Practices will be enforced. It is against the law to 1'1 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 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 $25,000 and/or up to three years in State emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 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 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 Certificate or Evidence of a Slurried Backfill and request a final inspection from the the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way Public Works Department. Monies may be held for six months after final inspection will require a Caltrans Permit. All vehicles shall be lawfully parked. before a refund will be processed. 12 This 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 Work 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 Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City etc.). Additional inspection fees may be required. may remove and bill the applicant Coordinate alley closures with City's 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. 1 o place a dumpster or materials in the public right-of-way, a approved by Public Works and an Encroachment Agreement has been processed. Temporary Street Closure Permit must 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 permit $hall be performed until the Public Works Department has Issued this permit. Applicant hereby n ledges hels as��derstands 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 Issuance. lac-Q; Permit fees are nonrefundable. I pat / 4 A �5lana .f Ol v . .. L- P �_ _ b,"�,��► N � � l i co j ti � - STONE � y 4 b I/ ,fib I eke 7.5ca � a �•— ' r -NOT -ISSUANCE OF A BUILDING PERMI y DOES NOT RELIEVE APPLICANTS OF THE LEG between finish grade and bottom-0 treated sill plate shall be COVENANTS, CONDITIONS AND RESTRICTIONS WHIC distance acceptable be PROPERTY OR PRIORO O COMMENCEMENT OF Ab TAIN PLANS. YOU SHOk The minimum ASSOCIATION as follows: r1M THIS PERMIT " _ 3" Exterior n=tc Slab lope @ 1% ,, on. Concrete: 3" Sill P1atelEarth Separati J : 6" NOTES: 1. 2. KI SEE SHEET A4 FOR C GRADING NOTES A. REMOVAL OF At APPROVAL FRC B. PER MUNICIPAL TREES ARE REQ1 ABUTTING THE IS CONSTRUCI PROVIDE PERMITS I - COMPLETE DEMC GF►.irFS OVER 3' s City of Newport Beach Page 8 of 20 •k30:19PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/27/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 130 39TH ST t2t. — S-i— Activity : N2017-0483 SubType : NEW Status : APPROVED OWNER: SPRAGUE RICHARD E Phone APPLICANT: BERK CUSTOM HOMES INC Phone : 949-300-5152 DAVID@BERKCUSTOMHOI Description : REPLACE DAMAGED ADA RAMP AT CORNER OF BALBOA AND 39TH ST PER CITY STD. ^J �y, .x �NnFi� ilk{,��i[yM Sli::. Item: 10204,...PRE JOB - PW Requested Time: 9/27/2017 1 Entered By: NBIVR Comments: AM Assigned to: Inspector: -'s 1✓ Date: Requestor: NBIVR 9499332295 - A- D4 /�c-5;r1c Tv 27 Time: M M 0,4 vL, -t-0 �— ii.�.�iln F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 8TOP :PI ung T£TZdz2I 100,2017 City of Newport Beach Page 14 of 15 4:30:32PM INSP150 - Daily In ,oNON3\POJe4S\MBd\sJasn\:d Requested Inspection Date:10/06/2017 Inspection Type : ENCROACH PIAV Site Address : 130 39TH ST Activity : N2017-0483 Status : APPROVED APPLICANT: BERK CUSTOM HOMES INC Phone : 949-300-5152 Description : REPLACE DAMAGED ADA RAMP AT CORNER OF BALBOA AND 39TH ST PER CITY Requested Time: 10/6/2017 12:00:OOAM Entered By: WEBUSER Comments: AM -Earlier the betrer. I HOW -Adam -Assigned to : 77777777777* :sluawwoD Wd WV :awil : a;e(3 :jo;:)adsul �� ..ogged 10/13/2017 City of Newport Beach Page 15 of 15 16:34:20AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/13/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 130 39TH ST Activity : N2017-0483 SubType : NEW Status : APPROVED OWNER: SPRAGUE RICHARD E Phone: APPLICANT: BERK CUSTOM HOMES INC Phone : 949-300-5152 DAVID@BERKCUSTOMHOI Description : REPLACE DAMAGED ADA RAMP AT CORNER OF BALBOA AND 39TH ST PER CITY STD. Item: 10250 FINAL - PW Requested Time: 10/13/2017 12:00:OOAM Requestor: WEBUSER 9499332295 0 A r� Entered By: WEBUSER Comments: ANY - Assigned to: 77777xz7zzz Inspector: Date: �� (�j �� Time: A PM Comments: I AJA L V 7 �I T Al o� COMPLETED F:\Users\PBW\Shared\ENCROACH\MASTERSNFORMS\InspectorSheet.doc