HomeMy WebLinkAboutN2017-0472Job Address
Description
Parcel # :
Legal Desc :
Owner:
Phone:
Address
Applicant:
Phone :
Address
City of Newport Beach IIIIIII�II�II�III��I�I�AI�IIII�IIIII
100 Civic Center Drive, Newport Beach, CA 92660
!% Permit Counter Phone (949)644-3311
�Z Online Inspection Request - www.newportbeachca.gov / Online
Services
Permit No: N2017-0472
Project No : 0278-2016 '
Inspection Requests Phone (949)644-3255
711 MARIGOLD AVE NB Thomas:Guide: 919F2
CURB CORE PER STD-184-L, CURB, GUTTER AND SIDEWALK PER CITY INSPECTOR PER CITY STDS, REMOVAL OF CONCRETE CARRIAGE WALK
4590-631-7 -
CORONA DEL MAR BLK 739 LOT 11
WATERPOINTE CUSTOM HOME
3500 E COAST HWY
CORONA DEL MAR, CA 92625
VALLEY MASONRY
714-488-6393 [
Special Cond.: PRE CON MEETING REQUIRED WITH PW
INSPECTOR
SCANNED
Contractor: VALLEY MASONRY
Phone: 714-488-6393
Address : 264 NORTH SHAFFER
ORANGE CA 92866
Contractor State Lic: 390882
License Expire: 01 31, 2019
Business License: BT30063500
Business Expire:
09 30, 2017
Workers' Compensation
Insurance - -
Carrier :
EMPLOYERS COMP
Policy No:
EIG157791603
W. C. Expire:
10 01, 2017
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 : 'ram:
Date:
_�_/_Li / L L
General Services Approval : Date :
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
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ET W.BEL.�NFORMAM
PROJECT ADDRESS: '7 //
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: Phone:
Email Address:
Mailing Address:
City/State/Zip:
L L�
Phone-
:
LOWNER:L(j
ss:
City/State/Zip:
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: 4C
Office Phone:
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: BQ %M 60 ®S&
Mailin Address: S7�
City/State/Zip:
State License Number & Class:
qOI;S-;r ^? ' Expires:
City Business License Number:
Expires:
1jWOiiKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Poll c No: Expires:
.....................
RAF:4�HOAI�I;E:p�PaS.IT:IMF4RMai'IQPI:(�kppll�able :�
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FOR OFFICE USE ONLY
Special Conditions of Permit: to �
J
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public Works Specialist:
Date- f
71
Permit No.
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Public Works Department 949-644-33
I 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
8.
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 dale of issuance.
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
or damage to persons or 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 Utilities
Department or General Services Department inspections 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 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
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 10
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 Stale 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 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.
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 3800 Labor Code)
I certify that I have a Certificate of consent to se sur , Certificate of Worker's
Compensation Insurance, or a Certified Copy the of.
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 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 I am personally performing all
work in the Public Right -of -Way.
Date:
Signature:
HOLD HARMLESS STATEMENT
I understand that 1 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 949-644-3311. c cecz'
15. Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16. Homeowner, contractors, and subcontracotrs 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 ghall be performed until the Public Works Department has Issued this permit. Appli nt hereby acknowledges he/she has re and nderstands th
conditions of this permit and he/she agrees to abide by them. Permit is void if work Is not commenced within 30 days after issuan .
Permit foes are nonrefundable. Date: /�—/ % Signature:
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BOTTOMLESS TRENCH DRAIN
Z
13
CATCH BASIN DETAIL
_...�__ NO
EET OF IMPERVIOUS SURFACE
:U 17 FEET OF FRENCH DRAIN
'ARE FEET OF IMPERVIOUS SURFACE
U 15 FEET OF FRENCH DRAIN
IIREMENTS
QUARE MEET OF IMPERVIOUS SURFACE
ING THRU 15 FELT OF FRENCH DRAIN
00 SQUARE FEET OF IMPERVIOUS SURFACE
ING THRU 15 FEET OF FRENCH DRAIN
ITY REQUIREMENTS
I I1
1 i ROP. LINE
EQ,
...... Q.
PROP. UNE -1.
NEW WOOD PENCE
I
i
NEW RESIDENCE I
EXIST. GRADE GRADE G
LI OVER —EXCAVATION AND 3,
1 RECOYPACTION TO 90x 1
I OVER -EXCAVATION D
ETAIL����E
SECTION OF CUT A -A
CIVIL ENGINEERS NOTE_,S-
D.ISTINCI'IVE BOUNDARY SFiO'
F'IELI) OBSERVATIONS, ALL BF'ARINCi'
UNLESS NOTED OTHERWISE:.
2. LICENSED CIVIL ENGINEER OF REC:C
CORNERS OR OFFSETS BEFORE START]
PLEASE CALL THE LICENSED CIVIL I.:N(
'1'0 SCHEDULE CONSTRUCTION STAKiN
3. THE LICENSED CIVIL ENCCINEER OF R.
OR "CORNER RECORD" TO THE C.OUNT1
SUBMI'I`CED TO THE BUILDING INSPECT
CONSTRUCTION NOTES
CONSTRUC"C ON -SITE PATIO/WALKWAY, SEE LANISCAPE ARCII. PLANS
FOR MATERIAL TYPE
CONSTRUCT UN-Srrvl DRIVEWAY. sEE ARCIT. PLANS FOR MATERIAL "TYPE,
SUBGRADE SHALL BE PER SOIL ENGINEER'S RECOMMENDATIONS.
:) CY)N.STRUC"1' 6" DIA. AREA DRAIN INLET (DOMED GRA'T i). NUS MODu'L 80.
4.� CONS"I'RtIC'T 4" DIA. PVC (SCIIID. 40 OR SDR 35) DRAIN PIPE: AT I % MINIMUM
SLOPE
DC:'0NS'TRU(7l' 4" DIA. PERFORATED PVC (SCIR D. 40 OR SDR 35) DRAIN PIPE Al' 1 %
MINUMUM SLOPE. PER DI TAIL HEREON.
6 ('ONS'CRLT("I' B07'I'OMLESS 'TRENCEI DRAIN INLE-1' WITH T'RAFVIC RATED GRATE. USE
GRATING PACIFIC MODEL K100S (OR APPROVED EQUAL)
�7 REMOVE EXISTING CONCRETE; IN PARKWAY.... PARKWAY SIIALL BE PLANTED
WITH SOD OR LOW GROWING LANDSCAPING.
(D INSTALL SINGLE ROW OF SANDBAGS (2 BAGS HIGH) FOR EROSION CONTROL
(D CONNECT ROOF DOWNSPOUT TO UNDERGROUNI) DRAIN SYSTEM.
OR OUTLET ONTO CONCRETE: SURFACE
Cl () CUNSIRU(,-f' LOW VARIABLE liEIGiTT RETAINING WALL (3.5' IfiIGII MAX.) WITH WOOD
FENCE ON TOP .... SEE LANDSCAPE ARCE1iTIacl"S PLANS FOR WALL CONSTRUCTION DETAILS.
CID PROTE:CC EXISTING WATER METER IN PLACE' FOR RE -USE;.
12. INSTALL NEW SEWER CLEANOUT WITH TRAFFIC RATED COVER ON EXISTING
SEWER LATERAL PER CITY STD. 406-L.
13. CONSTRUCT ABTECH SMART FILTER CUSTOM CATCH BASIN SYSTEM
(OR APPROVED EQUAL) PER DETAIL HEREON
14 CONSTRUCT :3" CURB DRAIN PER CITY OF NEWPORT BEACH STD. 184-L.
PIPE SHALL BE NON -PERFORATED, ..(PUBLIC WORKS PERMIT REQUIRED).
i 5 INSTALL NEW WATER SERVICE WITH TRAFFIC RATED COVER PER CITY STD 502-L
16 CONSTRUCT DEEPENED FOOTING ( WITHIN 15 FEET OF PERFORATED PIPE OR BOTTOMLESS
TRENCH DRAIN) PER RECOMMENDATION OF'ITIE SOILS ENGINEER AND/OR STRUCTURAL
ENGINEER.
17' CONSTRUCT NEW SEWER LATERAL AND CLEANOUT WrTH TRAFFIC RATED C )VER
PER CITY STD. 406-L.
18 CONSTRUCT SILT FENCE ON PROPERTY LINE, AS NECESSARY, PER BMP SE-1
l 9. CONSTRUCT 4" DIA. AREA DRAIN INLET (FLAT GRATE). NDS MODEL 80.
INSTALL NEW SEWER CLEANOUT WITH TRAFFIC RATED COVER
PER CITY .S 1T). 406-L.
JTTED PER. ON -SITE
W MEASURED,
EN'ILY MONUMENT PROPERTY
.....PETF, DI ]CA Cgl 949-675-4487
..CATIONS
A "UUrClUnrw bfriirir•is
9114/2017 City of Newport Beach Page 7 of 11
4:30:13PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/15/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 711 MARIGOLD AVE
Activity: N2017-0472
SubType :
Status : APPROVED
APPLICANT: VALLEY MASONRY Phone : 714-488-6393
OWNER: WATERPOINTE CUSTOM HOME Phone
Description: CURB CORE PER STD-184-L, CURB, GUTTER AND SIDEWALK PER CITY
INSPECTOR PER CITY STDS, REMOVAL OF CONCRETE CARRIACIE A4"k
Item: 10200 PRE JOB - PW
Requested Time: 9/15/2017 12:00:OOAM
Entered By: WEBUSER
Comments:
-
Assigned to:
Inspector:y
Comments: 124,o5r-T-
Requestor:
Date: dW y i 61 l %
Z—G
Alw
(714) 488-6393
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Time: ?, 3 0 AM PM
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131
Run Id: 4018
9/19/2017 City of Newport Beach Page 19 of 19
6:34:40AJIl INSP160 - Daily Inspection Request Report
Requested Inspection Date: 09/19/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 711 MARIGOLD AVE
AM lntOlw>Mioc
Activity : N2017-0472
SubType :
Status : APPROVED
APPLICANT: VALLEY MASONRY Phone: 714-488-6393
OWNER: WATERPOINTE CUSTOM HOME Phone :
Description : CURB CORE PER STD-184-L, CURB, GUTTER AND SIDEWALK PER CITY
INSPECTOR PER CITY STDS, REMOVAL OF CONCRETE CARRIAGE WALK
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 9/19/2017 12:00:OOAM Requestor: WEBUSER
714 488 - 6393
Entered By: ER
Comments• PM -
Assigned to: 77777777777*
Inspector: V Date: d%/ �� %Time: �.'3AM M
Comments:
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FA —
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F: \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Inst)ectorSheet.doc
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11/14/2017 City of Newport Beach Page 10 of 12
4:30:36PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/15/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 711 MARIGOLD AVE
Activity : N2017-0472
SubType :
Status : APPROVED
APPLICANT: VALLEY MASONRY Phone : 714-488-6393
OWNER: WATERPOINTE CUSTOM HOME Phone
Description : CURB CORE PER STD-184-L, CURB, GUTTER AND SIDEWALK PER CITY
INSPECTOR PER CITY STDS, REMOVAL OF CONCRETE_ CARRIAGE WALK
Item: 10250 FINAL - PW
Requested Time: 11/15/2017 12:00:OOAM Requestor: WEBUSER
714 488 6393
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777`
Inspector: _ Date: !� 7 Time: AM PM
Comments: //�/''tL I° i{� 1� .� &Lfe l tclL L
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
12/11/2017 City of Newport Beach Page 9 of 11
4:31:OOPM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/12/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 711 MARIGOLD AVE
Activity :
N2017-0472
SubType:
Status :
APPROVED
APPLICANT:
VALLEY MASONRY Phone: 714-488-6393
OWNER:
WATERPOINTE CUSTOM HOME Phone
Description :
CURB CORE PER STD-184-L, CURB, GUTTER AND SIDEWALK PER CITY
INSPECTOR PER CITY STDS, REMOVAL OF CONCRETE CARRI L
N t
' r
t
Item:
10250 FINAL - PW /
Requested Time:
12/12/2017 12:00:OOAM Requestor: ISER
714-296-5117
Entered By:
WEBUSER
Comments:
AM-1 need to meet you on site
Assigned to:
77777777777' C L t- 0 e-
�
Inspector:
'
Date: Z" / Z Time: 1Lj_�61V!
30
Comments:
F:\Users\PBV\I\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018