HomeMy WebLinkAboutN2018-0288P,7t,
City of Newport Beach I��IIII
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100 Civic Center Dnve, Newport Beach, CA 92660 N 2 0 1 8 0 2 8 8Permit Counter Phone (949)644-3311Online Inspection Request - www.newportbeachca.gov /Online Services
Job Address: 2800 NEWPORT BLVD NB Thomas:Guide
Description : INSTALL NEW CURB DRAIN PER STD 184-L.
Parcel # :
Legal Desc
Owner:
Phone :
Address
0470-520-8 -
NEWPORT BEACH SEC A BLK 225 LOT 1 AND POR OF LOT 2
AVILA SERGIO
2800 NEWPORT BLVD
NEWPORT BEACH, CA 92663
Applicant: CEM CONSTRUCTION
Phone: 562-714-2886 [
Address : 8207 BROOKGREEN RD
DOWNEY CA 90240
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit No: N2018-0288
Project No: 2214-2017 SCAN N EU
Inspection Requests Phone (949)644-3255
888H7
Contractor: CEM CONSTRUCTION
Phone: 562-714-2886
Address : 8207 BROOKGREEN RD
} DOWNEY CA 90240
Contractor State Lic: 951234
License Expire : 08 31, 2018
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 :
$165.00
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:
Date
Utilities Approval :
Date
Traffic Approval :
Date
General Services Approval :
Date
Business License: BT30057237
Business Expire:
11 30, 2018
Workers' Compensation
Insurance - -
Carrier :
WESCO INSURANCE COMPANY
Policy No:
WWC3165694
W. C. Expire:
11 21, 2018
Total Fee $406.00
Paid : $406.00
Balance : $0.00
Receipt No:
Other Department : Date: _/_/
Permit Denied Date:
Issued Permit TL Date
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: j
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT:
Phone: ;3
Email Address: , Ai_
Mailing Address: G J .
,�
City/State/Zip:
7 r--ab
OWNER: ✓ GLr
lPhone: .4113 G
Email Address:
Mailing Address:
City/StaterZip:
ONTRACTOR:
Office Phone:
Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
Mailing Add r is /
0 b r is � G �Ccw
City/S e2ip:
ce �ci• �0 `� L
State Li ns Nu ber & Class
,�- Expires:
City Business Lice se Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
Special Conditions of Permit:
ADDffKMALROAIALItEUtNRMFRMTWFQLLOVIM.MWAMMOM
Utilities: Traffic: Fire: 0
Municipal Operations Other:
Engineering Technician:
Pe Mlist
Date•
/ �01
Permit No.
N2018-
fhser/pbw/shard/encroach/master/epmrksheet. xls
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
emu.
Inspection Fee:
Public Works Only
$241.00
Public Works Field Inspection
$165.0
Other Department
$275.00r;�
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$192.001
Refundable Deposit:
TBDe
Monitoring Wells
$502.001
Improvements
TBD
Street/Alley/Walk Closure:
$65.000
Newspaper Rack Inspection
$108.00 0
Traffic Control Plan Check
8-1/2" x 11"
$65.00
Sewer Connection Fee
$250.00
24" x 36"
$143.00
4TT Box & Cover
$64.00
Additional
—i
THE FOLLOWING ITEMS QU REIRE APPROVAL FROM THE Revenue Division
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval:
1
f
4t1►-
. ahr• .
(Water Meter:
Installation Charge
$528.00
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box
$96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box
$203.24 B
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
f4" Meter
$4,730.00
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 hrly 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
-* VO &o OC7
Permit SmVabst
Receipt No.
f /users/pbw/shared/enaoach/masters/ep front and back masters/
Rev. 12/18/2017
epfeesheet.xls-rev(sed 11/8/17
.�9- c'>1 c - -�v 1
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 (Secti 38 Labor Co )
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 -ins re, i I ate 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 Copy t reof.
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 refection/fine. City reserves the right to void permit if work does not commence within 30 days
g f
Date J (ignature:
after date of issuance.
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
2. 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 cut of any accident, loss
I certify that in the performance of the work under 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 become subject to California Worker's Compensation Laws. If,
:3
All work shal! 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.
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
3700 or this permit shall be deemed revoked.
be corrected within two weeks after notification to the satisfaction of the Public Works Director.
5.
A valid Slate licensed contractor must perform all construction within the public right-of-way.. unless waived by the
Date: Signature:
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 State Contractor License Class C-34 is required. For construction or
CONTRACTOR LICENSE EXEMPTION
6.
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,
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
T
The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
I 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 feel of any City utilities, unless approved by the Public Works Department. Locate and pothole
encroachments.
existing City -owned utilities fie 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 Encroachment c ' n 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 safety devices shall conform to the requirements of the current of
;Pe#it
Public Works at 949-644-3311
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
tfacilities will; require documented approval from the adjacent
utility 15 Any above ground u
per barricade per day with a minimurn charge of S35.0& 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.
affected property ownility
10
Work within or near beach sensitive areas will not be allowed during. City holidays, spring break. Memorial Day
a
16 Homeowner, contractors, and subconlracotrs 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 enforced. It is against the law to
1 I
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
QualityLaws are punishable b fines u p y to $25,000 and/or u to three ears in State
prison plus the full cost to clean up an illegal discharge or spill
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
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 Stale 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, er 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.
exposing connections,
Department or corrections will be required (i.e. removalsJan
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-, Ness pre usly
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreeeen proc sadTemporary
Street Closure Permit must be obtained from the Public Works Department.
21. Permit is valid for "description" of work noted on frAdditi al work
performed may require issuance of a separate permit ant nal f s.
e/she had an 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./,�// `�
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby.acknowlec(tanature:Z
Permit fees are nonrefundable.
Da _ .__ .
C E M
CONSTRUCTION
January 8, 2018
City of Newport Beach
1000 Civic center Dr,
New Port Beach, CA 92660
8207 BROOKGREEN RD.
DOWNEY, CALIFORNIA 90240
5621708-0016 5621708-3586
Lic. # 951234
Authorization letter
Subject: Authorization Letter
Sergio Avila is authorized to pull permits on behalf of CEM Construction Corp
Please contact our office with any concerns regarding this matter.
Office Ph: 562-659-8213
Respectfully,
CEM Construction
Emigdio Carrillo Jr., M.S., P.E.
J 3
29TH ST.0
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�-PROJECT SITE
LOCATION MAP
CONSTRUCTION NOTE:
OA ADJUST TO GRADE ITEMS NOTED.
OP PROTECT -IN -PLACE ITEMS NOTED.
1O CONSTRUCT MIN. 4" CONCRETE PAVEMENT R/W #4 @ 18" O.C.. BOTH WAYS AT MID -HEIGHT ON MIN. 4"
CAB.
�2
CONSTRUCT 6" CONCRETE PAVEMENT
R/W #4 @ 12"
O.C.
BOTH WAYS AT MID -HEIGHT ON MIN. 4" CAB.
(VEHICULAR).
O
CONSTRUCT PRIVATE DRAIN THROUGH
CURB PER CITY
OF
NEWPORT BEACH STD-184-6 AND MODIFIED
PER DETAIL "A" HEREON.
O
CONSTRUCT CONCRETE CURB AND GUTTER
TO MATCH
EXISTING.
O5
CONSTRUCT MIN. 4" THICK CONCRETE
SIDEWALK PER
CITY
OF NEWPORT BEACH STD-180-L.
O6
CONSTRUCT PCC PAVEMENT CONTACT
JOINTS PER CITY OF
NEWPORT BEACH STD-108-L.
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(6.8J FL) 7.33 TC (6.84 FL)
JOIN EX. (7.24 TC) JOIN EX. NOTE:
CURB AND (6.83 FL) CURB AND AN APPROVED ENCROACHMENT PERMIT IS
GUTTER 6.87 INV GUTTER REQUIRED FOR ALL WORK ACTIVITIES WITHIN
THE PUBLIC RIGHT—OF—WAY
s/W2018 City of Newport Beach Page 18 of 21
4:30:46PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/06/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 280O NEWPORT BLVD
Activity : N2018-0288
SubType : NEW
Status : APPROVED
OWNER: AVILA SERGIO Phone:
APPLICANT: CEM CONSTRUCTION Phone : 562-714-2886
)escriotion : INSTALL NEW CURB DRAIN PER STD 184-L.
Item: 10200 PRE JOB - PW
Requested Time: 6/6/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to : 77777777777`
Inspector:
Comments:
Date:
F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
Time: AM PM
REPT131 Run Id: 4018
9/12/2018 City of Newport Beach Page 13 of 15
6:34:56AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/12/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 280O NEWPORT BLVD
AIP/D InFommation:
Activity :
N2018-0288
SubType :
NEW
Status :
APPROVED
OWNER:
AVILA SERGIO
APPLICANT:
CEM CONSTRUCTION
Description :
INSTALL NEW CURB DRAIN PER STD 184-L.
Requested Inspections)
Item:
10250 FINAL - PW
Requested Time:
9/12/2018 12:00:OOAM Requestor:
Entered By:
WEBUSER
Comments:
ANY -
Assigned to: uu777777Z*
Phone :
Phone : 562-714-2886
WEBUSER
k P° T