HomeMy WebLinkAboutN2018-0310City of Newport Beach
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N2018-031 0
z 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone
Permit No:
Project No:
(949)644-3311
v Online Inspection Request - www.newportbeachca.gov Online
Services
SCANNED
v
Inspection Requests Phone (949)644-3255
Job Address : 121 EMERALD AVE NB
Thomas:Guide:
Description : CONSTRUCT NEW CURB ACCESS RAMP, RE -PAINT TWO 3' RED CURBS, REMOVE PRIVATE WALKWAY AND ENCROACHMENTS AND PLANT DROUGHT
TOLERANT PLANTS, INSTALL NEW
CURB CORE PER STD 184-L AND INSTALL NEW CONCRETE WALKWAY ALONG EMERALD.
Parcel #:
Legal Desc:
Owner: H LEON CONCRETE
Contractor H LEON CONCRETE
Phone:
Phone:
Address
Address P 0 BOX 78376
CORONA CA
Contractor State Lic: 795863
Applicant: JODI DITOLLA
License Expire: 06 30, 2009
Phone: 714-904-8994
Address 22 LARCHWOOD
IRVINE, CA 92602
Business License:
Business Expire:
Special Cond. PRE -INSPECTION INSPECTION REQUIRED
Workers' Compensation Insurance - -
Carrier :
Policy No:
W. C. Expire:
Permit Processing Fee $241.00 Sewer Connection
$0.00
Total Fee $901.00
Agreement Fee: $0.00 4TT Box Cover:
$0.00
Paid : $901.00
Traffic control Plan Check $0.00 Total Water Meters
$0.00
Balance: $0.00
Inspection Fee : $660.00 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
'S1
Traffic Approval Date
Issued Permit: Date—
General Services Approval Date
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Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
c Services
'10V 41L,
Job Address: 145 PARK AVE NB
Description :
Parcel # : 0500-112-1 -
Legal Desc : BALBOA ISLAND RESUB SEC 1 BILK 1 LOT 18
Owner: HAWKINSON W & K
Phone : 0
Address : 145 PARK AVE
NEWPORT BEACH, CA
Applicant: JODI DITOLLA
Phone : 714-904-8994 [
Address : 22 LARCHWOOD
IRVINE, CA 92602
Special Cond.: PRE -INSPECTION INSPECTION 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
Thomas:Guide:
Permit No: N20'18-0310 `
Project No : SCANNED
Inspection Requests Phone (949)644-3255
919C1
Contractor: H LEON CONCRETE
Phone:
Address : P O BOX 78376
CORONA CA
Contractor State Lic: 795863
License Expire : 06 30, 2009
Business License:
Business Expire:
Workers' Compensation Insurance - -
Carrier :
Policy No:
W. C. Expire:
Total Fee $571.00
Paid : $571.00
Balance: $0.00
Receipt No:
Date :
_/_/
Other Department :
Date : _/_/
Date :
Permit Denied
Date :
Date :
_/_/
/
/ Issued Permit :
Date : /
�/
Date:
/
/
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: 141>1
DETAILED DESCRIPTION OF PROPOSED WORK.
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APPLICANT:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
OWNER: ighm"lPhone:
Email Address:
Mailing Addr
City/State/Zip:
VIS
JEAM
Cal s„
ONTRACTOR: 1E ZG' t"
Company (if different):
4 1 .� ,V— • '
Email Address:
Office Phone:
p Jobsite Phone:
Other Phone: to
Mailing Address:
City/State/Zi ,
City Business License Number:
Expires:
State ice a er 8 Class:
74-)gb3 Expires:
lORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
�Company: Policy No: Expires:
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
IFFIRCIFIRCE
Special Conditions of Permit: in,$Fe iar r"u1^''l '
ADDITIONAL APPIWAL REQUMED FROM THE FOLLOW NG DEPAff--F= M
Utilities:
Municipal Operations
Traffic:
Other:
0 Fire:
0
Engineering Technician:
Permit Soecialist
Date:
(o - -
Permit No.
N2018- 031D
f�/users/pbw/shareNencroach/masterstepwoeKsheet.xls I --
Public Works Department 9494"-3311
100 Civic Center Drive, Newport Beach, CA 92660
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
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 POLLOWING ITEMS REQUIRE APPROVAL FROM THE
L_ REVENUE DMVISION PRIOR TO PAYMENT OF FEES
TBDeTBD
$108.00 0
$.00 $6464.00
Revenue Division I
I
MY.
I
(Water Meter:
Installation Charge $528.00
I3/4" 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" DFMeter Box $203.24
W
e
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
14"
$3,310.00
Meter
$4,730.00
6' Meter
$7,190.00
Certificate of Compliance Fee (+100% of My 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
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Permit Specialist
Receipt No.
1
f /users/pbw/shared/enaoactVmastersiep front and back masters/
Rev. 12/18/2017
epfeeshestAs-revised 1118117
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR j
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422.4133 I
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1 Encroachment Permits may be taken out by the owner of benefited properly 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 riot commence within 30 days
after date of issuance
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 out of any accident, loss
or damage to persons or property occurring as a result of work undertaken under this permit.
3 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.
4 Permitlee 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 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.
9 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.
7 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.
9 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.
9 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 limes.
10 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.
11 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 Callrans Permit All vehicles shall be lawfully parked.
12 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.
13 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.
14 Refuse or unused materials shall be. removed within 24 hours after completion of the work. If riot 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-insurQ,,�rtificate
Compensation Insurance, or a Certified Con ereo ��, ,
CERTIFICATE OF EXEMPTIO (Sectio 3800 Labor Code)
I certify that in the performance of the viork un r this permit, 1 shall not employ
any person so as to become subject to CbWeKia 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 I 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. /1`1
15 Any above ground utility facilities will rebw(e 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 Stale
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 VVorks
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 shall be performed until the Public Works Department has issued this permit. pplieant hereby acknowledges he/she has r u q�t;�lt/"e ftFms and I
conditions of this permit and he/she agrees to abide by them. Permit is void If work is not commenced within 30 days Co. `07\
Permit fees are nonrefundable. Date: ___Signature:._.__ __ ...- [�s ,\
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6/11/2018
4:30:07PM
City of Newport Beach
INSP150 - Daily Inspection Request Report
Requested Inspection Date:
06/12/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
145 PARK AVE
Activity :
N2018-0310
SubType :
NEW
Status :
APPROVED
OWNER:
HAWKINSON W 8 K
APPLICANT:
JODI DITOLLA
Description :
item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 6/12/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
1� N
Page 1 of 5
Phone : 0
Phone : 714-904-8994
NBIVR
6264835096
Date: ;/12- Time: AM PM
Loggea
D'"'m .
F:\Users\PBW\Share(AE NCROACHWASTERS\FORMS\I nsnectorSheet.doc
REPT131 Run Id: 4018
6/18/2018 City of Newport Beach
6:34:11AM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
06/18/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
145 PARK AVE
A/P/D Information:
Activity :
N2018-0310
SubType :
NEW
Status :
APPROVED
OWNER:
HAWKINSON W & K
APPLICANT:
JODI DITOLLA
Description :
Requested Inspection(s)
Item:
10100 FORMS WITH COMPACTION - PW
Requested Time:
6/18/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Assigned to : b�'^
Page 8 of 22
Phone : 0
Phone : 714-904-8994
NBIVR
6264835096
6/27/2018 City of Newport Beach
6:34:22AM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
06/27/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
145 PARK AVE
AMM Information:
Activity :
N2018-0310
SubType :
NEW
Status :
APPROVED
OWNER:
HAWKINSON W & K
APPLICANT:
JODI DITOLLA
Description :
Requested Inspections)
Item:
10200 PRE JOB - PW
Requested Time:
6/27/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Assigned to:
Lti
it Iq ,/J--►? Ild- �<- omp
Page 6 of 17
Phone : 0
Phone : 714-904-8994
NBIVR
6264835096
20
.;� S ce
. '6/29/2018 City of Newport Beach
. 6:34:47AM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
06/29/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
145 PARK AVE
AMM Infomm4ion:
Activity : N2018-0310
SubType : NEW
Status : APPROVED
OWNER: HAWKINSON W & K
APPLICANT: JODI DITOLLA
Description :
Requested Inspecti 4s)
Item: 10210 PUBLIC WORKS
Requested Time: 6/29/2018 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: PM
Assigned to:
r'
Page 1 of 9
Phone : 0
Phone : 714-904-8994
n:�
NBIVR
6264835096
t/6r2018 City of Newport Beach Page 13 of 13
6:34:19AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/06/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 121 EMERALD AVE
A/P/D Information:
Activity :
N2018-0310
SubType :
NEW
Status :
APPROVED
APPLICANT:
JODI DITOLLA
Phone : 714-904-8994
Description: CONSTRUCT NEW CURB ACCESS RAMP, RE -PAINT TWO 3' RED CURBS, REMOVE
PRIVATE WALKWAY AND ENCROACHMENTS AND PLANT DROUGHT TOLERANT
PLANTS, INSTALL NEW CURB CORE PER STD 184-L AND INSTALL NEW CONCRETE
WALKWAY ALONG EMERALD.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 8/6/2018 12:00:OOAM Requestor: WEBUSER
6264835096
Entered By: WEBUSER
Comments: AM -
Assigned to: zz� zzzzz* ,�/Lp
COMPLETED