HomeMy WebLinkAboutN2017-0218:
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oo City cNewenter �port Bea BeNewportach, CA 92660
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
IIII�IIIIIIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIll Permit No: N2017-0219 .R
Project No . 1696-2016SCANNED
Inspection Requests Phone (949)644-3255
Job Address:
829 PRODUCTION PL NS
Thomas:Guide: 888G5
Description :
TRENCHING FOR MESA CONSOLIDATED WATER TIE-IN
Parcel # :
4241-420-9 -
Legal Desc :
N TR 3145 LOT 5
Owner:
HIXSON METAL FINISHING
Contractor : GENERAL CONSOLIDATED CONST
Phone:
9496454800
Phone: 951-734-3507
Address :
829 PRODUCTION PL
Address : 19800 GUSTIN LN
NEWPORT BEACH, CA
PERRIS, CA 92570
Contractor State Lic: 562287
Applicant:
GENERAL CONSOLIDATED CONST
License Expire: 03 31, 2019
Phone:
951-734-3507 [
Address :
19800 GUSTIN LN
PERRIS, CA 92570
Business License: BT30052980
Business Expire : 10 31, 2017
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP
Policy No: 9121085
W. C. Expire: 01 01, 2018
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
rA
Traffic Approval :
Date: _/_/
Issued Permit:
Date :' /
General Services Approval : Date : _/_/
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COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: fQ v C-F i0 QC e
DETAILED DESCRIPTION OF PROPOSED WORK:
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PPLICANT: NFr ( COVISp i4QAeL (for' f VC,0mrs
Phone:gSI 73`( 350
Email Address:
Mailing Address:
14 cb &)stet LA
City/State/Zip: ,
Zs'70
OWNER: Pi n5cg- Afe4'd 09 1
Phone: 9VM 8-cf7
Email Address: f00Ut, (i �q bill � �GU . C'OGt'1
Mailing Addr�
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City/S State/Zip
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WFO-0-1-7100 PSI ir
FCONTRACTOR:C-,,,,(,,t
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Office Phone: i 7-7f 3Y07
Company (if different):
Jobsite Phone: 951 563E3S5
Other Phone:
Email Address: G� j 114 a'
Mailing Address:
If0O �ff�t Cis
vs
City/tate2ip:
P(rf 5, n4 Z5'-7a
State License Number & Class:
14 S 6 Z 2 f 7 Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
Municipal Orations: 949-644-3065
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
s
Special Conditions of Perm.
' irl'L
-ADDI TUMAL APPMQN/1l.'OMMIMMUNNODiEPARTMEN M
Utilities:
Municipal Operations
Traffic: Fire:
Other:
Engineer ng Technician:
D
Permit Spec'
Date:
;�-Q�
Permit No.
N2017- ,
r,userWvow/share&enaoaaftmasterafeowork*mt.)as 1 1 1
I�/ 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 Fncroachnnent Pernik may ire taken out by the owner of benefited property or a licensed contractor A licensed
contractor must provide i [ ellet of Authorization" to allow another party to pull it permit An approved copy of the
permit and corISIIU ion plan shall be. kept at the lob site at all limes Woi k. 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
2 The Permttee agrees to defend. indemnify and hold the c;ily. its authorized agent, officers. representatives and,
employees harmless from nnv responsibility. liability, suit or action of any description arising out of any accident, joss
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. Standard Special Provisions and Standard Drawings
of the City of Newport Beach. and in compliance with all applicable State laws and City ordinances.
4 Permiltee guarantees all work per(ormed under this permit to be free of hidden and talent defects. Any failures shall
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
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 Stale Contractor License Class C-34 is required. For construction or
connection to sewer lines a valid Slate 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,
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 frorn the California Division of
Industrial Safety prior to commencing underground construction as required by Stale jaw. Walls and faces of all
excavations over 5 feel 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
8 All trench restoration must be inspected by the Public Works Department No utility Installations) 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 (w water. Sewer. or street lighting conduits) to verify locations. Maintain a one -fool
clearance over or under existing Citv-owned utilities Sewer cleanouts require VCP or PVC SDR35 be used with a
41 T 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 regwrennents 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
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
I I Any work that extends into traffic: or parking lanes and unpedes the normal [low 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 limes Traffic Control must be per Work Area Traffic Control
Handbook (WA rCH ). 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 Deparinxent. Anv work affecting the State Highways traffic or within the Slate Highway right-of-way
will require a Caltrans 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 not removed, the City
may remove and bill the applicant Coordinate alley closures with Citys refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted To place a dumpsler or materials in the public right-of-way. a
Temporary Street Closure Permit most be obtained from the Public Works Department
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Cude)
I certify that I have a Certificate of consent to self -insure. Certificate of Wo, ker's
Compensation Insurance, or a Ce11gin
ed Copy thereof.
Date: S. ' I / frature: �-----_._.—
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: S 3— 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:
r`
hour notice for Encroachment Permit Inspection is required by calling
blic Works at 949-644-3311. __fZ_1
15 Any above ground utility facilities will require cfocun!enled approval from the adjacent
affected property owner(s).
16 Homeowner. contractors. and subcontracotrs may each be liable for violations of !°,oiler
Quality Laws Best Management Practices will be enforced It is against the jaw to
discharge construction debris into the gutter and storm drain felony violations of Wa!er
Quality Laws are punishable by fines up to S25.000 and or up to three ,rears :n Slate
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 fhF
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 he planted. removed. tritr!med. %,r relo!c ated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public. VJork•<
Department or corrections will be required (i.e. removals, exposing connectwos.
etc.). Additional inspection fees maybe required
20 Permit is for standard materials in the public right-of-way only. unless previously
approved by Public Works anti 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. Applicant hereby acknowledge he/she has read and understands 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 issue ce.�-
,Permitfees are nonrefundable. 7 Date: S-S % ignatur 1
Permit Processing Fee:
Public Works Only $241.0
Other Department $275.0
2A
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee:
Public Works Field Inspection $165.0
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
1
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES
TBDeTBD
$108.00
$.00 e $64
$64.00
---
Revenue Division I
I
city.
(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
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
12" Turbine Meter
$845.00
For Traffic & Alley Areas (Box + Cover = Cost)
13" Meter
$3,310.00
1" Meter: 13.00 + 38.00 $51.00 1
4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.008
6" Meter
$7,190.00
1
Certificate of Compliance Fee (+100% of hry 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 My 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
Permit Sneciallst
Receipt No.
fluserslpbw/shar"enaoadVmasters/ep front and back masters/
Rev. 1/5/2017
epfeesnestAs-revised 10121/2016
Xl 6-INCH ACP WATER MAIN PER
MESA WD DWG. NO. CM453. FIELD
VERIFY L OCA TION/ELEVA TION.
w w6-- w
V 2EWA Y
M 6-INCH CMU PUMP -�
HOUSE PER
ARCHITECTURAL PLANS
DA TED 111612017.
31 y
t 4
19'
N.
PRODUCTION PLACE
4+100
3
2
(E) SIDEWALK
w w6
25'
(E) ORIVEWA Y
61/0/2017 City of Newport Beach Page 3 of 20
• -4:30:11PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/11/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 829 PRODUCTION PL
Activity: N2017-021 E
SubType : NEW
Status : APPROVED
OWNER: HIXSON METAL FINISHING Phone : 9496454800
APPLICANT: GENERAL CONSOLIDATED CONST Phone: 951-734-3507
Description: TRENCHING FOR MESA CONSOLIDATED WATER TIE-IN
Item: 10050 EXCAVATION- PW
Requested Time: 5/11/2017 12:00:OOAM Requestor: NBIVR
9092686818
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: V Date: Time: 1��,� /A4 PM
Comments: Al �✓% Ir1 l/Z/ y - - S
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F:\Users1P61MShared\E NCROACH\MASTERSIFORMSVnsoectorSheet.doc
REPT131 Run Id: 4018
o ENGINEERINGMOM
SOILS AND GEOTECHNICAL CONSULTANTS
Field Observation Memo
10641 HUMBOLT STREET
LOS ALAMITOS, CALIFORNIA 90720
PHONE 562.799.9469 • FAX 562.799.9459
Project 14. x r,3,.1 Date S"- r 2 -i 7
Address 8 1-9 ('mad .,� T~ .,/ P I Project Number /S'`f 6Y -� o
Ti_-. tom S�J¢gr.1'ao !Je- - a *?.'i.o✓ oP .4111,16-"fi,//. --A0c?-,,%
1 "r ?' r%- �CC� ✓-^ r_ le- 6 a —c T a -I / G. S orc. -# a --I h— A,
Accepted by NorCal R resentative
5/1'I/2017 City of Newport Beach Page 1 of 18
,4:36:52PM INSP1SO - Daily Inspection Request Report
• Requested Inspection Date: 05/12/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 829 PRODUCTION PL
.. t x.y.y rZl :ry: ,.,„�xt
+Activity : N2017-0218
SubType : NEW
Status : APPROVED
OWNER: HIXSON METAL FINISHING Phone : 9496454800
APPLICANT: GENERAL CONSOLIDATED CONST Phone : 951-734-3507
Description : TRENCHING FOR MESA CONSOLIDATED WATER TIE-IN
NOy 44
Item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 5/12/2017 12:00:OOAM Requestor: NBIVR
9092686818
Entered By: NBIVR
Comments: AM
Assigned to :
Inspector: pDate: ZZTime: PM
Comments: ��
Logg ',
effte
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSUnsoectorsheet.doc
REPT131. Run Id: 4018
3/6/2018
City of Newport Beach Page 1 of 12
4:30:39PM
INSP150 - Daily Inspection Request Report
Requested Inspection Date: 03/07/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 829 PROiDUCTION�i Pt(Ly
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Activity : N2617-0218 m
SubType :
Status :
NEW
APPROVED
OWNER:
HIXSON METAL FINISHING Phone : 9496454800
APPLICANT:
GENERAL CONSOLIDATED CONST Phone : 951-734-3507
Description :
TRENCHING FOR MESA CONSOLIDATED WATER TIE-IN
".,
Item:
10250 FINAL - PW
Requested Time:
3/7/2018 12:00:OOAM Requestor: NBIVR
9092686818
Entered By:
NBIVR
Comments:
AM
Assigned to:
Inspector:
Date: Time: AM PM
Comments:
AMIL
Vi'o,
\10V
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018