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Home My WebLink AboutN2018-0414rwHfT! Irl e• `-' City o Newport Beach IIII�II�IIIIIIIIIIIIIIIIIIIg��ullll �'vcDpBeach, CA 92660 IIIII�� Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online Services Permit No: N2018 -A&N6DPermit Protect No . 1784-2015{ i Inspection Requests Phone (949)644-3255 Job Address: 7 BODEGA BAY DR NB Thomas:Guide: 919H1 Description : CONSTRUCT 2 NEW CURB DRAINS THROUGH EXISTING CURB CORES PER STD 184-L AND ABANDON 1 CURB CORE. Parcel # : 4610-220-3 - Legal Desc : N TR 7844 LOT 16 T - Owner: DILLION GREGORY/CINDY Contractor: HILTON BUILDERS Phone: Phone: 949-673-4128 Address: 7 BODEGA BAY DR Address: 425 31 ST ST CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92663 Contractor State Lic: 316788 Applicant: HILTON BUILDERS License Expire : 05 31, 2019 Phone: 949-673-4128 [ Address : 425 31 ST ST NEWPORT BEACH CA 92663 Business License: BT00014142 Business Expire: 02 28, 2019 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : FALLS LAKE FIRE AND CASUALTY Policy No: FLA00537101 W. C. Expire: 05 07, 2019 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $406.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $406.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance : $0.00 Inspection Fee : $165.00 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: Utilities Approval : Traffic Approval : General Services Approval Date : _/_/ Other Department : Date Date : _/_/ Permit Denied Date Date : _/_/ Issued Permit: Date Date : / / DETAILED DESCRIPTION OF PROPOSED WORK: :C1 APPLICANT: 113hone: q(4177&77�7?0 Email Address: vy, vl i o), Mailing Address: City/StaterZip: 62 jPhone: OWNER: 01," Email Address: -) Mailing Address: -7 ('J �City/State0p: f6 . //� � -- , .--ALJL-'CONTRACTORINF,ORANATrQ7 CONTRACTOR: Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: J�jc Q Mailin Address: City/State/Zip: State License Number & Class: liz--7�;j q P Expires: V3 /I c City Business License Number: -T 6W I CA I I Expires: ZJTEI]q bq WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor C7) 1/1 q Company: ww ( � �� ! I Policy N -4A 7161 Expires: -C - (� ., . , 0 ................................ I ...................... ......................................... ............................................................. ... ............. ............................................................................. ................. ......................................... ............................................................................................ ...................... ....... ................. ............ ..................... Mai .... . . ...... ................................................................. ............ ................... ................ ................ ........... .................. FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other. Engineering Technician: Publ* r Specialist: JIM,/ zS I Permit No. 7T, 18 t.luwr&Vbvw'tharftWncmad*naster&Aepwodmheet.* I Public Works Department 949-644-3311 Permit Processing Fee: OAK 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: TBD 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 HE TFOLLOWING MS RE ITEQUIRE APPROVAL FROM THE Re_ venue Division 1 I REVENUE DIVISION PRIOR TO PAYMENT OF FEES lApprovai: I 1/• 1 [Water Meter: Installation Charge $528.00 I � 13/4" Meter $50.25 1 11" Meter $121.50 Water Meter Boxes: 1 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 e 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 �4" Meter $4,730.00 16" 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 EasemenWacation Fee (+100% of hrly over 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 cialist Receipt No. +C�' '�Rev. flusers/pbw/shared/encroadUmasterstep front and hack masters) 12/18/2017 epreesheet.xis re��sed ��ren7 I'%S4 -2z1s 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 property or a licensed contractor A licensed I certify that I have a Certificate of consent to self -insure, C rtificate of Worker's contractor must provide a Letter of Authorization to allow another party to pull a permit. An approved copy of the permit and construction plan strall be kept at the lob site at all times Work, which has been done prior to issuance of Compensation Insurance, or a Certified Copy thereof. a permit, is subject to rejection/fine City reserves the right to void permit if work does not commence within 30 days Date: Signature:. after dale 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 out 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 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 Slate 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 State Contractor License Class A can perform any work in the public right-of-way. For construction or connection to water lines a valid Slate 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 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. HOLD HARMLESS STATEMENT 7 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. Locale 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: 4T1 box over the riser. 24-hour notice for EncroachmW Permit pection 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 at 949-644-3311 2- 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 15 Any above ground utility facilities will require documented approval from the adjacent per barricade per day, with a minimum charge of S35.00 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 S25,000 and/or up to three years 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 Slate Highway's traffic or within the Stale Highway right-of-way Public Works Department. Monies may be held for six months after final inspection will require a C:altrans 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 Wci.k 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 To place a dumpsler 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 4hall be performed until the Public Works Department has issued this permit. Applicant her by cknowledges he/she has read an nde s 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. Permit fees are nonrefundable. Date 66_Nbignature: __. f 015/2018 City of Newport Beach Page 2 of 17 4:30:22PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/16/2018 Inspection 'Type: ENCROACH Inspection Area: PW Site Address : 7 BODEGA BAY DR Activity : N2018-0414 SubType : NEW Status : APPROVED OWNER: DILLION GREGORY/CINDY Phone APPLICANT: HILTON BUILDERS Phone : 94"73-4128 Description : CONSTRUCT 2 NEW CURB DRAINS THROUGH EXISTING CURB CORES PER STD 184-L AND ABANDON 1 CURB CORE. Item: 10200 PRE JOB - PW Requested Time: 8/16/2018 12:00:OOAM Requestor: NBIVR 7148150293 Entered By: NBIVR Comments: AM Assigned to: Inspector: 1 ZSI LV'/- Date: Time: 0 1P PM Comments: �-A-C r kA c ✓t,►e o G�'l C✓� �' I�vG „� I F • F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc MPT131 Run Id: 4018 8/20/2018 City of Newport Beach Page 10 of 12 6:34:20AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/20/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 7 BODEGA BAY DR AMID Information: Activity : N2018-0414 SubType : NEW Status : APPROVED OWNER: DILLION GREGORY/CINDY Phone: APPLICANT: HILTON BUILDERS Phone : 949-673-4128 Description : CONSTRUCT 2 NEW CURB DRAINS THROUGH EXISTING CURB CORES PER STD 184-L AND ABANDON 1 CURB CORE. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 8/20/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: PM - Assigned to: zzzzzzzzzzz* V� CC 7148150293 cr G