HomeMy WebLinkAboutN2018-0045City ofNewport Beach
111111111111111111111111111111111111111111111111111111111 Permit No:N20180045'VCenter Dach,CA92660 -
Permit Counter Phone (949)644-3311 Project No
rr'^ 4 Online Inspection Request - www.newportbeachca.gov / Online
Services
�.411,ju Inspection Requests Phone (949)644-3255
Job Address:
300 E COAST HWY NB
Thomas:Guide:
889B7
Description :
INSTALL NEW GAS METER AND ABANDON OLD MAIN IN FRONT OF BAYSIDE MOBILE HOME PARK -
NOTIFICATION 2040111237
Parcel # :
4401-325-0 -
Legal Desc :
PARCEL MAP 278-40 PARS 1 2 AND 3
Owner:
DE ANZA BAYSIDE VILLAGE
Contractor:
PAR ELECTRICAL CONTRACTORS
Phone:
0
Phone:
702-528-6814
Address :
300 E COAST HWY
Address :
10771 ALMOND #A
NEWPORT BEACH CA 92660
FONTANA, CA 92337
Applicant: SOUTHERN CALIFORNIA GAS
Phone: 714-634-3149 [
Address : 1919 STATE COLLEGE
Special Cond.: PRE CONSTRUCTION MEETING REQUIRED
WITH PW INSPECTOR
TRAFFIC CONTROL PER
WATCHBOOK
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 :
$1,650.00
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
Contractor State Lic: 687343
License Expire : 04 30, 2018
Business License: BT30004859
Business Expire :
06 30, 2018
Workers' Compensation
Insurance - -
Carrier :
OLD REPUBLIC
Policy No:
MCW30437800
W. C. Expire:
05 01, 2018
Total Fee $1,891.00
Paid : $1,891.00
Balance : $0.00
Receipt No:
Date :
_/_/
Other Department:
-Date:
Date :
_/_/
Permit Denied
Date :
Date :
/
/ Issued Permit :
Date D /
Date :
/
/
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
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TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
Encroachment Pernuts 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 date of issuance
The Perrniltee 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 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.
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 Slate 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 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
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 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 Slate Highway's traffic or within the Slate 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 self -insure, Certificate of Workers
Compensation Insurance, or a Certified Copy th5weof.
Date:/L - / S I -7 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 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 ermit Inspection is required by calling
Public Works at 949-644-3311. `�, (—D
t
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 Work;
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.
INo work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant hereby acknowledges he/she has read and understands the terms 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 after Issuance.
Permit fees are nonrefundable. Date: ' 13-& Signature:
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM :THE:FOLLO.WING DEPARTMENTS
Utilities:
General Services:
Traffic:
Other:
Fire:
Engineering Technician:
Public Works Specialist:
Dater Permit No.
JI it
Public Works Department 949-644-3311
Permit Processing Fee:
Inspection Fee:
Public Works Only
$241.00
Public Works Field Inspection
$165.00
Other Department
$275.00A
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
Document Recordation Fee
$817.00
$192.00
Refundable Deposit:
TBDB
Monitoring Wells
$502.00
Improvements
TBD
Street/Alley/Walk Closure:
$65.00
Newspaper Rack Inspection
$108.00 [�
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 _ _
Avenue
" — ME FOLL-bWIN aTITEMS RE(TUI [ APFROVArROM THE Revenue Division
REVENUE DIVISION PRIOR TO PAYMENT OF FEES
1
(Water Meter:
13/4" Meter $50.25
11" Meter $121.50
11 1/2" Meter $285.00
11 1/2" Turbine Meter $700.00
12" Meter $425.00
12" Turbine Meter $845.00
13" Meter $3,310.00
�4" Meter $4,730.00
6" Meter $7,190.00
butakation Charge $528.001 1
1
Water Meter Boxes: 1
1" DFW Meter Box $96.66 e 1
2" DFW Meter Box $203.24
1
1
1
MaulFew ,... _ y
Y
Certificate of Compliance Fee (+100% of My over 3 hrs) $288.00
Development Services Fee (Plan check hourly) $155.00
Final Tract Map Checking Fee $2,488.00
Final Parcel Map Checking Fee - Moderate $2,488.00
Lot Line Adjustment Fee $1,079.00
Park Dedication Fee Zone TBD
Street EasemenWacation Fee (+100% of My over 4 hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBD
.._..............-------------•"--
•Cnninaalines
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405-470_
5200-5031
030-2284
..........................
Toe h•
Tntal Amount Due:
For Finance Use Only
A
Permit
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front and back masters/
Rev. 12118/20171 lepreeshm ids -revised 11017
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10/9/2018 City of Newport Beach Page 3 of 10
4:30:34PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/10/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 300 COAST HWY E
Activity : N2018-0045
SubType :
Status : APPROVED
OWNER: DE ANZA BAYSIDE VILLAGE Phone: 0
APPLICANT: SOUTHERN CALIFORNIA GAS Phone : 714-634-3149
KCHAMPION@SEMPRAUTI
Description : INSTALL NEW GAS METER AND ABANDON OLD MAIN IN FRONT OF BAYSIDE MOBILI
HOME PARK - NOTIFICATION 2040111237
Item: 10010 BACKFILL / COMPACTION- PW
Requested Time: 10/10/2018 12:00:OOAM Requestor: NBIVR
9096436242
Entered By: URUR�a � ��
Comments Q =alit -�/� Ti k-1 r- kf
Assigned to: J1 $�F�
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10/10/2018 City of Newport Beach Page 1 of 9
4:30:16PM INSP160 - Daily Inspection Request Report
Requested Inspection Date: 10/11/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 300 COAST HWY E
Activity : N2018-0045
SubType :
btatUS
OWNER: DE ANZA BAYSIDE VILLAGE Phone: 0
APPLICANT: SOUTHERN CALIFORNIA GAS Phone : 714-634-3149
KCHAMPION@SEMPRAUTI
Description : INSTALL NEW GAS METER AND ABANDON OLD MAIN IN FRONT OF BAYSIDE MOBILI
HOME PARK - NOTIFICATION 2040111237
Y
Item: 10020 PERMANENT PAVING- PW
Requested Time: 10/11/2018 12:00:OOAM Requestor: NBIVR
9096436242
Entered By: NBIVR,� H�cay
Comments: AM
Assigned to: %1` /' Y
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Assigned to:
are A- Y
10/11/2018 City of Newport Beach Page 3 of 14
4:30:17PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/12/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 300 COAST HWY E
. 'S _ ;
�.�d�
Activity : N2018-0045
SubType :
Status : APPROVED
OWNER: DE ANZA BAYSIDE VILLAGE Phone : 0
APPLICANT: SOUTHERN CALIFORNIA GAS Phone : 714-634-3149
KCHAMPION@SEMPRAUTI
Description : INSTALL NEW GAS METER AND ABANDON OLD MAIN IN FRONT OF BAYSIDE MOBILI
HOME PARK - NOTIFICATION 2040111237
91
Item: 10250 FINAL - PW
Requested Time: 10/12/2018 12:00:OOAM
Entered By: NBIVR
Comments: AM
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Requestor:
NBIVR
9096436242
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