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HomeMy WebLinkAboutN2017-0015«sNt'ov City of Newport Beach 'N2017-0015' N2017-�� .4 o � 100 Civic Center Drive, Newport Beach, CA 92660 Permit No: s + Permit Counter Phone (949)644-3311 n Project No : Online Inspection Request-www.newportbeachca.gov/Online 0 �ak�C°v)A c.. Services <UOx� Inspection Requests Phone (949)644-3255 Job Address: 1 PUBLIC ROW NB Thomas:Guide: Description : Replace 375 LF of 3-inch gas main and 94 LF of 4-inch gas main on Avocado Avenue and San Miguel Drive. Moratorium pavement restoration per City Standards. Parcel # : IT Legal Desc : Owner; CITY OF NEWPORT BEACH Contractor Phone: Phone: Address : Address Contractor State Lic: Applicant: SOUTHERN CALIFORNIA GAS COMPANY License Expire Phone: 714-634-5017 i Address : 1919 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Business License Business Expire : Special Cond.: Pre -job inspection required. Workers' Compensation Insurance - - Work to be completed during off-peak Carrier : hours. Policy No: W. C. Expire Permit Processing Fee: $241.00 Sewer Connection: $0.00 Total Fee $20,392.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $0.00 Traffic control Plan Check : $351.00 Total Water Meters: $0.00 Balance : $20,392.00 Inspection Fee : $19,800.00 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 : Traffic Approval: Date : _/ / Issued Permit : Date : c/ ✓/ �{ 7 General Services Approval: Date: _/ ! / ;r ?F1EE; WORKSHEETTQR ff,CR ROACH MENTAPERMITr „> „ J r«1 t t7 i�P, {/ FIN a P r CITrY,(OFINEWPORTrIBEACHEm "'r d 9P,UBLIC,ttWORK�SIID_EPAR1TsIlAEN}T4 11 Fees: Are Noii-RefitgdWili. Unless DtF►errvis a PROJECT ADDRESS: PERMIT I Pvb1i6 ROW NUMBER: N2,o 16' pp1�j AGPPLICANT: .J�V i' lO1�tOf neO VOg W, Permit Processing Fee: Qt . Inspection Fee: Public Works Only $241.00 B Public Works Field Inspection Other Department $275.00 Utilities Field Inspection General Services Inspection Agreement Fee: Water Quality/Artificial Turf Inspection Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: Monitoring Wells $502.00 Improvements Qt . $165.00 1's® $121.00 $165.00 $108.00 rr _ 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 2. 4TT Box & Cover $64.0011 Additional _ TTHEFOLL0TVfN— .tTEMSf2EQUIRE-APPROVAL.FROMTHE . F:: ::.. ___ Revenue.Division.,..'': -.`. �.'.'.'.'.'.'.'REVENUE.DtV1SlON.PR.IOR'TODAY`MENT'OF'FE'ES':':':':':': 14praval: .... ..... .t F::::::::::::::::::::::: ........:::::: Qt:':I IWater;Meter:: : : ' ' ' ;I+istaga(idn. . .irrage. . . . . . . $528;OP ; 1 13/9'':Metflr. ... ...::::: $SQ.25 ...... Wkei Meter 6cx'ss............:::::....I 11`.'-Me'ter. .: : : :: : : : : :..: :.: $12.1.60 . . ..: :For.Parkway&:Sidewalk Area (Box+Cover=Costj. l I 9/2":Meter. ............::$2M.60 .�.. .�..1":Meter.::13,'Ob 7:00 :: :.... 111 1d'TurbineMeter.'.'.':'.'.':.'.. $700.00 ' ' ' ' '•' 2;'Meter; • 27.00+61,25 ' ' ' '•'•. . t88.25=.:1 12" Meter ' ' .. .. . 12 Turbtng Me(eP : $H45 QO or FEra(fip 6 A/I&y Rr as ($ox + Cover Cost) 3'1Meter $3 810 00 . .1: Meter .93 00 + 38 00 .27 $51:06 -4".Meter ... . : $.4 730.00 2' Meter 00 + 162 00 $189.00� .I .5" nnata.'r:':.............: a7'1an nn .....:................... ............... Certificate of Compliance Fee (+100i 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/VacationFee (+100°iofhrlyover 4hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance use only 204 : nv 20, 392. — Per cialist Receipt No. f /userslpbw/shamWencroach/mastemlep front and back masters) Rev. 10/2112016 epfeesheet.As-revis.d 10/21/2016 The Gas Company A *Setrtpra Energy wnuy- 1919 S Stale College Blvd, Anaheim, CA 92806-6114 April 6, 2016 Attn: Map Request Subject: Avocado Ave. / Newport Beach / T.G. 88947 I'm a planner from So Cal Gas and I'm in the pre -planning stages of a gas main replacement. I am in need of your substructure sketches/ as -built maps for the below location. Please forward me this information so I may proceed with the job. V i'• 4 4P 1409 2?0 230 Is ZSO Q If you have any questions please do not hesitate to call. Sincerely, Jose Escutia Technical Services Planning Associate Southeast Region Southern California Gas Company Office: (714)634-5017 IRT CENTER SDICAL ILDING 0 y017 - 00 I S hlRx41aD *4VE . * S�W M/Gq6L �i2 . 10zo - PJs -jo 6 - PA%1 TE 14-H &27ft JtAPI f"'lPeLJAJM Inspector: \jV/ Date: Comments: r_ 4 GuN_ Nl3© 1-7- , 9 0 I-O , fgo 7 Time: dt M M eA1 AWOOO IZGw?UvE ye'AOVl lu - - 0/b9,30P- '� " ED IV I6t'44 T � - (I �i ele --w� 1911MG Q `?2 I°M U4✓,�S Va&'VLr-A F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsoectorS heet.do c (N5P!9r,,f r/V REPT131- IN�VP,.un Id: 4018 A516 -ro S6t6M, I T. Velasco, Julio A. From: Velasco, Julio A. Sent: Friday, March 17, 2017 2:31 PM To: Puglisi, Marcus; St. Clair, Mike; Gentry, Zachary; Legault, Tom Cc: Almendralo, Rodi; Velasco, Julio A. Subject: FW: N2017-0015 - Avocado and San Miguel Attachments: NEW-SEPipeline_SCG_Avocado _ Ave _San_Miguel_Dr_Newport_Beach_TCP_(Revl)_STAMPED.pdf,, Avocado Signed Const Sketch.pdf; N2017-0015 issued.pdf Follow Up Flag: Follow up Flag Status: Flagged Categories: Reference Hello, Please see email below and attached info for night work permit N2017-0015 - Avocado and San Miguel. Mike St. Clair and I will attend the Pre -job meeting at gam Tuesday 3/21/17 with Teichert Pipeline. Thank you, Julio A. Velasco Mobile: 714.315.4860 Email: iavelasco(@newportbeachca.eov From: Escutia, Jose[mailto:JEscutia@semprautilities.com] Sent: Friday, March 17, 2017 2:24 PM To: Velasco, Julio A. <JAVelasco@newportbeachca.gov> Subject: Avocado, Newport Beach Hello Julio, I have attached copies of our traffic control and the construction sketch as was requested. Our Inspector is named Leonard DeLeon. His contact number is 909- 518-6437. Let me know if you have any further questions. Jose Escutia SoCalGas Southeast Region - Anaheim HQ Gas Operations - Planning & Engineering 1919 S. State College Blvd Anaheim, CA 92806 (714) 634-5017 (714) 634-7287 Fax Jescutia0semprautilities.com SoCalGas i.lh it'F3?v'i9:51 fttl311% "24V, THIS ME55AGE I5 INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL, AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAWS. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, forwarding, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender immediately by e-mail or telephone, and delete the original message immediately. Thank you. 3/28/2017 City of Newport Beach Page 7 of 24 4:30:30PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/29/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1 PUBLIC ROW A/P/D Information: Activity : N2017-0015 SubType: Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: SOUTHERN CALIFORNIA GAS COMPANY Phone : 714-634-5017 Description : Replace 375 LF of 3-inch gas main and 94 LF of 4-inch gas main on Avocado Avenue and San Miguel Drive. Moratorium pavement restoration per City Standards. Requested Inspection(s) Item: 10000 EXCAVATION & PIPE INSTALL-UTIL Requested Time: 3/29/2017 12:00:OOAM Requestor: WEBUSER 9096800353 Entered By: WEBUSER Comments: PM -Night job Assigned to : zz�zzuzzzzzzzz` % (, Inspector: r l/ S� vDatI� Time: AM PM Comments: F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc PMEPT131 Run Id: 4018 PLOT INFO: I PM G 1 3'" pE CAP p STL SC LP3D i p-Epv . PL AST(O PSPE L''4 SUN. l jEXIST� :NSTf,EiAMD�} 'Y--- LIT ..C3eX 'addi:iPa'Ts A5AN pY: .. €I �i �-'.Y"9 � mom 9a a m m xr vca m m s. s m v= w e ' 1 LduTAIL �B PDNN �a0151 , 1 F cum j I ,w'C�C!'fDO fP f• f t I I { TR1F'�SQUEEZE .IE i;N-dN AvocAo;UAv. 3"u^.'lSTrve Marx giSQUEEZE 1 x" aaE%f vest a_ is � ti gg " EX4jSGVG MAZY I I s smr SflUEFZ - a RNOT TOSCALE ** TOP VIEW, PLt"�NNENG ,& SKETCHING f PLANNER BASE SY: 1 OF , ESCOTIA DATE: 4-11-16 BY DAG DATE:4.25.1SHEET ! CONS T RUCTION COMPLETION WFM CURRENT OWNER & DATE ! j 5Y:Ii1AG OAT E:8-2-15 BY: DATE.: agutieri 811812016 1 i PRE CONSTRUCTION MEETING: f YES NO Q (REQUIRED WITH A GAS COMPANY REPRESENTATIVE) J LOCATION INFORMATION I THOMAS GU[DE PAGE # 889-F7' TRACT # A1YA CiTYOF:rrtEi✓uPORT BEACH COUNTY OR ORANGE REGION NAME:SOUTHEAST J DISTRICT NAME: ARAHEIM ATLAS SHEET (3) / LEAK SURVEY AREA (S): 'c '= ' OC 555 3 AFFEC T EO FACILIT".ES ! PPRESSURE TESL PRESSURE DISTRICT #�a2�b�8; MEDIUMGASSTD HIGHI GAS STD ; D)STPRESS.IMAOP:46 sE IMcaP:ref 8 %. t15b #tom-C17o CLASS LOCATION ❑; 02 LOCATION`" A TO LOCATION 3 ISO MAP'#42i1@&-B ! SUPPLY LINE # N/A T EST PR, SSURE: 100 PSIG SUPPLY LINE PRESS.IVYA MINIMUM: I MAXIMUM: 1,40 P$IG S.M.Y.S. 20% OR OVER YES Q NO D I, 9�' Or- -4 P {IIp, � ACTUAL TES I PRESSURE: _ PSIG REG. STATIO7N ID # NIA RS # N/A A e 9tI OF " P T�: TEST MEi CUM; PCB - MlEGARLILE E ? — &. CUT .SORE-ASPtfA1 t'-PtJg d'R41P - _ NfA PCB FREE AREA Q HOT SPOT Q HOT DISTRICT n AIR, NITROGENOTHER: i ANNUAL! BUSINESS LEAK SURV€YAREA: r• I DURATION: 0 HRS. AND/OR 30 MIN. I LIMITS Clio SKETCH iF APPLIi ABLE) YE NO Q 7 _ 4 PE ELL, (2) I • R C" CAP (2� j SIGN: DATE: I (POST CAT; DICALi °s PRI ?TEC T EIS: YES Q s O (s= I - 5TL SCG•,ilW. Lies ) ,PRINT NAME: � CP AREA # T1YA I'- LIS A - " PE ELL I Erl3 ❑ . _.'PRINT TITLE:' DATE' NIA PHONE ##NIA BRIDGE OR SPAN INVOLVED: YES Q NO i WILL ANY PIPE BE LEFT EXPOSED: YES Q NO Lqj OF YES ROUTE AS -BUILT COPY :TO SPSUPERViSOR) EN'IRONMEN TRL E LEL1R4NE REQUIRED: 4S:T3CPPPELz: C4:{tASCR �t ! YES Q J "a f J EXIST 'NS7e ^.-sAmn S! i NO j 9 Y., ISSUED BY; DATE: { PE: TYPE: ICT— STORM WATER: BMPS ONLY �j SCG SWPPP Q PLASTIC PIPE P ` APPLICANTSWPPP Q E i-E3 NUMBER SPECIAL E I € VIRONMENTAL CONSIDERATIONS: 13 TAIL "A PETtPE. wQ7r. }ji E YES ❑ NO OF YES SEE: REGION ENVIRONMENTAL ADVISOR) r' MISCELLANEOUS PLANNING STAKED:❑ STAKING REQUIRED: YES El NO Cq VALVE(S) REQUIRED: YES Q NO C€ PIPELINE MARKERS REQUIRED: v yam. ESQ NO -..� (6F YES € ISPLAY LOCATION) JOINT TRENCH: YES ❑ NO _ �-_ (i3'CURB) PERM€ o: � ISSUED BY:CITYOPNEWPOR BEACH PERMIT#NlA r, 4 i ISSUED BY: NIA 03;r REVIEWED;.' PRIs T it1.4ME: I DAT12 E;' REGION ENG, NIA r i TSS (VP. SOi3G 1 f 77 ? LPA S. FAE3ER { AVE CP M&R SUP IVIA I` PAIFPA l.cSCl7PA '; /'^.- ..I F.ii{j{f•; .AREA MGR. R. H$RTLEYf rJc�4 °t'.rr; 'RPPM C4t1. tI�ARTIIV /l ! FOS / FS I' lC7I lS RE-VIEWMD PRINT NAME: DATE: LSPS LPA { DISTRICT INSPECTOR N ABANDON PIPELINE SAMPLING REQUIRED (PER GAS STANDARD 104,0042) YES - E; No El t f3Y: DA T E: (CHANGE LABOR TO MWO# 99300.000) CROSSING ER LATERALS: YES NOQ NUMBER OF LATERALS' CLEARED: ME FT USED TO VERIFY LOCAMON(S): OPEN TRENCH Q CAMERA Q POTHOLE Q EXPOSED BY EXCAVATION © (GAS STD #184 0470) OTHER Q METHOD: IF A POSITIVE LOCATION COULD NOT BE G' DESEPMINEDINDICATETHEADDRESSILOCATION €' AND REASON WHY ON THIS SKETCH. LET: DATE- FOSS / FS` DATE. i DESIGN CHANGES UVERE CHANGES MADE TO THE j dESIGNED P?PE OR CO. UPONENT:. YES Q NO Q (IF YES TECHNICAL SERVICES APPROVAL IS REQUIRED) ( REGION ENG:'.: DATE: UPDATED TO RER r - TSS: DATE: I .LPA` / PAO FPA:L... DATE: BACKFILL TYPE USED MECHANICAL COMPACTION: YES ® NO Q GAS HANDLING REVIcWEDAND PERFORMEDAS �� PLANNED PER GAS STD #184 05 YES Q NO Q 941 OF (IF NO PLEASE PROVIDE EXPLANATION ON SKETCH) SIGN: DATE: 1 ' O " Pam_ PUB PROP PRINT NAME /TITLE: e R RP - :6 CONSTRUCTION SKETCH ' - "' CREW FOREMAN: COMPANY: I J IAL. FEET TOTAL FEETOA € EE MOVED ', I OAi E OF DATE MOVEDiNSTALtS�IA1N WiTr. TLEAST: 35 RETIREMENT I INSTALLED: RETIRED:Oil: J013.: ( OPERATION:.. OFFOB 3 COVER BELOW G'UTTERPLOw REASON-2-1 WBS # 97894.(til0 WORK DENSER #� GGdD A14IH � PLAN FILE # N1 i JNBMS NIA WOT PARCEL #1' 129816 RER # 16-577LL � DREAMS 5428 RAN# NIA Io o DESIGN r#7017^1301 (DESIGN NAME: coos,,, baf=pgIfjg j 5 rpm (ne RL3FIi OP.# CAD PILE: ; 955I -ION 002040119455 AX 4TIC ET; $E u3