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HomeMy WebLinkAboutN2017-0039wa r, City of Newport Beach II�I�III�IIIII�II�I���IIII�IIIIII�I�� III c4 `del 100 Civic Center Drive, Newport Beach, CA 92660 't Permit Counter Phone (949)644-3311. Online Inspection Request- www.newportbeachca.gov/Online Services Job Address : 415 FULLERTON AVE NB Thomas:Gutde: Description : Install 50 LF of CATV conduit in alley for new CAN service. Alley restoration per City Standards. Parcel # : 0490-522-8 - Legal Desc : FIRST ADD TO NEWPORT HEIGHTS BLK 28 LOT 21 Owner: GRANGER ROBERT Phone: 0 Address : 415 FULLERTON AVE NEWPORT BEACH, CA Applicant: CHARTER COMMUNICATIONS Phone: 714-448-7472 [ Address: 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Special Cond.: Traffic control per WATCH Permit No: N2017-0039 Project No: Inspection Requests Phone (949)6443255 888J6 C � � Contractor: CABLE COM OF CALIFORNIA, INC. ®�+ Phone: 714-666-2400 Address: 1251 N.JEFFERSON STREET ANAHEIM,CA 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 : Date Date Date : _/ / Date Contractor State Lic: 826295 License Expire: 07 31, 2019 Business License: BT30061352 Business Expire : 10 30, 2018 Workers' Compensation Insurance - - Carrier: LM INSURANCE Policy No: WA563DO04260037 W. C. Expire: 07 31, 2018 Total Fee : $571.00 Paid : $571.00 Balance: $0.00 Receipt No: Other Department : Date Permit Denied : Date Issued Permit : Date: _/ / w City of Newport Beach *N2O17-0039* o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request- www.newportbeachca.gov/Online Services Job Address : 415 FULLERTON AVE NB Thomas:Guide: Description: Install 50 LF of CAN conduit in alley for new CAN service. Alley restoration per City Standards. Parcel # : 0490-522-8 - Legal Desc : FIRST ADD TO NEWPORT HEIGHTS BLK 28 LOT 21 Owner: GRANGER ROBERT Phone : 0 Address: 415 FULLERTON AVE NEWPORT BEACH, CA Applicant: CHARTER COMMUNICATIONS Phone : 714-448-7472 [ Address: 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Special Cond.: Traffic control per WATCH Permit No: N2017-0039 Project No : Inspection Requests Phone (949)644-3255 888.16 Contractor : CABLE COM OF CALIFORNIA, INC Phone: 714-666-2400 Address : 1251 N.JEFFERSON STREET COMPUTED ANAHEIM, CA Contractor State Lic: 826295 License Expire : 07 31, 2017 Business License: BT30033430 Business Expire : 10 31, 2017 Workers' Compensation Insurance - - Carrier: LIBERTY INSURANCE Policy No: WA763D0042600 W. C. Expire: 07 31, 2017 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 : Date: Utilities Approval : Date: Traffic Approval : Date General Services Approval : Date Total Fee $571.00 Paid : $571.00 Balance: $0.00 Receipt No : to-142%'2 Other Department : Date : _/ /_ Permit Denied Date : _/_/_ Issued Permit Date : 2 / 7 / 17 :N: � Atf Fees: Are MoirrRefu�alabl,s: iJaless�Ot6;srlivise� Statea� ::::::::::::: �: � :: PROJECT ADDRESS�ee: b7PERMIT 1d2016= 311, r VW , tirti. NUMBER: APPLICANT: ; �ca;,Y.Er irt,n ��'!)u��•vl` lla:+auusUni�s$ila'ni �� .. Permit Processing Fee: Q Inspection Fee: Q Public Works Only $241.00I p I Public Works Field Inspection $165.00 ), Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: TBD Monitoring Wells $502.00 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 _ THE RTI OWiNG.FTEMS I3£QUIR APPROVAL: F.RO• M {A� � Revenue: Oivisian. 1:..........................................................,.1 "' r.'..'. .'..REVENUE.DtV13lONP.RH?R'TOPAYMENT'OF'FEES ...A'PPraval. ' ' " '.".'.I INTaterMe, , , ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;;•;•:::::NisiaHafion;CF(a�ge:...:`...•.•.•$528;Op.�... 1 Meter. • :1 I1"Meter.. ; .':. ; ; ;;'::::::'$121.50....:::�oiPdi1iuvay&Sid6tvafkArea'jBoxtCotier=Costj.: 1 11".....:.:.1°.Meter...13.00':v37:00'.'.'.'..':': 11:1%2""Turblrre et' ' " " ' ' ' " ' '$700.00 "•"•'•'•;•:.2:;Metet;;•;27.00•+61:25 ; ; ;•;•:•;•;•$88.25; ;1 12""Meter ; • ; •$425..00 1 [2„'Tiarb(n$Mete(::•.•. •::'::::�:�:$:895.Q0 .::::::..: :�:�:::•:•F4r7`raffiC:&AIIBY:/iFeds:(�dx:+:Coi�r:-:CoStJ�::'.'�•'I Ih:................... 3 Meter ..... $3,31A.Ab......':1.'Meter .]3.fl0.+.38:Ob'.......:$5:1.:00:'.':'.'.'1 F4".Meter..'..'.'.'.'.'.'..'.'.'.'.':$4,730.00'.'.•.'.:•.'2".Meter -.27.00*1.6:. .'.'.....$189.00:8..1 az lan nil ......................................'. Certificate of Compliance Fee (+100% of hrly over 3 hrs) $288.0( Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.0( Final Parcel Map Checking Fee - Moderate $2,488.0( Lot Line Adjustment Fee $1,079.0( Park Dedication Fee Zone TBC _ Street Easement/Vacation Fee (+100% of hrly over 4 hrs) $1,022.0( Street Tree Fee ($700 Planting Fee) TBC 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470 5200-5031 030-2284 Engineering Tech: Total Amount Due: For Finance use only Permit Specialist Receipt No. flusers/pbw/shareNen=adVnnasae ep Bont and back masters/ Rev. 10/21/2016 epfaesheet,ds-revised 102112016 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT Encroachment Permits 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 41 a permit, is subject to rejectionlfine. City reserves the right to void permit if work does not commence within faun aysy after date of issuance. 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 adsing out of any accident, loss or damage to persons or property occurring as a result of work undertaken under this permit. 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. 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 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. 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 subgrede 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 inspections by the Municipal Operations Department 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 (is: water, sewer, or street lighting conduits) to verity 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. Property 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 f, Wanting 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 State Highway's traffic or within the State 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. All USA marks shall be removed prior to Final Public Works Inspection. 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-insur certificate of Worker's Compensation Insurance, or a Certified Copy the Date: 2�7It"1 Signature: _ CERTIFICATE OF EXEMPTION (Section 3800 or 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, 1 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: �( INITIALS: ""? 15. All above ground facilities shall comply with the Municipal Code, including but not limited to Chapter 13.20. 16. Homeowner, contractors, and subcontractors 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 $26,000 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 Municipal Operations Department, Parks and Street Trees Division. 19. All work in the public right-of-way, must meet the approval of the Public Works 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. image capture: sep zu m w zu v uoegre Street View - Sep 2015 ilo� �akler�v-n �'2, New CsA-MV � �aY Velasco, Julio A. From: Almendralo, Rodi Sent: Wednesday, January 25, 2017 5:37 PM To: Velasco, Julio A. Subject: FW: 415 Fullerton Ave, Newport Beach Attachments: Newport Beach, California - Google Maps.pdf Follow Up Flag: Follow up Flag Status: Flagged Hi Julio, Cable Com, contractor for Charter Communications, will be installing a new CATV service in the alley behind 415 Fullerton Avenue per the attachment on 01-26- 17. On your rounds, can you stop by to check out. The encroachment permit is N2017-0039. This permit is not approved yet because Cable Com needs to pay the permit fees. I usually allow work for Charter Communications to install CATV services before permit fee payment because I don't want to hear complaints from the residents that the City is the reason they don't have cable TV. Thanks, Rodi From: Vega, Richard[mailto:richard.vega@cablecomlic.net] Sent: Monday, January 23, 2017 1:34 PM To: Almendralo, Rodi <RAlmendralo@newportbeachca.gov> Subject: 415 Fullerton Ave, Newport Beach Hello Rodi, This job requires a city permit, we did pull a permit for 411 Fullerton but now we need to go to 415 Fullerton. I have attached the route. Thank You Richard Vega CableCom LLC. Cell: 714-448-7472 Phone: 714-666-2400 Fax: 714-666-2420 Email: Richard. VegaA—CableComLLC.Net This email, and any documents which may accompany it, contain Information which is intended for use only by the individual to whom it is addressed, and may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If the reader of this message is not the intended recipient any review, disclosure, dissemination, distribution, copying or other use of this message or its substance is strictly prohibited. If you have received this message in error, please contact me immediately to arrange for return or destruction. Thank you. 2 Street View -Sep 2015 .>� L 3S j {>} t 4� � �.. 02017 - 0031 CoAkf rt/ pit*R D 1114 w VE �iA - G/413�E Gb wr 714.441g _7y?2. Inspector: j Comments: Date: 2-Z % 7 Time: Z ; ZO AM MM Ol 5D — w-'=�r Yt/'ul K1 St�'u �� IN 5/rCTlON /° 0 P—r T'OPAa'/- (" ra cG> b 0 T-OA-n nr/ h.0x*e- O .c cr oc®.4-?10 7 ! Z D !0 - COy7-xA 7-a/Z /?/O Y' an - S v'a�7 file F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131- Run Id: 4018 �; ' 6:, 44 V} 3 _... _. r � Lj. _: r. �.A . i i i Velasco, Julio A. From: Elgas, Debbie Sent: Thursday, January 18, 2018 8:37 AM To: Velasco, Julio A. Subject: 415 Fullerton Ave Hi Julio — I am putting in an inspection request to final the CATV installation at this address. Can you look to see if there is a sewer clean out in the alley? I believe the City may have installed one not too long ago. Also, the contractor was to remove the brick, concrete and fill in the carriage walk at the front of the property. I just need to know if this was done. Thank you 1 Debbf Elga,k f erwutreclwuciarvll - PubUclWorkk City of Newport3eack 100 U vGaConter l7rwel Newpoyt3ea,d, CA 92660 949-644-3311 del�po vt�eac�tcar �' 1/1912018 City of Newport Beach Page 8 of 18 6:34:38AM INSP150 - Daily Inspection Request Report SubType: Status : OWNER APPLICANT Description : Requested Inspection Date : 01/19/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 415 FULLERTON AVE FIT002-06TUrp, GRANGER ROBERT Phone: 0 CHARTER COMMUNICATIONS Phone : 714-448-7472 Install 50 LF of CATV conduit in alley for new CATV service. Alley restoration per City Standards. Item: 10250 FINAL - PW Requested Time: 1/19/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: ANY - Assigned to : zzzzzzzzzzz* Inspector: 1 Date: l Time: AM PM Comments: 0& F:\Users\P8 W \Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131. Run Id: 4018