HomeMy WebLinkAboutN2017-0256s�vrv� City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 5 II II Permit No: N2017-0256
Permit Counter Phone (949)644-3311 Project No
u� Online Inspection Request - www.newportbeachca.gov / Online
c�rFa3�. Services
Inspection Requests Phone (949)644-3255
Job Address:
111 VIA JUCAR NB
Thomas:Guide: 888J7
Description:
Pothole to repair damaged CAN conduit.
Pavement restoration per City Standards.
Parcel # :
4232-030-7 -
SCANNED
Legal Desc :
TR 907 LOT 701(AND NELY 4 FT LOT 700(AND SWLY1/2 LOT 702
Owner:
YOUNG LEO J
Contractor : CABLE COM OF CALIFORNIA, INC.
Phone:
0
�"'� 8
Phone: 714-666-2400
Address :
111 VIA JUCAR
i
Address: 1251 N.JEFFERSON STREET
NEWPORT BEACH, CA
ANAHEIM, CA
Contractor State Lic: 826295
Applicant:
CHARTER COMMUNICATIONS
License Expire : 07 31, 2017
Phone:
714-666-2400 x240 [
Address :
7142 CHAPMAN AVENUE
GARDEN GROVE, CA 92841
Business License : BT30033430
Business Expire : 10 31, 2017
Special Cond.:
Workers' Compensation Insurance - -
Carrier: LIBERTY INSURANCE
Policy No: WA763DO042600
W. C. Expire: 07 31, 2017
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: 2v Iq $tq
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 : 'g / 227 t�
General Services Approval :
Date:
_/
/_
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
1. 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-ot_Ybe;
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.
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
or damage to persons or property occurring as a result of work undertaken under this permit.
3. 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.
4. 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,
5. 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 0-34 is required. For construction or
connection to sewer lines a valid State 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 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 whenhazardousground movement may be expected.
7. The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgmde 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 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 lie: 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.
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 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.
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.
11. 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.
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 City's refuse pick-up daysby 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 Coc'e)
certify that I have a Certificate of consent to self -insure, Certificate of Worker's
Compensation Insurance, or a Certified Copy theXegf� -
Date: I "Ill Signature:
CERTIFICATE OF EXEMPTION (Section 3800Tbor 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 Permit spec t rq is required by calling
Public Works at 949-644-3311.
15. Any above ground utility facilities will require documen 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 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 aSdNonal fees.
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/Alley/Walk Closure:
Traffic Control Plan Check
Inspection Fee: O .
$241.00 y Public Works Field Inspection $165.00 1
$275.00 Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
$.00�
$192192.00 Refundable Deposit:
$502.00 Improvements
$65.00= Newspaper Rack Inspection
8-1/2" x 11" $65.00 Sewer Connection Fee
24" x 36" $143.00 4TT Box & Cover
Additional _ _
THE FOLLOWING ITEMS REQUIRE APP
_ _ _ ROVAL FROM THE ,R
REVENUE DIVISION PRIOR TO PAYMENT OF FEES AA
(Water Meter:
13/4" Meter
11" Meter
11 1/2" Meter
11 1/2" Turbine Meter
12" Meter
12" Turbine Meter
13" Meter
,4" Meter
TBD
TBD
$108.00 =
$ $64.00"
64.00
venue Division
Installation Charge
$528.00"
$50.25
Water Meter Boxes:
$121.50
For Parkway & Sidewalk Area (Box +Cover= Cost)
$285.00
1" Meter: 13.00 + 37.00
$50.00�
$700.00
2: Meter: 27.00+61.25
$88.25
$425.00
$845.00
For Traffic & Alley Areas (Box +
Cover = Cost)
$3,310.00
11"Meter: 13.00 + 38.00
$51.00
$4,730.00
2" Meter: 27.00 + 162.00
$189.00
$7,190.00
1
I
I
1
1
1
I
I
I
Certificate of Compliance Fee (+100 % of hriy 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 hriy over 4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
----------------------------------------
TBD
030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
3 iiU0.
%%D
5 — 22-Y)
Permit Specialist
Receipt No.
��. Rev. 1/512017
q> ! -1,70, pl
sG• e�
E/users/pbw/sharetlencrcachim aterslep Runt and back masters/
epfeesheetws-revised 101212016
Almendralo, Rodi
From:
Noble, Brian <brian.noble@cablecomllc.net>
Sent:
Monday, May 15, 2017 2:45 PM
To:
Almendralo, Rodi
Subject:
111 Via Juncar, Newport Beach
Attachments: 111 Via Juncar, Newport Beach SOWjpg
Good afternoon Rodi,
This job is going to require a city permit to place a new 3/4" conduit.
Brian Noble
Field Supervisor
CableCom of California, Inc
1251 N Jefferson St.
Anaheim Ca. 92807
Cell: 714-681-3554
Phone:714 666 2400 Ext. 240
Fax:
Email: brian.noble@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.
This email message, and any documents which may accompany it, contain information which is intended for use only by the intended
recipient(s), and may contain information that is privileged and/or confidential. If you are not the intended recipient of this message
you are hereby notified that any review, disclosure, dissemination, distribution, copy or other use of this message or its attachments is
strictly prohibited. If you have received this message in error, please notify the sender by reply email, delete the email from your
computer and destroy all copies of the communication and any attachments.
N201-1 -02520
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s/ionol7 City of Newport Beach Page 11 of 14
4so:aaPnn INSPI50'- Daily Inspection Request Report
Requested Inspection Date: 06/21/2017
Inspection Type : ENCROACH'
- Inspection Area :PW — -
Site Address : 111 VIA JUCAR
Activity : N2017-0256
SubType:
Status : APPROVED
OWNER: YOUNG LEO J Phone: 0
APPLICANT : CHARTER COMMUNICATIONS Phone: 714-666-2400 x240
Description : Pothole.to repair damaged CATV conduit. Pavement-restoration,perGty Standards.
Item: 10020 PERMANENT PAVING- PW
Requested Time: 6/21,/2017 12:00:OOAMs Requestor: WEBUSER
714-681-3554
Entered By: WEBUSER��
Comments: ANY-3/4 Base pave
Assigned to: 777,zzzzzzzz'
Inspector. Date: Time: AM PM
Comments:
Logged
Reflie-
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsbectorSheet.doc
--- — _._....... . _._. ..--- ---
REPT131 - Run Id: 4018
/ 7124/2017
City of Newport Beach Page 12 of 12
4:30:57PM
INSP150 - Daily Inspection Request Report `
Requested Inspection Date : 07/25/2017
Inspection Type: ENCROACH
Inspection Area: PW
bite dress: 111 VIA JUCAR
Activity :
N2017-0256'
SubTgpe:
Status :
APPROVED
OWNER :
YOUNG LEO J Phone: 0
APPLICANT:
CHARTER COMMUNICATIONS Phone : 714-666-2400 x240
Description :,
Pothole to repair damaged"CATV conduit. Pavement restoration per City Standards.
Item:
10250 FINAL-- PUV
Requested Time.
7/25/2017 1,2: :OOAM WEBUSER
00 Requestoc
714-681-3554
EnteredBy:
WEBUSER`
Comments:
ANY -Final, Inspection permit close out
Assigned to :
zzzzzzzzzzz"
/ w: s6
y -7 ZS (/7
Inspector:
Date: Time: AM PM
Comments/
c--•----
61r'
F �
Al-i Z_ z
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COMM
FTFD
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheef doc
REPT131:
--- - - - Run Id: 4018