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Home My WebLink AboutN2017-01434r City of Newport Beach IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIll Permit No: N2017=0143 , % G4 100 Civic Center Drive Newport Beach. CA 92660 Permit Counter Phone (949)644-3311 Project No : Online Inspection Request - www.newportbeachca.gov / Online SCANNED �9 ED �• r�. Services " Inspection Requests Phone (949)644-3255 Job Address : 1 PUBLIC ROW NB Thomas:Guide: Description : Bore 135 LF of CAN conduit and install CAN vault on Poppy Avenue between Hazel Drive and Ocean Boulevard. Parcel # : Legal Desc : Owner: CITY OF NEWPORT BEACH ,+ Contractor : L & G CABLE CONSTRUCTION COMPANY INC Phone: �� =' Phone: 714-630-6274 Address : Address : 3776 E. MIRALOMA AVE ANAHEIM Applicant: CHARTER COMMUNICATIONS Phone: 714-709-3390 [ Address : 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Special Cond.: No fee permit - part of CDM concrete pavement replacement project Contractor State Lic: 637898 License Expire: 02 28, 2018 Business License: BT30037502 Business Expire : 11 30, 2017 Workers' Compensation Insurance - - Carrier : STATE COMPENSATION INS FUND Policy No: 9105662 W. C. Expire: 07 08, 2017 Permit Processing Fee : $0.00 Sewer Connection : $0.00 Total Fee $0.00 Agreement Fee : $0.00 4TT Box Cover: $0.00 Paid : $0.00 Traffic control Plan Check: $0.00 Total Water Meters: $0.00 Balance : $0.00 Inspection Fee : $0.00 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 : Date8_ General Services Approval : Date: _/_/ 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 I f ncroact!nrent Pencils nav be !;ikon out by the owner of hene.fited property of a licensed contractor A licensed contractor must provide a I etier of AcnWotiZatiori 10 allow :another party to poll a perms! An approved copy of the pernul and c0nslruclion plan chat be kept at the job site at all tunes Work which has been done prior to issuance of a permit. is subject to rejection/fine. City reserves the right to void permit it work does not commence within 30 day9 after date of issuance / 2 The Permittee agrees to defend indemndv and hold the c;ily its authorized agent. officers. representatives and employees harmless from any responsibility. liability, suit or action of any description ahsrr!g out of any accident, loss or damage to persons or property occurring as a result of work undertaken under this permit 3 All work shal! he done in accordance with the approved plans, Slwrdard Special Provisions ood Staticlard Drawiny.s of the City of Newport Beach. and in compliance with all applicable Slate 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 Stale Contractor License Class A can perform any work in the public right-of-way. For construction or connection to water lines a valid Stale Contractor License Class C-34 is required For construction or connection to sewer lines a valid Slate 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-I-, 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. 7 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 8 All trench restoration must he inspected by the Public Works Department. No utility installation(s) shall be allowed over or within 5 feet of anv City utilities, unless approved by the Public Works Department Locale and pothole existing City -owned utilities (ie water, sewer. or street lighting conduits) to verify locations Maintain a one -fool clearance over or under existing Ctv-owned utilities Sewer cleanouts require VCP or PVC SDR35 be used with a 4TT box over the riser 9 Properly lighted barricades must he 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 thc California Department of Transportation If needed barricades can be obtained from the City at a charge of S10 Od per barricade per day. with n minimum charge of S35.00 It is the responsibility of the applicant to place barricades to protect the general public Access to fire hvdrants must be maintained at all times 10 Work within or near beach sensitive areas will riot be. allowed during. City holidays, spring break. Memorial Day weekend. summer between June 1, and September 15 and during the holiday season from December 19 to January 1 unless approved by the Puhlic Works Department I I Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to acquire a lemporary Street Closure Permit front the Public: Works Department Access for fire, police and emergency vehicles must he maintained at all times I raffic Control must be per Work Area Traffic Control Handbook tWATCH 1 No nighttime traffic: lane CloSure.S. 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 Anv work affecting the State Highway's traffic or within the Slate 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 days by calling 949-644-3066 for the collection schedule so service is not interrupted To place a dumpsler 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 Codej ll certify that 1 have a Certificate of consent to self -insure, Certificate of WorV&'s Comp''e77nsation Insurance, or a Certified Copy Iter of. Dote: S-1i .2-1 /7Signature:-------- ---- CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 1 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 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 Inspection is required by calling 'Public r at 949-644-3311. 15 Ar ove ground utility facilities will require docun!enled approval Iron [lie adim end affected property ownertsi 16 Homeowner contractors. and Subconlracotrs nay each be liable lot violations of W.ilei Quality Laws Best Management Practices will be enforced It is agarnsl I law to discharge construction debris into the qulter and slorn drain felony violations of kNcden Quality Laws are punishable by fines up to S25.000 androt up to Ihrof� y!-ar,, !n Slntc prison plus the full Cost to clean up an illegal discharge or spill 17. If a refundable deposit was paid. applicant must subunit it Sods Coll paclirn Certificate or Evidence of a Slurried Backfill and request a final inspection from tine- 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 he planter!. removed. trimmed r:r wloc,!tecl without approval from the General Services Department. 19 All work in the public right-of-way nust meet the approval of the Public Department or corrections will be required (i.e. removals. exposing connr!ctiuns. etc.!. Additional inspection fees may be required. 20. Permit is for standard materials in the public right-ot-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 andior additional fees. No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has re d nd understands the 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 issu ce. ? Permit fees are nonrefundable. \ Date:> Z% /% ��5ignature: J . e Ok N, I �P &V N8047-1-04 5/4/2017 City of Newport Beach Page 5 of 12 4:30:30PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/05/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1 PUBLIC ROW Activity : N2017-0143 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone : APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Bore 135 LF of CATV conduit and install CAN vault on Poppy Avenue between Hazel Driv- and Ocean Boulevard. Item: 10200 PRE JOB - PW Requested Time: 5/5/2017 12:00:OOAM Requestor: NBIVR 7149366410 Entered By: NBIVR Pi2N Pf-V Comments: AM # a? /L Assigned to: Inspector: Comments: J Y Date: c� S' 1% Time: =cam A PM Ad0-AZP-,4;Z . SL o 13 s' �f Ufa/ G7l�ZiL7 /SST L L Az- t- 5e60� L�ovrT P,2Qo 'tz 41 7�O 4749r- or-- /!92� 1.0tpvs. F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSUnsoectorSheel.doc REPT131 Run Id: 4018 •t/8i2017 City of Newport Beach Page 2 of 18 6:34:20AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/08/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW A M kftvnatkxL- Activity : N2017-0143 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone : APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Bore 135 LF of CAN conduit and install CAN vault on Poppy Avenue between Hazel Driv. and Ocean Boulevard. ( (9 0 (od ' IP 1 Pi✓ 1/6R&-I QA9questsd insp a cft*s) Item: -+G- Requested Time: 5/8/2017 12:00:OOAM Requestor: NBIVR Entered By: NBIVR Comments: AM Assigned to: Inspector: Date: S� 8 / 7 Time: /-0 ' �AMM Comments: L 4 6 VA-t-r &-r- ,-.;I6 .c- gi .o z c. twld�tc aiv P o PPy it i o�J . F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc 502017 City of Newport Beach Page 3 of 17 4:30:18PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/09/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW Activity : N2017-0143 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Bore 135 LF of CATV conduit and install CAN vault on Poppy Avenue between Hazel Driv, and Ocean Boulevard.MOM �� SNw• s .3 �:'. ..�.�' rw!! k �'t i. f,:`. -. r .:y rZa .. w -. Item: 10060 PIPE INSTALLATION - UTIL Requested Time: 5/9/2017 12:00:OOAM Requestor: NBIVR 7149366410 Entered By: NBIVR Comments: AM Assigned to: Inspector: Date: v12/1- / Time: AM PM Comments: h1pr Xk ED 7* F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc REPT131 Run Id: 4018