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Home My WebLink AboutN2017-0511~t ~ / � '.;� of y ofic CNewenter port Beach rive, NewportBeach, ach, CA 92660 IIII�IIIIIIIIIIIII�III�III�IIIIIII�III�III�III�IIII Permit No: N2017-0514 Permit Counter Phone (949)644-3311 Project No: Online Inspection Request - www.newportbeachca.gov / Online SCANNED Services Inspection Requests Phone (949)644-3255 Job Address: 145 VIA UNDINE NB Thomas:Guide: 919A1 Description : Install 40 LF of 2-inch conduit for new CAN service. Pavement restoration per City Standards. Parcel # : 4232-510-3 - Legal Desc : TR 907 LOT 238 SWLY 30 FT THEREOF(AND ALL -EX SWLY25 FT- LOT Owner: SCHLEGEL JOHN H Contractor : CABLE COM OF CALIFORNIA, INC. Phone: 0 Phone: 714-666-2400 Address : 145 VIA UNDINE '' t� Address : 1251 N.JEFFERSON STREET NEWPORT BEACH, CA ANAHEIM, CA Contractor State Lic: 826295 Applicant: CHARTER COMMUNICATIONS License Expire: 07 31, 2019 Phone: 714-681-3554 [ Address : 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Business License: BT30033430 Business Expire: 10 31, 2017 Special Cond.: Workers' Compensation Insurance - - Carrier : LM INSURANCE Policy No: WA563DO04260037 W. C. Expire: 07 31, 2018 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $571.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid : $0.011. Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance : W-T 00 Inspection Fee : $330.00 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 : LqJ11 / /� 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 WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed I certify that I have a Certificate of consent to self -insure, Certificate of Worker's contractor must provide a `Letter of Authorization" to allow another party to pull a permit. An approved copy of the Compensation Insurance, or a Certified Copy thereof. permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of ate: // It �Signatur_:_ a permit, is subject to rejection/fine City reserves the right to void permit if work does not commence within 30 days _ -- _ _ after dale of issuance. CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 2. The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and employees harmless front any responsibility, liability, suit or action of any description arising out of any accident, loss I certify that in the performance of the work under this permit, I shall not employ or damage to persons or property occurring as a result of work undertaken under this permit. any person so as to become subject to California Worker's Compensation Laws. If, 3 All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings after signing this certificate I become subject to the Worker's Compensation of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances. provisions of the State Labor Code, I must comply with the provisions of Section 4. Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall 3700 or this permit shall be deemed revoked. 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 Date: Signature: 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 CONTRACTOR LICENSE EXEMPTION 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, As the Owner of the benefiting property, I certify I am personally performing all in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public work in the Public Right -of -Way. Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of Date: Signature: Industrial Safety prior to commencing underground construction as required by State law. Walls and faces of all excavations over 5 feel 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. HOLD HARMLESS STATEMENT 7 The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must I understand that I am locating minor encroachments within the City Right -of - be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be Way/Easement. As property owner it is my responsibility to maintain the inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities encroachments. I will be responsible for replacing the improvements if the City Department or General Services Department inspections may be required depending on scope of work performed. removes them for maintenance of utilities or other public need. I shall indemnify 8. All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed and hold the City harmless for any liability associated with the minor over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole encroachments. existing City -owned utilities (ie: 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 Date: Signature: 4TT box over the riser. 24-hour notice for Encroachment Permit Inspection is required by calling 9. Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All "Manual signs, flags, lights and other warning and safely devices shall conform to the requirements of the current of Public Works at 949-644-3311. 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 15 Any above ground utility facilities will require documented approval from the adjacent 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. affected property owner(s). 10. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break. Memorial Day 16. Homeowner, contractors, and subconlracotrs may each be liable for violations of Water weekend, summer between June 15 and September 15, and during the holiday season from December 19 to Quality Laws. Best Management Practices will be enforced. It is against the law to 11. 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 discharge construction debris into the gutter and storm drain. Felony violations of Water acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire. police and 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. emergency vehicles must be maintained at all limes. Traffic Control must be per Work Area Traffic Control 17 If a refundable deposit was paid, applicant must submit a Soils Compaction 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 Certificate or Evidence of a Slurried Backfill and request a final inspection from the the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way Public Works Department. Monies may be held for six months after final inspection will require a Caltrans Permit. All vehicles shall be lawfully parked before a refund will be processed. 12 This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of 18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. without approval from the General Services Department. 13 Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant 19. All work in the public right-of-way must meet the approval of the Public Works must notify all affected residents 24 hours in advance of restricted access and any inconveniences. Department or corrections will be required (i.e. removals, exposing connections, 14 Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City etc.). Additional inspection fees may be required. may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 20. Permit is for standard materials in the public right-of-way only, unless previously for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a approved by Public Works and an Encroachment Agreement has been processed. Temporary Street Closure Permit must be obtained from the Public Works Department. 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. No work related to this encroachment permit $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and ends 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 Issuance 4. Pernik fees are nonrefundable. to: ' � ._ ignature: FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT N2017- O 6; l r4-3 Vio Uv►d;ne NUMBER: APPLICANT- ILIBLIG WO Permit Processing Fee: Q Public Works Only $241.00 i Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection Refundable Deposit: Improvements QtY. $165.00 2 $121.00 $165.00 $108.00 TBD TBD Street/Alley/Walk Closure: $65.000 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 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: Qty. Qhr• (Water Meter: , Installation Charge $528.00 I 13/4" Meter $50.25 Water Meter Boxes: 11" Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost) 11 1/2" Meter $285.00 1" Meter: 13.00 + 37.00 $50.00 11 1 /2" Turbine Meter $700.00 2: Meter: 27.00 + 61.25 $88.25 12" Meter Turbine Meter $425.00 12" 13" Meter $845.00 $3,310.00 For Traffic & Alley Areas (Box + Cover = Cost) 1" Meter: 13.00 + 38.00 $51.00 14" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00 1 0" Meter $7,190.00 Q . Budget Number Certificate of Compliance Fee (+100% 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/Vacation Fee (+100% of hrly over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance use only Ro<�,; to 71 t __ .- Permit Specialist Receipt No. f luserslpbwlsharedlenaoach/masleryep front and back masters/ Rev. 1/5120171 lepfeesheet)ds•rewsed 10/21 Q016 AW,,11 Pot hole Google ) It of 2" "— on pi water plop.,ty I ) 1, A ;,l ..It I nt I I. Almendralo, Rodi • From: Sent: To: Subject: Attachments: Good morning Rodi, Noble, Brian <brian.noble@cablecomllc.net> Thursday, October 05, 2017 6:03 AM Almendralo, Rodi; Richard Vega 145 Via Undine, Newport Beach Permit requerst 145 Via Undine, Newport Beach SOW jpg I need to pull a permit for this locaiton to bore a new service drop from the vault to the property. 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. N 2011 — 0611 CITY OF NEWPORT BEACH CASH RECEIPT FINANCE DEPARTMENT 100 Civic Center Drive, Newport Beach, CA 92660 P.O. BOX 1768, Newport Beach, CA 92658-8915 Permit Number : N2017-0511 Plan Check Number: Today's Date : Oct 11, 2017 Receipt Number: R000081827 Job Address: 145 VIA UNDINE NB Description: Install 40 LF of 2-inch conduit for new CAN service. Owner: SCHLEGEL JOHN H Applicant: CHARTER COMMUNICATIONS Date Paid: Oct,11,2017 11:20 AM Total Paid : $571.00 Notation: Initial: RA Description Payment Type Check Number Card Type Tendered Payment Check 28977 $571.00 FOR PLAN CHECKS ONLY: TARGET DATE: For status, please log on to www.newportbeachca.eov/buildine, and select PLAN CHECK STATUS or call (949) 644-3255 NOTICE: PLAN CHECK EXPIRES 180 DAYS FROM DATE OF SUBMITTAL 10/1612017 City of Newport Beach Page 5 of 1a 4:30:47PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/17/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : 145 VIA UNDINE Activity : N2017-0511 SubType : Status : APPROVED OWNER: SCHLEGEL JOHN H Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Install 40 LF of 2-inch conduit for new CAN service. Pavement restoration per City Standards. Item: 10050 EXCAVATION- PW Requested Time: 10/17/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 - Entered By: WEBUSER Comments: ANY -Bore work to start Assigned to: 77777777777* Inspector: 2YJ-&eY S► IVA� Date: 1017 Time: 10 '- 00 ® PM Comments: l 0 ✓► I rc, c I Ofn Y 10 S � 1y V-j — 0 c, 11-e 04 )1 + F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc REPT131 Run Id: 4018 10/17/2017 City of Newport Beach Page 10 of 10 4:30:24PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/18/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 145 VIA UNDINE Activity : N2017-0511 SubType : Status : APPROVED OWNER: SCHLEGEL JOHN H Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Install 40 LF of 2-inch conduit for new CATV service. Pavement restoration per City Standards. Item: 10050 EXCAVATION- PW Requested Time: 10/18/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 Entered By: WEBUSER Comments: AM -Work to start Assigned to: 77777777777- Inspector: Vober+- S. AvA Date: 10 1 t -7 Time: r = 3d A PM Comments:ho rezk 2i< tom►-cdv,�- a F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 10118/2017 City of Newport Beach Page 20 of 21 4:30:1012M INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/19/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 145 VIA UNDINE Activity : N2017-0511 SubType : Status : APPROVED OWNER: SCHLEGEL JOHN H Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Install 40 LF of 2-inch conduit for new CATV service. Pavement restoration per City Standards. Item: 10050 EXCAVATION- PW Requested Time: 10/19/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 Entered By: WE13USER Comments: AM -Finish bore Assigned to: 77777777777* Inspector: b � S t�l vA Date: 10 \ 4:I 1 Time: 30 M PM Comments: �,n } �0( CtO r h ed l'J� f Fa �• to yyv%-4 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InSDectorSheet.doc REPT131 Run Id: 4018 10/23/2617 City of Newport Beach Page 7 of 7 4:30:49PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/24/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 145 VIA UNDINE Activity : N2017-0511 SubType : Status : APPROVED OWNER: SCHLEGEL JOHN H Phone: p APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Install 40 LF of 2-inch conduit for new CATV service. Pavement restoration per City Standards y Or -. t i"'r. V.�lL 'f, t�Ii%C � Vtl �1,. 'K '�;•�+i F�'�• �iY ., l.E� 'l�• t. _ _ t ...... .. Y W�`n'�i' ' .s. ,. �. _. ....'�;�I��,��,?�va•RYh��r;YriSY.�£= r it�r�^r. Item: 10020 PERMANENT PAVING- PW Requested Time: 10/24/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 Entered By: WEBUSER Comments: ANY -Restoration Assigned to : 77777777777* Inspector: (ZbecL SAA/A Date: la11-7Time: kd :00 (§)PM Comments: 1/ 1)P,P_D A e ni_ Refi�� F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSYnspectorSheet.do I REPT131 Run Id: 4018 IV18/2017 City of Newport Beach Page 7 of 12 4:30:13PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/19/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 145 VIA UNDINE Activity : N2017-0511 SubType : Status : APPROVED OWNER: SCHLEGEL JOHN H Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Install 40 LF of 2-inch conduit for new CATV service. Pavement restoration per City Standards. Item: 10250 FINAL - PW Requested Time: 12/19/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 Entered By: WEBUSER Comments: ANY -Final inspection permit close out Assigned to: 77777777777` Inspector: C`� Date: 1211,917o12 Time: ,413M Comments: F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\I nsi)ectorSheet.doc REPT131 Run Id: 4018