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Permit No: N 201 T-0434
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cNewenter Dport
ortBhach, CA 92660
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Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov
/ Online
Project No : 1369-2016
SCANNED
y
Services
Inspection Requests Phone (949)644-3255
Job Address:
2401 ALTA VISTA DR NB
Thomas:Guide: 889E4
Description :
DIRECTIONAL BORE TO PLACE ELECTRICAL CONDUIT, CONCRETE SIDEWALK REPLACEMENT PER STD 180-L.
Parcel # :
4400-320-3 -
Legal Desc :
N TR 4705 LOT 65
Owner:
BECKER MARC & SHERYL
Contractor : CAL EMPIRE ENGINEERING, INC
Phone :
Phone : 626-915-9030
Address :
24305 AVENIDA DE MARCIA
Address : 628 E EDNA PL
YORBA LINDA, CA 92887
COVINA, CA 91723
`
Contractor StateLic: 1011503
Applicant:
CAL EMPIRE ENGINEERING, INC
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License Expire : 02 29, 2020
Phone:
626-915-9030 [
Address :
628 E EDNA PL
COVINA, CA 91723
Business License: BT30064212
Business Expire : 08 31, 2019
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : EVEREST NATIONAL INSURANCE COM
Policy No: 7600017315181
W. C. Expire: 02 24, 2019
Permit Processing Fee : $241.00
Sewer Connection : $0.00
Total Fee $736.00
Agreement Fee:
$0.00
4TT Box Cover: $0.00
Paid : $736.00
Traffic control Plan Check : $0.00
Total Water Meters : $0.00
Balance : $0.00
Inspection Fee:
$495.00
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
General Services
Approval :
Date
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
PROJECT ADDRESS: 2401 Alta Vista Dr Newport Beach, CA 92660
DETAILED DESCRIPTION OF PROPOSED WORK:
Directional boring to place electrical conduit. ' I. (.it ic,If. 'Lk C % : c r
APPLICANT: Cal Empire Engineering, Inc Phone: 626-915-8030
Email Address: admin@calempire.com
Mailing Address:
628 E Edna PI
City/State/Zip:
Covina, CA 91723
OWNER: 2401 Alta Vista LLC Phone: 949-315-1482
Email Address: jpukini@calpacfunds.com
Mailing Address:
2401 Alta Vista Dr
ity/State/Zip:
rNewportBeach, CA 92660
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: Cal Empire Engineering, Inc
Office Phone: 626-915-8030
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: admin@calempire.com
Mailing Address:
628 E Edna PI
City/Stat Zip:
Covina, Ca 91723
State License Number & Class:
1011503 Expires: 02/29/2020
City Business License Number:
BT30064212 Expires: 08/17/19
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Westem Republic Insurance Services Policy No: 7600017315181 Expires: 02/24/19
.....................................................................................................................................................
REF.UNQASLE:DEPOSITINFORMAT.IQN:NfAppficable.
...................... .
T.::::...:::::..:::..:::.::...::.:.:....:::: :::::::::: :::::::::::::::::::
Refudd pa able :.o................. .
Mail Refund To :::: ::: %::::::::::::::::::.< :.....< ......<.........:....................:::::. :.....:....::::
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Pu orlcs Specialist:
Date•.
Permit No.
Ilusers/pbw/shared/enuoadVmasters/epwarksheet As
Public Works Department 949-644-3311
Permit Processing Fee:
Public Works Only
$241.00
Inspection Fee:
Public Works Field Inspection
$165.0
Other Department
$275.00[m
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
$192.001
Refundable Deposit:
TBD
Monitoring Wells
$502.001
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
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1
t REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: I
1
oty..
�• 1
[Water Meter:
.
Installation Charge $528.00 1
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes: 1
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66 1
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 e
12" Meter
$425.00
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
4" Meter
$4,730.00
1
6" Meter
$7,190.00
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 Du/e:
For Finance Use Only
AT 1�o
Penn', Specialist
Receipt No.
f fusers/pbwlshared/encroach/masterslep front and back masters/
Rev. 12/18/2017
epfeesheet.xls-revised 1118/17
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
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 of the
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 Stale 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 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-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 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.
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 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 (ie water, sewer. or street lighting conduits) to verify locations. Maintain a one -fool
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 limes.
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 Stale 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 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
Conn ensatioin In ranee, or a Certified Coy ther
Date Signatur
I
i
CERTIFICATE XEMPTI0 ection 3800 Labor Code)
I certify that in the perfor ante 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 Encroacomegit Permi pection is required by calling
Public Works at 949-644-33 1
15 Any above ground utility fac i require documented approval from the adjacent
affected property owner
16. Homeowner. conlr ors, ubcontracotrs may each be liable for violations of Water
Quality Laws. B st agemenl Practices will be enforced It is against the law to
discharge constru ion 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 Stale
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. cr relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Work:
Department or corrections will be required (i.e. removals. exposing connecti .ns.
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.
No work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. Applicant hereby ack owledges he/she has read poWderstands the terms and I
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.
Permit fees are nonrefundable. Dater/_Signatur
CO: 75' 1-3" DUCT
IN: 75' 4/0 CLP
(HO92D TO PANEL)
I
EX: P5103092 PAD
48"x54"
EX: 100KVA 12KV 120/240 1P
IN: 1- MTR KM 50A 120/240 1P 3W
MSR#. 780730
I
1
E EfEX: 4/0 CLP
(P3092 TO H092A)
E E I E E
EX: H092A
13'x2ex15'
E
CID: H092D
17"00"x15"
I IN: 1- CNN BAR INS LT DUTY #8-350 1P 4-WAY
I IN: 75- 2-4/0 1-1/0 CLP (HO92C TO PNL)
I IN: 1- CNN HYLUGS PM 2-4/0 1-1/0 12/16KV 1P
I
1
EX. 4/0 CLP
(HO92A TO H0926)
75
E E -- E
CO: H092C
17'x30"x15"
IN: 1- CNN BAR INS LT DUTY #8-350 1P 4-WAY
IN: 114- 2-4/0 1-1/0 CLP (HO92C TO HO92D)
H092B TO H092C
IN: 94' 4/0 CLP
E ��-
w
40CAMP PANEL
10KW 35M
VD 451% E/
FL=M
2401 ALTA VISTA OR NEWPORT BEACH CA 92660 /
CO: 114' 1-3" DUCT
IN: 114' 4/0 CLP
(HO92C TO H092D)
EX: H092B / \nE-IN MADE INTO A SECONDARY HANDHOLE
13"x24"x15" If PVC conduit is used, riser bend installation may
H0926 TO H092C be made by the customer with prior SCE approval.
CF. 94- 3" DUCT
( ) Customer not to remove handhole cover. If metallic
ALEPPO ST CF: 94- CM DUCT FOR EXCAVATION conduit is used or handhole cover needs to be removed,
IN: 94- 2-4/0 1-1/0 CLP (HO926 TO H092C) a SCE Qualified Person must be present.
TYPICAL HANDHOLE INSTALLATION
SEE U GS HP 205
unm EYE (2)
BOLT NOES (2)
SO0
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\ ExTENS10"N
TYPICAL ASSEMBLY
(WITHOUT COVER)
ALL COVERS To OR IDENTIFIED MATH
"EDISON" IN 1/2' (MIN) BLOC(
RECESSED LETTERS
KNOCK OUT
(FOUR REARM) TYPICAL COVER
WADE /—COVER
WORKSPACE
SURFACE -MOUNTED OR SEMI -FLUSH
METER INSTALLATION
SEE ESR 5-25
10" MIN (SEE NOTE 1)
10" MIN 6'-3" MAX
6'-6" MIN (SEE NOTE 1) 4'-0" MIN
(SEE NOTE 2)
No
Q
SOUTHERN CALIFORNIA
EDISON
An EDISON IN7ERNA 77ONAL Company
SCALE: 1 " = 30'
0 30 60
PROJECT REQUIREMENTS (Y/N)
EDISON EASEMENT REQUIRED
❑N
PWRD 88 REQUIRED
❑N
PERMIT REQUIRED
❑N
PERMIT TYPE: N/A
OUTAGE REQUIRED
QN
OUTAGE DATE: N/A TIME: N /A
TRAFFIC CONTROL REQUIRED
❑N
PED. TRAFFIC CONTROL REQ'D
❑N
CONVEYANCE LETTER REQ'D
❑N
ENVIRONMENTAL CLEARANCE REQ'D
QN
CSD 140 (TLM) REQ'D
QN
8/29/2018 City of Newport Beach Page 1 of 15
6:34:21AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/29/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2401 ALTA VISTA DR
Activity : N2018-0434
SubType : NEW
Status : APPROVED
OWNER: BECKER MARC & SHERYL Phone:
APPLICANT: CAL EMPIRE ENGINEERING, INC Phone : 626-915-9030
Description : DIRECTIONAL BORE TO PLACE ELECTRICAL CONDUIT, CONCRETE SIDEWALK
REPLACEMENT PER STD 180-L.
e Y'
Item: 10050 EXCAVATION- PW
Requested Time: 8/29/2018 12:00:OOAM Requestor: NBIVR
9512273445
Entered By: NBIVR
Comments: PM
Assigned to:
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8118/2018 City of Newport Beach Page 1 of 15
6:34:38AM INSPI60 - Daily Inspection Request Report
Requested Inspection Date: 08/28/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2401 ALTA VISTA DR
Activity : N2018-0434
SubType: NEW
Status : APPROVED
OWNER: BECKER MARC & SHERYL Phone:
APPLICANT: CAL EMPIRE ENGINEERING, INC Phone : 626-915-9030
Description DIRECTIONAL BORE TO PLACE ELECTRICAL CONDUIT, CONCRETE SIDEWALK
REPLACEMENT PER STD 180-L.
Mow
Item: 10050 EXCAVATION- PW
Requested Time: 8/28/2018 12:00:OOAM Requester: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to: r15/ 1, VA
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Inspector: AMA j 10 Date: Time: AM PM
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131
Run Id: 4018