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Home My WebLink AboutN2017-0134City of Newport Beach I �Jpll11111111111111111111111111111111111 �� Permit No: N201'7-0134 100 Civic Center Drive Newport Beach CA 92660 N 2 0 1 7 0 1 3 4 Y Permit Counter Phone (949)644-3311 Project No u,Online Inspection Request - www newPortbeachca9ov /Online SGANNED Services Inspection Requests Phone (949)644-3255 Job Address 2620 BASSWOOD ST NB Thomas:Guide: 889E4 Description Bore 4 LF of CATV conduit for new CAN service Sidewalk restoration per City Standards. Parcel # : 4400-343-8 - Legal Desc : N TR 4893 LOT 8 Owner: GUIZAN GUSTAVO E Contractor : L & G CABLE CONSTRUCTION COMPANY INC Phone: 0 ne: 714-630-6274 Address : 2620 BASSWOOD ST pETEp Address ss : 3776 RALOMAAVE NEWPORT BEACH, CA C QM1 EIM Contractor State Lic: 637898 Applicant: CHARTER COMMUNICATIONS License Expire : 02 28, 2018 Phone: 714-709-3390 [ Address : 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Business License : BT30037502 Business Expire : 11 30, 2017 Special Cond.: Workers' Compensation Insurance - - Carrier : STATE COMPENSATION INS FUND Policy No: 9105662 W. C. Expire: 07 08, 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 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 �C Date General Services Approval Date _/_/ FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT AN F6" Are NoiirRefwnldlable: Jnless:Otherwise Staten ::: ..... PROJECT ADDRESS: PERMIT NUMBER: APPLICANT: Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Q Inspection Fee: $241.00 Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $81' $192.00 Refundable Deposit: $502.00 Improvements Qtv. $165 00 $121.00 $165 00 $108.00 TBDBTBD StreeVAlley/Walk Closure: $65.00L 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- FOLi_OWING.tTEMS fit=QUIRE APPROVAL. FROM THE : 14p,r(k,Va, Revenue Division. i. .':'IktVENdtlb[ViSidriP:RIOR'TOPAYMENT'60FEfS .'.'. l: .. .� IWater;Meter: ; • ;kistaNation; Charge; ; ; $528:00�; F3%4":Metes ::::::::::: $50.25 .....:.::.Watet.Meter. Bgxes::.: - : - : - :::::.............I li'' Meter $ L2.1.50 . . . . . ..For. Parkway & .Sidewatk-Area-(Box-+• Cover=-Cosf). - . 1 11 112".Meter:: : : : :.:.: : : : : .$285.00 '.'.'.'.': - 1":Meter..:13:00'+37:00'.'.'.'.'.'.'.'$50.00:.....1 Turbi�leMeter ' $700.00 -2 Meter:'.'27:00.+61,25 :.$88.26 A 12"-Meter : :: : : .: : .:.:.$4.25.;00 ; ; ; ;;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,;,; 12,;Tia�eine Meter :: 13/,.Meter ::$B?t5.Q0 . .... :For FraffiP 8:A71eY.Rre83:(t�ox:+;Cover;=:CoStJ :. 1 . .. ....:. i4".Meter : : : .....$4,:730.00 .$ .310.00 . . . . . � � Meter:. J 3.100. +. 38:00 . . : . . - 2":Meter.. -.2:7.00- * : :.:.. . . . -$5.'1..00, .. . . . .162.00: $189.U0:�::1 r6".Meier. ..... .. .. ....... ..:$7,190.Q0 .:...:. ................ ............ .. . Wry. tsuagec Numoer 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 Permit Specialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 10/21/2016 epfeesheet)ds-revised 10/21/2016 l � 920 AJ 26�61 q 926 C:) � 2620 f .4 r ' I w � 932 ! 2626 !' � l j O 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 Fncroachnient Permits may be taken out by the owner of benefited properly or a licensed contiar,loi A licensed contractor must provide a I ellw of Authouzation" to allow another party to pull a permit An approvers copy of the permit and construction plan shall be kept at the lob site at all times Work which has been done prior to issuance of a permit Is subject to relecUon'hne City reserves the right to void permit if work does not commence within 30 days after date of issuance ?_ fhe Permlltee agrees to defend indemnify and hold the Cily its authorized agent officers, representatives and employees harmless from any responsibility, liability writ or action of any description ansing out of any accident loss or damage to persons or property ocrurrinq as a result of work undertaken under this permit 3 All work shall be done in accordance will) the approved plans, St,and,ud Speu,il Pruvi.snms ,md Stdnd,ird Drawm(s 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 detects 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 Slate Contractor License Class A can perform any work in the public right-of-way For construction or connection to water lines a valid Slate Contractor License Class C-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 parkwaylroadway and City Standard 140-L, in the alleV 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 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 ne 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 raintained around all trenches, excavation,, and obstructions All signs flags lights and other warning and safely 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 /het 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 Oil 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 front December 19 to January 1 unless approvers by the Public Works Department 1 i Anv work that extends into traffic of parking lanes and Impedes the normal flow of traffic requires the applicant to acquire a lemporary Street Closure Permit from the Public Works Department Access for fire, police and emergency vehicles must be maintained at all times fraffic Control must be per Work Area traffic Control Handbook iWA fc;H i No nighttime traffic lane closures unless pilot approval has been granted Any lanes) closure on a major street will only be allows-d between 9:00 a.m and 3:00 p m. (Monday thru Fndayi unless approved by the Public Works Deparinient Any work ,affecting the State Highways traffic or within the Slate Highway right-of-way will require a Caltians Permit All vehicles shall be. lawfully parked 12 This perrnd does not authonZe the closure of sidewalks streets or alleys for construction access storage of materials or parkrnq of conshurtion vehicles unless detailed on an attached temporary Street Closure 13 Applicant must nolif•v 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 anv inconveniences 14 Refuse or unused rmaleri als shall he 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 dunapster or materials in the public right-of-way a Temporary Street aosure 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 -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy th of Date: _ Signature '� - CERTIFICATE OF EXEMPTION (Section 3800 Labor 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 PerXttit spection is required by calling Public Works at 949-644-3311. �� 15 Any above ground utility facilities v✓II require dOCWrienled approval Irons the adl,icenl affected properly owners) 16 Homeowner contractors and subconlracotrs may e,x h be liable for i,)ILihon, rill Duality Laws Best Management Practices will be enforced 11 is ayainsl tho law, h discharge construction debris into the qutter and storm drain Felonv viol,alions of VVatc,i Duality Laws are punishable by fines up to S25 000 androi up io li,n,e ye,ir:, r.r Lalf prison plus the full cost to clean up an Illegal discharge or spill 17 If a refundable deposit was paid applicant must submit i 5,0, Conip,ar h-1 Certificate or Evidence of a Slurned Backfill and reaquest a final insper.hon from thc- Public Works Department Monies may be held for six months after final Inspectiun before a refund will be processed 18 No trees in the public right-of-way shall be planted remover/ lnrrimed c, rl,r..ale,i without approval from the General Services Department 19 All work in the public right-of-way must meet the approval of the PL1hIIc l 4,tk Department or corrections will be required (I e removals exposinr; rnnnnct i, is etc I Additional Inspection fees may be requmed 20 Permit is for standard materials In the public right-of-way only, unless prevlrru,ly 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 INo work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. A plicant hereby acknowledges he/she has r d and 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 iss ance. / ^� r Permit fees are nonrefundable. Dat /knatur 1/5/2022 City of Newport Beach 4:30:50PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/06/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address : 2620 BASSWOOD ST A/P/D Information: ACtivi �:� �N2017-013�4 SubType . Status : APPROVED OWNER: GUIZAN GUSTAVO E APPLICANT: CHARTER COMMUNICATIONS Description : Bore 4 LF of CATV conduit for new CATV service Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/6/2022 12:00:OOAM Entered By: WEBUSER Comments: 'ANY-' � Assigned to: zzzzzzzzzzz* • .040 Page 5 of 14 Phone: 0 Phone : 714-709-3390 Sidewalk restoration per City Standards Requestor: *MW w ao& it ppewosvv WEBUSER