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Home My WebLink AboutN2017-0060wr.4� City of Newport Beach of 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 C Online Inspection Request - www.newportbeachca.gov / Online c. Services ,IIKo. v I .A- .-ZI *N2017-0060* Permit No: N2017-0060- Project No: SCANNED Inspection Requests Phone (949)644-3255 Job Address: 4263 BIRCH ST NB Thomas:Guide: 859F7 Description : Install 17"x30 CAN vault and 2" conduit for new service in parkway area. Sidewalk restoration per City Standard #180-L. Parcel # : 4271-211-7 - Legal Desc : N TR 5169 LOT 3 Owner: KATCHERIAN GEORGE Contractor: FISHEL COMPANY THE Phone: 0 Phone: 951-685-9482 951-254-8095 Address : 4263 BIRCH ST Address : 1372 MC GAW AVE NEWPORT BEACH, CA IRVINE, CA COMPLETED Contractor State Lic: 678942 Applicant: COX COMMUNICATIONS License Expire: 10 31, 2017 Phone: 949-563-8856 [ Address : 27121 TOWNE CENTER DR FOOTHILL RANCH, CA 92610 Business License: BT00014042 Business Expire: 09 30, 2017 Special Cond.: Pre -job inspection required Workers' Compensation Insurance - - Traffic control per WATCH Carrier : ARCH INSURANCE COMPANY Policy No: 31 WC18940400 W. C. Expire: 08 01, 2017 Permit Processing Fee: $241.00 Sewer Connection: $0.00 Total Fee $571.00 Agreement Fee: Traffic control Plan Check: $0.00 $0.00 4TT Box Cover: Total Water Meters: $0.00 $0.00 Paid : Balance : $0.00 $571.00 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 : Traffic Approval : Date : / / Date: _/ / Permit Denied Date: Issued Permit : Date A /3 /Cp�o General Services Approval: Date : / / Permit Processing Fee: Public Works Only $241.00 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $117.00 Document Recordation Fee $192.00 Monitoring Wells $502.00 1 Inspection Fee: Public Works Field Inspection Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection Refundable Deposit: Improvements Street/Alley/Walk Closure: $65.00 Newspaper Rack Inspection Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee 24" x 36" $143.00 4TT Box & Cover _ _ _ Additional _ _ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE REVENUE DIVISION PRIOR TO PAYMENT OF FEES IT, A Q . $165.00 2 $121.00 $165.00 $108.00 TBD TBD $108.00 Q $$64..00 64 venue Division 1 city. Water Meter: Installation Charge $528.00� 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 $425.00 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 13" Meter $3.310.00 1" Meter: 13.00 + 38.00 $51.00 14" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00 !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 $1,079100 5200-5028 Park Dedication Fee Zone TBD 405-470 Street Easement/Vacation Fee (+100% of My over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) ------ ......._.._..-- TBD ------._.._.....�.._.._.._.._ 030-2284 Engineering Tech: Total Amount Due: For Finance Use Only Permit list Receipt No. rn ar�owrsna�eare�x oacrmna$WWev aoM WW oa* masmy Rev. 1/5/2017 epfeesheef bs+ewsed faafao,e ( CB00918 ) WORKSHLE�T OR . " R + XfF. 3 1r • M 1� L :I PROJECT ADDRESS: 4263 Birch St DETAILED DESCRIPTION OF PROPOSED WORK: Place (1) CATV 17"00" vault in grade; 10' Dirt trench to place (1) 2" duct, exiting O . R/R 40 sqft SW conc per G41 $401,a * t$D.-L. APPLICANT: Cox Communications Phone: 949-563-8856 Email Address: sina.muckenfuss@cox.com Mailing Address: 27121 Towne Centre Dr City/State/Zip: Foothill Ranch, CA 92610 OWNER: See above Phone: Email Address: Mailing Address: City/State/Zip: 'L`+LSO,NTRACOR`LINF,ORI�IIyTIONSEQUIRED!PLE"A'S + IGIP CONTRACTOR: Office Phone: 714-549-2299 Company (if different): The Fishel Company Jobsite Phone: Other Phone: Email Address: Mailing Address: 647 Young St City/State/Zip: Santa Ana, CA 92705 State License Number & Class: 678942 A, B, C-7, C-10 Expire : 10/31/17 City Business License Number: BT00014042 Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Arch Insurance Company Policy No: 31WC18940400 Expires: 8/O1/17 .......................... ..........................•.•....:.•.•.•.•:::.:.•:.•:.:..•::.•.•.•.•.•.•.•:.•.•.•.•.•.•.•:•.•.•.•.•.•.•.•.•.•.•.•.•:.•.•.•.•.•.•.•:.•... REFUN4AR�lE::pEPOS.IT:INFORMi4'1'IQ�:(/f:;4p !lcab/e:::''.......... �• ::Y • ' :::•::;: ;:• •:•:: •:•:::•::':': • :::::;:: •: ;:' ::::::::::::::::::::::::::: : : ::: ::: ..:... :....:: : fePii:riif F!a .ab. a ..o efifu�s Copt Cbmmurtueat�cui ..................... . C1k 90505:::::::::::::::::::..........:::::::::....... >............r......................................................... "•'' ` "7 FOR OFFICE -USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Traffic: 0 Fire: General Services: Other: Engineering Technician: Rod; Public Works Specialist: I t'Zod; Date: 2-2-1-7 Permit No. wZ01-7 --00(90 I:Manlpb tmredhnaca"maetmetpwo"eet* Public Works Oepartment 949-644-3311 �ALLki�NDER ROUND WORK SHALL.BE:PE�tFOR�111E0 81�;1Aj 10EWSE CI �i ,� '`R`- '� r' `�'" '�`� r. ' `CW001:'"tl iftonooftd a6li O AINA" At 4iRaNINpISUIP& n AdtlWlo TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 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 th Compensati n In urance, or a Certified Copy the permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance Date: 2 3 /7 Signature: a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 after date of issuance. The Permittee agrees to defend, indemnity and hold the City, its authorized agent, officers, representatives and CERTIFICATE OF EXEMPTION (Section 3800 Lab Code) employees harmless from 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, I. 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 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. i. 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 1. connection to sewer lines a valid Slate Contractor License Class C-42 is required. All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L, g property, I certify I am personally performing all As the Owner of the benefiting 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 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. HOLD HARMLESS STATEMENT P. 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 bac kfilling, or applicant may be required to excavate site. Separate inspections by encroachments. I will be responsible for replacing the Improvements If the City the Municipal Operations Department may be required depending on scope of work performed. removes them for maintenance of utilities or other public need. I shall Indemnify 1. 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 (is: water, sewer, or street lighting conduits) to verity 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. Property lighted barricades must be provided and maintained around all trenches, excavations and obstructions. PJI "Manual _ __ Ihipidtl6h_ fihould tie roqueotid- dalllni the P� c rlc! Inlpectlori signs, flags, lights and other warning and safety devices shall conform to the requirements of the current f Be let LIf16 !t: 949�44y3Z6d: INITIALS: Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", Issued by t California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10. per barricade per day, with a minimum charge of $35.00. It is the responsibility of the applicant to place barrica 15. All above ground facilities shall comply with the Municipal Code, including but not limited 10. protect the general public. Access to fire hydrants must be maintained at all times. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day to Chapter 13.20. 16. Homeowner, contractors, and subcontractors 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 January 1, unless approved by the Public Works Department. discharge construction debris Into the gutter and storm drain. Felony violations of Water 11. Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to Quality Laws are punishable by fines up to $25,000 and/or up to three years in State acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and prison plus the full cost to clean up an illegal discharge or spill. emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 17. If a refundable deposit was paid, applicant must submit a Soils Compaction Certificate or Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure Evidence of a Slurried Backfill and request a final inspection from the Public Works on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Department. Monies may be held for six months after final Inspection before a refund will the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way be processed. 12. will require a Caltrans Permit. All vehicles shall be lawfully parked. 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 without approval from the Municipal Operations Department, Parks and Street Trees materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. Division. 13. Applicant must notify USA at 1400-227-2600 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 Department must notify all affected residents 24 hours in advance of restricted access and any Inconveniences. All USA marks or corrections will be required (i.e. removals, exposing connections, etc.). Additional 14. shall be removed prior to Final Public Works Inspection. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City inspection fees may be required. 20. Permit is for standard materials in the public right-of-way only, unless previously approved may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-844-30W by Public Works and an Encroachment Agreement has been processed. for the collection schedule so service Is not interrupted. To place a dumpster or materials in the public right-of-way, a 21 Permit is valid for "description" of work noted on front only. Additional work performed Temporary Street Closure Permit must be obtained from the Public Works Department. may require Issuance of a separate permit and/or additional fees. � CtYt" -311412017 1 City of Newport Beach Page 19 of 21 410:43PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 03/15/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 4263 BIRCH ST Activity : N2017-0060 SubType: Status : APPROVED OWNER: KATCHERIAN GEORGE Phone: 0 APPLICANT: COX COMMUNICATIONS Phone : 949-563-8856 Description : Install 1 T'x30 CAN vault and 2" conduit for new service in parkway area. Sidewalk restoration oer Citv Standard #180-L. Item: 10000 EXCAVATION & PIPE INSTALL-UTIL Requested Time: 3/15/2017 12:00:OOAM Requestor: Entered By: WEBUSER 7�� Comments: ANY -intercept conduit for Cox Assigned to: 77777777777` Inspector: V F«#6;-& Date: !cS -7 WEBUSER 9493373945 A,,9-rA !p Iy9 -8 i,6-1 Time: O A PM Comments: 6X L A-V ,4 *1 �t4 1A) G7'AI-L( 4 4 A-'rV 6 Dd2,Pm i ?' M A•y6& F:\Users\PBMhared\ENCROACH\MASTERS\FORMSVnsoeclorSheel.doc U REPT131- Run Id: 4018 1/3/2022 City of Newport Beach Page 6 of 21 .4:30:32PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/04/2022 Inspection Type: ENCROACH Inspection Area: PW Site Address : 4263 BIRCH ST Activity : 2017-00ff0- SubType : Status : APPROVED OWNER: KATCHERIAN GEORGE Phone: 0 APPLICANT: COX COMMUNICATIONS Phone : 949-563-8856 Description : Install 17"x30 CAN vault and 2" conduit for new service in parkway area. Sidewalk restoration oer Citv Standard #180-L. Item: 10250 FINAL - PW Requested Time: 1/4/2022 12:00:OOAM Requester: WEBUSER 01 Entered By: WEBUSER Comments: 'ANY-' Assigned to: 77777777777` 14C oleo?