The URL can be used to link to this page

Home My WebLink AboutN2017-0190v .�.�.� Y%,�City of Newport Beach I IIIIIIIIII IIIIIIIIIIII I II Permit No: �VBeach, cA92sso I IIIIIII I y.� 4 11 .. Permit Counter Phone (949)6 4 33 Project No 1 Online Inspection Request - www newportbeachca gov / Online Services 4,E, 11 t, Inspection Requests Phone (949)644-3255 Job Address : 361 HOSPITAL RD NB Thomas:Guide: 888G5 Description : Remove existing CATV vault and replace with larger 2'xT CAN vault for Charter Communications. Sidewalk restoration per City Standards. Parcel # . 4252-610-1 - Legal Desc : IRVINE SUB LOT 169 BLK 2 POR OF LOT Owner: NEWPORT LIDO MEDICAL Contractor : CABLE COM OF CALIFORNIA, INC. Phone: 9496450500 MPLETED Phone: 714-666-2400 Address . 351 HOSPITAL RD #307 Address : 1251 N.JEFFERSON STREET NEWPORT BEACH, CA ANAHEIM, CA Applicant: K&B ENGINEERING Phone: 951-808-9501 [ Address : 290 CORPORATE TERRACE CIRCLE #200 CORONA, CA 92679 Special Cond.: Pre -job inspection required. Permit Processing Fee $241.00 Sewer Connection : $0 00 Agreement Fee : $0 00 4TT Box Cover: $0.00 Traffic control Plan Check : $208.00 Total Water Meters : $0 00 Inspection Fee $330 00 Water Meter Connection : $0.00 Refundable Deposit- $0 00 Total Water Meter Box, $0.00 Street Tree Fee $0.00 Adjustment - $0.00 Processed By : Utilities Approval : Traffic Approval General Services Approval Date : Date Date Date Contractor State Lic: 826295 License Expire: 07 31, 2017 Business License : BT30033430 Business Expire: 10 31, 2017 Workers' Compensation Insurance - - Carrier : LIBERTY INSURANCE Policy No: WA763DO042600 W. C. Expire: 07 31, 2017 Total Fee $779.00 Paid : $779.00 Balance : $0.00 Receipt No: Other Department : Date Permit Denied Date Issued Permit : Date:* /A'/ 7 FEE WORKSHEET FOR ENCROACHMENT PERMIT .: wy.�,CtTYHw_+DF 1 1111i i PIP" L 5" ■ VBL■V WOW; All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: 3(ol )Aosp14v,1 Rd PERMIT N2017- 01g0 NUMBER: APPLICANT: Chor>ctr Co r+�v►;cai,roh S / K; B �no� �Ket v+ vtg 1U BE COMMETED BY PUBLIC WORK DEPAKMEM-- Permit Processing Fee: Inspection Fee: Public Works Only $241.00 t Public Works Field Inspection Other Department $275.00 Utilities Field Inspection General Services Inspection Agreement Fee: Water Quality/Artificial Turf Inspection Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: Monitoring Wells $502.00 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 t 4TT Box & Cover _ _ _ Additional _ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE REVENUE DIVISION PRIOR TO PAYMENT OF FEES $165.00 $ $121.00 $165.00 $108 00 TBD TBD $108.00 $250.00 $64.00 ------ Revenue Division I Qty. (Water Meter: Installation Charge $528.001 1 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 1 12" Meter $425.00 1 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 1 13" Meter $3,310.00 1" Meter: 13.00 + 38 00 $51.00 1 14" Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00 16" Meter $7,190.00 wty. tsuaget 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 ZvdI. 0 1-7q . - Permit 5DQcialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 1/5/20171 Iepfeesheetds-rewsedl0/21/2016 tt llll� City of Newport Beach Newport Beach Police Dispatch Public Works Department Phone:949-644-3717 Phone:949-644-3311 Fax:949-644-3318 Citv of Newport Beach Municipal Code 12.62.010 Permit for Temvorary Street Closure APPLICANT INFORMATION Name Desi Romo (K&B Engineering) for Joe Barrios (Time Warner Cable) Company Name: Time Warner Cable City of Newport Beach Business License No Address 12051 Industry St City/Zip Garden Grove, CA 92841 Phone' Day (714) 591-4880 Night (714) 709-3390 Exact Location of Encroachment: 361 Hospital Rd (Use street address or approximate number of feet from nearest intersection Reason for Encroachment: Replacement of existing CATV vault with a fiber pull box in sidewalk Franchised Hauler or Dumpster Company Name: Size: Date Closure to Begin: ip I S / I Date Closure to End: J 1 (NAxmum114 Days) --`` Time of Closure: 1 !� to --Di, DIAGRAM LOCATION OF ENCROACHMENT BELOW: A copy of this permit must be visible on the dash of each vehicle authorized to park rn reserved parking sots. The applicant is responsible for notifying Police Dispatch of any road closure, detour, or reserved parking. See reverse side of this permit for regulations covering use of this permit. ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS: CITY RESERVES THE RIGHT TO REVOKE OR MODIFY CONDITIONS AT ANY TIME I, (Permitee) hereby certify the information provided is true and correct. and I agree to comply with the terms and For Finance use only conditions on the front and back of this permit Permitee guarantees to indemnify and hold the City of Newport Beach harmI s against claims, liab I ty, or judgments for damages arising out of permitee's activities X an Date: 03/29/17 L Reviewed by Date Approved by- Date. r `I Permit Fee $ (c�`�ZL �� Receipt No F J-r, cE . ; a .,, r S7E— _-aEET �o�� RE .•TERi �Te,r :., _i�=..,F ..:I �:a;�� .�'—I; f 1 .i REGULATIONS COVERING THIS TEMPORARY STREET USE PERMIT City of Newport Beach Municipal Code 12.62.010 Permit for Temporary Street Closure This permit authorizes the permittee to use a portion of the public right-of-way as detailed on the front of this permit. Additional restrictions of this permit include, but are not limited to, the following: Access must be maintained for emergency vehicles at all times. 2. Dumpsters and materials in the public right-of-way may not block or impede access to fire hydrants or red zones. 3. Portable restroom facilities and storage containers may NOT be placed in the public right-of-way. They must remain on private property at all times. 4. In parking sensitive areas 40-yard dumpsters are permitted during the demolition process only. Thereafter, small dumpsters are to be utilized during the construction period. 5. Loose dirt and/or gravel must have Visqueen or heavy plastic underneath and must be surrounded with sandbags to prevent material run-off entering the storm drain. 6. All dumpsters, 3-yard or otherwise, shall have the company identification on each dumpster including the company name, address, phone number, and dumpster number. Reflective material is required on all sides of the dumpster or reflective delineators must be placed at the corners for night-time visibility. 7. All permitted dumpsters, materials, and/or vehicles shall be located adjacent to the job site only, unless otherwise noted on the front of this permit, and lawfully parked/placed not to exceed 8 feet from the curb. 8. Observe Best Management Practices (BMP's) at all times. Keep work area clean by sweeping with brooms not hoses. DO NOT wash or hose down work area with water. You, your contractors, and your subs may each be liable for violations of Water Quality Laws, punishable up to $25,000 or three years in State prison plus the full cost of clean-up. 9. Crane deposit requires an inspection by the Public Works Department prior to release of any funds. Any damage done must be repaired to the satisfaction of the Public Works Inspector. PERMIT CAN BE REVOKED OR MODIFIED BY THE CITY AT ANYTIME. Any violation of the above or permitted conditions will render this permit null and void and the permittee may be subject to citations, penalties, back charges, and any other remedies deemed appropriate by the Office of the City Attorney. f %uwslpbyAsharedlmaslerslstreet dosure masterslbadc of permit regulations doc • 6/20/2017 City of Newport Beach Page 13 of 14 f 4:30:44PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/21/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 361 HOSPITAL RD Activity : N2017-0190 SubType : NEW Status : APPROVED OWNER: NEWPORT LIDO MEDICAL Phone : 9496450500 APPLICANT : K&B ENGINEERING Phone : 951-808-9501 Description : Remove existing CAN vault and replace with larger 2'x3' CAN vault for Charter Communications. Sidewalk restoration per Ci Standards. �iws_..;_ `� i � �.o..�.:� ;�S3a..�315�'aa�W" Item: 10200 PRE JOB - PW Requested Time: 6/21/2017 12:00:OOAM Entered By: WEBUSER Comments: PM-Precon to r&r CAN hh in sw Assigned to : zzzzzzzzzzz* Inspector: Jk / /1-, 30 -/-Z zoo Requestor: WEBUSER / 714-412-9304 —� 12 t) l pEL 4v C,4aL,e5r Date: Time: I Z. <AM OM Comments: 0�7— -✓� C i -r`/'/"/ cl �� mil/ f�4�V s PCL & I-L T(- P E/2 A PPXO �O T-L,- r F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 6127/2017 City of Newport Beach Page 8 of 8 4:31:02PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/23/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 361 HOSPITAL RD Activity : N2017-0190 SubType : NEW Status : APPROVED OWNER : NEWPORT LIDO MEDICAL Phone : 9496450500 APPLICANT: K&B ENGINEERING Phone : 951-808-9501 Description : Remove existing CATV vault and replace with larger 2'x3' CATV vault for Charter Communications. Sidewalk restoration per City Standards. Item: 10230 INSPECTION - UTIL Requested Time: 6/23/2017 12:00:OOAM Requestor: WEBUSER 714-412-9304 Entered By: WEBUSER Comments: ANY-R&R vault and place fiber in conc. Assigned to: 77777777777* Inspector: Comments: Date: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc Time: AM PM REPT131 Run Id: 4018 V13/2017 City of Newport Beach Page 13 of 14 4:31:01PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 07/14/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 361 HOSPITAL RD Activity : N2017-0190 SubType : NEW Status : APPROVED OWNER: NEWPORT LIDO MEDICAL Phone : 9496450500 APPLICANT: K&B ENGINEERING Phone : 951-808-9501 Description : Remove existing CATV vault and replace with larger 2'x3' CAN vault for Charter Communications. Sidewalk restoration per City Standards. Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 7/14/2017 12:00:OOAM Requestor: Entered By: USER Comments: M- Assigned to: 7777 Inspector: Jq Date: -1 I LI 1-1 WEBUSER 714-453 7868 Time: / - �o AM �Q Comments: 3' l iA-� `� /� e- t � / �vY s��% 9y 1 %—Z-- F:\Users\P B W\Shared\E N C ROACH\MASTERS\FO RMS\I nsoectorS heet.doc REPT131 Run Id: 4018 10 �µ ,�+'!•' � � N- .irk. • 1 • a Jt •� 'Il [ t • 4 } 9 � >s ,fit � �5„ t • , � { •f . i'•"•i' ) a .A o b— 7/24/2017 City of Newport Beach 6:34:51AM INSP15O - Daily Inspection Request Report Requested Inspection Date: 07/24/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 361 HOSPITAL RD AIPID h"wuillim Activity : N2017-0190 SubType : NEW Status : APPROVED Page 3 of 4 OWNER: NEWPORT LIDO MEDICAL Phone : 9496450500 APPLICANT: K&B ENGINEERING Phone : 951-808-9501 Description : Remove existing CAN vault and replace with larger 2'x3' CAN vault for Charter Communications. Sidewalk restoration per City Standards. Requss>red s) Item: 10250 FINAL - PW Requested Time: 7/24/2017 12:00:OOAM Requestor: WEBUSER 714-453 7868 Entered By: WEBUSER C_&+c> Comments: ANY -Job completed, need final inspectio C��b L (E-- Assigned to: 77777777777* Inspector: Date: 7 Z Vi / 7 Time: `' �VDAM' PM Comments: PGC, IP /-7U5 A E / 7-rlr- Gg�c- Dl P-A rl_ tzzL-'--' �oaaed Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc 1/6/2022 City of Newport Beach Page 9 of 18 4:30:34PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/07/2022 Inspection Type: ENCROACH Inspection Area: PW Site Address: 361 HOSPITAL RD A/P/D Information: Activity : N2017-0190 SubType : NEW Status : APPROVED OWNER: NEWPORT LIDO MEDICAL Phone : 9496450500 APPLICANT: K&B ENGINEERING Phone : 951-808-9501 Description : Remove existing CATV vault and replace with larger 2'x3' CATV vault for Charter Communications. Sidewalk restoration per City Standards. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/7/2022 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: 'ANY-' ` Assigned to : zzzzzzzzzzz* I Wvw4r wpp eolw S f oowp✓rit v 001 1tl r