HomeMy WebLinkAboutN2017-0248v
City of Newport Beach
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Permit No:N2017-0248�
Civic Center Drive, Newport ach, CA 92660
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Permit Counter Phone (949)644-3311
Project No
x,
Online Inspection Request - www newportbeachca.gov
/ Online
Services
Inspection Requests Phone (949)644-3255
Job Address :
360 SAN MIGUEL DR NB
Thomas:Guide: 8891F3
Description :
Remove and replace existing 17"x30" CATV
vault with a 30"x48" vault in parkway area,
install new 18" x36" node pedestal in parkway area, and install
10 LF of 2" duct in parkway area on San Miguel Drive. Restoration
per City Standards.
Parcel # :
4400-821-3 -
`iCANNE ,
Legal Desc :
N TR 5018 LOT 31
Owner:
GILMORE AGNES
Contractor : CABLE MAINTENANCE GROUP INC
Phone:
0
Phone: 949-888-0195
Address :
Address : AVE DNTA
N WPORT BEACH, CA
COWL E TFP
RANCHO SA29822
MARGARITA CAB
Contractor State Lic: 708421
Applicant:
COX COMMUNICATIONS
License Expire : 06 30, 2017
Phone:
310-265-5875 [
Address :
27121 TOWNE CENTRE DR
FOOTHILL RANCH, CA 92610
Business License: BT30050349
Business Expire : 03 31, 2018
Special Cond.:
Pre -job inspection required
Workers' Compensation Insurance - -
Traffic control per WATCH (bike lane
Carrier : STATE COMP
and sidewalk closure)
Policy No: 9073911
W. C. Expire: 10 01, 2017
Permit Processing Fee : $241.00
Sewer Connection '
$0.00
Total Fee $571.00
Agreement Fee :
$0.00
4TT Box Cover:
$0.00
Paid : $571.00
Traffic control Plan Check : $0.00
Total Water Meters :
$0.00
Balance : $0.00
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
General Services
Approval :
Date : _/ /
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I
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 State 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 State 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 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 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 (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
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 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 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 State 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 -insure, Certificate of Workers
Compensation Insurance, or a Certified Copy thereof.
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 Permit Inspection is required by calling
Public Works at 949-644-3311.
15 Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s)
16 Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
Quality Laws Best Management Practices will be enforced It is against the law to
discharge construction 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 State
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, or relocated
without approval from the General Services Department.
19 All work in the public right-of-way must meet the approval of the Public Works
Department or corrections will be required (i.e. removals, exposing connections,
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 ac717
ges he/she has read and understari s 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 rice.
Permit fees are nonrefundable. +>ss= Date: Signature:
r/ LICee
.FE€;VUORK-SHIE-ETIMORANCROACHINENT PERMIT
„ )
C,ITI(OFNEINP,OR�TiCH`
;P�UBUC�WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
San �r,
PERMIT N2017- p2d
360 NNgte%
NUMBER:
APPLICANT:
Cox Coe+aur►iCaNa"s
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Inspection Fee:
$241.00 1 Public Works Field Inspection
$275.00 Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$817.00
$192.001 Refundable Deposit:
$502.001 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
_ _ _
I
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE
REVENUE DIVISION PRIOR TO PAYMENT OF FEES
Q .
$165.00 2
$121.00
$165.00
$108.00
TBD
TBD
$108.00
00
$$64..00
64
------
Revenue Division 1
1
Qty.
, ahf• ,
(Water Meter.
Installation Charge $528.00 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 1
11 1/2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88.25 1
12" Meter
$425.00
1
12" Turbine Meter
13" Meter
$845.00
$3,310.00
For Traffic & Alley Areas (Box + Cover = Cost) 1
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
1
Certificate of Compliance Fee (+100% of hrty 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 EasemenWacation 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
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Permit Specialist
Receipt No.
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AWORKSNEEATIFORIENOROAACHMENT4RERMIT
{ " C,IfY OF NEWPORT BEACH
P�uBLIC WORKS D_EP.ARTMENT
-OMPLE-T-E-:THE:BELOW:INFORMATION:::::.'.'.'.'.'.'.*.'.'.*.'.'.'.'.'.'.'.'.'.':::::::::::::!.!....=..
PROJECT ADDRESS: 360 San Miguel Dr
DETAILED DESCRIPTION OF PROPOSED WORK:
R/R exist 17"00" vault w/ a 30"x48" vault in grade. Place new 18"x36" lowboy.
10 in trench top ace 1 2duct, tying them together. Temp traffic control while pulling
APPLICANT: Cox Communications Phone: 310-265-5875
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:
";rAL'L-CONTRACTOR',INFORM ATION,LIS!REQUIRED PLEASE�COMPLETE._.
CONTRACTOR:
Office Phone: 714-549-2299
Company (if different):
Cable Maintenance Group (CMG)
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address:
29822 Avenida de las Banderas #B
City/State/Zip:
Rancho Santa Margarita, CA 92688
State License Number & Class:
708421 C-7 Expires. 06/30/ 17
City Business License Number:
BT30050349 Expires: 3/31 / 18
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: State Compensation Insurance Fund PolicyNo: 9073911 Expires: 10/O1/17
......:.............................•......•:..•:..,......•....•.•.:.:....:::.•..•........ •.•.•.•.:.•.:...:.......:.•.•.•.•......
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Mail:Refund;T.o::�:�:�:�:�:�:�:........................ >............>.............................................. .. .
FOR'OFFICE'USE ONLY _ .
Special Conditions of Permit: - ft -job -v%SVecMc" 'Ce v1 rcc1.
--T..,P&*c am4val per WATCH (b;Ue-bee atesure *r A siodeuOlk closure
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities: Traffic: Fire:
General Services: Other:
Engineering Technician:
Rom
Public Works Specialist:
1 ?od:
Date:
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Permit No.
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Public Works Ospartment 949-644-3311
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SAN MIGUEL DR, NEWPORT BEACH, CA 92625
Miguel Dr/Avocado Ave)
C PLANNER: FRANK AGUILAR imncisco.aguilar@cox.com 949-563-8886
6/12/2017 City of Newport Beach Page 3 of 11
6:34:13AM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
06/12/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
360 SAN MIGUEL DR
AIPID Ww"sa�iorG:
Activity :
N2017-0248
SubType :
Status :
APPROVED
OWNER: GILMORE AGNES Phone : 0
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Remove and replace existing 17" x30" CATV vault with a 30"x48" vault in parkway area,
install new 18"x36" node pedestal in parkway area, and install 10 LF of 2" duct in parkway
area on San Miguel Drive. Restoration per City Standards.
Requested � c�ont:) CM C4
Item: 10210 PUBLIC WORKS
Requested Time: 6/12/2017 12:00:OOAM
Entered By: NBIVR
Comments: AM
Requestor: NBIVR
9492794963 --
Assigned to:
I L Inspector: c Date: / Z / 7Time: /& r SQAM
4/ x //
Comments: %/i/S% ;GL- 1�� X v?d G.�TI/ Ll�T 3G A'lS �
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REPT131 Run Id: 4018
1/10/2022 City of Newport Beach Page 8 of 20
6:30:45AM INSP15O - Daily Inspection Request Report
Requested Inspection Date : 01/10/2022
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 360 SAN MIGUEL DR
A/P/D Information:
Activity : 2017-0248
SubType :
Status : APPROVED
OWNER: GILMORE AGNES Phone: 0
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Remove and replace existing 17" x30" CATV vault with a 30"x48" vault in parkway area,
install new 18"x36" node pedestal in parkway area, and install 10 LF of 2" duct in parkway
area on San Miguel Drive. Restoration per City Standards.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/10/2022 12 00 OOAM Requestor: WEBUSER
Entered By: WEBUSER �XO,000-
Comments: 'ANY-'
Assigned to : zzzzzzzzzzz*
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