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HomeMy WebLinkAboutN2017-0484,,��+�•,,�1 City of Newport Beach I IIIIIIIIIII I II III II IIII I III 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 4 8 4 f� Permit Counter Phone (949)644-3311 -V Online Inspection Request - www, newportbeachca gov / Online Services Job Address: 2242 HEATHER LN NB Description : Remove and replace existing CATV vault. Pavement restoration per City Standards. Parcel # : 1193-214-6 - Legal Desc : N TR 3138 LOT 22 Owner: KITAHATA HARRY Phone : 0 Address : 2242 HEATHER LN NEWPORT BEACH, CA COMPLETED Applicant: CHARTER COMMUNICATIONS Phone : 714-591-4875 [ Address : 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Special Cond.: PRE -CONSTRUCTION MEETING REQ'D Permit Processing Fee : $241.00 Sewer Connection : $0.00 Agreement Fee $0.00 4TT Box Cover: $0.00 Traffic control Plan Check : $0.00 Total Water Meters $0.00 Inspection Fee : $165.00 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 Thomas:Guide: Permit No: N2017-0484 Project No Inspection Req)Nl ttAMo Ni QQ-3255 889C3 Contractor : L & G CABLE CONSTRUCTION COMPANY INC Phone : 714-630-6274 Address : 3776 E. MIRALOMA AVE ANAHEIM Contractor State Lic: 637898 License Expire : 02 28, 2018 Business License : BT30037502 Business Expire : 11 30, 2017 Workers' Compensation Insurance - - Carrier : STATE COMPENSATION INS FUND Policy No: 9105662 W. C. Expire: 07 08, 2018 Total Fee $406.00 Paid : $406.00 Balance : $0.00 Receipt No Date _/_/ Other Department Date Date / / Permit Denied Date: � 7 Date: / / Issued Permit : -Date: Pf, %� 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 t 1 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-' sure, Certificate of Workerr's Compe ation insurance, or a Certified Copy t erg Date: cJ� / Signature � i 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 Encroachmen Per pection is re ui ed by calling Public Works at 949-644-3311. �7, 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 Work; 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 INo work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges helshe 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 Issuance. .1'' Permit fees are nonrefundable. Date: ��C ___QlgnaturelL__��_ _ vim FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: 2242 Hea*her Lor1-. PERMIT N2017- p4$1­� NUMBER: APPLICANT:/t (:MorF,a� �.owir►n V v► i CA�'1,'T1 S TO BF- COMPLETF-D BY PUBLIC WORK OF-PARTMENT Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Q Inspection Fee: $241.00 I Public Works Field Inspection $275.00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817 00 $192.00 Refundable Deposit: $502.00 Improvements Qty. $165.00 $121.00 $165.00 $108.00 TBD F� TBD Street/Alley[Walk Closure: $65 00= Newspaper Rack Inspection $108.00 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 FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: Qty. (Water Meter: Installation Charge $528.00" 1 13/4" Meter $50.25 Water Meter Boxes: 1 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 3" Meter 14" $845.00 $3,310.00 For Traffic & Alley Areas (Box + Cover = Cost) 1" Meter, 13.00 + 38.00 $51.00B Meter $4,730.00 2" Meter: 27.00 + 162.00 $189.00 16" Meter $7,190.00 Qty. Budget Number 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 Lid Permit Specialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 1 /5/2017 epfeesheet ids -revised 10/21/2016 Almendralo, Rodi From: Sanchez, David I <David.Sanchez@charter.com> Sent: Wednesday, September 20, 2017 9:50 AM To: Almendralo, Rodi Cc: Wagenblast, David A; Barrios, Joe Subject: 2242 Heather In, NB. Attachments: 2242 Heather Ln, NB..pdf Hi Rodi, I have a vault that needs to be replaced at this address, the vault is in the asphalt next to curb and L&G will be doing the work, can I please have a cost for this vault replacement. Thank You. Charter David Sanchez Construction Coordinator Off 714-591-4875 Cell 714-709-3388 David.Sanchez@charter.com t4 201 c-All �' 2315 2307 m D 2301 2245 z AMP N8053-1-03 2239 2,233 2227 2221 DUCT BURY 3 / / 21 14� 18.7 17.4 � 303 / DUCT BURY a 2 17 20� r I 2 3-2-3- tr l l ' ; z-,�'PVC '306 1 1 � I 1 1 2 317 I ' AMP NB053-1-01 1 ! i 300 za x,2• + -8 J ` D BURY 1 Z3 fl 36'z24' -9 '2 5-2-avc A I 2 242 1 W 2309 I o it Q 0' , 1 I DUCT BURY -tt l i 5'' 2236 135, 2301 1, DUCT BURY 2Q ` 1 I ' 2230 2245 1 ! L�DUCT BURY � Y 17 3 1 1 i ! j r 1 1 4 I r 1 222 223 7 / r FIN CAN NOT 2 ,a 14 / <Z' R i W ft "r t.. Ir' � � � �; 1 y'. .. �� , . �'• �\ �4 � i r, :; -y !!'�.�' You CITY OF NEWPORT BEACH FINANCE DEPARTMENT 100 Civic Center Drive, Newport Beach, CA 92660 P.O. BOX 1768, Newport Beach, CA 92658-8915 Permit Number: N2017-0484 Today's Date : Oct 05, 2017 CASH RECEIPT Plan Check Number: Receipt Number: R000081685 Job Address: 2242 HEATHER LN NB Description: Remove and replace existing CAN vault. Pavement Owner: KITAHATA HARRY Applicant: CHARTER COMMUNICATIONS Date Paid: Oct,05,2017 11:33 AM Total Paid : $406.00 Notation: L & G CABLE CONST Initial: DE Description Payment Type Check Number Payment Check 392275 FOR PLAN CHECKS ONLY: TARGET DATE: Card Type Tendered $406.00 For status, please log on to www.newportbeachca.gov/building, and select PLAN CHECK STATUS or call (949) 644-3255 NOTICE: PLAN CHECK EXPIRES 180 DAYS FROM DATE OF SUBMITTAL 8TOV =PI ung TETIdau 10/5/2017 City of Newport Beach Page 2 of 15 0 4:30:32PM INSP150 - Daily InspffQn �$Repquest Report 2C]sui\9WNO 313VVY\HDVO iON3\POJe4S1MBd\sjasn\•d 7149366410 Entered By: NBIVR -�— Comments: AM Wd WV :quail :a}ea II-j V Z 0 loll -7 /'/ ,3 d --,� a Vr"PaN, :stuauauaoa :aotoedsul Logged Refile 5�j� d 'G 1/t/ F- l /U � A VW t A-t. . 1/24/2022 City of Newport Beach Page 4 of 18 4:30:17PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/25/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address : 2242 HEATHER LN A/P/D Information: Activity : N2017-0484 SubType : NEW Status : APPROVED OWNER: KITAHATA HARRY Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-591-4875 Description : Remove and replace existing CATV vault. Pavement restoration per City Standards. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/25/2022 12:00:OOAM Requestor: WEBUSER 11 Entered By: WEBUSER Comments: 'ANY-' Assigned to : z z* r �' .