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Home My WebLink AboutN2017-0562,�,�1 City of Newport Beach IIIIII IIIIIIIIIIIIIIIIIIIIII IIII :� 'lT. 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 5 6 2 M Rf Permit Counter Phone (949)644-3311 1 Online Inspection Request - www newportbeachca gov / Online r 'r Services Job Address Description Parcel # : Legal Desc : 316 HAZEL DR NB Thomas:Guide: Remove and replace CAN pull box buried in pavement Pavement restoration per City Standards. 0521-822-0 - TRACT NO 673 BILK A LOT 49 AND POR ABAND STIR (GLEN DRIVE) Owner: HONZEN OU MD INC DBPP Phone : 0 Address : 2229 INDIAN CREEK RD DIAMOND BAR, CA Applicant: CHARTER COMMUNICATIONS Phone: 714-709-3390 [ Address : 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Special Cond. : COMPLETED Permit No: N2017-0562 Project No : Inspection Requests Phone (949)644-3255 919F3 ,SCANNLD 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 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 R q3 d I u Street Tree Fee : $0 00 Adjustment : $0.00 _ Processed By : Utilities Approval Traffic Approval : General Services Approval . Date Date Date Date Other Department : Date: Permit Denied Date - Issued Permit . Date: FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: 311p Hozc l Dr. PERMIT NUMBER: N2017- APPLICANT: Clew.-}er �,Ow+YMuniCO}1�71+s TO BF= COMPLETM7977MILIC WORKS DEPARTMENT Permit Processing Fee: Q Public Works Only $241 00 G Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817 00 Document Recordation Fee $192 00 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection Refundable Deposit: Improvements Qtv. $165 00 $121.00 $165 00 $108.00 TBDBTBD 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 F=� Additional _ ------- THE ---- 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE t REVENUE DIVISION PRIOR TO PAYMENT OF FEES 1FeTerurDiiv7sion Approval: Qty. (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 $50.00B 11 1/2" Turbine Meter $700.00 2 Meter: 27 00 + 61.25 $88 25 12" Meter $425 00 12" Turbine Meter 13" Meter $845.00 $3,310 00 For Traffic & Alley Areas (Box + Cover = Cost) 1" Meter: 13.00 + 38.00 $51.00 14" 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 mod; s 4 Dip. --- Permit Specialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 1/5/20171 epfeesheet ids -revised 10/21/2016 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 WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) - r 1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed rtify 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 the Compensation Insurance, or a Certified Copy t eof permit and construction plan shall be kept at the lob site at all times Work, which has been done prior to issuance of Z 2- (% Date: �' Signature: 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 CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) 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 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, 3 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 4 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 5 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 CONTRACTOR LICENSE EXEMPTION construction or connection to water lines a valid State Contractor License Class C-34 is required For construction or 6 connection to sewer lines a valid State 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, As the Owner of the benefiting property, I certify I am personally performing all 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 7 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 backfilling, or applicant may be required to excavate site Separate Utilities encroachments. I will be responsible for replacing the improvements if the City Department or General Services Department inspections may be required depending on scope of work performed removes them for maintenance of utilities or other public need. I shall indemnify 8 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 tie 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 Date: Signature: 4TT box over the riser 24,40ur notice for Encroachment Permit Ins tl is required by calling 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 tic Works at 949-644-3311. 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 15 Any above ground utility facilities will require documented approval from the adjacent 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 affected property owner(s) 10 Work within or near beach sensitive areas will not be allowed during City holidays spring break Memorial Day 16 Homeowner, contractors, and subcontracotrs 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 1 I January 1, unless approved by the Public Works Department Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to discharge construction debris into the gutter and storm drain Felony violations of Water acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and 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 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 Sods Compaction Handbook (WATCH) No nighttime traffic lane closures, unless prior approval has been granted Any lane(s) closure Certificate or Evidence of a Slurped ll and request a final inspection from the 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 Public Works Department Monies maayy bbee held for six months after final inspection will require a Caltrans Permit All vehicles shall be lawfully parked before a refund will be processed. 12 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 materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure without approval from the General Services Department 13 Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant 19 All work in the public right-of-way must meet the approval of the Public Vvork-, must notify all affected residents 24 hours in advance of restricted access and any inconveniences Department or corrections will be required (I e removals, exposing connectioos, 14 Refuse or unused materials shall be removed within 24 hours after completion of the work If not removed, the City etc ) Additional inspection fees may be required may remove and bill the applicant Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 20 Permit is for standard materials in the public right-of-way only, unless previously for the collection schedule so service is not interrupted To place a dumpster or materials in the public right-of-way, a approved by Public Works and an Encroachment Agreement has been processed Temporary Street Closure Permit must be obtained from the Public Works Department 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 acknowled es he/she has r d and understands the terms and conditions of this permit and he/she agrees to ablde by them. Permit is void if work is not commenced within 30 days after Issue ''_ 2- 1—y' Permit fees are nonrefundable. Date: ---- ----- __ __Signature Almendralo, Rodi From: Barrios, Joe <Joe.Barrios@charter.com> Sent: Thursday, November 02, 2017 3:41 PM To: Almendralo, Rodi Cc: Barrios, Joe Subject: 316 Hazel Attachments: 316 Hazel.pdf Hi Rodi, Please see the attachment. I will need to request a permit cost from you just to replace the existing pull box with a new one which is currently in the asphalt. We need to do this for a developer working on 312 Poppy. I need to move an amplifier which is in conflict over into the new vault I will have placed. It will be at their nickel. L&G will be doing the work there. Thank you Charter Joe Barrios J Construction Coordinator 3 1(0)714.591.4880 (M)714.709.3390 7142 Chapman Ave I Garden Grove, Ca 92841 The contents of this e-mail message and any attachments are intended solely for the addressee(s) and may contain confidential and/or legally privileged information. If you are not the intended recipient of this message or if this message has been addressed to you in error, please immediately alert the sender by reply e-mail and then delete this message and any attachments. If you are not the intended recipient, you are notified that any use, dissemination, distribution, copying, or storage of this message or any attachment is strictly prohibited. N WI-7 — oSio2 �o �, ♦ �, / ,' ti` �-I SM use �0 23 1ph ! vo / Ile! 11 .4 A - OZI NBO47 -06/ 9pl�d 4 jo oS NB -1-05 AV '106 / ,' ��50. J16 9.j JO o° �,� /,' �o J, NBO47-1-08 0 N8047-1-07~// / , `ass �96 / / . 'job ,lo CIS O NA -ISO 2 �� 1/19/2022 City of Newport Beach Page 13 of 34 6:30:37AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/19/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address : 316 HAZEL DR A/P/D Information: Activity : N2017-0562 SubType : Status : APPROVED OWNER: HONZEN OU MD INC DBPP Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Remove and replace CATV pull box buried in pavement Pavement restoration per City Standards Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/19/2022 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: 'ANY-' Assigned to : 7 L C C) n1 LTA C � V� I E,