HomeMy WebLinkAboutN2017-0580City of Newport Beach
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100 Civic Center Drive, Newport Beach, CA 92660
N 2 0 1
7 0 5
Permit No:
8 0
Permit Counter Phone (949)644-3311
Project No
iServices
Online Inspection Request - www newportbeachca.gov
/ Online
Inspection Requests Phone (949)644-3255
Job Address :
105 MARINE AVE NB
Thomas:Guide: 919D1
Description :
Pothole exisiting utilities and bore 125 LF of CATV conduit and install (1) 17"
x30" CATV vault in South Bay Front alley and alley between Marine and
Onyx Avenues. Alley
restoration per City Standards.
C,ANNIE-1)
Parcel # :
0501-721-5 -
Legal Desc :
BALBOA ISLAND SEC 4 BLK 1 LOT 7
Owner:
O'BRIAN THOMAS ALLAN
COMPLETED
Contractor : CABLE CO CALIFORNIA, INC.
Phone:
0
oOF
Address :
105 MARINE AVE
Address : 1251 N.JEFFERSON STREET
NEWPORT BEACH, CA
ANAHEIM, CA
Contractor State Lic: 826295
Applicant:
CHARTER COMMUNICATIONS
License Expire : 07 31, 2019
Phone:
714-709-3390 [
Address :
7142 CHAPMAN AVENUE
GARDEN GROVE, CA 92841
Business License : BT30033430
Business Expire : 10 31, 2017
Special Cond.:
Pre -job inspection required
Workers' Compensation Insurance - -
Carrier : LM INSURANCE
Policy No: WA563DO04260037
W. C. Expire: 07 31, 2018
Permit Processing Fee : $241.00
Sewer Connection :
$0.00
Total Fee $1,066.00
Agreement Fee :
$0.00
4TT Box Cover:
$0.00
Paid : $1,066.00
Traffic control Plan
Check : $0.00
Total Water Meters :
$0.00
Balance : $0.00
Inspection Fee :
$825 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
� y 11 / 2-9/
Traffic Approval :
Date : _/_/
Issued Permit : Date:
General Services
Approval .
Date: _/_/
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)
1
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 the
Compensation Insurance, or a Certified Copy thereof.
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
Date: Signature:
after date of issuance
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
2 The Pernuttee 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
construction or connection to water lines a valid State Contractor License Class C-34 is required For construction or
CONTRACTOR LICENSE EXEMPTION
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 (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
Date: Signature:
4TT box over the riser
24-hour notice for Encroachment Permit Inspection is required by calling
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions All
"Manual
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current of
Public 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 1
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 Soils Compaction
Handbook (WATCH) No nighttime traffic lane closures, unless prior approval has been granted Any lane(s) closure
Certificate or Evidence of a Slurried Backfill 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 may be 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, er 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 Work,
must notify all affected residents 24 hours in advance of restricted access and any inconveniences
Department or corrections will be required (l e. removals, exposing connections,
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 4hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has re do 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 ter is rice.
u
Permit
fees are nonrefundable.
Date:_��� --Signature:
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
tO'j Ni01'in2 Af-Avc
PERMIT N2017- C)S�)
NUMBER:
APPLICANT:
Chi. -ter tammtr; oo lri ►.s
TO BE COMPLETED Mm"Em
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Q Inspection Fee:
$241 00 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 �'
$12, .00
$165.00
$108.00
TBD BTBD
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:
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 I
11 1 /2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88 25 1
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
1
2" Meter: 27.00 + 162.00 $189.00B
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
Permit Specialist
Receipt No.
"7 — Q Q `� 2
'1"� V 7
f /users/pbw/shared/encroach/masters/ep front and back masters/
Rev 1/5/2017
epfeesheet )ds-revised 10/21/2016
Almendralo, Rodi
From: Barrios, Joe <Joe. Barrios@charter.com >
Sent: Friday, November 10, 2017 10:19 AM
To: Almendralo, Rodi
Cc: Barrios, Joe; 'Martin.delgado@cablecomllc.net'
Subject: 105 Marine
Attachments: Permit drawing 105 Marine.pdf
Hi Rodi,
Please provide me a cost for the location we spoke about. Cable Com will be doing the work.
Martin,
Please request a check when Rodi reply's to the email. This is for P0786363 and will be done this year. I am also
requesting a PO revision.
Thank you both, have a safe weekend
Charter
Joe Barrios I Construction Coordinator 3 1(0)714.591.4880 (M)714.709.3390
7142 Chapman Ave I Garden Grove, Ca 92841
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1
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12/5/2017 City of Newport Beach
4:30:40PM INSP150 - Daily Inspection Request Report
Page 1 of 12
Requested Inspection Date : 12/06/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 105 MARINE AVE
Activity: N2017-0580
SubType :
Status : APPROVED
OWNER: O'BRIAN THOMAS ALLAN Phone: 0
APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390
Description : Pothole exisiting utilities and bore 125 LF of CATV conduit and install (1) 17"x30" CATV vaL
in South Bay Front alley and alley between Marine and Onyx Avenues. Alley restoration pe
Citv Standards.
Item:
Requested Time:
Entered By: NBIVR
Comments: AM
Assigned to: `
Inspector: Date: Z!
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
7144040168! J L'�.: e---
Time:A PM
REPT131 Run Id: 4018
17.117/2017 City of Newport Beach Page 2 of 5
• 4:30:20PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/13/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 105 MARINE AVE
Activity : N2017-0580
SubType :
Status : APPROVED
OWNER: O'BRIAN THOMAS ALLAN Phone: 0
APPLICANT : CHARTER COMMUNICATIONS Phone : 714-709-3390
Description : Pothole exisiting utilities and bore 125 LF of CAN conduit and install (1) 17"x3O" CATV vas
in South Bay Front alley and alley between Marine and Onyx Avenues. Alley restoration pe
Citv Standards.
Item: 10210 PUBLIC WORKS
Requested Time: 12/13/2017 12:00:OOAM
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: ��� Date:
Requestor:
1-Z- l 1-7
NBIVR
Time: :U A PM
Comments:�;'� a��X (,�— 1 ti 4 LL£V 5
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
12/18/2017 City of Newport Beach Page 2 of 12
4:30:13PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/19/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 105 MARINE AVE
Activity : N2017-0580
SubType :
Status : APPROVED
OWNER: O'BRIAN THOMAS ALLAN Phone: 0
APPLICANT: CHARTER COMMUNICATIONS Phone: 714-709-3390
Description : Pothole exisiting utilities and bore 125 LF of CATV conduit and install (1) 17"x3O" CATV vaL
in South Bay Front alley and alley between Marine and Onyx Avenues. Alley restoration pe
City Standards.
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 12/19/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: S ll-\)A Date: M- �1 'tZ Time: n9 PM
IAA6f0I,,C4/ M���� d,-,- s ✓/tyS -&x4i-z-1 4-1am-7ti-rr-r.
F:\UserskPBW\Shared\ENCROACH\MASTERS\FORMS\Inspectorsheet.doc
REPT131 Run Id: 4018
1/25/2022 City of Newport Beach Page 5 of 16
4:30:28PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/26/2022
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 105 MARINE AVE
A/P/D Information:
Activity: N2017-0580
SubType :
Status : APPROVED
OWNER: O'BRIAN THOMAS ALLAN Phone: 0
APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390
Description : Pothole exisiting utilities and bore 125 LF of CATV conduit and install (1) 17"x30" CATV vaL
in South Bay Front alley and alley between Marine and Onyx Avenues. Alley restoration pe
City Standards.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/26/2022 12:00:OOAM Requestor
Entered By: WEBUSER
Comments: 'AM-'
Assigned to: zz z 7777
le.
WEBUSER