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HomeMy WebLinkAboutN2017-0580City of Newport Beach IIIIIII I III IIIIIIIII III (IIIIIII IIIIIII N2017-0589 I III 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 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. 1 N2-01-1-0SSD OL Ilia• •v 7 Nr � �-� �r � r _ Mom\ \ •;:: i y ' • I is \ r: I t i 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