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Home My WebLink AboutN2017-0295'VIA !. 4` o�ty'Vof NeWic Center DpOrt Beach rive, NewportBeach, CA 92660 IlpN IIIIIIIIIII,I II III II I IIIIIIII III Permit No: N2017-0295 TF �% Permit Counter Phone (949)644-3311 Project No in Online Inspection Request - www newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address. 20280 ACACIA ST NB Thomas:Guide: 889E1 Description . Remove and replace existing CATV box on Acacia Avenue. Pavement restoration per City Standards. Parcel # . 4393-922-5 - Legal Desc : TR 706 LOT 69 EXCEPT THE SWLY 33 FT Owner: ACACIA SUN WEST LLC Contractor : CABLE COM OF CALIFORNIA, INC Phone: 0 Phone: 714-666-2400 Address : 20250 SW ACACIA ST #110 Address : 1251 N.JEFFERSON STREET NEWPORT BEACH, CA ANAHEIM, CA compffltv' Contractor State Lic: 826295 Applicant: CHARTER COMMUNICATIONS License Expire : 07 31, 2017 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 - - Traffic control per WATCH Carrier : LIBERTY INSURANCE Policy No: WA763DO042600 W. C. Expire: 07 31, 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: Izz 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 Date: Date : Date : Date: / / Other Department Permit Denied Issued Permit Date: Date: Date: b / I q / 11 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 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 Specrat Provrsrons 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 Stale 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 feel of any City utilities, unless approved by the Public Works Department Locate and pothole existing City -owned utilities (re watersewer, 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 boy 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 Slate Highways 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 C(,de) I certify that I have a Certificate of consent to self -insure, Certificate of Worker's 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 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/his required by calling Public Works at 949-644-3311. 15 Any above ground utility facilities will require docume6ted approval from the adjacent affected property owners) 16 Homeowner contractors, and subcontracolrs 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 Writer Quality Laws are punishable by fines up to $25 000 and/or up to three years ;n Stale 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 Compar tc—i 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 V°dork Department or corrections will be required (i e removals exposing connectloos, 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 he/she hasd 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 a / / , Permit fees are nonrefundable. wo 'A Dat&lLf'/ 7 Signatur V✓ FEE WORKSHEET FOR ENCROACHMENTPERlIAIT ;. +f _zOF PUBLIC WQRKS w� All Fees Are Non -Refundable Unless Otherwise Stated WOOMMEMEEMMMM PROJECT ADDRESS: 202�a Acne 1 n 5�' . PERMIT N2017- OZ`t5 NUMBER: APPLICANT: Chdrle,�' Co rvtirn vr►i Cn�i a v►S XF 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 $192001 Refundable Deposit: $502.001 Improvements Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection Traffic Control Plan Check 8-1/2" x 11" $65 00 Sewer Connection Fee 24" x 36" $143001 1 4TT Box & Cover Additional _ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R REVENUE DIVISION PRIOR TO PAYMENT OF FEES A Qty. $165.00 1 $121 00 $165.00 $108.00 TBD TBD $108.00 $250.00 $64 00 venue Division 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 00� 11 1/2" Turbine Meter $700.00 2- Meter: 27.00 + 61.25 $88.25 12" Meter $425.00 1 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 13" Meter $3,310.00 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 iR.-ato is 5-71. _=_— ,? I, l D Permit Specialist Receipt No. iv -I q - ( ") 2ol • ; ' I o �r f /users/obw/snared/encroacn/masters/ep front and back masters! Q� Rev 1/5/2017 O V epfeesneetAs-revised Ia2+/2016 Almendralo, Rodi From: Barrios, Joe <Joe.Barrios@charter.com> Sent: Wednesday, May 31, 2017 3:23 PM To: Almendralo, Rodi Cc: Barrios, Joe Subject: 20311 SW Acacia Permit Cost Attachments: Permit Picture.xlsx Hi Rodi, I got a job approved to do and I need to upgrade this pull box in the street across from 20311 SW Acacia. There is no T/C Needed and I will have Cable Com doing the work. Please provide me a cost for this. Thank you 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. 2,02.8c) QCAGa '5+, N to 1-) - 02-9'S_ 1 0 C ;oogic earth srior2o�� City of Newport Beach Page 14 of 14 4:30:44PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/21/2017 Inspection Type: ENCR9A_ CH Inspection Area : PW 7 i,-✓ Site Address : 20280 ACACIA ST !;C"> Activity : N2017-0295 SubType: Status : APPROVED OWNER: ACACIA SUN WEST LLC Phone : 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Remove and replace existing CAN box on Acacia Avenue. Pavement restoration per City Standards. Item: 10200 PRE JOB - PW it ' `� " " ` Requested Time: 6/21/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER 714-412-9304 Comments: PM-precon r&r catv vault in asph 41 Assigned to: 77777777777*-�"(. Inspector: �\l Date: Z i Time: 3 PM -- - 9 STD -ivy-� I- w4rc1L F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 6122/2017 City of Newport Beach Page 6 of 8 4:31:02PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/23/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 20280 ACACIA ST Activity : N2017-0295 SubType : Status : APPROVED OWNER: ACACIA SUN WEST LLC Phone: o APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Remove and replace existing CAN box on Acacia Avenue. Pavement restoration per City Standards. Item: 10230 INSPECTION - UTIL Requested Time: 6/23/2017 12:00:OOAM Requestor: WEBUSER 714-412-9304 Entered By: WEBUSER Comments: AM-R&R vault in street & pull fiber Assigned to: 77777777777* Inspector: �E„t� C,'7 Date: Time: PM Comments: 4AA/ r 54 F:\Users\PB W\Shared\E N C ROACH\MASTERS\FORMS\I nsaectorS heet.doc REPT131 Run Id: 4018 6/26/2017 City of Newport Beach Page 11 of 11 • 4:30:04PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/27/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 20280 ACACIA ST Activity : N2017-0295 SubType : Status : APPROVED OWNER: ACACIA SUN WEST LLC Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Remove and replace existing CATV box on Acacia Avenue. Pavement restoration per City Standards. Item: 10020 PERMANENT PAVING- PW Requested Time: 6/27/2017 12:00:OOAM Requestor: Entered By: WEBUSER Comments: ANY -Base paving Assigned to: 77777777777" Inspector: 0�% Date: Comments: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc WEBUSER 714-412-9304 Time: AM PM REPT131 Run Id: 4018 1/10/2022 City of Newport Beach Page 6 of 17 30:34PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/11/2022 Inspection Type : ENCROACH Inspection Area : PW Site Address : 20280 ACACIA ST A/P/D Information: Activity : N2017-0295 SubType : Status : APPROVED OWNER: ACACIA SUN WEST LLC Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390 Description : Remove and replace existing CATV box on Acacia Avenue. Pavement restoration per City Standards. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/11/2022 12:00:OOAM Entered By: WEBUSER Comments: 'ANY-' Assigned to : zzzzzzzzzzz* / I ap At 1114 Requestor: WEBUSER