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HomeMy WebLinkAboutN2017-0316City of Newport Beach 1111111111111111�II��IIII��IIICI�����II��I���IIIII 100 Civic Center Drive, Newport Reach, CA 92630 N 2 0 1 7 k 3 1 6 w ( !T Permit Counter Phone (1949)644-�;311 Online Inspection Request • vNNi nr�wpcitbeactic:a gov / Online Services ,lob Address Description Parcel # : Legal Desc : ALL - Owner Phone: Address U l . It .2-2, Permit No: N2017-031 6 Project No : Inspection Requests Phone (949)644-3255 2901 OCEAN BLVD NEI Thomas:Cuide: 919E3 Repair damaged CATV coridur', w, Corona .)el Mar 6c.ach ramp to repair CATV service. Pavernant restoration per City Standards. 0520-511-8 - CORONA DEL MAR LOT ,28 t31.K .8:35 ALL -INC POR OF ALLEwY ADJ-(AND SWEENEY JERFMY EDWARD 0 PO BOX 4086 TUSTIN, CA Applicant: CHARTER COMM UNICATiIDN S Phone : 714-448-7472 [ Address : 7142 CHAPMAN AVE GARDEN GROVE, CA 9284'1 Special Cond.: Emergency work Traffic control per WATCH Permit Processing Fee Agreement Fee Traffic control Plan Check Inspection Fee : Refundable Deposit: Street Tree Fee : Processed By : Utilities Approval Traffic Approval General Services Approval . $, 41.00 9.O.00 $ 0.00 $3' 0.00 'S0.00 S�C.GO COMPLETED Sewer Connection 41T Box Cov(:r . Total Water Meters: Wate: Meter Connection 1 otal Water Meter Box: Adjustment : Date Date Date ---- Date _--/—/— -- SCANNED Cont: actor : CABLE COM OF CALIFORNIA, INC. Phone: 714-666-2400 Address : 1251 N.JEFFERSON STREET ANAHEIM, CA Contractor State Lie: 826295 License Expire : 07 31, 2017 Business License : BT30033430 Business Expire : 10 31, 2017 Workers' Compensation Insurance - - Carrier : LIBERTY INSURANCE Policy No: WA763DO042600 W. C. Expire: 07 31, 2017 $0.00 Total Fee $571.00 $0.00 Paid : $0.00 $0.00 Balance : $571.00 $0.00 Receipt No: $0.00 I $0.00 - -=` 1 LJ Other Department : Date Permit Denied --Date: 1 Issued Permit • _ `` ----Date. %/�/ 1_N C-A 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 limes 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 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 backfdling, 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 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 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 safely 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 1 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 1 have a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy thereof. Date: r6 — 1 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 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 Encroachment Permit Inspection is required by calling Public Works at 949-644-3311. 6 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 S25 000 and/or up to three vears 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 Compacho"f 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 er 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 connr:ctions 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 has read and and rids 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 iss e. 8 j11017 � Permit fees are nonrefundable. Date: f SlynatUre: FEE WORKSHEET FOR ENCROACHMENT PERMIT : Cr DF `` PUBLIC Wdkft DO 1FtfiilAEl�fT "' All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT N2017- '; NUMBER: APPLICANT: - ti I VWORKS t S 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 �—' T192.00� Refundable Deposit: $502 I Improvements Street/AlleyfWalk Closure: $65.0.n L___j Newspaper Rack Inspection Traffic Control Plan Check 8-1/2' x 11 $65.00 Sewer Connection Fea 24" x 36" $143.00 4TT Box & Cover Additional _ _ THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE REVENUE DIVISION PRIOR TO PAYMENT OF FEES Q $165.00 $121.00 $165.001 $108.00 TRD T8nl— -_. $108.00 = $250.001-1 $64.00 = —__—_� Revenue Division 1 Approval: 1 aty• G 1 lWater Meter: Installation Charge $528.00= 1 E3/4" iti"-eter $5025 'Water Meter Boxes: 1 1i" Meter $121.50 FcrParkway & Sidewalk .area (Box + Cover = Co_l) i 11 112" Meter $285.00 1" Mater: 13.00 - 37 00 $50.00E 11 1 /2" Turbine Met'-- $700.001 2: Meter 27.00 + 61.25 $88.251 t '2" Meter 12' Turbine Meter $425.001 $845.00 For Traffic & Attev Areas (Box 1 + Cover = Cost) !'3 Meter $3,310.00 1" Meter: 13.00 + 38 00 $54..00( i 1�'; a:er $4, T" "later ?7Qt1+ ;^2.nn $.Ss.uci =R" Meter $7.19t1.0Ui i Certificate of i;.:rnpiiu^C Fee ; 1v 'S of hrly cuer:; .:rs) 5288.00E:_�'# 5%iii:-5v2p evelopment -Se :;Ices Foe (Fian cneci: i curly) $1,555 nit i 1 52 1" 501.r-- Final Tract Map Checking Fee $2,488.00_ 5200-5026 Final Parcel Map Checking Fee - Moderate $2,488.001 5200-5027 Lot Line Adjustment Fee $1,079.00 5200-5028 Park Dedication Fee Zone TBD 405-470_ Street Easement/Vacation Fee ; ioo°0 of My over4 hrs) $1,022.00� 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance use only I Permit Specialist Receipt No. a_ n,swrvt• .;; s�arearencroacrvmaaters eP front and beck mastersl 1.'vfeesmW,)ds-remsed Rev 1/51201? -- - — 10WM16 1/10/2022 City of Newport Beach Page 9 of 17 4:30:34PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/11/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address : 2901 OCEAN BLVD A/P/D Information: Activity : N2017-0316 SubType : Status : APPROVED OWNER: SWEENEY JEREMY EDWARD Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-448-7472 Description : Repair damaged CATV conduit on Corona Del Mar Beach ramp to repair CATV service. Pavement restoration per City Standards. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/11/2022 12:00:OOAM Requestor: WEBUSER 11 Entered By: WEBUSER Comments: 'ANY-' Assigned to : zzzzzzzzzzz* /.0