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Home My WebLink AboutN2017-0533City of Newport Beach Permit No: ' •' 100 Civic Center Drive, Newport Beach, CA 92660 I IIN N 2 0 1 7 0 5 3 3 „y 1 Permit Counter Phone (949)644-3311 Project No Online Inspection Request - www newportbeachca.gov / Online r• Services Inspection Requests Phone (949)644-3255 Job Address : 1912 TERESITA LN NB Thomas:Guide: 889B4 Description : Pothole existing utilities and bore 55 LF of 2-inch CATV conduit to replace damaged CATV service. Concrete and pavement restoration per City Standards. Parcel # : 1174-121-1 - Legal Desc : N TR 1806 LOT 44 Owner: MCGUIGAN JAMES J Contractor: CABLE COM OF CALIFORNIA, INC. Phone: 0 Phone: 714-666-2400 Address : 1912 TERESITA LN Address : 1251 N.JEFFERSON STREET NEWPORT BEACH, CA ANAHEIM, CA COWL I TED Contractor State Lic: 826295 Applicant: CHARTER COMMUNICATIONS License Expire : 07 31, 2019 Phone: 714-681-3554 [ Address : 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Business License: BT30033430 Business Expire : 10 31, 2017 Special Cond.: 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 $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 . 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: _/_/ Traffic Approval : Date: _/_/ Issued Permit : Date./d4l General Services Approval . Date _/_/ FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT N2017- p533 Igt2 Tereei+t] �—+^ NUMBER: APPLICAN L. - e my ea+is►+5 L'able Cam Permit Processing Fee: Q Inspection Fee: Q . Public Works Only $241.00 y Public Works Field Inspection $165 00 2 Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $165 00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192 00 Refundable Deposit: TBDB Monitoring Wells $502 OOH Improvements TBD Street/Alley/Walk Closure: $65.00= Newspaper Rack Inspection $108.00 0 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 ------------------ --------- ve------ 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Renue Division 1 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1 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 $50.00� 1 11 1 /2" Turbine Meter $700.00 2: Meter: 27.00 + 61 25 $88.25 1 12" Meter $425.00 1 12" Turbine Meter 13" Meter $845.00 $3,310.00 For Traffic & Alley Areas (Box + Cover 1" Meter. 13.00 + 38.00 = Cost) 1 $51 00 1 �4" Meter $4,730.00 2" Meter 27.00 + 162.00 $189.00 6" Meter $7,190.00 MISCELLANEOUS FEES 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 20 c1i is �� t Permit t Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 1/5/2017 epfeesheet As -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) 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 Compen ation Insurance, or a Certified Cop th eof. permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of G 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 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 dnd 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 connection to sewer Imes 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, 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 Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways'', issued by the Public Works at 949-644-3311 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 15 Any above ground utility facilities will require documented approval from the adjacent protect the general public Access to fire hydrants must be maintained at all times affected property owners) 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 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 Qualitdischarge Laws are punishable by fines $charge and/or up to three years in State emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control prison prison plus the full cost s clean up an illegal discharge or spill eg l 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 on a major street will only be allowed between 9:00 a.m. and 3:00 m. (Monday thru Friday), j y p. ( y y), unless approved by Certificate or Evidence of a Slurried Backfill and request a final inspection from the 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 P Y P 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 Work, 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 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 shall be performed until the Public Works Department has Issued this permit. Applicant here y acknowledges helshe has read an"ridersta ths,svrms-a conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days after issuance. ��C117Signature: Permit fees are nonrefundable. Date p---'�'_— U Google l Almendralo, Rodi From: Sent: To: Subject: Attachments: Good morning Rodi, Noble, Brian <brian.noble@cablecomllc.net> Friday, October 20, 2017 7:41 AM Almendralo, Rodi; Richard Vega 1912 Teresita Ln, Newport Beach Permit request 1912 Teresita Ln, Newport Beach SOWjpg We will need to pull a permit to complete the work at this location we will need to bore from one side of the street to the other the current drop is direct burried and it needs to be replaced. Brian Noble Field Supervisor CableCom of California, Inc 1251 N Jefferson St. Anaheim Ca. 92807 Cell: 714-681-3554 Phone:714 666 2400 Ext. 240 Fax: Email: brian.noblencablecomllc.net This email, and any documents which may accompany it, contain information which is intended for use only by the individual to whom it is addressed, and may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If the reader of this message is not the intended recipient any review, disclosure, dissemination, distribution, copyrng or other use of this message or its substance is strictly prohibited. If you have received this message in error, please contact me immediately to arrange for return or destruction. Thank you. This email message, and any documents which may accompany it, contain information which is intended for use only by the intended recipient(s), and may contain information that is privileged and/or confidential. If you are not the intended recipient of this message you are hereby notified that any review, disclosure, dissemination, distribution, copy or other use of this message or its attachments is strictly prohibited. If you have received this message in error, please notify the sender by reply email, delete the email from your computer and destroy all copies of the communication and any attachments. Nzot't --053� 1,0�*2017 City of Newport Beach Page 10 of 13 6:34:40AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/30/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1912 TERESITA LN AM Activity : N2017-0533 SubType : NEW Status : APPROVED OWNER: MCGUIGAN JAMES J Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Pothole existing utilities and bore 55 LF of 2-inch CAN conduit to replace damaged CATV service. Concrete and pavement restoration per City Standards. Item: 10200 PRE JOB - PW 3v Requested Time: 10/30/20 Requestor: WEB Entered By: WEBUSER 714-681-3554 -- Comments: AM -Pre Walk Assigned to: 77777777777* Inspector: j Date: 130 117 Time: ! �e ' , M M Comments: - _f ts"*z /"S / 7-v p( s .ss tloE Logged �/i0 �+4Tb R- t t�c+w► I—AG�T' fox F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc 11/7/2017 City of Newport Beach Page 10 of 13 6:34:55AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/07/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1912 TERESITA LN Activity : N2017-0533 SubType : NEW Status: APPROVED OWNER: MCGUIGAN JAMES J Phone : p APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Pothole existing utilities and bore 55 LF of 2-inch CATV conduit to replace damaged CAN service. Concrete and pavement restoration per City Standards. Item: 10050 EXCAVATION- PW Requested Time: 11/7/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 Entered By: WEBUSER Comments: AM -Bore work to start Assigned to: Z7777777*77b - ``// Inspector: UZ -7 Date: Time: 110 r.7SAM PM Comments: � �(, ��'"� n�� r � 6c � C,_o /2 lL Sa � 7-W 6 0 CE o � faV- 3I r2a- � .coo < 5-r�s . i r� ^� I /)r D P Log0.ged <.."Me F.\Users\PBW\Shared\ENCROACH\ MAASTERS\FORMS\InspectorSheet.doc 11/20/2017 City of Newport Beach 6:34:48AM INSP15O - Daily Inspection Request Report ' Requested Inspection Date: 11/20/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : IM�1 1912 TERESITA LN .. ' Page 8 of 15 Activity : N2017-0533 SubType : NEW Status : APPROVED OWNER: MCGUIGAN JAMES J Phone: 0 APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Pothole existing utilities and bore 55 LF of 2-inch CAN conduit to replace damaged CATV service. Concrete and pavement restoration per City Standards. Item: 10020 PERMANENT PAVING- PW Requested Time: 11/20/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 Entered By: WEBUSER Comments: AM -Grind and pave Assigned to: 77777777777* Inspector: Date: [ ( Time: ��M r Comments: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc 11/20/2017 City of Newport Beach Page 14 of 16 4:30:61PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/21/2017 Inspection Type: ENCROACH Inspection Area: PW ;} Site Address: 1912 TERESITA LN Activity : N2017-0533 SubType : NEW Status : APPROVED OWNER: MCGUIGAN JAMES J Phone: p APPLICANT: CHARTER COMMUNICATIONS Phone : 714-681-3554 Description : Pothole existing utilities and bore 55 LF of 2-inch CATV conduit to replace damaged CAN service. Concrete and pavement restoration per City Standards. Item: 10020 PERMANENT PAVING- PW Requested Time: 11/21/2017 12:00:OOAM Requestor: WEBUSER 714-681-3554 Entered By: WEBUSER Comments: AM -Asphalt restoration Assigned to: 77777777777. Inspector: 2L� Date: 2- Date:Time: " CO A PM Comments: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Inspectorsheet.doc REPT131 Run Id: 4018