HomeMy WebLinkAboutN2017-0615V
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11II IIIIIII N201 i 6155,
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Permit No:
CpOrt
oo CenterortBeach, ach, CA 92660
Permit Counter Phone (949)644-3311
Project No
Online Inspection Request - www newportbeachca
gov / Online
y ,
Services
,
Inspection Requests Phone (949)644-3255
Job Address:
1 PUBLIC ROW NB
Thomas:Guide:
Description :
Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in
alley between 31st and 32nd Streets, in West Ocean Front alley and 32nd Street at West Ocean
Front alley.
Pavement, concrete, and alley restoration
per City Standards.
Parcel # :
Legal Desc :
Owner:
CITY OF NEWPORT BEACH
Contractor : TECHNICO TV INC
Phone:
Phone:
Address :
COMPLETED
Address : 17422 BOWEROWAER BLVD
BELLIFContractor
State Lic: 908119
Applicant:
AT&T CALIFORNIA
License Expire : 12 31, 2009
Phone:
714-618-9132 [
Address :
3939 E CORONADO STREET, 2ND FLOOR
ANAHEIM, CA 92807
Business License : BT30040996
Business Expire : 10 31, 2018
Special Cond.:
Pre -job inspection required
Workers' Compensation Insurance - -
Traffic control per WATCH
Carrier : STATE COMP INS FUND
Policy No : 9166334
W. C. Expire: 09 16, 2018
Permit Processing Fee : $241.00
Sewer Connection :
$0.00
Total Fee $2,716.00
Agreement Fee :
$0.00
4TT Box Cover:
$0.00
Paid : $2,716.00
Traffic control Plan Check : $0.00
Total Water Meters :
$0.00
Balance : $0.00
Inspection Fee :
$2,475.00
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
Issued Permit Date
Traffic Approval
Date: _/_/
:
General Services
Approval :
Date : _/ /
DETAILED DESCRIPTION OF PROPOSED WORK:
APPLICANT: Phone:
Email Address:
Mailing Addr ,�
f r 5 l /'�
City/ tate/zip: _
VER: , � r—Tnrz f.�; Phone:
iil Address:
ing Address: Cit/State2ip
97?i (V P � 4101� r 1
�..VPI 1 RAV 1 VR: PC N\ ) / Office Phone: Z .i Q,.
ompany (if different(): ( Jobsite Phone:
Other Phone: 30
mail Address: �� �1 C � �TF r C N
Mailing Add r City/State/Zip:
State License Number & Class: i City Business License Number:
'/ /Tf1 1 r' 7 / 71L11'r t — -r ---
S COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Policy No: Expires.
Operations: 949-644-3055
949-644-3011
restrv: 949-644-3083
pecial Conditions of Permit:
y`U :x'< 1+..54ais:.Wu
+T++�•= '"`af.; -x+a L
Utilities: Traffic: Fire: 0
Municipal Operations Other:
Engineering Technician: Permi �alist Date: Permit No.
I�C 1 )-J! qj li IN2017- IYA
P/users/pbw/shared/encmadUmasters/epworksheet AS
Public Works Department 949444-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/Alley/Walk Closure:
Traffic Control Plan Check
Q Inspection Fee:
$241.00 t 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
$65.000 Newspaper Rack Inspection
Q .
$165.00 i5
$121.00
$165.00
$108.00
TBDBTBD
$108.00
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box & Cover $64.00
Additional
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE JiFe;erue7Di'v1m1on
f REVENUE DMSION PRIOR TO PAYMENT OF FEES Approval:: I
f
city-
1
[Water Meter:
Installation Charge $528.00 1
13/4" Meter
$50.25
1
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 1
B
12" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
f4" Meter
$4,730.00
16" Meter
$7,190.00
Certificate of Compliance Fee (+100% of hriy 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 Sp ciafist
Receipt No.
��;
2 "r /
f/users/pbw/shared/encroach/masterslep front and oack masters/
Re 11/8/2017
epfeesheet xis -revised 11/8/17
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 (Sect on 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 -in ure, 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 Cop thereof.
permit and construction plan shall be kept at the lob site at all times Work, which has been done prior to issuance of
r �� /
a permit, is subject to refection/fine City reserves the right to void permit if work does not commence within 30 days
M
Dater i ' I Signature:
after date of issuance
CERTIFICATE OF EXEMPTION (Sectio6 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 and Standard Drawmgs
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 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
Date: Signature: n
4TT box over the riser
24-hour notice for Encroachment Perm' 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 safely devices shall conform to the requirements of the current of
Public Works at 949-644-33
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 I
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
on a major street will only be allowed between 9:00 a.m, and 3:00 p.m. (Monday thru Friday), 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
will require a C:altrans 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 Agreem t has been processed
Temporary Street Closure Permit must be obtained from the Public Works Department
21 Permit is valid for "description" of work noted o r only Additional work
performed may require issuance of a separate per rt and/ additional fees
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has rea and 4,11,11stands 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 issuance,
Permit fees are nonrefundable. I
"DRAWING NOT TO SCALE**
EXCAVATION DATA
OWNER
ASPHALT
CONCRETE
DIRT
TUNNEL C & G
CITY OF
NEWPORT BEACH
10 LN FT
OPL 13' 1-4" DUCT
TYPE
4C C� PM
185' MH 7252 TO POLEk716463H, VERIFY
D °
DIAL TOLL FREE
811
p AT LEAST TWO DAYS
BEFORE YOU DIG
UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA
NOTE PENDING MH 1252 DETAIL
MH ARE FULL WITH WATER
DATE
REVISIONS
CURVE DATA
R
A
L
A 6'
1 28- 57' 15
3 03'
BA 6'
70- 21' 53
7 37'
POLE#716463H
B �
PL 7-4" DU
0
O
00
v
L
nGp
TEL J
DRAWING TO SCALE
DO NOT REDUCE
DURING REPRODUCTION
P
01
10+00 00 C L 26TH ST
11+00 00 C/L W BALBOA BLVD
128 26TH ST sue\ \
e
at&t
California
29 25TH ST
W BALBOA BLVD
CONSTRUCTION NOTES
1 MINIMUM COVER FOR STRUCTURE 36" BELOW EXISTING
GRADE OR 30" BELOW GUTTER FLOWLINE
2 ALL SUBSTRUCTURE INFORMATION SHOWN WAS TAKEN
FROM RECORDS AVAILABLE AND IS APPROXIMATE
VERIFY, LOCATE AND PROTECT AS REQUIRED
3 BEFORE EXCAVATING CALL.
U G SERVICE ALERT 811
4 ALL TRAFFIC CONTROL TO BE IN ACCORDANCE WITH
THE C J U T C M WORK AREA PROTECTION AND
TRAFFIC CONTROL MANUAL
5 THIS PROJECT REQUIRES EXCAVATION CONSTRUCTION
WILL UTILIZE AND IMPLEMENT ALL BEST MANAGEMENT
PRACTICES (BMP's AS REQUIRED TO ENSURE COMPLIANCE
WITH AT&T POLICY LETTER ISSUES FEBRUARY 21, 2003
BY ENVIRONMENTAL MANAGEMENT CONCERNING
STORM WATER PERMITTING AND STORM WATER
POLLUTION PREVENTION PLANS (SWPPPs) AND IN
ACCORDANCE WITH THE CLEAN WATER ACT (1965) AND
EPA REGULATIONS PUBLISHED IN 1990 AS MODIFIED
BY THE PHASE 11 RULE IN 1999
RECORDS NOTE TIES OF EXISTING PLANT SHOWN HEREON
REFLECT ACTUAL CONDITIONS FOUND DURING FIELDING
CORRECT PERMANENT RECORDS
SCALE 1"= 20'
COMMENCED 20— COMPLETED 20— RECONCILED
LI G DESIGN ENGINEER. E FUJIMORI (714) 669-2741
SCALE i"= 20'
NEWPORT BEACH EXCHANGE
BALBOA C.O. AREA
CONDUIT CONSTRUCTION
EXCHANGE ENGLN EER C AKIN (714) 618-9' 11
918—H7
7G M 888—H7
SUBWAY INSPECTOR C CASTANEDA (714) 669-2226
MAP # 4-7A—LEI I
ROUTINE
DATE
IC
FIELD
PREPARED
10 09 1L
J UNAMA
CCNTRACTLIR
C) Consulting, LLC
1845 W Orangewood Ave, Sure 300
Orange, CA 92868
(949) 250-0004 /FAX (949) 250-0006
CHECKED
10 09 is
LNGUYEN
APPROVED
APPROVED
LE( 1 1 ) AD l O VTC
DWG. L- I OF 2
DA# 47D4LB
"DRAWING NOT TO SCALE"
EXCAVATION DATA
OWNER
ASPHALT
CONCRETE
DIRT
TUNNEL C & G
CITY OF
NEWPORT BEACH
7 6'X 1 = 76 SO FT
266 LN FT
2 LN �FT.
OPL 172' 1-4" DUCT
TYPE
4C O PM
172' MH 3215 TO DOUBLE DEEP HHN1, VERIFY
OREMOVE EXISTING HH &
PL 1-17"X30" DOUBLE DEEP H2O
TRAFFIC RATED HH#1
OPL 112' 1-4" DUCT
TYPE
4C = PM
112' DOUBLE DEEP HH#1 TO DOUBLE DEEP HH#2, VERIFY
OREMOVE EXISTING HH &
PL 7-17"X30" DOUBLE DEEP H2O
TRAFFIC RATED HH#2
NOTE PENDING MH 3276 DETAIL
MH ARE FULL WITH WATER
cam\ s
O,Q
CONSTRUCTION NOTES
1 MINIMUM COVER FOR STRUCTURE 36" BELOW EXISTING
GRADE OR 30" BELOW GUTTER FLOWLINE
2 ALL SUBSTRUCTURE INFORMATION SHOWN WAS TAKEN
FROM RECORDS AVAILABLE AND IS APPROXIMATE
'VERIFY, LOCATE AND PROTECT AS REQUIRED
3 BEFORE EXCAVATING CALL.
U G. SERVICE ALERT 811
4 ALL TRAFFIC CONTROL TO BE IN ACCORDANCE WITH
THE C J U T C M WORK AREA PROTECTION AND
TRAFFIC CONTROL MANUAL
5 THIS PROJECT REQUIRES EXCAVATION CONSTRUCTION
WILL UTILIZE AND IMPLEMENT ALL BEST MANAGEMENT
PRACTICES (BMP's AS REQUIRED TO ENSURE COMPLIANCE
WITH AT&T POLICY LETTER ISSUES FEBRUARY 21, 2003
BY ENVIRONMENTAL MANAGEMENT CONCERNING
STORM WATER PERMITTING AND STORM WATER
POLLUTION PREVENTION PLANS (SWPPPs) AND IN
ACCORDANCE WITH THE CLEAN WATER ACT (1965) AND
EPA REGULATIONS PUBLISHED IN 1990 AS MODIFIED
BY THE PHASE II RULE IN 1999
RECORDS NOTE TIES OF EXISTING PLANT SHOWN HEREON
REFLECT ACTUAL CONDITIONS FOUND DURING FIELDING
CORRECT PERMANENT RECORDS
SCALE 1"= 20
COMMENCED 20_ COMPLETED_ 20— RECONCILED
rqAT
DATE REVISIONS Lf G DESIGN ENGINEER E FUJIMORI (714) 669-2141 SCALE i"= 20' NEWPORT BEACH EXCHAN918—H1 BALBOA C D AREA
EXCHANGE ENGINEER. C AKIN (714) 618-9t71 7GM 888—H7 CONDUIT CONSTRUCTION
AL TOLL FREE DRAWING TO SCALE SUBWAY INS-ECTOR C CASTANEDA (714) 669-2226 MAP 4-7A—LEII ROU N DATE O ICE FIELD
PREPARED 10 09 1✓! J UNABN811 DO NOT REDUCE �oNTRA�TORCHECKED O091e LNGUYEN
a , p,Consulting LLC APPROVED
LEAST TWO DAYSURING REPRODUCTIONEFORE YOU DIG California Oran W Orangewood Ave, Suite 300 Oronge, CA 92868 L E (1 1) AD 1 O VTC
UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA (949) 250-0004 / FAX (944) 250-0006 DA# 4 1 D4LB DWG. L-2 DF 2
12/113/2017 City of Newport Beach Page 5 of 14
6:34:21AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 12/18/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 1 PUBLIC ROW
AMID Information:
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Requested Inspectiorr(s)
Item: 10200 PRE JOB - PW
Requested Time: 12/18/2017 12:00:OOAM
Entered By: WEBUSER
Comments: AM-
Assigned to : zzzzzzzzzzz*
Requestor: WEBUSER
562-263-0380
e ,
12/18/2017 City of Newport Beach Page 10 of 14
6:34:21AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 12/18/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 1 PUBLIC ROW
MP/D Information:
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Requested Inspections)
Item: 10220 PRE JOB - UTIL
Requested Time: 12/18/2017 12:00:OOAM Requestor: WEBUSER
5622630380
Entered By: WEBUSER
Comments: PM -
Assigned to: zzzzzzzzzzz'
jo
1/212018 City of Newport Beach Page 2 of 12
6:34:46AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/02/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1 PUBLIC ROW
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone :
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Item: 10020 PE NEN G- PW PgJ
Requested Time: 1/2/2018 :0 uestor: NBIVR r-6�P L U
5622630380 u L
Entered By: NBI R
Comments: AM i- t L"- r2 D 2 - 5-2
Assigned to: 3 2-5 Z
Inspector: f Date: g Time: / AM M
Comments: /')k",6-17 0 r-V-LG-E G 45t6A-Yc--,C— AJO DtiE'
O/V - 15 11 � . D EF I G E Al D 7'1 F 16!� A4 E 726!�E� L. , fhrt/T
A, 10 `IoR GtAVE �C P,tc-A PUP- Do"'s k -
L-L 14
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
REPT131 Run Id: 4018
-112/2018 City of Newport Beach Page 6 of 9
4A0:26PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/03/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 1 PUBLIC ROW
•A)Pl i fa onQatiop... .
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley b 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West O an Fro Pavement,
concrete, and alley restoration per City Standards.
Requested I mpectio o)
Item: -49M- PRE JOB - '(>G,)
Requested Time: 1/3/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: zuzuzzzzz
Inspector: �J�!
Comments:
562-263-0380
Date: i L31 16 Time: AM PM
lAiLLmeS # us iti 6; C—,K 7-4
t-[Vwti7s A -IV TO JAIC A-V- U1 <S3r-7> s
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
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0Zo1-1 --- o41S
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R 111-2 31ST DOUBLE DEEP H2O TRAFFIC RATED HH
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110 32D 113 31ST
112 32D 113 12 31ST
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TASK 2,9,10,12-14 HAVE BEEN OMITTED
BUG TESTING REQ'D FOR ALL DIGITAL SERVICES
I I f PROJECT # DATE SVC REC D
I Wat&t A010VTC 02/28/2018
PROJECT TITLE A010VTC LE11-FTLG-4104LB
INTERCEPT , VACANT
CONDUIT INTO NE`vf,,' HH
DA GEOLOC NPANNX WC
4104LB LE11 949673 bl
cl-Y-NEWPORT BEACH
PR MARY ENGR ID CA1818 TELEPHONE #7146189111
PPIMARY ENGR NAME AKIN CRAIG ALAN
CONTRACTOR NAME CHIC CONSULTING, LLC
REVISION NOTES
1
! REV DATE
I
PERMIT =Eu'D N
PRINT 16 CF 17
AT&T Proprietary (Internal Use Only ) Not for use or disclosure outside of AT&T companies except under written agreement
0 2o17 - o rots
AL(o&y
WCOST
BTljrl 31 or 32 "'° 5TO, w
Or.TaA+V FRONT M.L&Y (A
T76GOVIC*oO Tv
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Inspector: Y Date: S— % Time:
Comments:
AM PM
A L L c�trD 65 � T-�v ��� 31 r�
F \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsaectorSheet.doc
: 1)8/2018 City of Newport Beach Page 2 of 8
6:34:06AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/08/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1 PUBLIC ROW
A�IRi low,
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Item: 10020 PERMANENT PAVING- PW
Requested Time: 1/8/2018 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
5622630380
S(PZ--SZ( — -723Z
{�l C—A-7'� C'- >G
Assigned to
Inspector: ��\ Date: Time: Y� AM PM
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsaectorSheet.doc
REPT131 Run Id: 4018
1/8/2048 City of Newport Beach Page 2 of 5
4:30:35PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/09/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1 PUBLIC ROW
Activity: N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone
APPtICANT : - --
- - Phone: 714-618:91-32-- —
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Item:_ 10050 EXCAVATION- PW
Requested Time: 1/9/2018 12:00:OOAM Requestor: NBIVR
5622630380
Entered By: NBIVR
Comments: AM
InspecTo��ed to : Date: �f 0Time: 7 : OA PM
Comments: G�/1JG�� �,� I�(if E T1
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
• ' i/1gi2018 City of Newport Beach Page 1 of 10
6:34:20AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/10/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1 PUBLIC ROW
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 1/10/2018 12:00:OOAM Requestor: NBIVR
5622630380
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: VDate: 1 I t Time: AM PM
Comments: fZ�A-L
q/�
sr � 32.E
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nspectorSheet.doc
REPT131 Run Id: 4018
1/11/2018 City of Newport Beach Page 1 of 8
4:31:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/12/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1 PUBLIC ROW
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete. and allev restoration per Citv Standards.
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 1/12/2018 12:00:OOAM Requestor: NBIVR
5622630380
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: �� Date: Time: AM PM
Comments:
Y
I-OWet-4
Reme
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
1/16/2018 City of Newport Beach Page 5 of 12
6:34:32AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/16/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 1 PUBLIC ROW
AIP/D Information:
Activity : N2017-0615
SubType : NEW
Status: APPROVED
OWNER: CITY OF NEWPORT BEACH Phone :
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Requested Inspection(s)
Item: 10020 PERMANENT PAVING- PW
Requested Time: 1/16/2018 12:00:OOAM Requestor: WEBUSER
5622630380
Entered By: SER
Comments: tw
Insp"hQd to zzzzzzzzzzz* r., Date: ((�' l c' Time: AM PM
Comments:
F \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet doc
1/17/2018 City of Newport Beach Page 3 of 8
6.34:17AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/17/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1 PUBLIC ROW
AMMin mft11c
Activity : N2017-0615
SubType : NEW
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 297 LF of 4-inch AT&T duct and remove and replace 2 existing handholes in alley
between 25th and 26th Streets at Balboa Boulevard and in alley between 31 st and 32nd
Streets, in West Ocean Front alley and 32nd Street at West Ocean Front alley. Pavement,
concrete, and alley restoration per City Standards.
Item: 10250 FINAL - PW
Requested Time: 1/17/2018 12:00:OOAM Requestor: NBIVR
5622630380
Entered By: NBIVR
Comments: AM V
Assigned to: j L
Inspector: Date: l Time: U � PM
Comments:
COMPLETED
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018