HomeMy WebLinkAboutN2018-0234City of Newport Beach
` 100 Civic Center Drive, Newport Beach, CA 92660 N 2 IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII Permit No: N20� 8-0234
Permit Counter Phone (949)644-3311 Project No
Online Inspection Request - www newportbeachca gov / Online t' ► • •' '
Services
Inspection Requests Phone (949)644-3255
Job Address . 3500 PACIFIC VIEW DR NB Thomas:Guide: 919G1
Description : Pothole existing utilities, bore 390 LF of 2-inch CATV conduit, place (1) 17x30" CATApult and place (1) 14"x32" CATV lowboy in grade Pavement and
concrete restoration per City Standards.
Parcel # 4586-210-4
Legal Desc : IRVINE SUB PORS. OF BLKS. 96 & 97
Owner: EMMERSON MORTUARIES
Phone : 0
Address : 1929 ALLEN PKWY
HOUSTON, TX
Applicant: COX COMMUNICATIONS
Phone : 310-265-5875 [
Address : 27121 TOWNE CENTER DRIVE
FOOTHILL RANCH, CA 92610
Special Cond.: Pre -job inspection required
Work to be completed on a Saturday
Permit Processing Fee
$241 00
Sewer Connection
$0 00
Agreement Fee :
$0.00
4TT Box Cover:
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters:
$0 00
Inspection Fee :
$2,475.00
Water Meter Connection :
$0.00
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 • _/_/
Contractor : CABLE MAINTENANCE GROUP INC
Phone : 949-888-0195
Address : 29822 AVE DE LAS BANDERAS, #B
RANCHO SANTA MARGARITA CA
Contractor State Lic: 708421
License Expire : 06 30, 2019
Business License: BT30050349
Business Expire :
03 31, 2019
Workers' Compensation Insurance - -
Carrier :
STATE COMP
Policy No:
9073911
W. C. Expire:
10 01, 2018
Total Fee
Paid :
Balance
Receipt No:
$2,716.00
$0.00
$2,716.00
Other Department • Date / /
Permit Denied :
Issued Permit
Date
Date.5/
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
'
PERMIT
N2018- p2`.
NUMBER:
APPLICANT:
I TO BE COMPLETED BY PUBLIC WORKS DEPARTMENT
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
$.00
$192192.00
Refundable Deposit:
$502.00
Improvements
Street/Alley/Walk Closure: $65.00F1 Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee
24" x 36" $143.00 4TT Box & Cover
Additional
I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE R
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES A
Q .
$165.00 1�
$121.00
$165.00
$108.00
TBD
TBD
$108.00 0
$.00 $6464.00
venue Division
Qty.
Q• ty
(Water Meter:
Installation Charge $528.00 I
13/4" Meter
$50.25
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
12" Meter
$425.00
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
14" Meter
$4,730.00
Meter
$7.190.00
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/VacationFee (,100%ofhrlyover4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
Permit ecia ' t
Receipt No.
f/users/pbw/shared/an=ach/mastere/ep front and back masters/
Rev. 12/18/2017
epfeesheet.As-revised 11/8n7
( CB00074 )
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: 3500 Pacific View Dr
DETAILED DESCRIPTION OF PROPOSED WORK:
390' Directional bore to place (1) 2" duct. Place (1) 17 00" vault & (1) 14"x32" lowboy
in gra e.
APPLICANT: Cox Communications
Phone: 310-265-5875
Email Address: sina.muckenfuss@cox.com
Mailing Address:
27121 Towne Centre Dr
City/State/Zip:
Foothill Ranch, CA 92610
OWNER: See above
Phone:
Email Address:
Mailing Address: City/State/Zip:
ALL CONTRACTOR INFORMATION IS REQUIRED
-PLEASE COMPLETE
CONTRACTOR:
Office Phone: 949-888-0195
Company (if different):
Cable Maintenance Group (CMG)
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address:
29822 Avenida de las Banderas #B
City/State/Zip:
Rancho Santa Margarita, CA 92688
State License Number & Class:
C-7 Expires: 6/30/19
City Business License Number:
BT30050349 Expires: 3/31/18
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: State Compensation Insurance Fund Policy No: 9073911 Expires: 10/01/18
.......... ................... ......... ........................... . ....................... ......... ................
REFUNpABLE:DEPOSIT INF.ORMATION.(/fApp/icablel:
Refund Payable To: .Shia Muckenfuss, Cox Communications
Mail Refund To: 3.415 Kashiwa.St; Torrance, CA 90505
FOR OFFICE USE ONLY
Special Conditions of Permit: ?re-pb '^&pec i; n reAfyreJ.
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Public Works Specialist:
Date:
-i-3o—.`6
Permit No.
N2.0lt—U23--
CNsers/pfnWsheredlencroa lVmasterslopmtksheel As
Public Works Department 949-644-3311
Project# 41020180315CB00074
SCI Shared Resources LLC
3500 Pacific View Dr, Corona Del Mar, CA 92625
Cox Planner: Paul Musso
paul.musso@cox.com
949-563-8004
inn' fl l... .i—1 D—;n MAI —A —A—
Project# 41020180315C1300074
SCI Shared Resources LLC
3500 Pacific View Dr, Corona Del Mar, CA 92625
Cox Planner: Paul Musso
paul.musso@cox.com
949-563-8004
Project# 41020180315CB00074
SCI Shared Resources LLC 390' Directional Bore in GW and under
3500 Pacific View Dr, Corona Del Mar, CA 92625 DWs, placing (1) 2" PVC conduit
Cox Planner: Paul Musso
paul.musso@cox.com
949-563-8004
w
6/-18/2018 City of Newport Beach Page 14 of 22
'6:34:11AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 06/18/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 3500 PACIFIC VIEW DR
A/P/D Information:
Activity : N2018-0234
SubType : NEW
Status : APPROVED
OWNER: EMMERSON MORTUARIES Phone: 0
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Pothole existing utilities, bore 390 LF of 2-inch CATV conduit, place (1) 17"x3O" CATV vault
and place (1) 14"x32" CATV lowboy in grade. Pavement and concrete restoration per City
Standards.
Requested Inspection(s)
Item: 10200 PRE JOB - PW
Requested Time: 6/18/2018 12.00 OOAM Requestor: WEBUSER
9492794963
Entered By: WEBUSER
Comments: AM -trench and bore to install cox cond
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