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Home My WebLink AboutN2018-0245„t,.►,,,� City of Newport Beach *N2018-0245* permit No: N2018-0245 .��1� 100 Civic Center Drive, Newport Beach, CA 92660 �n Permit Counter Phone (949)644-3311 r Project No .� t Online Inspection Request - www.newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address: 1 PUBLIC ROW NB Thomas:Guide: Description : Remove and replace existing 2'x3' CATV vault with a 30"x48” CATV vault and install 5 LF of 3" CATV duct in parkway area on Jamboree Road northerly of Fairchild Road. (Uptown Newport) Parcel # - SCANNED Legal Desc : Owner: CITY OF NEWPORT BEACH Phone : Address Applicant: COX COMMUNICATIONS Phone: 310-265-5875 [ Address : 27121 TOWNE CENTRE DRIVE FOOTHILL RANCH, CA 92610 Special Cond.: Shoulder closure per WATCH 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 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $406.00 Agreement Fee : $0.00 4TT Box Cover: $0.00 Paid : $406.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $165.00 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: Utilities Approval Traffic Approval : General Services Approval Date : _/_/ Other Department : —Date: Date : _/_/ Permit Denied Date Date : _/_/ Issued Permit : ff '' _� } l� ? Date Date : / / ( CB00187 ) WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT COMPLETE THE BELOWINFORMATION PROJECT ADDRESS: Jamboree Rd/ Fairchild DETAILED DESCRIPTION OF PROPOSED WORK: 5' Hand trench to place (1) 3" duct. R/R an exist 2'x3' vault w/ a 30"x48" vault. Rod & rope exist Cox conduit & pull new fiber through 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: -108112 C-7 Expires: 6/30/19 City Business License Number: BT30050349 Expires: 3131/19 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: State Compensation Insurance Fund Policy No: 9073911 Expires: 10/01/18 REFUNDABLE DEPOSIT INFORMATION (if Applicable): Refund Payable To: Sina Mti&enfuss, Cox Communications Mail Refund To: 3415 Kashiwa St, Torrance, CA 90505 FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: Public Works Specialist: Date: Permit No. LNsers/pbwrshared!encroach/masterslopworksheel tls Public Works Department 949-644-3311 FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT N2018- ��+� b�r c � a' NUMBER: APPLICANT: L09r t;pM'MVM1ICo�C 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 $192 00 Refundable Deposit: $502 00 Improvements Q . $165.00 $121.00 $165.00 $108.00 TBD F]TBD Street/Alley/Walk Closure: $65 00Newspaper Rack Inspection $108 00 0 Traffic Control Plan Check 8-1/2" x 11" $65 00 Sewer Connection Fee $250.00 F=� 24" x 36" $143 00 4TT Box & Cover $64.00 Additional THE FOLLOWING ITEMS REQUIRE APPROVAL FROMTHE venue Division REVENUE DIVISION PRIOR TO PAYMENT OF FEES JiRFFee' Approval: Qty. IWater Meter: Installation Charge $528.00 L__J 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 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203 24 1 12" Meter $425.00 1 12" Turbine Meter 13" $845.00 Meter $3,310.00 14" Meter $4,730.00 1 0" 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/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 ?, �- -6 ?Oip. - - Permit Specialist Receipt No. r ) " f users/pbw/shared/encroach/masterstep front and back masters/ ��` Rev 12/18/2017 K epfeesheetAs-revised >>/8/17 I 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 dale of issuance Z 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 1 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 State Contractor License Class C-34 is required For construction or connection to sewer lines a valid State Contractor License Class C-42 is required 3 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 3 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 VCR or PVC SDR35 be used with a 4TT box over the riser D 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 nunimum 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 I have a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copy thereof. Date: 5Signature: a CERTIFICATE OF EXEMPTION (Section 3800 LaWr Code) 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 P-tnspection is required by calling Public Works at 949-644-3311. ham, 1 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 $25,000 and/or up to three years 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 Compaction 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 VNorks Department or corrections will be required (i e removals, exposing connections, 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 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 read and unde tands 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 issu e. 617 Gam' Permit fees are nonrefundable. Date: —Signature: Project #41020180315CB00187 LOC 1: Jamboree Rd & Fairchild, Newport Beach, CA 33.662379,-117.858219 Cox Planner: Christian Brown • a Christian.brown@cox.com • ' (760) 207-5877 Rod & Rope exist Cox conduit and r pull new fiber 33.661563,-117.859034 -, f 0 ,.t - I ��M � - �•: • +f' a r-•i � Y y,� to 1.0. ,%10 Project #41020180315CB00187 Jamboree Rd & Fairchild, Newport Beach, CA Cox Planner: Christian Brown Christian.brown@cox.com (760) 207-5877 LOC 1: 33.6623791-117.858219 Rod and rope, and pull new fiber through exist Cox ducts. Temporary parking possible on shoulder. Driveway is not in use by on -site construction and can support parking off road for duration of our rod & rope and fiber pull. t. R/R exist 2'x3' vault w/ a 30"x48" vault. 5' Hand trench to place (1) 3" duct to resized vault's new location. a "-- _-__ I-- . �—a ,_T_ j M .0 Project#41020180315CB00187 Jamboree Rd & Fairchild, Newport Beach, CA Cox Planner: Christian Brown Christian.brown@cox.com (760) 207-5877 LOC 2: 33.661563,-117.859034 I ��r0 Rod and rope, and pull new fiber through exist Cox ducts. Driveway shown in previous slide LOC 1. 33.662379,-117.858219 6W2018 City of Newport Beach Page 3 of 10 4:30:17PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/05/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW Activity : N2018-0245 SubType : Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Remove and replace existing 2'x3' CAN vault with a 30"x48" CATV vault and install 5 LF o 3" CAN duct in parkway area on Jamboree Road northerly of Fairchild Road. (Uptown item: 10210 PUBLIC WORKS Requested Time: 6/5/2018 12:00:OOAM Requestor: WEBUSER 949279-4963 Entered By: WEBUSER Comments: AM -we will be pulling fiber R&R vault Assigned to: zzzz'zzzzz* Inspector: 2 SIG �� Date: Time: r PM Comments: �k1 v C t/ �q �� tGY t/l �vri `il a i1 T • NG N e t7 ex� P LU �L7� F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018