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HomeMy WebLinkAboutN2018-0184t - lw;�o City of Newport Beach (IIIII I IIIIIII III IIII� II II IIII IIIII II N2018-018 Permit No: . , " Y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone N 2 0 1 8 0 1 8 4 Project No (949)644-3311 v y� 4: Online Inspection Request - www newportbeachca.gov / Online CAN n ! c d �! l Services Inspection Requests Phone (949)644-3255 Job Address: 1 PUBLIC ROW NB Thomas:Guide: Description : Install 225 LF of 5-inch electrical conduit and remove 3 power poles on 15th Street between Irvine Avenue and St. Andrews Road. Pavement restoration per City Standards. Parcel # : Legal Desc : Owner: CITY OF NEWPORT BEACH Contractor : ARIZONA PIPELINE COMPANY Phone: Phone: 760-244-8212 951-270-3100 Address : Address : P 0 BOX 401865 HESPERIA, CA 92340 Contractor State Lic: 423545 Applicant: SOUTHERN CALIFORNIA EDISON License Expire : 06 30, 2018 Phone: 714-278-3330 [ Address : 7333 BOLSA AVENUE WESTMINSTER, CA 92683 Business License : BT30049165 Business Expire : 11 30, 2018 Special Cond.: Pre -job inspection required Workers' Compensation Insurance - - Work to be completed when Newport Carrier : TRAVELERS PROPERTY CASUALTY Harbor High School is out of session. Policy No: VTC2JUB9324B862 W. C. Expire: 04 01, 2019 Permit Processing Fee $241.00 Sewer Connection : $0.00 Total Fee $1,891.00 Agreement Fee : $0.00 4TT Box Cover: $0.00 Paid : $1,891.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $1,650.00 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: C/ Date ZIk� Traffic Approval : Date: _/_/ : 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 N2018- Oi�� ?6bt,c. ;ztw NUMBER: APPLICANT: rsorI Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Inspection Fee: $241 0 I Public Works Field Inspection $275 0 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817 00 $192 00 Refundable Deposit: $502.00 Improvements $165 0 is $121.00 $165.00 $108.00 TBDBTBD Street/Alley/Walk Closure: $65.00= Newspaper Rack Inspection $108 00 Traffic Control Plan Check 8-1/2" x 11" $65 00 Sewer Connection Fee $250.00 24" x 36" $143001 1 4TT Box & Cover $64 00 F=� Additional 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Fev­en_ue_Di_vis_ion Approval: 1 Qty. . Q . 1 (Water Meter: Installation Charge $528.00 1 13/4" Meter $50.25 1 11" Meter $121 50 Water Meter Boxes: 1 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 1 12" Turbine Meter 13" $845.00 Meter 14" Meter $3,310.00 $4,730.00 6' Meter $7,190.00 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 $1,079100 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 ok , , `s q . -- Permit Speeiallst Receipt No. f ;usersipt)wistiared/encroachimastersiep `rant and back masters) Rev 12/18/2017 eofeesheetds-revised"i8/i7 ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800422-4133 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 Comp ns�ition Insurance, or a Certified Copy they permit and construction plan shall be kept at the fob site at all times Work, which has been done prior to issuance of / f/ 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 ansing 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 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 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, 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 Encroachme t 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 safely devices shall conform to the requirements of the current of Public Works at 949-644-331 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 wi r quire 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 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 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 Backhll 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 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 Te-, i�orary 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 hereby acknowledges he/she has read an understands the terms and conditions of, this pepmit and fie/she agrees to abide by them. Permit is void if work is not commenced within 30 days after Issuance. /� Permit fees are nonrefundable. Datq:/-4 '� wSignature: - b - ._1 n w- +R v INn ox w IVIr N An xI., ears n NdwrnY rTr�Y,-n Nnm rY dYF INY -You wrosaIT r.s YR va: wlSRs:n' ISO ,- rb RI R lav tl1Y 6 p Rltt Nv dY Np M{Y R1lI p50. Ww GI I/Y - V LLii MW R51 n I- N..oae w r I IR Y]R Im.Y N 19 rI1Nr wRWr N rYItlIY+ tl M L. r-s wn — 0. 1. uw'(1IY )�) O r-5' 1 50N RW ` la XL 1( .) RN. >-ex nP INv) Ll I.- 1-V W[I (sne TO -I- ra rs 1. ,-rp aY Cv) L. TO - . (Qlx in -I- T mXvww( u v-s s\ o e uY m TO ins 9 i'aeSOs� / \ \ / ¢Y»Yo<r lr x.a¢m1 NYa aSMsl T"A Tmu nnn lTaaA0a1 N i "A 1.n Irna T as) Y }p YP(0Y rourA(rin x m RY. en s-p v(TYrown)(xq n 1,- fnn Y.[ W aY q b(I IY er s-p.✓(0. Yp - pST WL a(YY roKY( 1- y R. IAlel w re-Y ITVY ,\ \ n d r NrnrYYP I\ a ltlu Nr x.I YF nI-YN[wItl 510<w6 nI-Youwmrrn «/Iap -VV' v\ I FOLI IX ITV, db R F ani Y r�r. RU IXUYw[R� N I- p1 i W ./9' g .sT Mw Rir I-.qld ld l'r rtl Y[R yVi .I[ Nn.L } n Md �� Y..YT n I vJ R / xMNR w PK / \ N 201s -101" 6i2�/2018 City of Newport Beach Page 7 of 16 4:30:51PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/28/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1 PUBLIC ROW A/P/D Information: Activity : N2018-0184 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: SOUTHERN CALIFORNIA EDISON Phone : 714-278-3330 Description : Install 225 LF of 5-inch electrical conduit and remove 3 power poles on 15th Street between Irvine Avenue and St. Andrews Road. Pavement restoration per City Standards. Requested Inspection(s) Item: 10200 PRE JOB - PW Requested Time: 6/28/2018 12:00:OOAM Requestor: WEBUSER 951-529-2360 Entered By: WEBUSER Comments: AM-Contact-David-AP L Assigned to : zzzzzzzzzzz" L-\; P 2 YL S , 4, V L - �jo c v-�✓ cj VA DcI\j tc Vic fi��,��. ' Y 7/10/2018 City of Newport Beach Page 1 of 17 4:30:27PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07/11/2018 Inspection Type: ENCROACH Inspection Area: PW _ Site Address: 1 PUBLIC ROW Activity : N2018-0184 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: SOUTHERN CALIFORNIA EDISON Phone : 714-278-3330 Description : Install 225 LF of 5-inch electrical conduit and remove 3 power poles on 15th Street between Irvine Avenue and St. Andrews Road. Pavement restoration per City Standards. PS110,111,1111 Item: 10020 PERMANENT PAVING- PW Requested Time: 7/11/2018 12:00:OOAM Requestor: NBIVR 9515292360 Entered By: NBIVR Comments: AM Assigned to: Inspector: Date: Time: Comments: F•\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc AM PM REPT131 Run Id: 4018 .8/13/2018 City of Newport Beach Page 6 of 19 • 6:34:29AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/13/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1 PUBLIC ROW A/P/D Information: Activity : N2018-0184 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: SOUTHERN CALIFORNIA EDISON Phone : 714-278-3330 Description : Install 225 LF of 5-inch electrical conduit and remove 3 power poles on 15th Street betweer Irvine Avenue and St Andrews Road. Pavement restoration per City Standards. Requested Inspection(s) Item: 10020 PERMANENT PAVING- PW Requested Time: 8/13/2018 12.00:OOAM Requestor: WEBUSER 951-529-2360 Entered By: WEBUSER Comments: AM -asphalt grind & cap Assigned to : zzzzzzzzzzz* & J 1 S f-Zlt, 1J s, �►� s� ����� �� J Inspector: ir�k Comments: Date: T Time: Ori rA — /Q F \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet doc AM PM