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HomeMy WebLinkAboutN2018-0086fr* Ctyof Newport Beach 11pil1111 111 ��1����� 11 I11111 1111 111��IIIIPermit No:NZDQO86 A,,, Civic ort Bach, CA 92660 5 in Permit Counter Phone (949)644-3311 Project No : - v Online Inspection Request - www.newportbeachca gov / Online r• ` �> Services Inspection Requests Phone (949)644-3255 Job Address: 14 BEACON BAY NB Thomas:Guide: 919C1 Description : Install 40 LF of conduit for CAN service across Shelter Cove adjacent to the address. Landscape restoration to match existing before work. Parcel # : 0502-221-2 - Legal Desc : R BK 9 PG 42 PAR 14 Owner: CITY OF NEWPORT BEACH Contractor : L & G CABLE CONSTRUCTION COMPANY INC Phone: 0 Phone: 714-630-6274 Address : 14 BEACON BAY Address : 3776 E. MIRALOMA AVE NEWPORT BEACH, CA ANAHEIM Contractor State Lic: 637898 Applicant: CHARTER COMMUNICATIONS License Expire : 02 28, 2018 Phone: 714-709-3390 [ Address : 7142 CHAPMAN AVENUE GARDEN GROVE, CA 92841 Business License : BT30037502 Business Expire : 11 30, 2018 Special Cond.: Workers' Compensation Insurance - - Carrier : STATE COMPENSATION INS FUND Policy No : 9105662 W. C. Expire: 07 08, 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 vl�l Date L7- X7 ` Traffic Approval : Date : _/_/ Issued Permit : : 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- X�7 3�,cn r NUMBER: APPLICANT: 1U I- COMPILF-TED BY PUBLIC WORKS OF-PARTMF-N Permit Processing Fee: Inspection Fee: Public Works Only $241 00 Public Works Field Inspection $165 00 � Other Department $275 00 Utilities Field Inspection $121.0 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108 00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192001 1 Refundable Deposit: TBD Monitoring Wells $502 00 Improvements 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 24" x 36" $143.00 4TT Box & Cover $64 00 Additional 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: Qty. (Water Meter: Installation Charge $528.00 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 13" Meter $3,310 00 �4" Meter $4,730.00 !6" Meter $7,190.00 uty. rsuaget Num4er 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 hriy 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 ecialist Receipt No. f;users/pbw/sharedlencroach/masterslep front and back masters/ Rev 12/18/2017 epfeesheet As -revised "/8/17 Almendralo, Rodi From: Barrios, Joe <Joe.Barrios@charter.com> Sent: Tuesday, February 13, 2018 6:52 AM To: Almendralo, Rodi Cc: 'Darryl'; Barrios, Joe Subject: 14 Beacon Bay -Permit Attachments: 2 Page Permit Drawing.pdf Good morning Rodi, Got my 15t one of the year for you. A 40ft Trench/Bore in grass at 14 Beacon Bay. L&G would be doing the work. Please let me know the permit fees. Thank you Charter Joe Barrios I Construction Coordinator 3 1(0)714.591.4880 (M)714.709.3390 7142 Chapman Aver Garden Grove, Ca 92841 The contents of this e-mail message and any attachments are intended solely for the addressee(s) and may contain confidential and/or legally privileged information. If you are not the intended recipient of this message or if this message has been addressed to you in error, please immediately alert the sender by reply e-mail and then delete this message and any attachments. If you are not the intended recipient, you are notified that any use, dissemination, distribution, copying, or storage of this message or any attachment is strictly prohibited. i Ql N N N N N O Y O ------- ------- b SL 19l !ZL 10Z 66 BZ 9b is Z/l LZ n S 19 LZ fib£ fTl i S msb ZS i---- - - L �4 Z/l 9Z -M OO 6f � < 09 _ m m N 9Z C—)Z£ < fZ 8£ �Jbb —I 6S `L SZ l£ i 70 G OS 9S S l S ` O !£ fb r i _ �J bZ 0£ 66 Q j 9£ Zb LS 911 bN 2 £Z 62,6 < Z ------ ,---CD s---------- i S£ 96 99 'e ; - n------- S ,- Sol lb o SS le. _ - - 8Z( 777747 oil - -------- - - -'I - Os 90l Alt _ BZ! - _h, -_ 6F[ I z 9 co RYI W 6 AN At. t k-. 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 Lncroachnienl 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 limes 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 date of issuance [he Permittee agrees to defend indemnify and hold the City, its authorized agent, officers, representatives and employees harmless frorn 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 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 Pernuttee 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 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 Imes a valid State Contractor License Class C-34 is required For construction or connection to sewer Imes 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, 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 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. 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 lie 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 411 box over the riser 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 It needed, barricades can be obtained from the City at a charge of $10 00 per barricade per day, with a rnnurnwn 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 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 Any work that extends into traffic, or parking lanes and impedes the normal flow of traffic requires the applicant to acquire a leniporary 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 this permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of materials or parking of c.onslnu,tion vehicles unless detailed on an attached Temporary Street Closure 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 Refuse or unused materials shall be removed within 24 hours after completion of the work If not removed, the City may reprove and bill the appiicanl coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 for the collection schedule so setvice is not interrupted To place a dumpster or materials in the public right-of-way, a I emporary Street Closure Pennil roust 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 thereotl / Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor Code) I 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 I 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 Encroachmen erml Inspection is required by calling Public Works at 949-644-331 15 Any above ground utility facilitie 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 Work, Department or corrections will be required 0 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 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. Date he/she has read and understands the terms and Signature: Y2(I/,y - Ov Pc l+ ) 6ae-vit )-34Y Inspector: • Date: Comments: a i�o e- S r l rr/z s Time: F \Users\PBW\Shared\ENCROACH WASTE RS\FORMS\InspectorSheet doc AM PM