HomeMy WebLinkAboutN2018-0086fr*
Ctyof Newport Beach
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No:NZDQO86
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Civic ort Bach, CA 92660
5 in
Permit Counter Phone (949)644-3311
Project No : -
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Online Inspection Request - www.newportbeachca
gov / Online
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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
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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
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Time:
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