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HomeMy WebLinkAboutN2018-0330City of Newport Beach B"111111111111111111111111111111111111111111111111111Jill00 v ach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request - www newportbeachca gov / Online Services Permit No: N2018-0330' , Project No . SCAN N C D Inspection Requests Phone (949)644-3255 Job Address 1 PUBLIC ROW NB Thomas:Guide: Description . Remove existing 2'x3' CATV vault and replace with Tx4' CATV vault on La Salud at La Vida and pothole existing utilities and bore 78 LF of 2" duct across La Salud at Corte San Rafael. Concrete and pavement restoration per City Standards Parcel # 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.: Pre -job inspection required Traffic control per WATCH 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 : $825.00 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 : SOURCE BROADBAND SERVICES Phone : 909-720-7533 Address : 13900 SYCAMORE WAY CHINO. CA 91710 Contractor State Lic: 908128 License Expire : 12 31, 2019 Business License: BT30060574 Business Expire : 09 30, 2018 Workers' Compensation Insurance - - Carrier : STARR INDEMNITY & LIABILITY CO Policy No : 1000002267 W. C. Expire: 06 29, 2018 Other Department Permit Denied Issued Permit Total Fee $1,066.00 Paid : $0.00 Balance : $1,066.00 Receipt No Date: Date Date' r' ( NZONB32 ) WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT COMPLETE LOW INFORMATION PROJECT ADDRESS: La Salud/ La Vida DETAILED DESCRIPTION OF PROPOSED WORK: 78' Directional bore to place (1) 2" duct, exiting R/O/W. Remove exist 2 x3 vau t & replace w 3 x4 vau t. 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: 678-534-4861 Company (if different): Source Broadband Jobsite Phone: Other Phone: Email Address: Mailing Address: 1080 Holcomb Bridge Rd, Bldg 100, Ste 350 City/State/Zip: Roswell, GA State License Number & Class: 908128 A, C-7 Expires: 12/31/19 City Business License Number: BT30060574 Expires: 9/30/18 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Starr Indemnity & Liability Company Policy No: 1000002267 Expires: 6/29/ 18 REFUNDABLE DEPOSIT INFORMATION (if Applicable): Refund Payable To: Sina fvluf.kenfuss, Cox Communications Mail Refund To: 3415 Kashiwa St, Torrance, CA 90505 FOR OFFICE USE ONLY Special Conditions of Permit: - ?re-;ob .ns a ,4-,or+ rc v+f4t2 - lro��-+'L COrtitroi Per- W (l'fC�r ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: ;ad� Public Works Specialist: Date: Permit No. f !userslpbwlshared/encroach/maslorslcpworksheet sis Public Works Department 949-644-3311 FEE WORKSHEET FOR ENCROACHMENT PERMIT = CRY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: r�ubZ�c. ROG PERMIT N2018- 03:3C, NUMBER: APPLICANT: BF_ CUNiPMED BY PUBLIC WORKS OF-PARTI Permit Processing Fee: Q Inspection Fee: Q . Public Works Only $241.00 Public Works Field Inspection $165 00 Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192.001 1 Refundable Deposit: TBD Monitoring Wells $502 00 Improvements TBD 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" $143.01= 4TT Box & Cover $64 00 Additional 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE JFe7erue7Dliv7sion 1 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: Qty. Q , 1 (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 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 1 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter 14" $3,310.00 1 Meter $4,730.00 16" 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 $1,079 00 5200-5028 Park Dedication Fee Zone _ TBD 405-470_ Street Ease ment/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 Permit S list ti Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 12/18/2017 epfeesheet xis -revised 118/? 7 ( NZONB32 ) City of Newport Beach Newport Beach Police Dispatch Public Works Department Phone:949-644-3717 Phone:949-644-3311 Fax:949-644-3318 APPLICATION FOR TEMPORARY STREET ! SIDEWALK CLOSURE OR DUMPSTER PLACEMENT Citv of Newport Beach Municinal Code 12.62.010 Permit for Temoorary Street Closure APPLICANT INFORMATION Name Cox Communications/ Source Broadband Company Name ity of Newport Beach Business License No Address 27121 Towne Centre Dr BT30060574 City/Zip Foothill Ranch, 92610 Phone Day 310-265-5875 Night Exact Location of Encroachment: La Salud/ Corte Hermosa/ La Vida (Use street address or approximate number of feet from nearest intersection Reason for Encroachment: parking for construction vehicles Franchised Hauler or Dumpster Company Name: n/a Size: Date Closure to Begin: 6/27/18 (Maximum 14 Days) Date Closure to End: 6/29/18 Time of Closure: 9am to 3pm DIAGRAM LOCATION OF ENCROACHMENT BELOW: see attached plans A copy of this permirt must be visible on the dash of each vehicle authorized to park in reserved parking sots. The applicant is respons/ble for notifying Police Dispatch of any road closure, detour, or reserved parking. See reverse side of this permlt for regulations covering use of this permit. ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS: CITY RESERVES THE RIGHT TO REVOKE OR MODIFY CONDITIONS AT ANY TIME I, (Permitee) hereby certify the information provided is true and correct, and I agree to comply with the terms and For Finance Use Oniy conditions on the front and back of this permit Permitee guarantees to indemnify and hold the City of Newport Beach harmless against any claims, liability, or judgments for damages arising out of permitee's activities x Date: 6/ 18/ 18 v v Reviewed by Date 29 Approved by Date Permit Fee $ Receipt No tr, F UsewPBNASharedWASTERSSTREE7 CLOSURE MASTT`RS\( emp Sheet Closure Application xls]Sheetl REGULATIONS COVERING THIS TEMPORARY STREET USE PERMIT City of Newport Beach Municipal Code 12.62.010 Permit for Temporary Street Closure This permit authorizes the permittee to use a portion of the public right-of-way as detailed on the front of this permit. Additional restrictions of this permit include, but are not limited to, the following: Access must be maintained for emergency vehicles at all times. 2. Dumpsters and materials in the public right-of-way may not block or impede access to fire hydrants or red zones. 3. Portable restroom facilities and storage containers may NOT be placed in the public right-of-way. They must remain on private property at all times. 4. In parking sensitive areas 40-yard dumpsters are permitted during the demolition process only. Thereafter, small dumpsters are to be utilized during the construction period. 5. Loose dirt and/or gravel must have Visqueen or heavy plastic underneath and must be surrounded with sandbags to prevent material run-off entering the storm drain. 6. All dumpsters, 3-yard or otherwise, shall have the company identification on each dumpster including the company name, address, phone number, and dumpster number. Reflective material is required on all sides of the dumpster or reflective delineators must be placed at the corners for night-time visibility. 7. All permitted dumpsters, materials, and/or vehicles shall be located adjacent to the job site only, unless otherwise noted on the front of this permit, and lawfully parked/placed not to exceed 8 feet from the curb. 8. Observe Best Management Practices (BMP's) at all times. Keep work area clean by sweeping with brooms not hoses. DO NOT wash or hose down work area with water. You, your contractors, and your subs may each be liable for violations of Water Quality Laws, punishable up to $25,000 or three years in State prison plus the full cost of clean-up. 9. Crane deposit requires an inspection by the Public Works Department prior to release of any funds. Any damage done must be repaired to the satisfaction of the Public Works Inspector. PERMIT CAN BE REVOKED OR MODIFIED BY THE CITY AT ANYTIME. Any violation of the above or permitted conditions will render this permit null and void and the permittee may be subject to citations, penalties, back charges, and any other remedies deemed appropriate by the Office of the City Attorney. c \users\ delorme\desktop\back of permit regulations doc • 11 .1 1 Y' y Ilk ... , 't 41W LA SALUD/ LA VIDA 1 602-430-5440 a , s r.pj kT +r 001 ,tee /� ",a+, : , `:i . < ''�' 1!r Or .1 •i -.;. -+�" P \ cpe Aba —mad • t. YM l - '�\ 'I..• ► � �' • 1. ��. • 1+11 • •' • • tc c� a -- - ,, , ,♦ LOCATION 1 I ♦♦♦ I . ♦ / liF a oi° Newport North t t. •" t, Igoe rtmen om, '. JIF9 ALI �' • Avol ^ � i E astia _ �'/ 1 I�VVCV 1 11 VVJ 1 VVJ IJI•CYI�YJL LA SALUDI LA V I D A • . LOCATION #1 LA SALUD & 2 MILANO DR 33.645370,-117.863886 COX PLANNER: ALEX MUNOZ ALEXANDER.MUNOZ@COX.COM (STING 2'X3' VAULT AND REPLACE WITH 3'X4' VAULT CT: LA SALUD/ LA VIDA LA SALUD & 2 MILANO DR COX PLANNER: ALEX MUNOZ ALEXANDER.MUNOZ@COX.COM 602-430-5440 LOCATION #2 33.644872,-117.864530 •1012/2018 City of Newport Beach Page 11 of 11 3:34:55AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/02/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW A/P!D Information: Activity : N2018-0330 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Remove existing 2'x3' CATV vault and replace with 3'x4' CATV vault on La Salud at La Vide and pothole existing utilities and bore 78 LF of 2" duct across La Salud at Corte San Rafael Concrete and pavement restoration per City Standards. Requested Inspection(s) Item: 10210 PUBLIC WORKS Requested Time: 10/2/2018 12:00:OOAM Requestor: WEBUSER 949-290-9984 Entered By: WEBUSER �� Q I�is6f'EG Comments: AM-8:00am inspection please Assigned to : zzzzzuzzzz* D - rAFttry Do .L.,007- q,.jV6 0N PeUY6*,'T�, 1.0/29/2018 City of Newport Beach Page 12 of 16 6:35:OOAM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/29/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1 PUBLIC ROW A/P/D Information: Activity : N2018-0330 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Remove existing 2'x3' CATV vault and replace with 3'x4' CATV vault on La Salud at La Vidz and pothole existing utilities and bore 78 LF of 2" duct across La Salud at Corte San Rafael Concrete and pavement restoration per City Standards. Requested Inspections) Item: 10200 PRE JOB - PW Requested Time: 10/29/2018 12:00:OOAM Requestor: WEBUSER 949-290-9984 Entered By: WEBUSER Comments: AM -Can we meet �777777zzzz* Assigned to : / 1 ��rc, S(6-le I)e' To tic're _,GA".-f/6 11/1/2018 City of Newport Beach Page 5 of 14 4:30:48PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/02/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW Activity: N2018-0330 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Remove existing 2'x3' CATV vault and replace with 3'x4' CATV vault on La Salud at La Vide and pothole existing utilities and bore 78 LF of 2" duct across La Salud at Corte San Rafael. Concrete and pavement restoration Der Citv Standards. Item: 10050 EXCAVATION- PW Requested Time: 11/2/2018 12:00:OOAM Requestor: WEBUSER 949-290-9984 Entered By: WEBUSER Comments: ANY - Assigned to: 77777777777* .�rlti( o� r,4 5, cue '--' :, ( /C Y fa/ 4a/-- ?12o &,) info ✓) ✓- / KrD FJ-1 V':�; 6e_ J-T�D 11/13/2018 City of Newport Beach Page 16 of 17 6; 30:06AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 11/13/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW A/P/D Information: Activity : N2018-0330 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Remove existing 2'x3' CATV vault and replace with 3'x4' CATV vault on La Salud at La Vide and pothole existing utilities and bore 78 LF of 2" duct across La Salud at Corte San Rafael Concrete and pavement restoration per City Standards Requested Inspection(s) Item: 10020 PERMANENT PAVING- PW Requested Time: 11/13/2018 12:00:OOAM Requestor: WEBUSER 949-290-9984 Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzzzzzz* � f% Q � l �1 , .11/21/2018 City of Newport Beach Page 18 of 18 6:30:06AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 11/21/2018 Inspection T-*'pe : ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW A/P/D Information: Activity : N2018-0330 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Remove existing 2'x3' CATV vault and replace with 3'x4' CATV vault on La Salud at La Vidz and pothole existing utilities and bore 78 LF of 2" duct across La Salud at Corte San Rafael Concrete and pavement restoration per City Standards. Requested Inspection(s) Item: 10110 CONCRETE PUBLIC WORKS Requested Time: 11/21/2018 12:00:OOAM Requestor: WEBUSER 949-290-9984 Entered By: WEBUSER /��, I'f'%'✓`�L l Comments: AM- DV / n Assigned to : zzzzzzzzzzz*C Red