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
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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*
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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 : /
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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*
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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*
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, .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
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