HomeMy WebLinkAboutN2018-0354pp ! . -,17 a. 2I?)
City
,Vof Newportic Center BeachBea rive, NewportBhacn, CA 92660 I II I IIIII IIII IIII IIIIIIIgIIIIIIIIII IIIIIIII III Permit No: N2%01$=0354
Permit Counter Phone (949)644-3311 Project No
w!A7 Online Inspection Request - www newportbeachca gov / Online SCANNED
Services
Inspection Requests Phone (949)644-3255
Job Address
146 SHORECLIFF RD NB
Thomas:Guide:
919F3
Description
Pothole existing utilities to determine if new electrical vault location.
Pavement restoration per City Standards.
Parcel # .
0522-032-3 -
Legal Desc :
N TR 1116 LOT 96
Owner:
PIERCE MICHAEL L
Contractor :
ARIZONA PIPELINE COMPANY
Phone:
0
Phone:
760-244-8212 951-270-3100
Address :
146 SHORECLIFF RD
Address :
P O BOX 401865
CORONA DEL MAR, CA
HESPERIA, CA 92340
Applicant: SOUTHERN CALIFORNIA EDISON
Phone : 714-895-0278 [
Address : 7333 BOLSA AVENUE
WESTMINSTER, CA 92683
Special Cond.: Pre -job inspection required.
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 :
$495.00
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 State Lic: 423545
License Expire: 06 30, 2020
Business License : BT30049165
Business Expire: 11 30, 2018
Workers' Compensation Insurance - -
Carrier : TRAVELERS PROPERTY CASUALTY
Policy No: VTC2JUB9324B862
W. C. Expire: 04 01, 2019
Total Fee $736.00
Paid : $0.00
Balance : $736.00
Receipt No:
Other Department : Date
Permit Denied Date
Issued Permit: L Date
FEE WORKSHEET FOR ENCROACHMENT PERMIT ,
CITY OF NEWPORT SEA61i
PUBLIC WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
"4to 5+toreci; �i r�C+,
PERMIT
N2018- fl35u
NUMBER:
APPLICANT.
So,r�•-�� Coy Forn oa �3f
Permit Processing Fee: Q
Public Works Only $241.00
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502 00
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
Q .
$165.00 3
$121.00
$165.00
$108 00
TBDBTBD
Street/AlleylWalk 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 00__J 4TT Box & Cover $64 00
Additional
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE 1Fe7er7urEv_71sjon 1
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval:
Qty.
Q
(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
1
12" Turbine Meter
$845.00
1
13" Meter
$3,310 00
1
�4" Meter
$4,730.00
16" Meter
$7,190.00
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 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
* 7-3w — --
Perm Permi ecialist Receipt No.
4 f /users/pbw/shared/encroach/masters/ep Front and back masters/
Rev 12/18/2017 epfeesneet xis -revised 1 1/8/17
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
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[Date:
ertify 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 therq,pen
permit and construction plan shall be kept at the fob site at all times Work, which has been done prior to issuance of
ation Insurance, or a Certified Copy th eof. I
7 _ �,
Signature: O2 -
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
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 arising cot 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:
4T I- box over the riser
24-hour notice for Encroachment 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 safety devices shall conform to the requirements of the current of
Public Works at 949-644-3311.,1
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 facilit4s"W-K require documented approval from the adjacent
per barricade per day, with a minimum charge of S35 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
emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control
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
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 Backfill 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
1-1his 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
Pefuse 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
Temporary 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 tees
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby a knowledges he/she has read and understa is the terrps and
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.
ate: ��'��
DSignature:
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