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HomeMy WebLinkAboutN2018-0489Nr„�r City of Newport Beach II IIIII IIIIIII IIII IIIIIIIIIIIIIIIIIIIIIIIIIIII Permit No: N2018-0489 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone N 2 0 1 8 0 4 8 9 Project Noy^��� (949)644-3311 SCANNED l 1 V I V Online Inspection Request - www newportbeachca gov / Online Services Inspection Requests Phone (949)644-3255 Job Address 1 PUBLIC ROW NB Thomas:Guide: Description : 13 potholes to locate existing underground utilities on Campus Drive between Martin/MacArthur Place and Von Karman Drive. Pavement restoration per City Standards. Parcel # Legal Desc : Owner: CITY OF NEWPORT BEACH Contractor : ARIZONA PIPELINE COMPANY Phone: Phone: 760-244-8212 951-270-3100 Address : Address : P O BOX 401865 HESPERIA, CA 92340 ` Contractor State Lic: 423545 Applicant: GARDEN COMMUNITIES I` L 1' 1 License Expire : 06 30, 2020 Phone: 858-864-2248 [ Address : 9110 JUDICIAL DRIVE SAN DIEGO, CA 92122 Business License : BT30049165 Business Expire : 11 30, 2018 Special Cond.: Pre -job inspection required. Workers' Compensation Insurance - - Carrier : TRAVELERS PROPERTY CASUALTY Policy No : VTC2JUB9324B862 W. C. Expire: 04 01, 2019 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $2,242.00 Agreement Fee : $0 00 4TT Box Cover: $0.00 Paid : $2,242.00 Traffic control Plan Check . $351.00 Total Water Meters : $0.00 Balance: $0.00 Inspection Fee : $1,650.00 Water Meter Connection $0.00 Receipt No: 9►'12� Refundable Deposit: $0.00 Total Water Meter Box: $0.00 R — Street Tree Fee $0.00 Adjustment : $0.00 Processed By: Date: _/_/ Other Department: Date Utilities Approval : Date : _/_/ Permit Denied Date. Traffic Approval : Date : _/_/ Issued Permit : Date . 10 IS / 11 General Services Approval : Date _/ / 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 I certify 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 the Compensation Insurance, or a Certified Copy thereof. permit and construction plan shall be kept at the job site at all times 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 Date: Signature: 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 front any responsibility, liability, suit or action of any description arising out 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 6 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, 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 0e water, sewer, or street lighting conduits) to verify locations Maintain a one -foot clearance over or under existing City -owned utilities Sewer cleanouts require VCR or PVC SDR35 be used with a Date: Signature: 4TT 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. Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the LL California Department of Transportation If needed, barricades can be obtained from the City at a charge of $10 00 15 Any above ground utility facilities will require documented approval from the adjacent per barricade per day with a minimum 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 affected property owners) 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 -1raffic 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 emergency vehicles must be maintained at all times Control must be per Work Area Traffic Control 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 Certificate or Evidence of a Slurried Backfill and request a final inspection from the 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 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 this 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 construe tion 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 VVork', 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 Refuse 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 my nal work Additt performed may require issuance of a separate permit and/or dditi ial fee No work related to this encroachment permit shall be performed until the Public Works Department has Issued this permit. 'Applicant hereby acknowledges he/she s read nL rstands t terms and conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days afters Permit fees are nonrefundable. �� Date: -W) Ct Ji - Signatur /% FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: I pwb61c. Row PERMIT N2018- py89 NUMBER: APPLICANT: �-nrdary eowtw►uwl �-icS Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Q Inspection Fee: $241 00 I Public Works Field Inspection $275 00 Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection $817.00 $192.00 Refundable Deposit: $502 00 Improvements Qty. $165 00 a $121.00 $165.00 $108.00 TBD BTBD Street/Alley/Walk Closure: $65 000 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 4TT Box & Cover $64 00 Additional THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: Qty. Q (Water Meter: Installation Charge $563 001 1 13/4" Meter $50 25 1 11" Meter $121 50 Water Meter Boxes: 1 11 1/2" Meter $285 00 1" DFW Meter Box $96.66 1 11 1/2" Turbine Meter $700 00 2" DFW Meter Box $2( 24 12" Meter $425.00 12" Turbine Meter $845.00 1 13" Meter $3,310.00 14" Meter $4,730.00 !6" 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 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 Rod: $ 2. 24 2. -- Permit Specialist Receipt No. f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 08/29/2018 epfeesheet xis -revised 08/29/18 WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT C L INFORRiATION PROJECT ADDRESS: 2171 Campus Drive, Irvine, CA 92612 DETAILED DESCRIPTION OF PROPOSED WORK: Requesting traffic control & lane closure on Campus Drive for a period of (31) Days. All work to be performed intermittently with City of Irvine pothole work. See attached Traffic Control Plans. For the purpose of performing pothole work to locate existing underground utilities. - Reference City of Irvine Approved Street Improvement Permit * 00748630-MCE & Encroachment Permit #. 00748116-EP APPLICANT: Garden Communities Phone: (858) 864-2248 Email Address: annemariek@gardencommunitiesca.com Mailing Address: 9110 Judicial Drive ity/State/Zip: San Diego, CA 92122 r OWNER: Trilogy Gardens, LLC Phone: (858) 864-2248 Email Address: annemariek@gardencommunitiesca com Mailing Address: 9110 Judicial Drive City/State/Zip: San Diego, CA 92122 ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: Arizona Pipeline Company Office Phone: (909) 208-3929 Company (if different): Jobsite Phone: (858) 200-6567 Other Phone: (951) 270-3100 Email Address: dguentert@arizonapipleline.com Mailing Address: 1745 Sampson Avenue City/State/Zip: Corona, CA 91719 State License Number & Class: 423545, Class A Expires: 6/30/20 City Business License Number: BT30049165 Expires: 11/30/18 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Travelers Property Casualty Company of America Policy No: VTC2JUB9324B862 Expires: 4/1/19 REFUNDABLE DEPOSIT INFORMATION (If Applicable): Refund Payable To: :TrfiogyGardeine, LLC Mail Refund To: 9110 Judk W Ddve, San Diego, CA 921-22 • ATTN, Kim Bach FOR OFFICE USE ONLY Special Conditions of Permit: - Fvti-job insp"ay, ngjjAr4wa. ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: E Fire: Other: Engineering Technician: Public Works Specialist: Date: 9-2k—t$ Feit No. t'g.. C>-4%9} f /users/pbwlshared/encroach/masterslepworksheel As Public Works Department 949-644-3311 � TRAFFIC CONTROL COORDINATION INDICATES POTHOLES LOCATED IN CITY OF NEWPORT BEACH QUANTITY: 13 ead ors 47 -- - --- ------------ CAMPUS DRIVE --- ----- ------ ------ ----- ----------- II Iz U.RBAN RESOURCE GARDEN COMMUNITIES TENTATIVE TRACT MAP NO. 17605 711111 (llSU1;iKGClVH FOR CONDOMINIUM PURPOSES 5-7-18 IWLN, %nw mwm;� P�KE o POTHOLES TRAFFIC CONTROL CITY OF IRVINE I REVISKM 7RR'� AL 0"' D�R T: COk#AAFrY DEVELOPK4WT DEPARTMENT SHEET OF '10122/2018 City of Newport Beach Page 3 of 9 4:30:36PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/23/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW Activity : N2018-0489 SubType : Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: GARDEN COMMUNITIES Phone : 858-864-2248 Description : 13 potholes to locate existing underground utilities on Campus Drive between Martin/MacArthur Place and Von Karman Drive. Pavement restoration per City Standards. Requested am _ t Item: 10230 INSPECTION - UTIL Requested Time: 10/23/2018 12:00:OOAM Requestor: WEBUSER 858-200-6567 Entered By: WEBUSER Comments: ANY -Traffic control on Campus Assigned to: zzzzzzzzzzz" LOGGED •1=4/2018 City of Newport Beach Page 10 of 13 • 4:30:10PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/25/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW Activity: N2018-0489 SubType : Status: APPROVED OWNER: CITY OF NEWPORT BEACH Phone : APPLICANT: GARDEN COMMUNITIES Phone : 858-864-2248 Description : 13 potholes to locate existing underground utilities on Campus Drive between Martin/MacArthur Place and Von Karman Drive. Pavement restoration per City Standards. Item: 10230 INSPECTION - UTIL Requested Time: 10/25/2018 12:00:OOAM Requestor: WEBUSER 858-200-6567 Entered By: WEBUSER Comments: ANY -Traffic control Campus / Potholing Assigned to: zzz7777777�* 7ef_1�4 C t4A" t kw,b - C.", LOGGE I;v 11126/2018 City of Newport Beach Page 6 of 19 4:30:49PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/27/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address: 1 PUBLIC ROW 7 Activity : N2018-0489 SubType : Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: GARDEN COMMUNITIES Phone : 858-864-2248 Description : 13 potholes to locate existing underground utilities on Campus Drive between Martin/MacArthur Place and Von Karman Drive. Pavement restoration er Ci Standards. Item: 10255 FINAL - Utilities Requested Time: 11/27/2018 12:00:OOAM Requestor: WEBUSER 858-200-6567 Entered By: WEBUSER Comments: ANY -Traffic Control / Paving Potholes Assigned to : zzzzzzzzzzz" G' ('l,w Li ,e -) o"k 10G GtD 11/27/2018 City of Newport Beach Page 5 of 12 4:30:21PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/28/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW ,:s�'._.r„, Activity : N2018-0489 SubType : Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: GARDEN COMMUNITIES Phone : 858-864-2248 Description : 13 potholes to locate existing underground utilities on Campus Drive between Martin/MacArthur Place and Von Karman Drive. Pavement restoration` per City Standards. � ::Q$3;f%.t7:��i�'1dS�.1�ii1"�c'+f :.K.:;l.tl1✓m���n*�d�f�"r c1��-�NM��i'�„��� [.� V. W��.a.''f{'��.I�ro'9.:..r�.: .'Y's?:3N•"r ��.�ti Item: 10250 FINAL - PW Requested Time: 11/28/2018 12:00:OOAM Requestor: WEBUSER 858-200-6567 Entered By: WEBUSER Comments: ANY -Traffic Control / Paving Potholes Assigned to: zzzz777777* zo-cl 61 IN Z $ -1 1% ,l�. fa-rw" AOW io 1�1/29/2018 City of Newport Beach Page 11 of 12 4:31:04PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 11/30/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1 PUBLIC ROW A/P/D Information: Activity : N2018-0489 SubType : Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT : GARDEN COMMUNITIES Phone : 858-864-2248 Description : 13 potholes to locate existing underground utilities on Campus Drive between Martin/MacArthur Place and Von Karman Drive. Pavement restoration per City Standards. Requested Inspection(s) Item: 10230 INSPECTION - UTIL Requested Time: 11/30/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: ANY-Traffic/control/pavinq Assigned to : zzzzzzzzzzz" �,, (, I I- 3 v- It :I.'t:I�►�iI�a:�.7'1rl 12/4/2018 City of Newport Beach Page 16 of 16 6:30:16AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 12/04/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address: 1 PUBLIC ROW A/P/D Information: Activity : N2018-0489 SubType : Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: GARDEN COMMUNITIES Phone : 858-864-2248 Description : 13 potholes to locate existing underground utilities on Campus Drive between Martin/MacArthur Place and Von Karman Drive. Pavement restoration per City Standards. Requested Inspection(s) Item: 10255 FINAL - Utilities Requested Time: 12/4/2018 12-00MAM Requestor: WEBUSER 858-200-6567 Entered By: WEBUSER Comments: ANY -Traffic/ control / pavinq / Campus Assigned to zzzzzzzzzzz* OF M