HomeMy WebLinkAboutN2018-0489Nr„�r
City of Newport Beach
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Permit No: N2018-0489
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone
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Project Noy^���
(949)644-3311
SCANNED
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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
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U.RBAN RESOURCE
GARDEN COMMUNITIES
TENTATIVE TRACT MAP NO. 17605
711111 (llSU1;iKGClVH
FOR CONDOMINIUM PURPOSES
5-7-18
IWLN, %nw
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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