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HomeMy WebLinkAboutN2018-0495City of Newport Beach III�IIIIIIII IIII IIII IIIIINIIIIIIIIIIIIIIIIIIIII Permit No: N2018-0495 100 Civic Center Drive, Newport Beach, CA 92660 H % Permit Counter Phone (949)644-3311 Project No ' a Online Inspection Request - www.newportbeachca gov / Online r Services Inspection Requests Phone (949)644-3255 Job Address 1 PUBLIC ROW NB Thomas:Guide: Description Install 52 LF of 4-inch duct on 15th Street and alley between Catalina Drive and Santa Ana Avenue. Alley restoration per City Standards Parcel # : SCANNED Legal Desc Owner: CITY OF NEWPORT BEACH Contractor : RASIC W A CONSTRUCTION COMPANY INC Phone: Phone: Address : Address : 7314 SCOUT AVENUE BELL GARDENS CA Contractor State Lic: 368761 Applicant: AT&T CALIFORNIA �,, License Expire : 01 31, 2019 Phone : 714-264-7103 Address : 3939 E CORONADO STREET, 2ND FLOOR ANAHEIM, CA 92807 "` Business License : BT30064733 Business Expire : 10 31, 2019 Special Cond.: Pre -job inspection required Workers' Compensation Insurance - - Carrier : TRAVELERS Policy No: UB7K5207851826G W. C. Expire: 07 01, 2019 Permit Processing Fee : $257.00 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 : $880.00 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 : Total Fee Paid : Balance: Receipt No: $1,137.00 $1,137.00 $0.00 Q—g11TD Other Department Date i Permit Denied Date ►O g l g Issued Permit : Date. /_/ ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I 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 set -� sure, Certificate of Worker's contractor must provide a "Letter of Authorization" to allow another party to pull a permit An approved copy of the Com en ation Insurance, or a Certified Cop th of. 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:^C3� 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 from 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 ind Standard Didwings 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 5 connection to sewer lines 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 lie 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: 4 VT box over the riser 24-hour notice for Encroachm t 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 949-644-3 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 IF 15 Any above ground utility facdi 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 er 16 Homeowner, contractors, and subconlracotrs 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 I 1 January 1 unless approved tr the Public Works Department Any work that extends into traffic or parking lanes and impedes the normal flow 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 prison plus the full cost to clean up an illegal discharge or spill codeposit emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control 17 If a refundable was aid, applicant must submit a Sods Compaction p pP p 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 Cartrans Permit All vehicles shall be lawfully parked before a refund will be processed 12 this penult 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 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 cnllection 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 Pernid 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 fees. No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby a nowledges he/she has r d and �nderstands the 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 after issuance. Permit fees are nonrefundable. Date: - 00-6 -.Signature: - -- -- FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: I P,&LTc Row PERMIT N2018- O�i9�' NUMBER: APPLICANT: R't •• "C Ca1��►rNQ Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells firrN Inspection Fee: $257.00 1 Public Works Field Inspection $293.00 Utilities Field Inspection Water Quality/Artificial Turf Inspection $871.00 $204.00 Refundable Deposit: $535.00 Improvements $176.00 3" $129.0 $115.00 TBD TBD Street/Alley/Walk Closure: $70.00= Newspaper Rack Inspection $115.00 Traffic Control Plan Check 8-1/2" x 11" $70.00 Sewer Connection Fee $250.00 F=� 24" x 36" $152 00= 4TT Box & Cover $64.00 Additional _ _ THE FOLLOWG IS REQU INTEMIRE APPROVAL FROM THE Revenue Division 1 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval: 1 IWater Meter: Installation Charge $563.00 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 F-7 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 13" Meter $3,310 00 14" Meter $4,730.00 16" Meter $7,190.00 MISCELLANEOUS FEES Qty. Budget Number Development Services Fee (Plan check hourly) $165.00 5200-5015 Final Tract Map Checking Fee $2,653.00 5200-5026 Final Parcel Map Checking Fee - Moderate $2,653 00 5200-5027 Lot Line Adjustment Fee $1,151.00 5200-5028 Park Dedication Fee Zone _ TBD 405-470_ Street Easement/Vacation Fee (+100% of hrly over 4 hrs) $1,089.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance use only R" 01,1S7. ---- ?-AtiD q-2.-1 — 6$ Permit Specialist Receipt No. . ���Y� � — Q1 �.L� f lusers/pbw/shared/encroach/masters/ep front and back masters/ Rev 9/13/2018 epfeesheet As -revised 9113/18 PROJECT ADDRESS: ti emu b1� a c'ZvW DETAILED DESCRIPTION OF PROPOSED WORK: APPLICANT: Phone: Email Address: Mailing Address: City/State/Zip: OWNER: Phone: Email Address: Mailing Address: City/State/Zip: exfr f �i�+r�L �iPLETE_ CONTRACTOR: t C Office Phone Company (if different): Jobsite Phone. Other Phone: Email Address: Mailing Address: Ci n/State/Zip: C St ate License NLYmber & Class: Expires: - City Business License Number: Expires: : -a i - ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Compan (,_;v. rj �S,A­Vn Policy No: 0)gx Tres: Municipal Operations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 //FFMUSE V Special Conditions of Permit: ADDTTIVNAL APPROVAL REQWIIRED FROM THE FOLLOWING DEPARTMENTS Utilities: Municipal Operations Traffic: Fire: Other: Engineering Technician: R`.4: Permit Specialist ,2od.: Date: �O'$-�� Permit No. N2018- (JgRS' t/users/pbw/shared/encroach/masters/epworksheetAs Public Works Department 949-W-3311 100 Civic Center Drive, Newport Beach, CA 92660 EXCAVATION DATA OWNER ASPHALT CONCRETE DIRT TUNNEL CURB CITY OF NEWPORT BEACH 32'X1'= 32 SO FT 14'X7'= 14 SO F7 3 LN FT OPL. 52' 7-4" DUCT TYPE 4C PM 52' EXIST HH TO POLE J/ 643948H, VERIFY 10+00 00 CIL CATALINA DR 10+00 DO CIL E 15TH ST BO� '9•pr yF / L F1 �v POLE # 643948H ry FOC PLACE 1-4" DUCT CURVE DATA R L A 1250' 8741'77" 19.13' B 3' 1 901 1 4 71' i 1,p�1'cl, CLl d px , '�4 3 � ♦� \dry � o akP OQ CONSTRUCTION NOTES 1 MINIMUM COVER FOR STRUCTURE 36" BELOW EXISTING GRADE OR 30" BELOW GUTTER FLOWLINE 2 ALL SUBSTRUCTURE INFORMATION SHOWN WAS TAKEN FROM RECORDS AVAILABLE AND IS APPROXIMATE VERIFY, LOCATE AND PROTECT AS REQUIRED 3 BEFORE EXCAVATING CALL U.G SERVICE ALERT 811 4 ALL TRAFFIC CONTROL TO BE IN ACCORDANCE WITH THE C J U T C M WORK AREA PROTECTION AND TRAFFIC CONTROL MANUAL 5. THIS PROJECT REQUIRES EXCAVATION CONSTRUCTION WILL UTILIZE AND IMPLEMENT ALL BEST MANAGEMENT PRACTICES (BMP's AS REQUIRED TO ENSURE COMPLIANCE WITH AT&T POLICY LETTER ISSUES FEBRUARY 21. 2003 BY ENVIRONMENTAL MANAGEMENT CONCERNING STORM WATER PERMITTING AND STORM WATER POLLUTION PREVENTION PLANS (SWPPPs) AND IN ACCORDANCE WITH THE CLEAN WATER ACT (1965) AND EPA REGULATIONS PUBLISHED IN 7990 AS MODIFIED BY THE PHASE II RULE IN 7999 RECORDS NOTE TIES OF EXISTING PLANT SHOWN HEREON REFLECT ACTUAL CONDITIONS FOUND DURING RELDING CORRECT PERMANENT RECORDS 4 c/ V a SCALE 1"= 20' COMMENCED_ 20_ COMPLETED- 20 RECONCILED rQAT DATE REVISIONS U G DESIGN ENGINEER E FUJIMORI (714) 669-2247 SCALE 1"= 20' NEWPORT BEACH EXCHANGE 09 25 18 REV1-REVISE PER CITY COMMENTS-CLH COSTA MESA C O AREA EXCHANGE ENGINEER C AKIN (714) 618-9111 TGM 888-J5 CONDUIT CONSTRUCTION ���� suewAr INSPEcraR: C CASTANEDA (714) 619-2226 Mqp ROUTINE DATE ICIELD AL TOLL FREE DRAWING TO SCALE yPREPARED 09 U6 18 B SHARMA 811 DO NOT REDUCE CONTRACTOR 'nun CHC CONSULTING 33A-1-LE79 CHECKED A-2-LE19 APPROVED09 06 18 B LlX)NG LEAST TWO DAYS DURING REPRODUCTION 11 APPROVED EFORE YOU DIG UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA California 7845 W Orangewood Ave, Suite 300 Orange, CA 92868 LE( 7 9 ) AD 1 9 5 TB 1 00 1 (949) 250-0004 /FAX (949) 250-0006 DA# 3/05LA DWG. L- I OF 1 N2,Ol$ — 04gs 10/9/2018 City of Newport Beach Page 15 of 15 6:34:26AM INSP15O - Daily Inspection Request Report Requested Inspection Date : 10/09/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW AMM Information: Activity : N2018-0495 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: AT&T CALIFORNIA Phone : 714-264-7103 Description : Install 52 LF of 4-inch duct on 15th Street and alley between Catalina Drive and Santa Ana Avenue. Alley restoration per City Standards. Requested kwgmw on(s) Item: 10200 PRE JOB - PW Requested Time: 10/9/2018 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER 310-864-0210 Comments: PM-Contact-Chrs Assigned to : zzzzzzzzzzz* eGL y e4x Mi z je- Dram- �lZo t 8 - o qjr 31d - J 0 AJA4L FoAeeOOW( Inspector: 11"1v Date: 10/1111f Time: AM PM Comments: I -6zn2 z j i n/ S P�ti7 �/l.l C> I! - L � $ C v i 14 Tt� t—� r ti S W� T'1,inlC-7 F. \Users\PBW\Shared\ENCROACH\MASTE RS\FORMS\I n soectorSheet.doc r City of Newport Beach Page 8 of 14 4:30:17PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/12/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address 1 PUBLIC ROW wt Activity N2018-0465"`�,-, SubType: NEW Status : APPROVED OWNER: CITY OF NEVVPORT BEACH Phone: APPLICANT: AT&T CALIFORNIA Phone : 714-264-7103 Description Install 52 LF of 4-inch duct on 15th Street and alley between Catalina Drive and Santa Ana Avenue. Alley restoration per City Standards. Item: 10000 EXCAVATION & PIPE INSTALL-UTIL Requested Time: 10/12/2018 12:00:OOAM Requestor: WEBUSER 310-345-1766 Entered By: WEBUSER Comments: ANY - Assigned to: zzz7777777 J \Y/ 511c- 11407- r • 10/15/2018 City of Newport Beach Page 11 of 19 6:34:48AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 10/15/2018 Inspection T-,•pe : ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW A/P/D Information: Activity : N2018-0495 SubType : NEW Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone: APPLICANT: AT&T CALIFORNIA Phone : 714-264-7103 Description : Install 52 LF of 4-inch duct on 15th Street and alley between Catalina Drive and Santa Ana Avenue. Alley restoration per City Standards. Requested Inspection(s) Item: - LpA-IG - i°w Requested Time: 10/15/2018 12:00:OOAM Requestor: WEBUSER 310-345-1766 Entered By: WEBUSER Comments: ANY - Assigned to zzzzzzzzzzz* PG2 gDs i OT--L -� /it L4 V95'r-/ F�C-0 T"7 c-1,,—e ' .