HomeMy WebLinkAboutN2018-0502City of Newport Beach
Y p Permit No: N2018-0502
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 5 0 2
Permit Counter Phone (949)644-3311 Project No .
4: Online Inspection Request - www.newportbeachca.gov / Online
r•'�` Services
Inspection Requests Phone (949)644-3255
Job Address :
1 PUBLIC ROW NB
Thomas:Guide:
Description .
Three (3) potholes for future vault replacement replacement on Eastbluff Drive/Ford Road
and Jamboree Road Concrete and pavement restoration per
City Standards.
ram•
Parcel #
Legal Desc :
SGANNFO
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:
SOUTHERN CALIFORNIA EDISON
License Expire : 06 30, 2020
Phone:
714-329-2778
Address :
7333 BOLSA AVENUE
WESTMINSTER, CA 92683
Business License : BT30049165
Business Expire : 11 30, 2018
Special Cond.:
Pre -job inspection required.
Workers' Compensation Insurance - -
Ssturday work ONLY.
Carrier : TRAVELERS PROPERTY CASUALTY
Policy No : VTC2JUB9324B862
W. C. Expire: 04 01, 2019
Permit Processing
Fee : $257.00
Sewer Connection .
$0 00
Total Fee : $2,591.00
Agreement Fee
$0.00
4TT Box Cover
$0.00
Paid : $2,591.00
Traffic control Plan Check : $222.00
Total Water Meters :
$0.00
Balance : $0.00
Inspection Fee :
$2,112.00
Water Meter Connection :
$0.00
Receipt No: 2 _ q1 2%
Refundable Deposit: $0.00
Total Water Meter Box
$0.00
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
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
1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed
contractor must provide a "Letter of Authorization" to allow another party to pull a permit An approved copy of the
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
after date of issuance
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
or damage to persons or property occurring as a result of work undertaken under this permit
3 All work shall be done in accordance with the approved plans. Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances
4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects Any failures shall
be corrected within two weeks after notification to the satisfaction of the Public Works Director
5 A valid Stale licensed contractor must perform all construction within the public right-of-way, unless waived by the
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
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,
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
Works Dept Contractors shall obtain permits to perform excavation or trench work from the California Division of
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
7 The Public Works Department Inspectors must inspect all work in the Public right-of-way Forms and subgrade must
be inspected and approved before concrete is ordered/poured Sewer, pipelines, and subgrade construction must be
inspected and approved before backfilling, or applicant may be required to excavate site Separate Utilities
Department or General Services Department Inspections may be required depending on scope of work performed
8 All trench restoration must be inspected by the Public Works Department No utility installation(s) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department Locate and pothole
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
4TT box over the riser
9 Properly lighted barricades must be provided and maintained around all trenches excavations and obstructions All
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current "Manual of
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
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
10 Work within or near beach sensitive areas will not be allowed during. City holidays, spring break Memorial Day
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department
11 Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and
emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control
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
the Public Works Department Any work affecting the State Highway's traffic or within the State Highway right-of-way
will require a Caltrans Permit All vehicles shall be lawfully parked
12 This permit does not authorize the closure of sidewalks streets, or alleys for construction access, storage of
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure
13 Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences
14 Refuse or unused materials shall be removed within 24 hours after completion of the work If not removed, the City
may remove and bill the applicant Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted To place a dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) -
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
Compensation Insurance, or a Certified Copy thereof.
Date: Signature:
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to California Worker's Compensation Laws. If,
after signing this certificate I become subject to the Worker's Compensation
provisions of the State Labor Code, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date: Signature:
CONTRACTOR LICENSE EXEMPTION
As the Owner of the benefiting property, I certify I am personally performing all
work in the Public Right -of -Way.
Date: Signature:
HOLD HARMLESS STATEMENT
I understand that I am locating minor encroachments within the City Right-of-
Way/Easement. As property owner it is my responsibility to maintain the
encroachments. I will be responsible for replacing the improvements if the City
removes them for maintenance of utilities or other public need. I shall indemnify
and hold the City harmless for any liability associated with the minor
encroachments.
Date: Signature:
24-hour notice for Encroachment Permit In pection is required by calling
Public Works at 949-644-3311. 1-7„
15 Any above ground utility facilities will require documented approval from the adjacent
affected property owners)
16 Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
Quality Laws Best Management Practices will be enforced It is against the law to
discharge construction debris into the gutter and storm drain Felony violations of Water
Quality Laws are punishable by fines up to $25,000 and/or up to three year,, in Stale
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 Compachcn
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
Public Works Department Monies may be held for six months after final inspechun
before a refund will be processed
18 No trees in the public right-of-way shall be planted, removed, trimmed (-,r r-located
without approval from the General Services Department
19 All work in the public right-of-way must meet the approval of the Public kNork=.
Department or corrections will be required (i e removals, exposinq cnnnecb,;,)s
etc ) Additional inspection fees may be required
20 Permit is for standard materials in the public right-of-way only unless previously
approved by Public Works and an Encroachment Agreement has been processed
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 acknowledges he/she as ad and ynderstands thh 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 is8uance, j 1,7 , f�
Permit fees are nonrefundable. Y
`'� Date:/_° %"�_� Signatu c,6f l�
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
PERMIT
N2018- OSa2
1 Pubt�G Row
NUMBER:
APPLICANT:
Sou+ht,M (��l�sr�o �di'ioYf
TO
Permit Processing Fee: Q
Public Works Only $257.00 1
Other Department $293 00
Agreement Fee:
Preparation of Report/Agreement $871 00
Document Recordation Fee $204.00
Monitoring Wells $535.00
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
Q .
$176 00 12.
$129 00
$115.00
TBD
TBD
Street/Alley/Walk Closure: $70.00 1= 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" $152.00F—j-1 4TT Box & Cover $64 00
Additional
-------- -----
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM TH—E Revenue Division 1
REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval:
Water Meter:
Qty.
Q
Installation Charge $563.00�
13/4" Meter
$50.25
1
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66
11 1/2" Turbine Meter
$700 00
2" DFW Meter Box $203.24 B
12" Meter
$425.00
12" Turbine Meter
$845 00
13" Meter
$3,310 00
14" Meter
$4,730 00
16" Meter
$7,190 00
1
MISCELLANEOUS
FEES
uty. 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 1 $1,089.00 5200-5031
Street Tree Fee ($700 Planting Fee) TBD 030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
Rod+
a 2, ,591. --
? A- t p
to - t — 4
Permit Specialist
Receipt No.
R^ 9 t 2's 1
f /users/pbw/shared/encroach/masters/ep front and back masters/
Rev 9/13/2018
epfeesheet xis -revised 9/13/18
TD1283066
Goldwater 12kV o/o MacArthur
Pothole Map
0
EE
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0
1
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EX:P5635545 PAD
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EX: X5645148
PULL BOX
ETC REpARED
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asrANNc wuL NEEDED
FOR RE117FENCE ONLY
M I-4' (x)
P3611 TO MAI
LAT: 333752.93=
Ex 1/0 (15
LONG. 117"52'26.15� SERV. ACCN
SPEOAL ORDER NTERCfPT VWLT
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IN: Yx4x8'
SW (M4454)
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V1982 TO 40659 - 541'•
MAX PULL = 2W P/u M. I-4" ! DIM WTH
a:
14
OPTION 1 23'
P 11 VOB59
P/U PT. 'C' TO 'A'
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/ MAX PUL = 1J65'
1*
10
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V9921 TO V9820
- D. 2-4' (95) �.
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PED TO 612MW
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M4890 TO M2990
IiE
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CR: V5102981 VAULT
2
OPEN 4'
RM 1-7 mD EPR (11)(o VJ "GUDMIER IBM
6'XIO'X9'4'
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OPEM 4'
RM: 1-600A MAY RIM GAS SW (G5D598)
PROPOSED
y1.
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VS7W599
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PROPOSED
V5700589
L/S
5-4' ! DTEND Wr
(WDM1G 1XV) a:
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OPEN s'
PROPOSED
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It 104' 1-3/C 5DD Eli (TO MNWXGMDMAIER INV)
Rt22I' 1-J/C SOD EPR IM (OaDMIM I"L/E
Ell,
Ios99 TO Y29W . 246
Wm TO YOM = 251
MAX PILL = 294S
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10+1387 CA. JaBa1EE RD.
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/
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LONG: 117' S2' 2Y
,
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PROPOSED
WsIQMID
L/W
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UNDERGROUND SERVICE ALERT
Dial 811
'
Cd1 USA
Fa Untgr4und Emoting
2 Working Days Eisfars You [Iig
SCALE: 1 • - 30- �*
O 30 60
FINAL DESIGN
;�
APPROVED FOR CONSTRUCTION
3D-1413�7
SURVEYED
DATE: 10-2-17
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OVERVIEW MAP: NOT TO SCALE
POTHOLE LOCATION: OPTION 1 & 3
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NOTE:
CONTRACTOR SHALL COORDINATE WITH
AFFECTED RESIDENTS & BUSINESSES
PRIOR TO CONSTRUCTION
SAP/TD NO.: 1283066
CIRCUIT: GOLDWATER 12KV
SUBSTATION: MACARTHUR
PROPOSED CONSTRUCTION LOCATION:
EASTBLUFF DR
& JAMBOREE RD
9
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TRAFFIC
MANAGEMENT, INC.
c'&..y'&-Iefw
800.763.3999
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TnRN C.-Il Service
S.I.. & R.n..n
Permit. & C-lt.K
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T,,Wq
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CITY OF
NEWPORT BEACH
SCE
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EASTBLUFF DR
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F3en Ora., y: 42229
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ORIGINAL RAN SIZE: 24' . 3W
SHEET
1 OF 3
POTHOLE LOCATION:
OPTION
1
& 3
TMI
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TRAFFIC
MANAGEMENT, INC.
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800.763.3999
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LEGEND:
PRIOR TO CONSTRUCTION
• v•m,.w..•-�•
—A
W-.u.nwo ARRow1-
one
0
SAP/TD NO.: 1283066
PI.R 0-,1: 42229
1
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SCALE: a1'. 4V n
ORIGINAL PLAN SIZE: 2a- . Ge-
r.uocu
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CIRCUIT: GOLDWATER 12KVMEME
SUBSTATION: MACARTHUR
PROPOSED CONSTRUCTION LOCATION:
SHEET
A R.u.ArwR o.Y�c. EASTBLUFF DR
& JAMBOREE RD
OF
3
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— � — _ _ cequ� _ � — d c3o(ce d _ — wwwdrafficmanegemenCcom
Traflu: Camal Services
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POTHOLE LOCATION: OPTION 2 NEWPORT BEACH
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CONTRACTOR SHALL COORDINATE WITH
1 \ u\ 1 AFFECTED RESIDENTS & BUSINESSES
LEGEND: PRIOR TO CONSTRUCTION�•�--•w--•
®. wo.a A.e. 1 1 \ 1 ,.e...
&Tl- soa SAP/TD NO.: 1283088 vlsGoroa .: e22I9
,c"s"wo A..ow i,.s�
r .,uceu CIRCUIT: GOLDWATER 12KV
SUBSTATION: MACARTHUR
PROPOSED CONSTRUCTION LOCATION: ORIGIN L PLAN SIZE.w. a 3e-
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I �..e � .""''"" A.— 'o o EASTBLUFF DR SHEET
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OF 3
'5118/2020
City of Newport Beach Page 15 of 15
6:30:27AM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 05/18/2020
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1 PUBLIC ROW
A/P/D Information:
Activity :
N2018-0502
SubType :
Status :
APPROVED
OWNER:
CITY OF NEWPORT BEACH Phone:
APPLICANT:
SOUTHERN CALIFORNIA EDISON Phone : 714-329-2778
Description :
Three (3) potholes for future vault replacement replacement on Eastbluff Drive/Ford Road
and Jamboree Road Concrete and pavement restoration per City Standards.
Requested Inspection(s)
Item:
10050 EXCAVATION- PW
Requested Time:
5/18/2020 12:00:00AM Requestor: WEBUSER
'9097366347'
Entered By: WEBUSER
Comments: 'ANY-EASTBLUFF/JAMBOREE, VAULT POTHOLE'
Assigned to : zzzzzzzzzzz" L
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5/18/2020 City of Newport Beach Page 16 of 17
4-30:33PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 05/19/2020
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1 PUBLIC ROW
A/P/D Information:
Activity : N2018-0502
SubType :
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone:
APPLICANT: SOUTHERN CALIFORNIA EDISON Phone : 714-329-2778
Description : Three (3) potholes for future vault replacement replacement on Eastbluff Drive/Ford Road
and Jamboree Road. Concrete and pavement restoration per City Standards.
Requested Inspection(s)
Item: 10020 PERMANENT PAVING- PW
Requested Time: 5/19/2020 12:00:OOAM Requestor: WEBUSER
'9097366347'
Entered By: WEBUSER
Comments: 'ANY-EASTBLUFF/JAMBOREE, REPLACE CONCRET
Assigned to: zzzzzzzzzzz
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