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Permit Processing Fee: Qt Inspection Fee: Qt .
Public Works Only $230.00I I Public Works Field Inspection $140.00 i0
Other Department $300.00 Utilities Field Inspection $190.00
General Services Inspection $140.00
Agreement Fee
Preparation of Report/Agreement $840.00
Total Amount Due:
Refundable Deposit: TBD=
Document Recordation Fee $200.00
4 11 (0,3 2,
--
Monitoring Wells $460.00
Improvements TBD=
Street/Alley/Walk Closure: $52.00
Sewer Connection Fee $180.00
Traffic Control Plan Check
4TT Box & Cover $51.20
Rev. 12-09-2009
8-1/2"x11" $52.00_
f:/usem/ /sharedl,e croach/masterslepfeesheel.zls
24" x 36" $130.00
Additional
===..= _ __
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM TREDivis
_ _ __ _ _
Revenue ion
TApproval:
REVENUE DIVISION PRIOR TO PAYMENT OF FEES
Qty.
..�,. Qt
Water Meter:
Connection Charge: _ $160.000
1
3/4" Meter $145.00
Water Meter Boxes:
;1
1" Meter
$210.00
For Parkway & Sidewalk Area (Box + Cover =Cost
1 1/2" Meter
$390.00
1" Meter: 17.60+13.80 $31 A0
1
2" Meter $505.00
2: Meter. 21.00+21.30 $42.30,0
3" Meter $857.00
I
4: Meter $1,505.00
For Trak & Alley Areas (Box + Cover = Cosl_J
6" Meter $2,505.00
1" Meter:
17.60+30.80 $48.40
I
2" Meter:
21.00 + 120.00 $141.00
_J
MISGELI ANE{?US F -.EES `....
QtY. Budget Number
Certificate of Compliance Fee (+100% of hrly over 3 hrs)
$270.00
5200-5029
Development Services Fee
TBD
5200-5015
Final Tract Map Checking Fee
$3,270.00
5200-5026
Final Parcel Map Checking Fee - Simple
$350.00
5200-5027
Final Parcel Map Checking Fee - Moderate
$2,150.00
5200-5027
Final Parcel Map Checking Fee - Complex
$3,270.00
5200-5027
Lot Line Adjustment Fee
$1,020.00
5200-5028
Park Dedication Fee Zone _
TBD
4310-470_
Street Easemt/Vacation Fee (+100% of hriy over 4 hrs)
$920.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
-r -,
030-2284 _
Engineering Tech:
Total Amount Due:
"""'" " oir-Finariee Use Only l '
Rod;
4 11 (0,3 2,
--
Public Works Specialist:
Receipt No.
Rev. 12-09-2009
f:/usem/ /sharedl,e croach/masterslepfeesheel.zls
19) i 5 3 l'.2. Cf
' LE(43) 7767162 4C V0KDFFD00 START DATE: 4/23/10 *** DS3+ ***
�sH
1,
COMPLETE"THE EF-LOW;INFO&RMATION
PROJECT ADDRESS: PACIFIC VIEW DR & MARGUERITE AVE.
DETAILED DESCRIPTION OF PROPOSED WORK (include measurements):
EXCAVATE 698 SO. FT. OF ASPHALT. 5 LIN. FT. OF CONCRETE. 31 SO. FT. OF DIRT.
25 LIN. FT. TUNNEL C&G TO PLACE CONDUIT
APPLICANT: AT&T Californial, Teresa Medina. Enelneer Phone: 1714-237-6185'
Email Address:
Mailing Address 11265 Van Buren, Rm 180 Cit/State/Zi
yp:�hnaheim, CA 92807
OWNER: Phone:
Email Address:
Mailing Address: City/State/Zip:
CONTRACTOR: �e �NG Office Phone:
Company (if different): Jobsite Phone:
Other Phone:
Email Address: //cam T�biyy/ �c�G. Nt
Mailing Address:
/ - �f1/�bT 4�G-`
City/Stat p:
,eR54D eA
State License Number & Class:
5 7 / / L Expires: x/30 /
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
REFUNDABLEDEPOSIT INFORMATION (if Applicable )'
Refund Payable To:
Mail Refund To
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROWTHE FOLLOWING DEPARTMENTS
Utilities:��—
General Services:
(I Traffic: Fire:
L1 Other:
Engineer:
Nodi
PWS:
Date:
;4 - Z7 - b0
Permit No.
N 2010 - 0117
tiusem�pEv,7shared+er<machlmaslerslepvrodshee:als
Public Works Department 949-644-3311
3300 Newport Boulevard, Newport Beach, CA 92663
Oj PL. 770' 2-4' DUCTS
TYPE
=4C PM
3' X 4' HH TO 17' X 30' HH = 770' VERIFY
EXCAVATION DATA
OWNER
ASPHALT
CONCRETE
DIRT
TUNNEL C & G
CITY OF
698'x1'=
5 LIN.FT.
31'x1'=
25 LIN.FL
NEWPORT BEACH
698 SQ.FT.
31 SQ.FT.
.WEE
PRIVATE PROPERTY
®'
EASEMENT TO BE
8'x1'=
ACQUIRED
1
1
8 SQ•Fr.
QD V&1.Califomia
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 14800) 227-2600 \
4. ALL TRAFFIC CONTROL TO BE IN ACCORDANCE WITH
2006 CALTRANS STANDARD PLANS & SPECIFICATIONS, �\v
THE 2006 MUTCD & THE C.J.U.TC.C. MANUAL.
5. THIS PROJECT REQUIRES EXCAVATION. CONSTRUCTION
WILL UTIUZE AND IMPLEMENT ALL BEST MANAGEMENT S�
PRACTICES (BMP's AS REQUIRED TO ENSURE COMPLIANCE
WITH SBC 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 1990 AS MODIFIED
BY THE PHASE It RULE IN 1999.
RECORDS NOTE TIES OF EXISTING PLANT SHOWN HEREON
REFLECT ACTUAL CONDITIONS FOUND DURING FIELDING.
CORRECT PERMANENT RECORDS
\
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DATE
"�rvnwwviv Y ��""iwv:
DIAL TOLL FREE
1-800-227-2600
u AT LEAST TWO DAYS
BEFORE YOU DIG
UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA
REVISIONS
DRAWING TO SCALE
DO NOT REDUCE
DURING REPRODUCTION...
SCALE : 1"=40'
17"X30"
COMMENCED 20— COMPLETED 20— RECONCILED
LI.G. DESIGN ENGINEER: BRIAN TODD (714) 666-5518 SCALE : 1"= 40' NEWPORT BEACH EXCHANGE
CORONA DEL MAR C.O. AREA
EXCHANGE ENGINEER: TERESA MEDINA (714) 237-6185 SEG. : 1414-7650 CONDUIT CONSTRUCTION
SUBWAY INSPECTOR: ERIK FUJIMORI (714) 669-2241 T.G.M. : 919, G-1 ROUTINE DATE OFFICE FIELD
PREPARED 4120110
coNTRACTDR : FJS FILE 15783 FJS CABLE ENGINEERING. INC. MAP #: CHECKED
O C���fOrC11a # � r .VsetorinN RTE3 SHT16 APPROVED
14340 Boiso Chien Rd. Suite 0
Wesilnl ate[, C0. 62683
ISLE `714) 897-3793
FAX (714) 897-9693
LE(43) 7767162
DWG. L- 1
:Vi0�0
.WEE
W1 MUM•
®'
QD V&1.Califomia
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 14800) 227-2600 \
4. ALL TRAFFIC CONTROL TO BE IN ACCORDANCE WITH
2006 CALTRANS STANDARD PLANS & SPECIFICATIONS, �\v
THE 2006 MUTCD & THE C.J.U.TC.C. MANUAL.
5. THIS PROJECT REQUIRES EXCAVATION. CONSTRUCTION
WILL UTIUZE AND IMPLEMENT ALL BEST MANAGEMENT S�
PRACTICES (BMP's AS REQUIRED TO ENSURE COMPLIANCE
WITH SBC 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 1990 AS MODIFIED
BY THE PHASE It RULE IN 1999.
RECORDS NOTE TIES OF EXISTING PLANT SHOWN HEREON
REFLECT ACTUAL CONDITIONS FOUND DURING FIELDING.
CORRECT PERMANENT RECORDS
\
zo Ipa �� �9\\9� `, \ �x F J �� /
S �P 0el
z
w w- . w w
w w It >
r F- I +
I— 1-
a I— w N � o II— ws
3 3 v a / v vi vi vi +
f
L) w L6 w / I 162,83' N
/W v + 5 SIDEWAL
----
o - --- --- ----G-----------------ti---------------- -----------4T
E { Es
URB- ------------------ ---------------------------------
CUCUM I / X52+
p N N (1J r- s J S
N s 8' SEWER— — s s s s s— s s s— s— s s— s s s— s
C/L R-33 � s
0 in 4+00 N54'30'59'E 3 X00 —�— �—
I
MARGUERITE AVE w/ "
N 8' I WATERw w w w w w w w� ----
----
o ----------- -------- --------------------------------------------------------------------------------------------------------------------------- J
URB
I �
,
,
�SxtiS���� JPJ�
x
zv
DATE
"�rvnwwviv Y ��""iwv:
DIAL TOLL FREE
1-800-227-2600
u AT LEAST TWO DAYS
BEFORE YOU DIG
UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA
REVISIONS
DRAWING TO SCALE
DO NOT REDUCE
DURING REPRODUCTION...
SCALE : 1"=40'
17"X30"
COMMENCED 20— COMPLETED 20— RECONCILED
LI.G. DESIGN ENGINEER: BRIAN TODD (714) 666-5518 SCALE : 1"= 40' NEWPORT BEACH EXCHANGE
CORONA DEL MAR C.O. AREA
EXCHANGE ENGINEER: TERESA MEDINA (714) 237-6185 SEG. : 1414-7650 CONDUIT CONSTRUCTION
SUBWAY INSPECTOR: ERIK FUJIMORI (714) 669-2241 T.G.M. : 919, G-1 ROUTINE DATE OFFICE FIELD
PREPARED 4120110
coNTRACTDR : FJS FILE 15783 FJS CABLE ENGINEERING. INC. MAP #: CHECKED
O C���fOrC11a # � r .VsetorinN RTE3 SHT16 APPROVED
14340 Boiso Chien Rd. Suite 0
Wesilnl ate[, C0. 62683
ISLE `714) 897-3793
FAX (714) 897-9693
LE(43) 7767162
DWG. L- 1