HomeMy WebLinkAboutN2017-0308�r,N,•,` ootcyivic of Newport Beach rive, NewportBach, CA 926G0 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIp1111 Permit No: N2017-0308
Cente�'o, Permit Counter Phone (949)644-3311 Project No
Online Inspection Request - www.newportbeachca.gov / Online SCANNED
•��'` Services
Inspection Requests Phone (949)644-3255
Job Address: 1 PUBLIC ROW NB Thomas:Guide:
Description : Pothole existing utilities and bore 181 LF of CATV conduit remove existing 2'x3' CAN vault and replace with a 3'x4' CAN vault, and install new
Tx4' CATV vault on Avocado Avenue north of Civic Center Drive and install 80 LF of CATV conduit on Civic Center Drive at Anacapa Drive. Pavement
restoration per City Standards.
Parcel # :
Legal Desc :
Owner: CITY OF NEWPORT BEACH
Phone:
Address
Applicant: COX COMMUNICATIONS
Phone : 310-265-5875 [
Address : 27121 TOWNE CENTER DRIVE
FOOTHILL RANCH, CA 92610
Special Cond.: Pre -job inspection required.
Work on Avocado Avenue to be completed
during off-peak hours.
Permit Processing Fee :
$241.00
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 :
$9,900.00
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
Contractor: FISHEL COMPANY THE
Phone: 951-685-9482 951-254-8095
Address : 1372 MC GAW AVE
IRVINE, CA
Contractor State Lic: 678942
License Expire : 10 31, 2017
Business License : BT00014042
Business Expire :
09 30, 2017
Workers' Compensation Insurance - -
Carrier :
ARCH INSURANCE COMPANY
Policy No:
31 WC18940400
W. C. Expire:
08 01, 2017
Total Fee
Paid :
Balance
Receipt No:
$10,141.00
$10,141.00
$0.00
Date : —/—/ Other Department: —Date: —/—/
Date : / / Permit Denied —Date: —/—/
Date : —/—/ Issued Permit : r� —Date: �O/
Date
tl
( DRKF005 )
WORKSHEET FORENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPLETEL INFORMATION
PROJECT ADDRESS: 1600 Newport Center Dr (work on Avocado Av & Civic Center Dr
DETAILED DESCRIPTION OF PROPOSED WORK:
R/R exist 2'x3' vault w/ a 3'x4' vault in grade. Place new 3'x4' vault in grade.
181 Directional ore & 80 Dirt trench to place (2) 3" ducts.
APPLICANT: Cox Communications Phone: 310-265-5875
Email Address: sina.muckenfuss@cox.com
Mailing Address: 27121 Towne Centre Dr
City/State/Zip: Foothill Ranch, CA 92610
OWNER: See above Phone:
Email Address:
Mailing Address:
City/State/Zip:
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR:
Office Phone: 714-668-9268
Company (if different):
The Fishel Company
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address:
1366 Dublin Rd
City/State/Zip:
Columbus, OH 43215
State License Number & Class:
678942 A, C-7, B, C10 Expires. 10/31/17
City Business License Number:
BT00014042 Expires: 9/30/17
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Arch Insurance Company Policy No: 31 WC[8940400 Expires: 8/0 I / 17
REF(JNDABLE:DEPOSIT tNFORMATION.(If:App/iCable.
Refund Payable To Sinta Muckeiifuss, Cox Coriimuceattvnx
Mail Refund To:. 3415 K".hi�ua.St . TQrriincC , CA:90505 .
FOR OFFICE USE ONLY
Special Conditions of Permit: -Pre -job i n2ege4io^ reffiQeeJ -
-\Nc-. k fTH "cgdo l4venvc. +a be, FwrPorwed dvr;n cFV-Peok. 4Ya4-'AG Vw "5
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
;Zo 41;
Public Works Specialist:
r20d: I
Date:
(y - -1- 1 "7
Permit No.
t42.01-1 - 030-C
f /users/pbw/shared/encroactVmastera/epworksheet xis
Public Works Department 949-644-3311
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
q Inspection Fee: q
$241.00 Public Works Field Inspection $165.00
$275.00 Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
$817.00
$192.00 Refundable Deposit:
$502.00 Improvements
StreeVA11ey/Walk Closure: $65.000 Newspaper Rack Inspection
TBD
TBD
$108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00
24" x 36" $143.00
Sewer Connection Fee $250.00
4TT Box & Cover $64.00
Additional _ _ _ _ _ _ _ _ _ _ _ ..
THE FOLLOWING ITEMSREQUIRE APPROVAL FROM THE Revenue Division 1
lApproval:
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES 1
qty-
q 1
(Water Meter:
Installation Charge $528.00
13/4" Meter $50.25
11" Meter $121.50
11 1/2" Meter $285.00
Water Meter Boxes: 1
For Parkway & Sidewalk Area (Box + Cover = Cost)
1" Meter: 13.00 + 37.00 $50.00e
11 1 /2" Turbine Meter $700.00
2: Meter: 27.00 + 61.25 $88.25
1
12" Meter $425.00
12" Turbine Meter $845.00
13" Meter $3,310.00
14" Meter $4,730.00
For Traffic & Alley Areas (Box + Cover = Cost)
1" Meter: 13.00 + 38.00 $51.00
2" Meter: 27.00 + 162.00 $189.00 1
1
6" Meter $7,190.00
MISCELLANEOUS
FEES
Qty.
Budget Number
Certificate of Compliance Fee (+100% of hrly over 3 hrs)
Development Services Fee (Plan check hourly)
Final Tract Map Checking Fee
Final Parcel Map Checking Fee - Moderate
Lot Line Adjustment Fee
Park Dedication Fee Zone
$288.00
$155.00
$2,488.00
$2,488.00
$1,079.00
TBD
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405-470_
Street Easement/Vacation Fee (+100% of My over 4 hrs)
Street Tree Fee ($700 Planting Fee)
$1,022.00
TBD
5200-5031
030-2284
......
.. Engineering Tech:Total Amount Due: For Finance Use Only
20 d;
Permit Specialist Receipt No.
rruserslotnwsharedlenuaacn/masterslep front and back masters/
Rev. 1/5/2017 _ J epfeesheetAs-revised IM112016
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 dale 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 State 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 Stale Contractor License Class C-34 is required. For construction or
connection to sewer lines a valid Slate 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-I_.
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 Stale law. Walls and faces of all
excavations over 5 feel 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 fie 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 S10.00
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 Slate Highway's traffic or within the Slate 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 dumpsler 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 Wurke'r's
Compensatio Insurance, or a Certified Copy thereof.
Date: G' Signature:
CERTIFICATE OF EXEMPTION (Section 3800 La r 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 Ins fiction is required by calling
Public Works at 949-644-3311. za��=
15 Any above ground utility facilities will requir ocurnented approval from the adjacent
affected property owner(s).
16. Homeowner, contractors, and subcontracolrs 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 years 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 Compaction
Certificate or Evidence of a Slurried Backfill and request a final inspection from thr-
Public Works Department. Monies may be held for six months after final inspection
before a refund will be processed.
18. No trees in the public right-of-way shall be planted, removed, trimmed. er relocate.d
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Work
Department or corrections will be required (i.e. removals, exposing connections,
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 a k wledges he/she has read and unders ds 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. G���7 �'Ls''
Permit fees are nonrefundable. Date:.. _ Signature:
PROJECT# 41020170315DRKF005
DOT VERIZON CASO COAST HIGHWAY FIBER REINFORCEMENT
1600 NEWPORT CENTER DR, NEWPORT BEACH CA, 92660
CONTRACTOR- FISHEL
St Mark
COX PLANNER- SENECCA LEAR Senecca.learC@-cox.com 949-563-8037
Presbyterian Church
I rue F jod Kitcnen ii d
F in 8 Olive -
NVA/port Beach
Q
Roger's Garde -is
LOC2
Gelson's Mark,
Q
-
Harbo
Shopp
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C",�,,
LOC 1
O
r,
Newport Harbor
ds�
hyy
-
Lawn Bowling
LOC 3
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(cndc�• =d;k
-
Bristol F art
Sprindes Cupcakes 4)
+
Go
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Cullstleann
® Studio 4 Salon ■ i
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Centnt ers
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24
I -
VAULT IN GRADE
4
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DOT VERIZON CASO COAST HIGHWAY FIBER REINFORCEMENT
y .T
CONTRACTOR- FISHEL
a;
• PLANNER- I I Senecca.lear@cox.com949-563-8037 ,IQ ,' . • .�!'
PROJECT# 41020170315DRKF005
DOT VERIZON CASO COAST HIGHWAY FIBER REINFORCEMENT
1600 NEWPORT CENTER DR, NEWPORT BEACH CA, 92660
? CONTRACTOR- FISHEL
COX PLANNER- SENECCA LEAR Senecca.lea r cox.com 949-563-8037
EXIST COX 2'X3'
VAULT;
R/R WITH A 314'
VAULT IN GRADE
lftIilllb.._. t-AsA LOC 2
PLACE 3'X4' -VAULT IN
LOC 1 GREENBELT :,
0
EXIST COX 3'X5'
FIBER VAULT IN
SIDEWALK &
LOWBOY BEHIND
SW
f
`:r
PLACE TXV VAULT IN
{'Y , GREENBELT
LOC 2
PROJECT# 41020170315DRKF005
DOT VERIZON CASO COAST HIGHWAY FIBER REINFORCEMENT
1600 NEWPORT CENTER DR, NEWPORT BEACH CA, 92660
CONTRACTOR- FISHEL
COX PLANNER- SENECCA LEAR Senecca.lear(@cox.com 949-563-8037
LOC 1
3ROJECT# 41020170315DRKF005 T
)OT VERIZON CASO COAST HIGHWAY FIBER REINFORCEMENT
L600 NEWPORT CENTER DR, NEWPORT BEACH CA, 92660
:ONTRACTOR- FISHEL '411
:OX PLANNER- SENECCA LEAR Senecca.lear@cox.com 949-563-8037
VIM
REQUESTING
TO PROVID
" STAGING AREA
NEW CONDUI'
ANACAPA
:i
, +lloi
-e:. -,:.3 .t- h--
.w
v
AI/1 Tr,r.
1) ADDITIONAL COLO PLANING MAY BE REQUIRED AS DETERMINED BY THE ENGINEER.
2) COLD PLANING AND PAVING SHALL BE REQUIRED WHEN CONSTRUCTION JOINTS OR
EXISTING TRENCH LINES ARE WITHIN 5' OF PROPOSED CONSTRUCTION JOINS.
3) RESTRIPE TRAFFIC LANES/MARKINGS WITHIN REMOVAL AREA AND ANY OTHER
TRAFFIC STRIPING DAMAGED DURING CONSTRUCTION.
4) CONCRETE PAVEMENT RESTORATION SHALL BE DOWELED PER STD-105-L-B.
EX. PAVEMENT 1-1 2
MIN.
REPLACE WITH 1 " THICKER
ASPHAL T PA VEMEN T TO
MATCH EXISTING
PIPE BEDDING AND --<,
BACKFILL PER STD.-106-L.
SAME AS LEFT
PROPOSE PIPE/CONDUIT
1-1 2'
MIN.
N
PAVEMENT I
DOWEL FOR
PCC PAVEMENT
? �ti , ZLI
NOTES: STREETS/ALLEYS RECENTLY (LAST 5 YEARS) SLURRIED/RESURFACED/BUILT SHALL
REQUIRE EXTENSIVE PAVEMENT RESTORATION TO BE DETERMINED BY THE FIELD ENGINEER.
CITY OF NEWPORT BEACH
PUBLIC NORMS DEPARTMENT
ROADWAY UTILITY
POTHHOLE AND BORE DETAIL
REVISED 612002
RCE NO.36106 PUBLIC WORKS DIRECTOR
Date: 2 Mar 1999 Scale: N.T S.
Drawn by. M. GRACIA F U s� o ea+. Bo3CSed_sro
DRAWING NO. STD-105-L-E
9
R/W
I
1
I
I
I
1
1
1
I
J
J
a
R/W N R/W
TRENCH FO
UTILITY W) SERVIC
UTILITY LATERAL
TILITY MAIN LINE
AREA TO BE
RESURFACED
TRENCH FOR
UTILITY (U) SERVICE
;u-
TILITY LATERAL
TY MAIN LINE
TO BE
RFACED
NOTE. -
PAVEMENT FABRIC OR GLASGRID REPLACEMENT WHERE ENCOUNTERED
CITY OF NEB PORT BEACH
PUBLIC 110RKS DE.P:1RTWE..tiT
MORA TORI UM ROAD WA Y
TRENCH RESURFACING
REVISED 612002
APPROVED:
RCF. O. 36106 PUBLIC WORKS DIRECTOR
Date: 2 Mar 19991 Scilr: N.r.S.
Drawn b . M. GRAC/A F'`u ` t `nm°noo `rti°dSr°�
DR,AVVI.�G NO. STD-105-L-F
6/14/2017 City of Newport Beach Page 1 of 8
4:31:03PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/15/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1 PUBLIC ROW
Activity : N2017-0308
SubType :
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Pothole existing utilities and bore 181 LF of CATV conduit remove existing 2'x3' CAN vault
and replace with a 3'x4' CAN vault, and install new 3'x4' CAN vault on Avocado Avenue
north of Civic Center Drive and install 80 LF of CAN conduit on Civic Center Drive at
Anacapa Drive. Pavement restoration per Citv Standards.
Ite : 10200illillillillillllllllIIIIIIIW.-
Requested Time: 017 12:0O:OOAM Requestor: NBIVR
E
Entered By: NBIVR
Comments: AM
InspAftned to: \)k Date: Co / ! -7 Time: A PM
Comments: lkJ5 1' z (✓D1)i67 Tz> e-6V I &-L) `
PA - Ar" 1 - rs/cety DAy Oiv i4yAwG.4L1c:�
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F:\Users\PB\N\Shared\ENCROACHVAASTERS\FORMS\InsoectorSheet doc
REPT131 Run Id: 4018
6/15/2017 City of Newport Beach Page 1 of 10
4:30:41PM INSP150 - Daily Inspection Request Report
Activity :
SubType :
Status :
Requested Inspection Date:
06/16/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
1 PUBLIC ROW
N2017-0308
APPROVED
OWNER: CITY OF NEWPORT BEACH Phone
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Pothole existing utilities and bore 181 LF of CATV conduit remove existing 2'x3' CATV vault
and replace with a 3'x4' CAN vault, and install new 3'x4' CAN vault on Avocado Avenue
north of Civic Center Drive and install 80 LF of CATV conduit on Civic Center Drive at
Anacapa Drive. Pavement restoration per Citv Standards.
Item: 10050 EXCAVATION- PW 'T�A-t%4 F1 sH4 GL
Requested Time: 6/16/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR )(949290998q
Comments: AM
Insp 1pned to : �l Date: id/,U / -7 Time: `7: I M M
GI V iG cE/1r7� 0Jz -0 0M44,4-PA
Comments: SI ho=-tEQ 00 LF O F l_4Tl/ G-o oV Ju I T //y CTirCL
uN i r� Phi i•.l Ail - 1 v 3 f7�� y s �u �N
ik) TC" �(-' rL 4-ram il
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSUnspectorsheet.doc
REPT131 Run Id: 4018
r.
6719/2017 City of Newport Beach Page 1 of 6
6:34:53AM INSP1 SO - Daily Inspection Request Report
Requested Inspection Date: 06/19/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1 PUBLIC ROW
A M! -in -edn c
Activity : N2017-0308
SubType :
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH
Phone:
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Pothole existing utilities and bore 181 LF of CAN conduit remove existing 2'x3' CAN vault
and replace with a 3'x4' CAN vault, and install new 3'x4' CAN vault on Avocado Avenue
north of Civic Center Drive and install 80 LF of CAN conduit on Civic Center Drive at
Ana a a Dr' e. Pavement restoration per City Standards.
t 00�o � OxC�/AT FA/ PAqun6ed tis )
Item: -4-021 S
Requested Time: 6/19/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to: / q:-5-0
Inspector: Date: (� ��f /�� Time: AAA PM
Comments: -41 "'t N EF1- V., C— cVLT�r K *--
rti � �ci..✓ 7� f'�2 �-�''tz
Logged
Refie
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
6/19/2017 City of Newport Beach Page 3 of 14
440:47PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/20/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1 PUBLIC ROW
Activity : N2017-0308
SubType :
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Pothole existing utilities and bore 181 LF of CAN conduit remove existing 2'x3' CAN vault
and replace with a 3'x4' CAN vault, and install new 3'x4' CAN vault on Avocado Avenue
north of Civic Center Drive and install 80 LF of CAN conduit on Civic Center Drive at
Anacaoa Drive. Pavement restoration per City Standards.
item: 10210 PUBLIC WORKS
Requested Time: 6/20/2017 12:00:OOAM
Entered By: NBIVR
Comments: AM
Insplsiogned to • `�y Date:
Comments: 1 n4 PL--) C0
Logged
efile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet doc
Requestor: NBIVR
9984
ZO / 1 7 Time: AM PM
r C4)ti
REPT131 Run Id: 4018
a
6/26/2017 City of Newport Beach Page 1 of 11
4:30:04PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/27/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1 PUBLIC ROW
Activity : N2017-0308
SubType :
Status : APPROVED
OWNER: CITY OF NEWPORT BEACH Phone
APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875
Description : Pothole existing utilities and bore 181 LF of CATV conduit remove existing 2'x3' CAN vault
and replace with a 3'x4' CAN vault, and install new 3'x4' CAN vault on Avocado Avenue
north of Civic Center Drive and install 80 LF of CATV conduit on Civic Center Drive at
Anacaoa Drive. Pavement restoration per City Standards.
Item: 10050 EXCAVATION- PW
Requested Time: 6/27/2017 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: PM
Assigned to:
Inspector:
Date:
NBIVR
9492909984
Time: AM PM
Comments:
C0MFLt1t:Lj
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018