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Home My WebLink AboutN2017-0163City of Newport Beach IIIIII I IIIIIIIIII III�IIIIIIIIIIIIII III Permit No: N2017-0163 �t G� 100 Civic Center Drive Newport Beach CA 92660 N 2 0 1 7 0 1 6 3 ti : Permit Counter Phone (949)644-3311 Project No ;+ Online Inspection Request - www newportbeachca gov / Online t�t� " 0 Services 'r '�1F Inspection Requests Phone (949)644-3255 Job Address. 1 PUBLIC ROW NB Thomas:Guide: Description : Emergency work to repair air vac on Jamboree Road and SIB SR-73 on -ramp and repair damaged valve can on Jamboree Road and NB SR-73 on -ramp. Parcel # Legal Desc : Owner: CITY OF NEWPORT BEACH Contractor : IRVINE RANCH WATER DISTRICT Phone: Phone: 949-453-5769 Address : Address : 3512 MICHELSON DRIVE COMPLETED IRVINE, CA 92612 Contractor State Lic: Applicant: IRVINE RANCH WATER DISTRICT License Expire Phone: 949-453-5769 [ Address : 3512 MICHELSON DRIVE IRVINE, CA 92612 Business License Business Expire : Special Cond.: Emrgency Work Workers' Compensation Insurance - - Traffic control per WATCH Carrier : Policy No: W. C. Expire: Permit Processing Fee $241 00 Sewer Connection $0 00 Total Fee $406.00 Agreement Fee $0 00 4TT Box Cover $0 00 Paid : $406.00 Traffic control Plan Check . $0.00 Total Water Meters : $0 00 Balance : $0.00 Inspection Fee $165 00 Water Meter Connection $0 00 Receipt No Refundable Deposit $0 00 Total Water Meter Box $0 00 Street Tree Fee $0 00 Adjustment $0 00 Processed By _Z. 02 Date 1/S/ Z&/-,t- Other Department Date Utilities Approval : Date _/_/ Permit Denied Date Traffic Approval Date. Issued Permit Date `7" / T/ 2-6J7— _/_/ 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 Fncroachment Permits may be taken out by the owner of benefited properly or a licensees contractor A licensed contractor must provide ,a I otter of Authorization to allow another party to pull a permit An approved copy of file pernut and conslrticlion plan ;hall be kept at the lob site at all trines Work which has been done prior to issuance of a permit is subject to releclion%fine City reserves the right to void permit if work does not commence within 30 days after date of issuance 2 The Permrftee ,agrees to delrnd indprumi[v and hold the ihv 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 properly occulting as a result of work undertaken under this pernut 3 All work shay! be done In arcordance with the approved plans Shuidard Spec.i,d Provrscon.s cue/ Standard Drrwnrl.s of the City of Newport Reach and Ili compliance with all applicable Slate 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 Slate Contractor License Class A can perform any work in file 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 Stale Contractor License Class C-42 is required 6 All trenching and/or resurfacing shall conform to City Standard 105-L for parkwayhoadway and City Standard 140-I_, in the alley, where a minimum half -alley width resurfacing shall he 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 na 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 file 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 backfdhng 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 he inspected by the Public Works Department No utility insiallation(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 ire water sewer or street lighting conduits) to verify locations Maintain a one -foot clearance over or under existing City -owned utilities Sewer cleariouts require VCP or PVC SDR35 be used with a 4TT boy over the user 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 anti Other Devices for the Use in Performance of Work Upon Highways' issued by the/ California Department of Transportation If needed 'oanlcades can be obtained from the City at a charge of S10 OP per harricade per day with ,j minimum charge of S35 00 It is the responsibility of the applicant to place barricades to protect the general public Access to fire hydrants nurst be maintained at all tinges 10 Work within or near beau h sensitive areas will not he allowed during City holidays spring break Memorial Day weekend summer between June 1 h and Septenihei 15 and during the holiday season from December 19 in January 1 unless approver/ h, the Pubhr 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 Stieel Closure Permit from the Public Works Department Access for fire, police and emergency vehicles must be maintained of all times Traffic, Control must be per Work Area traffic Control HandbooK tWA f CH r No rwihttime traffic lane closures unless prior approval has been granted Anv Iane(s) closure on a major street will only he allowed between 9.00 am and 3:00 p m (Monday thru Friday) unless approved by the Public Works Department Any work affecting the State Hrghway's traffic or within the Stale Highway right-of-way will require a Caltrnns Permit All vehicles shall be lawfully parked 12 Thrs permit (Ines not autbnrrze the c Insure of sidewalks streets or alleys for construction access storage of materials or p,arkinq of ronsliucbon vehir les unless derailed 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 matenals shall be removed within 24 hours after completion of file work If riot removed, the City may remove and bill the apphc ant rlooidinate 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 material,; in the public right-of-wav a Temporary Street ' losure Permit most he obtained from the Public Works Department WORKER'S COMPENSATION INSURANCE (Section 3800 Labo- Code) I certify that 1 have a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Ce ' ed Cop thereof /Date: 5! I —I 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 otice for Encroachment Permit Inspection is required by calling Publrks at 949-644-3311. . 15 Any above ground utility facilities will require dnc unjented iigm val from the adja( enl affected properly owner(s) 16 Homeowner, contractors and subconlracotrs rnav e�je h be hahlt Inc violahouti of WM('I Quality Laws Rest Management Practices will be enforced II is agamsl the law 1,, discharge construction debris Into the quitter and storm drain I elnnv \�iol,ition,, of Ouahty Laws are punishable by fines up to S25 000 and/or Ili) io thn-e ye,jr, m Sl,jle prison plus the full cost to clean up an illegal discharge or spill 17 If a refundable deposit was paid. <lpplICant nurst subnut a Sony Ccnnpar tl("I Certificate or Evidence of a Slurried B,ac,kflll and request a fw,il Insper,ticin from the Public Works Department f.lonies may be held for six months after final ii pectiwl before a refund will be processed 18 No trees in the public, right-of-way shall be planted, removed, tnnimed ;r i-roc itod without approval from the General Services Departrnenl 19 All work In the public right-of-way must meet the approval of the Puhlic, Vork Department or corrections will be required h e removals exposing c, mnF'cb -u etc ) Additional inspection tees may be required 20 Permit Is for standard materials in the public i(glit-of-way only unless previously approved by Public Works and an Encroachment Agreement has been pro( essed 21 Permit Is valid for description of work noted on front only Additional vvork 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 has read and understands a 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 issua e. L( Permit fees are nonrefundable. Date: S/�-nature: FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT Atf f-ee :Are of Re!>vndabte: lriless Dtherwis4 Stated PROJECT ADDRESS: PERMIT N20117-'OIIP5 1 9001;c, ROW NUMBER: APPLICANT: I U t5F- COMPLETED 13Y PUBLIC WORKS DEPARTMENT Permit Processing Fee: Q Inspection Fee: Qty. Public Works Only $241.00 1 Public Works Field Inspection $165.00 Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $81', Document Recordation Fee $192.00 Refundable Deposit: TBDe Monitoring Wells $502.00 Improvements TBO Street/Alley/Walk Closure: $65.00 Newspaper Rack Inspection $108.00 Q 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• FULLC WNC3 FTeMS fMI. IR APP 0TWIL FAOM •{I E Ipproval. evenue Onnsio� r ......tMkt1E IiMbidk P:9K* Tb OAYAAt&t bl • PE1rS' ...... . ' • .... ... • . • .1 [Vlja'ter Meter: :k)stollovort . rge. ' $�28.0 : •I �3/�'':Meier ........... ::: • : -360.25 • : • : • : • ::: Wafer Mets� 8cixes:::::::::::::::::::::1 ::::::: :::: $1Yt.Sb ..:..::JeoiPaifiuvakA.SidewalkArea•rBoz tColiei•= Co : : I /2":Meter : : $28.... :.1. Meier.: • :13.. . +. .... • .... :I �1-1/2!"Turbine 1lileter '$7.00.00 • ' .2; Meter: • • 27.Ut1 61,25 $88.25' [2„T•ucb(ne M.O.W.• :$B45.00 : Fcif. tairic AA11ey:RAeas (fox:+:Eover:=:C.ost1 :� �3° 11Aeter: : $3;31 A.A :1 r.' Meter 3.00: +. 38:OA : : $54.0 7. �4":Meter : • • :$4,73.... :..Meier.: • 27....:tt3... "'M• : $189.0 .1 e6eter: • : :17 '490.00 . uty. buaget Numoer 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 My 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 Zod; M4016. �- Permit Specialist Receipt No. f./userslpbw/sharetller-08dVmasterslep &OM mid ba* masters) Rev. 10121120161 lepfee3heetA34eviSed 10UM2otf; 8 Nzoll -011p3 5 4 3 030W 03T °iD�st CITY OF NEWPORT BEACH AREA QUAIL ST PM Isms PM 45/45 NORTH BRISTOL ST CORONA OEL MAR sOLRN BRISTOL sr e I Z 1 —1- 1 • rd w o , I LEVEL PARMNO OECN 1 ra o' 10 STY. Z 1 0 1 1 ICROOATA-0 � 1 SECURITY PACIFIC NATIONAL BMOC Q� PM, 17!!i `SRO PM 47/22 KOLLCENTER NEWPORT PM. 1071 10.1 „S „ PM11 / 10/12 Y 0 EMERGENCY CONNECTION oj*4c NEWPORT BEACH (VALVE IS PROPERTY OF NEWPORT BEACH) PM 61/9 PM 81N � Y 1 1 1 qi 1 $� A FWY fff 1 I I 071E N2v1'?-o�b3 1/6/2022 City of Newport Beach Page 6 of 18 4:30:34PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/07/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address : 1 PUBLIC ROW A/P/D Information: Activity : N2017-0163 SubType : Status : APPROVED OWNER: CITY OF NEWPORT BEACH Phone : APPLICANT: IRVINE RANCH WATER DISTRICT Phone : 949-453-5769 Description : Emergency work to repair air vac on Jamboree Road and SB SR-73 on -ramp and repair damaged valve can on Jamboree Road and NB SR-73 on -ramp. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/7/2022 12:00:OOAM Entered By: WEBUSER Comments: 'ANY-' • Assigned to : zzzzzzzzzzz* Z4C.�e1r� 0144 ?Are0*4Wx Requestor: WEBUSER It