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HomeMy WebLinkAboutN2017-0216�,�.�.,,�� City of Newport Beach I�1111111III)IIII II III II IIIIIIIIII II��100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 1 6 Permit Counter Phone (949)644-3311 Online Inspection Request - www newportbeachca.gov /Online 4. Services Jill ; 14 Job Address 4341 MACARTHUR BLVD NB Thomas:Guide: Description : Install 25 LF of 2-inch CATV conduit in dirt area behind sidewalk on Corinthian Way behind address. Parcel # : 4271-740-3 - Legal Desc : P BK 287 PG 37 PAR 2 Owner: ALISON CO Phone : 0 Address : 4341 MACARTHUR BLVD #A NEWPORT BEACH, CA Applicant: COX COMMUNICATIONS Phone: 310-265-5875 [ Address : 27121 TOWNE CENTER DR FOOTHILL RANCH, CA 92610 Special Cond. : COMPLETED 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 : $165.00 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 _/_/ Contractor Phone: Address Permit No: N2017-0216 Project No . Inspection Requests Phone (949)644-3255 859F7 ANN—Q) FISHEL COMPANY THE 951-685-9482 951-254-8095 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: $406.00 $406.00 $0.00 Other Department Date: Permit Denied : Date: Issued Permit: 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 nnav be liken out by the owner of benefited property or a licensed contractor A licensed contractor must provide i 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 fob site at all limes Work which has been done prior to issuance of a permit, is subject to icjechon,fne (:ity reserves the right In void permit i1 work does not commence within 30 days after date of issuaw e 2 the Permittee agrees to defend indemnify and hold the ;sty 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, S6unaid Spoc,ml Pruvisrons <nncl Sldwhird Drownuls of the City of Newport Beach and in compliance with all applicable Stale 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 State 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 paikwaylroadway and City Standard 140-1- 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 feel in depth shall be protected by a shoring system, sloping of the ground or other equivalent means Trenches less than 5 feel 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 CitV-owned utilities tie water sewer or street lighting conduits) to verify locations Maintain a one -foot clearance over or under existing OtV-owned utilities Sewer cleanouts require VCP or PVC SDR35 be used with a 4TT boy over the risei 9 Properly lighted barw,ades 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 nthe, Devices for the Use in Performance of Work Upon Highways" issued t the California Department of t ransportation It needed barricades can be obtained from lire City at a charge of 510 00 per barricade per day with a nnninium charge of 835 00 It is the responsibility of the applicant to place barricades to protect the general public Access to fire hydrants mist be maintained at all times 10 Work within or near bearh sensitive areas will not be allowed during City holidays, sprinq 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 PUbIc. Works Department 11 Any work that extends into traffic or parknq lanes and innpede,, the normal flow of traffic requires the applicant to acquire a lemporary Street ;Iosuie f'ermil from the Public Works Department Access for fire police and emergency vehicles musl he maintained at all time,; iraffu Control must he per Work Area traffic Control Handbook (`vVAT ;Hi No nighttnnne haffir lane ( last ves unless prior approval has been granted Anv lanes) closure on a major street will only he allowed h0ween 9:00 a in. and 3 00 p m (Monday thru Friday) unless approved by the Public i.Nnrks Department Anv work affechnq the Slate Highway s lraff (. or within the Stale Highway ugh/-of-waV will require a Caltmris Peimit 411 vehicles .hall he lawfully; parked 1) This permit does not authonle the c loswe of sidewalks streets, or alleys for c,onstruction access, storage of materials, of paikinq of i onsluu lien vehic les 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 34 hours in advance of restricted access and any inconveniences 14 Refuse or unused malenals shall he twnmed within 74 hours after completion of the work If not tennoved the City may remove and bill the apphc ant t :ootdnate alley closures with City s refuse pick-up days by calling 949-644-3066 for the collection schedule so service is not interrupted Io place a dumpsler or materials in the public nghl-of-waV a Temporary Street Closure Permit mist he 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, 1 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. I24-hour notice for Encroachment Permit Inspectit � e d by calling I Public Works at 949-644-3311. �lG 15 Any above ground utility facilities will require dOCUrnenled approval frnni the adjacent affected property owner(s) 16 Homeowner, contractors and subcontracolrs may e,iOn be hahk for vc l,licnis of Vi,il- Ouahty laws Best Management Practices will he enforcers II i, agansl the la,^. I,, discharge construction debris into the gutter and slorm drain I elony vnlatinm, of Chnahty Laws are punishable by fines up to 575 000 and,or up io Pin yr ar , it, 51;rii prison plus the full cost to clean up an illegal discharge or spill 17 If i refundable deposit was paid applicant nuns/ suhntit a Soil', Crnrnpa, hc­n Certificate or Evidence of a Slurried Backfill and request a hn,nl inspection from tl,c Public Works Depaitment h,lonies may be held for six months after final nnspochun before a refund will he processed 18 No trees in the public, right-nf-way shall be planted remov('d tnninwc ! c,; 1f,k), nic ;i without approval from the General Services Department 19 All work in the public right-of-way must meet the approval of the Public `Vo;k . Department or corrections will be required (ia removal`; (,xposinq (o11lWcb,,ns etc I Additional inspection fees may be required 20 Permit Is for standard materials in the public, right-of-way only unle Fl('Vinut,ly approved by Public Works and an Encroachment Agreement has heel) prcic.essed 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 fc-�e� No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby ac nc ledges he/she has read and understa s 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 iqs, uance. Permit fees are nonrefundable. !r"' Date: 3 ( Signature: 7 z 7/77 74 7777 77 1-7777 FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF keWPOW BEACH fPUBUC W0kK8 bEPA1kTMtN1r All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: g541 Moeor+Awr Btvet PERMIT NUMBER: N2017- o2+ly APPLICANT: Cov- Csw+rviuw; co++ axS Permit Processing Fee: Q Public Works Only $24.1 00 1 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $81700 Document Recordation Fee $19100 Monitoring Wells $502.00 Inspection Fee: Public Works Field Inspection Utilities Field Inspection General Services Inspection Water Quality/Artificial Turf Inspection Refundable Deposit: Improvements Qtv. $165.00 1 $121.00 $165.00 $108.00 TBD TBD Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250 00� 24" x 36" $143 00__J 4TT Box & Cover $64.00 Additional THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE ]Fe7er77e7Nv7sion 1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1 Qty. (Water Meter: Installation Charge $528 00Q 13/4" Meter $50 25 Water Meter Boxes: 1 11" Meter $121.50 For Parkway & Sidewalk Area (Box + Cover = Cost) 1 11 1/2" Meter $285.00 1" Meter: 13.00 + 37.00 $50.00B 11 1/2" Turbine Meter $700 00 2: Meter: 27.00 + 61.25 $88.25 12" Meter $425.00 1 12" Turbine Meter $845.00 For Traffic & Alley Areas (Box + Cover = Cost) 1 13" Meter $3,310.00 1" Meter: 13.00 + 38.00 $51 00 14" Meter $4,730.00 2" Meter. 27.00 + 162.00 $189.001 16" Meter $7,190.00 1 Qty. Budget Number 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 hrly 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 +, Ltou. — ? At D S - 3 — l� Permit Specialist Receipt No. 2 ^ 1� n fi^) ` f /users/pbw/shared/encroach/masters/ep front and back masters/ Rev 1/5/2017 epfeesheet As -revised 10/21/2016 ( CB00097 ) WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT COMPLETE THE BELOWINFORMATION PROJECT ADDRESS: 4341 MacArthur Blvd (work on Corinthian Wy & Martingale W DETAILED DESCRIPTION OF PROPOSED WORK: 25' Dirt trench to place (1) 2" duct, exiting R/O/W. APPLICANT: Cox Communications Phone: 310-265-5875 Email Address: sina.muckenfuss@cox.com Mailing Address: 2712, 1 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: 714-549-2299 Company (if different): The Fishel Company Jobsite Phone: Other Phone: Email Address: Mailing Address: 647 Young St City/State/Zip: Santa Ana, CA 92705 State License Number & Class: 678942 A, B, C-7, C-10 Expires: 10/31/ 17 City Business License Number: BT000140 Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Arch Insurance Company Policy No: 31WCI8940400 Expires: 8/01/17 REFUNDABLE DEPOSIT INFORMATION (If Applicable): Refund Payable To: Sina MU&enfuss, Cox Communications Mail Refund To: 3415 Kashiwa St, Torrance, CA 90505 FOR OFFICE USE ONLY Special Conditions of Permit: ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Technician: r2od; Public Works Specialist: -Rcd; Date: S ^ 2 - ►'l Permit No. NZ01-1 - 02' V ( /users/pbwlsharedlencroachtmaslers/epworksheel xls leipartment 949-644-3311 4341 MACARHUR Blvd, Newpon ,AVI, NI ARM SLNU 10 YOUH ]HALAL 'HONI 9, idd a missIna plea:& Project# 41020170315CB00097 4341 MACARTHUR BLVD NEWPORT BEACH, CA. Cox Planner: John Howard john.howard@cox.com 949-563-8857 Bosscal Kitchen and Libations- Newport Ten Asian Bistro - 5: {" SNA Auto Rental U j Padlsson Hotel Newport Beach f] O 1 C] Avant Gar O Ssples0 t4341 M•cathur /'\ aot/•verd WORK AR.F mp ti Southern States University - hew3on... C assic 0 Seaga, Fine The Seegmdler Law firm O:= MSC Software Corporaucn o U Extended Stay America UranjeCounty • John... ©Wells Fargo Bank ©Banc of the West f Monex Preci, Cuisine of India _ 7-Eleven 0 _ ©'he Pacific Club t GhcewelllGpra gle 0 ;J Map tl la ®:017 Gocgle Terms S M 1eetlOack ~2Dd n Project# 41020170315CB00097 4341 MACARTHUR BLVD NEWPORT BEACH, CA. Cox Planner: John Howard john.howard@cox.com 949-563-8857 EXIST COX 2'X3' V A All construction vehicles to utilize adjacent narkina Int to nmr4 (1) 2" conduit, exiting ROW �., NP� \ G 5/1512017, City of Newport Beach Page 2 of 13 4:30:41PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/16/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 4341 MACARTHUR BLVD AMID Information: Activity : N2017-0216 SubType : Status : APPROVED OWNER: ALISON CO Phone: p APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Install 25 LF of 2-inch CAN conduit in dirt area behind sidewalk on Corinthian Way behind address. Requested Inspection(s) Item: 10050 EXCAVATION- PW Requested Time: 5/16/2017 12:00:OOAM Entered By: NBIVR Comments: AM Assigned to: Requestor: NBIVR 9493373947 w f Inspector: J Date: s( /0 r7 Time: /7` 5-�O- AM M Comments:C-f) L�A/+�&c/-T_„ F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSUnspectorSheet doc REPT131 Run Id: 4018 1/10/2022 City of Newport Beach Page 6 of 20 6:30:45AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/10/2022 Inspection Type: ENCROACH Inspection Area : PW Site Address : 4341 MACARTHUR BLVD A/P/D Information: Activity : N2017-0216 SubType : Status : APPROVED OWNER: ALISON CO Phone: 0 APPLICANT: COX COMMUNICATIONS Phone : 310-265-5875 Description : Install 25 LF of 2-inch CATV conduit in dirt area behind sidewalk on Corinthian Way behind address Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/10/2022 12:00 OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: 'ANY-' Assigned to : zzzzzzzzzzz* /�=.i.a/sa/ ap 406, ,P,F,P" ev,#"Ad r.