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Home My WebLink AboutN2018-0311City of Newport Beach 11111111111111111111111111111111111111111111111111111111 ` 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 3 1 1 ,Y Permit Counter Phone (949)644-3311 K. -z Online Inspection Request - www newportbeachca gov / Online Services Permit No: N2018-0311 Project No ,SGA! V ED Inspection Requests Phone (949)644-3255 Job Address - 1 PUBLIC ROW NB Thomas:Guide: Description Install 172 LF of 2-inch gas main on Carmel Bay Drive between Little River Circle and Point Sur Drive. Concrete and pavement restoration per City Standards Parcel # Legal Desc : Owner: CITY OF NEWPORT BEACH Phone : Address Applicant: SOUTHERN CALIFORNIA GAS COMPANY Phone : 714-634-3038 [ Address : 1919 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Special Cond.: Pre -job inspection requned Traffic control per WATCH Contractor : NPL CONSTRUCTION CO Phone : 623-582-1235 Address : 2355 W UTOPIA RD PHOENIX, AZ 85027 Contractor State Lic: 732974 License Expire : 02 28, 2019 Business License: BT30013384 Business Expire : 02 28, 2019 Workers' Compensation Insurance - - Carrier : AMERICAN ZURICH INSURANCE CO. Policy No : WC6510563 W. C. Expire: 04 01, 2019 Permit Processing Fee : $241.00 Sewer Connection $0 00 Total Fee $2,716.00 Agreement Fee $0 00 4TT Box Cover: $0 00 Paid : $0.00 Traffic control Plan Check : $0.00 Total Water Meters . $0 00 Balance: $2,716.00 Inspection Fee $2,475 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: Date _/ / Other Department : Date: Utilities Approval Date. _/_/ Permit Denied Date: ? 1 Traffic Approval . Date . _/_/ Issued Permit Date General Services Approval . Date \, omQ\t4 el COMPLETE THE -BELOW i FOR AT ON PROJECT ADDRESS: W DR. G9DETAILED DESCRIPTION DESCRIPTION OF PROPOSED WORK (include measurements): MAIN REPLACEMENT **TCP, WATCH MANUAL ** (1) 200'X'2 ASPHALT (2) 4'X4' CONC CUT WR# 2040741735 MCU# 5196240 APPLICANT: SOCALGAS Phone: 714-634-3038 Email Address:JYLEE@Semprautilities.com Mailing Address-1919 S. State College lty/state/Zip:Anaheim, CA 92806 I OWNER: Phone: Email Address: Mailing Address: City/State/Zip: ICONTRACTOR: Office Phone: Company (If different): Jobsite Phone: Other Phone: Email Address: Mailing Address: City/State/Zip: State License Number 8, Class: Expires., City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an : Policy No: Ex (res., I REFUNDABLE DEPOSIT INFORMATION if A plicable ): Refund Payable To; Malt Refund To: Special Conditions of Permit: ?re --'ob rk+4 ec*arn re reJ - T,ror, ; cohkroi Ptr WA?CN ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineer: PWS: Date: Permit No. N2007- NUS e(lipCwfshared/encroach/mastam iepwork sheet Jls Pubic Works Department 949.644-3311 3300 Newport Boulevard, Newport Beach, CA 92663 i po.I r?OW FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: i Pub►; c "Row PERMIT N2018- a3t ; NUMBER: APPLICANT: TO BE COMPLETED BY PUBLIC WMKS DEPARTMENT Permit Processing Fee: Q Inspection Fee: Qtv. Public Works Only $241.00 1 Public Works Field Inspection $165 00 15 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 $817 00 Document Recordation Fee $192 00 Refundable Deposit: TBDB Monitoring Wells $502.00 Improvements TBD Street/Alley/Walk Closure: $65 00= Newspaper Rack Inspection $108.00 0 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 _ 1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division ]Approval: REVENUE DIVISION PRIOR TO PAYMENT OF FEES 1 Qty. 1 (Water Meter: Installation Charge $528.00 1 U 13/4" Meter $50.25 1 11" Meter $121.50 Water Meter Boxes: 1 11 1/2" Meter $285 00 1" DFW Meter Box $96.66 1 11 1/2" Turbine Meter $700.00 2" DFW Meter Box $203.24 1 12" Meter $425.00 1 1 12" Turbine Meter 13" $845.00 1 Meter 14" Meter $3,310.00 $4,730.00 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 izo a ; x 2 . _) it o . --- Permit Specialist Receipt No. f'userslpbw/snarediencroacn/mastersiep front and back masters) Rev 12/18/2017 epfeesheetAs-revised11/8/17 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 WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) 1 Encroachment Pernuts may be taken out by the owner of benefited property or a licensed contractor A licensed I certify at I have a Certificate of consent to self-msu e, Certrfi ate of Worker's contractor must provide a Letter of Authorization' to allow another party to pull a permit An approved copy of the kept times Work, has been done to Compe sation Insur nce, or a Certified Cop the eoff ' I permit and construction plan shall be at the lob site at all which prior issuance of a permit, is subject to rejection/fine City reserves the right to void permit if work does not commence within 30 days Date: / Signature: after date of issuance CERTIFICATE OF EXEMPTION (Section 800 Labo Code) 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 ansing out of any accident, loss I certify that in the performance of the work under his permit, I shall not employ or damage to persons or property occurring as a result of work undertaken under this permit any person so as to become subject to California Worker's Compensation Laws. If, 3 All work shall be done in accordance with the approved plans Standard Special Provisions and Standard Drawinys after signing this certificate I become subject to the Worker's Compensation of the City of Newport Beach and in compliance with all applicable State laws and City ordinances provisions of the State Labor Code, I must coin I ith the provis' ns of Section 4 Permittee guarantees all work performed under this permit to be free of hidden and latent defects Any failures shall 3700 or this rmrt.Shall be deemed revoked. be corrected within two weeks after notification to the satisfaction of the Public Works Director 5 A valid Slate licensed contractor must perform all construction within the public right-of-way, unless waived by the Date. Si u 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 Imes a valid State Contractor License Class C-34 is required For construction or CONTRACTOR LICENSE EMPTION 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, As the Owner of the benefiting property, I ce fy I am person fly performing all in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public work in the Public Right -of -Way. Works Dept Contractors shall obtain permits to perform excavation or trench work from the California Division of Date: Signature: 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 HOLD HARMLESS STATEMENT 7 The Public Works Department Inspectors must inspect all work in the Public right-of-way Forms and subgrade must I understand that I am locating minor encroachments within the City Right -of - be inspected and approved before concrete is ordered/poured Sewer, pipelines, and subgrade construction must be Way/Easement. As property owner it is my responsibility to maintain the inspected and approved before backfilling, or applicant may be required to excavate site Separate Utilities encroachments. I will be responsible for replacing the improvements if the City Department or General Services Department inspections may be required depending on scope of work performed removes them for maintenance of utilities or other public need. I shall indemnify 8 All trench restoration must be inspected by the Public Works Department No utility installation(s) shall be allowed and hold the City harmless for any liability associated with the minor over or within 5 feet of any City utilities, unless approved by the Public Works Department Locate and pothole encroachments. 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 VCR or PVC SDR35 be used with a Date: Signature: 4TT box over the riser 24-hour notice for Encroachment Permit sprection is required by calling 9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions All "Manual signs, flags lights and other warning and safety devices shall conform to the requirements of the current of Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the Public Works at 949-644-331 California Department of Transportation If needed, barricades can be obtained from the City at a charge of $10 00 15 Any above ground utility facilities wi require documented approval from the adjacent 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 affected property owner(s) 10 Work within or near beach sensitive areas will not be allowed during City holidays spring break Memorial Day eer 16 Homeowner, contractors, and subconlracotrs may each be liable for violations of Water er weekend, summer between June 15 aSeptember 15, and during the holiday season from December 19 to Quality Laws Best Management Practices will enforced t is against the law to i i January 1 unless approved by the Public Works Department Any work that extends into traffic or parking lanes and impedes the normal flow traffic requires the applicant to discharge construction debris into the gutter and storm dram Felony violations of Water acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and Quality Laws are punishable by fines up to $25,000 and/or up to three years in State Anson plus the full cost to clean up an illegal discharge or spill emergency vehicles must be maintained at all times Traffic Control must be per Work Area Traffic Control If a refundable 17 If a refundable deposit was paid, applicant must submit a Soils Compaction applicant 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 or Evidence of a Slurred Ba kfill and request a final inspection from the the Public Works Department Any work affecting the Slate Highway's traffic or within the State Highway right-of-way Public Works Department Monies may be held for six months after final inspection will require a Caltrans Permit All vehicles shall be lawfully parked before a refund will be processed 12 f-his permit does not authorize the closure of sidewalks streets or alleys for construction access, storage of 18 No trees in the public right-of-way shall be planted, removed, trimmed, or relocated materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure without approval from the General Services Department 13 Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant 19 All work in the public right-of-way must meet the approval of the Public Work, must notify all affected residents 24 hours in advance of restricted access and any inconveniences Department or corrections will be required (i e removals, exposing connections, 14 Refuse of unused materials shall be removed within 24 hours after completion of the work If not removed, the City etc ) Additional inspection fees may be required may remove and bill the applicant Coordinate alley closures with City s refuse pick-up days by calling 949-644-3066 20 Permit is for standard materials in the public right-of-way only, unless previously for the collection schedule so service is not interrupted To place a dumpster or materials in the public right-of-way, a approved by Public Works and an Encroachment Agreement has been processed Temporary Street Closure Permit most be obtained from the Public Works Department 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 ckn wledges he/she has r ad an nderstand he 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. pp Permit fees are nonrefundable. Date. w _( �`�Signature: _ _ EXCAVATIONS FOR PERMIT PLANNCU 1 0 F g• ANDREWALDAYyTE MV1H8 ,R.RNOTA �'=t0 �•"' CONSTRUCTION COMPLETION .._.-LRRENTOMMEREDATE 8• S. KOTOWSM 'DATE IWInS _ - yyplg ' MEETING - TES :.OWINY REPRESFM/.TNE � J � � --ON CITY Ox NEWPORT BEACH COUNTY OP. ORANGE ILLi�i _ REGION NAME SOUTHEAST PLASTIC PIPE LOT NUMBER DISTRICT NAME. SANTA ANA R a • EXIS!� IN51' J ABAND7 8Y ATlA55NEEf (g)ILFAK SURJEI'MEAISI �•-30, OC 8603K _ T. T. • TYPE LOT •. AFFECTED FACILITIES } x $ - - s ' PIPE PRESSURE TEST PRESSURE DISTRILTB u0� _ GRAND TOTAL S - 172' OF 2" IPS P_M :" MEDIUM ✓•c1n5 sm HIGH r GAg gre wmsc —net 0/>c C1A58 LDCATpI z S A " �- �o NAP g gloo6A A - 160' OF 2' PAM £ _ _ _ - £ LOCATION ' 'N TO LOCATd1 ' 9 SUPPLY LINE • NA OPEN TRF NCH / ASPHAI T PI IR DROP s ? = E E - TEST PRESSURE aioory i iuc vvacc NI N201$ -0311 MAW" NS FOR PERMI' NAME CITY COUNTY of } ~ W W O < 2 <~ Y u U z Q aril < �� z '2 a 0 W 1 z 2 x � a x 4 = 6 n x + 6 a = a = + x e.I + GRAND TOTAL x SQUARE FEET PLASTIC PIPE N.,MBER EXIST_ INST_ ASOLD_ BY PE TYPE LOT. 1-172'OF 2'IPS P_M A - 160' OF 2" PAM OPEN TRENCH ASPHALT PUB PROP PLANNING a SKETCWNG PLANNED ABASE B` ANDREWALDAYDATE 01/ 18 Sy RJMTA DIE IM&17 _ CONSTRUCTION COMPLETION V M CURRENT OWNER s DATE 9- S. NOTOWS v-E MISS eY DATE sxRto+s m 7e PRE �JNF-R'JCTIlN MEE'INS YES _ No RKQIR®MRIIA WICDI�AMY REME5ENi1TNE. _OCATIOh .NFORMATION THpMS GLIDE PAGE • HS•M1 kA 1 "=30 PIPE PRESSURE `EST MEDIUM ✓+�"I5D - HIGH As sm VIM LOCATION a TO LO nON - B . TEST PRESSURE MINIMUM Loo PSIG NKAIMUM 1 PSIG ACTUA. TES PRESSURE _ PSIG TEST MEDIUM MR ✓ NRROGEN OTHER DURATION 0 MRS MOOR A MIN. S(iN DATE MINT NAME: PRINT TITLE CT NEWPORTBEACN ___ COUNTY OF ORANGE REGION NAME SOUTHEAST p CT NAME SANTA AM ATLASSHEET,SFANSURVEYME fS) _ OC ESB u q GF E;TE: LF _,_ DIES MESSURE DISTRICT 42003 GIST RR P 43 SET mop M C-ASSLG TION [' -2 —3 _4 tsow I 4200E.A SUPPLY LINE I WA SUPPLY LINE PRESS. WA SN.Y$ ] M 0 R YES NO" REGSATIONIDI WA RSV WA P_E MEGARJ_E xiP PCB FREE MEAL NOT BPO'[ IMT DMTRCT� ANNJAL BUSINESS LEAN SURVEY AREA O P'PFT MITI!ON N0[Tp1f ARt1CA4E)YES[ N W2 CATHODICAL-' PROTECTED YES [ NOp Z CPAREAI NI _DATE WA p NER WA BRIDGE OF SPAN INVOLVED YEs [ NO[� MILL MY WE SE LEFT EAPOSED YES _ Li rES RouTE AsaIaT Clx+rm BRMNMIJ ENVtRONMENTA, CLEARANCE REQUIRED YES C NoE( ISSUED SY. DATE STORMWATER. MAPSONLY SCGSWPPP[ PP AjcAw swPM ^ ... L.....L �.............L.............. YES [ NOL� _ IF YES M3RBONYIEM710MBIMLAOWgt1 _ MISCEL_ANEOU5 P-ANNINC STAAlm SMINGREOUIREO YES NO VALVEtS, REQUIRED YES C NO PBTELINE MMNERS REQUIRED YES [ NO YES pSRIAY LDtATpN JOINT TREK H YES � NO ISSUED BY PERMIT• ISSUED SY REVIEWED I PRINT NAME '_ 2 Rea* NiENG 1Eu TEE JS - fi K U'R Z CP O_ R P � J D.Aifui AREA VICATlll Q AREA . Fd. RI fO 0 s _FSU 95 psi F5 REVIEWED PRINT NAME <'E USPSJ LPV, DISTRICT n' __INSPECTOR _ < _ ABANDON PIPE_INE SAMPLING REQUIRE- IPERU58TANDMDtp IAN31 VESL NO — DATE (GINNGEW TOM ON IN.1W.Wp; CROSSING SEWER LATERALS yES [ Np[ NtA6EN OF UTEPKS CLEARED IETNOM51 USED i0 VERFY.pU�lKKNBI OPFN TIENCM [ UAEAA [ PoTNpF OTMEREEl EXUVATION [ R.A58TDMMoIn; OTHER I IFTHDD O iA IO411IIE LOU�TpM COI0.D XOT BE G CET91rBM BOICATE TIEAWREStRACAIN)N AMD REASDII YRIY ON TMNTE C CT DAZE F RATE I0 DESIGN CHANGES p - •ERE CNNIDF51RC TJTNE Q DE&31ED RPE pi C01B'ONENT YES [, NO �, p RYES TECIMCAL eERvtcEa ARIRWVILLMREDMREDI W REWFENO WE IL UPWTEp TO 4ER S TBS. DATE'._ SACKFILL T"PEUl;r F _ GASwc�ANDUNG CO_YIKT%l11 _YEB y NO`I_ GAS MAHDLING REy8:11®MD FERFORIEJ AS PW:IED PER d3 sm Ill m' YES[ NO[ N MO RLSAQ RRWC! SIO4MATI0101 SIO'fUll SIGN RATE_ PRIN!IIMIE rTIT.E I- 172' OF 2" P_M OPEN TRENCH (PUB PROP) A- 160' OF 2" PAM (PUB PROP) CREW FDRENM CDI®MY. TOTAL FEET: TOTAL FEET DATE MOVED DATE OF I DATE MOVED INSTALL WJN WITH Ai LEJUT 2E' RETIREMENT INSTALLED 1 RETIRED SIN JOBOPERATION I OFF JOB. NBMS#WA MTPARGELS146M RERi WA _I^I SoCalGas DREAMS# --- RAND PUBLIC DESIGN R DESIGN NAME -- - - -- ORDER OP.s-- ----- CAD FILE _ - - Ni- - - 002040741735 TAXO N20i'S -0311