HomeMy WebLinkAboutN2017-0146Job Address
Description:
Parcel # :
Legal Desc :
Owner:
Phone:
Address
City of Newport Beach IIIIIII IIIII11111111111111111111111111111111111lII
100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 1 4 6
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
Permit No: N2017-0146
Project No : 0297-2015 SCANNED
Inspection Requests Phone (949)644-3255
1301 KINGS RD NB Thomas:Guide: 889A6
Install variable width sand finish concrete carriage walk within Kings Road right-of-way. Encroachment agreement required.
0492-222-4 -
N TR 1219 BLK E LOT 35
GREGORY CHELSEA/SEPERATE PROPERTY
1301 KINGS RD
NEWPORT BEACH CA 92663
Applicant: TREVER AND CHELSEA GREGORY
Phone: 949-646-4819 [
Address: 1301 KINGS RD
NEWPORT BEACH, CA 92663
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
EA REQUIRED
Contractor: GREGORY BUILDERS
Phone: 714-747-4027
OEM Address : 233 OCEANVIEW AVE
NEWPORT BEACH CA 92660
Permit Processing Fee :
$0.00
Sewer Connection :
$0.00
Agreement Fee :
$817.00
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 State Lic: 719030
License Expire : 02 28, 2018
Business License :
BT20012402
Business Expire:
06 30, 2017
Workers' Compensation
Insurance - -
Carrier:
CALIFORNIA INS
Policy No:
4604999801
W. C. Expire: 09 28, 2017
Total Fee $982.00
Paid : $982.00
Balance: $0.00
Receipt No:
Other Department : Date
Permit Denied Date
Issued Permit : / L Date :q/LI 7
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSEDCONTRACTOR
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 date 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. Permitted 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 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,
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 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.
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 (is: 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 $10.06
per barricade per day, with a minimum charge of S35.00. 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.
I I 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 lariats) 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 State Highway's traffic or within the State Highway right-of-way
will require a Callrans 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 dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department.
No work. related. tothis encroachment permit shall be performed until the Public Works. Department ha
conditionsof this permit and he/she agrees to abideby them. Permit is void if work is not commenced.I
Permit fees are. nonrefundable.
WORKER'S COMPENSATION INSURANCE (Sec ion 3800 Labor Code)
'y that I have a Certificate of consent to s In re, Certificate of Worker's
�nsatipn Insurance, or a,Certif}ed Copy ereoje
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:
�ZV--hour notice for Encroachment Permit Inspection is required by calling
Public Works at 949-644-3311.
15. Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
Quality Laws. Best Management Practices will be enforced. It is against the lave to
discharge construction debris into the gutter and storm drain. Felony violations of Water
Quality Laws are punishable by fines up to S25.000 and/or up to three years 6n State
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 the
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, a relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Works
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.
lermit. Applicant hereby acknowledgeshe/she has d a understand a terms and
days after issuance.
�/�. Date: y(.7/2 iq ature:
Permit Processing Fee: Q Inspection Fee: rQt
Public Works Only $241.00 `Public Works Field Inspection $165.0
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 ReporUAgreement $817.00
Document Recordation Fee $192.00 Refundable Deposit: TBD
Monitoring Wells $502.000 Improvements TBD
StreeVAlley/Watk Closure: $65.00= Newspaper 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 4TT Box & Cover $64.00=
Additional _ _ —
THE FOLLOWING ITEMS REQUIR APPROVAL FROM THE Revenue Division j
REVENUE DIVISION PRIOR TO PAYMENT OF FEES +JApproval:
Qty. Q 1
(Water Meter: Installation Charge $528.00
•nruu�_..__ man 0&1 IAYn"r Main.. Rnvnc•
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
$189.00
6" Meter $7,190.00
r
�a .. _ MIS6ELLANESOUSTEEB
i
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
6200-5015'
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 EasementfVacation Fee (+100% of hriy over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDJ
030-2284
Engineering Tech:
Total Amount Due:
For Finance Use Only
Permit Specialist
Receipt No.
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f/usersipbw/shared/encroach/masters/ep front and back masters/
10121/2016
l). Rev. 1/5/2017
r`- �... 6
epfeeshoet,As-remsed
I�
FIDELITY NATIONALTITLE
ORANGE COUNTY
RECORDING REQUESTED BY
Escrow No.: 00082831-001-NT
Title Order No.:
When Recorded Mail Document and
Tax Statement To:
TREVER GREGORY
CHELSEA GREGORY
1.301 KINGS ROAD
NEWPORT BEACH, CA 92663
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk -Recorder
15.00
*$ R 0 0 0 7 4 4 6 0 4 8$
201500019305912:31 pm 04/15/15
217 Sec4 G02 F13 3
0.00 0.00 0.00 0.00 6.00 0.00 0.00 0.00
Parcel No. 049-222-24 SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s)
Documentary transfer tax is $ 0.00 City Tax $ 0.00
computed on full value of property conveyed, or
computed on full value less value of liens or encumbrances remaining at time of sale,
Unincorporated Area City of Newport Beach
"This conveyance transfers the grantor's interest into or out of his or her revocable living trust, R & T 11930."
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Chelsea R. Gregory, as Trustee of the Chelsea R. Gregory separate property trust established December 12, 2012
hereby GRANT(s) to
Trever Gregory and Chelsea Gregory, Husband and Wife as Joint Tenants
the following real property in the County of Orange, State of California:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Dated: January 31 2015
Chelsea R. Gregory, as Trustee of the Chelsea R.
Gregory separate property trust established
December 12, 2012
s-0 LJ 0 15
Chelsea R. Gregor Tru tee Date
MAIL TAX STATEMENTS AS DIRECTED ABOVE
RTGRANTDEE3 (DSI Rev. 10/29/14)
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