HomeMy WebLinkAboutN2017-0221try
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City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3311
Online Inspection Request- www.newportbeachca.gov/Online
Services
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II Permit No: N2017-0221 ,
Project No: SCANNEDC
Inspection Requests Phone (949)644-3255
Job Address :
3600 SURFVIEW LN NB
Thomas:Guide: 919G2
Description :
EA FOR BRICK AND BLUESTONE CARRIAGE WALK
_
Parcel # :
4580-422-1
Legal Desc :
N TR 6228 LOT 4
Owner:
SCHWARZ KENNETH BRADLEY
Contractor: TERRA PRIMA INC
Phone:
0
Phone: 714-679-2002
Address :
3600 SURFVIEW LN
Address: 3800 TOPSIDE LANE
CORONA DEL MAR, CA
CORONA DEL MAR CA 92625
Contractor State Lie: 982237
Applicant:
SCHWARZ KENNETH BRADLEY
License Expire: 03 31, 2019
Phone:
0 [
Address:
3600 SURFVIEW LN
CORONA DEL MAR, CA
Business License : BT30045426
Business Expire : 11 30, 2017
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier: SOUTHERN INS CO
Policy No: OWC1005504
W. C. Expire: 03 31, 2018
Permit Processing Fee:
$0.00
Sewer Connection: $0.00
Total Fee
$982.00
Agreement Fee:
$817.00
4TT Box Cover: $0.00
Paid :
$982.00
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:
Date : _/_/
Other Department :
Date
Utilities Approval :
Date : _/_/_
Permit Denied :
Date
ry
&,/ A,017
Traffic Approval :
Date : _/_/_
Issued Permit :
-Date: /
General Services Approval : Date : _/_/
WOR4C�fiHEETj FC3� E�ICpRPAC[��F 1�1//1yy�NT PERMIT
vy 1 a vl r z / 4� QI,V7�lrOrGI M i i�i v e r au
r� n
x .I?WB�IC 111JIKS bEF�J�R�NT
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: ; ;,� �, -" -- � i C
DETAILED DESCRIPTION OF PROPOSED WORK:
.off 1 d\ �i. �� RA➢ • �!A �. fi k l H.., '�_t �`'ai '.. Ih.. '.
APPLICANT: Phone: — oo
Email Address:
Mailing Address: City/State/Zip:
UO pa Uy 1n2�
OWNER: 1 Phone:
all Address:
Mailing Address: City/StatelZip:
els'llem"m Ali
A4L:CONTRACTOR'INFORMATION IS' REQUIRED�pL"R/1SE'COMRLETE
CONTRACTOR:
pC Office Phone:
Company (if different): Jobsite Phone:
(SLRDc ? \"0' Other Phone: `I\`t 6-1 -Zoo
Email Address: 4ey\ro TAr4 A"Cu WC
Mailing Address: City/State/Zip:
State License Number & Class: City Bu iness icense Number:
Expires: 1 Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com any: , a Policy No: b Expires: hs,
Municipal 0 orations: 949-644.3055
Utilities: 949644-3011
Urban Forestry: 949444-3083
"IFOI2 OFFICE=t1SE:ONLY,'
Special Conditions of Permit:
" ',gDbITIONgL'AhARpVALA gU1,12ED,FR MTNl_`rt]ILL,QWIMG.DEPARTMENTS'.
Utilities: Traffic: Fire:
Municipal Operations Other:
Engineering Technician: Permit �pe ialist Date: Permit No.
1 �/�,, 1 �{�I N2017-
f'Nsem/ohwlsharetllencmachlmastsrc/enwnrksheet sle
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/AlleylWalk Closure:
Traffic Control Plan Check
8-1/2" x 11"
24" x 36"
Additional
Q
$241.00
$275.00
$817.00
$192.00
$502.00
$65.00 =
$1
Inspection Fee:
Public Works Field Inspection $165.00
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Newspaper Rack Inspection
Sewer Connection Fee
4TT Box & Cover
TBDBTBD
$108.00 0
$.00 $64:00"
64
Certificate of Compliance Fee (+100%of hrly over s 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 EasementtVacation Fee (+100% of hrly over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
------------------------------------------------------------------
TBDI
030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
�i �a. 0D
Permit list
Receipt No.
f/userslpbw/shamcVencrosch/maslemlep (rant and back masters/
Rev. 1/5/2017
epfeesheetxls+evlsed 1=1=16
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 Pennittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and
employees harmless from any responsibility, liabiljty, 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 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 whenhazardousground movement may be expected.
7. The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgmde 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 (ie: 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 $10.001
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 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 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 daysby 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.
D BY A&LJOC NS'117- : CO , TRACTpR
ante of"A t`zcaia#ion 4#=800 422 4133
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code) -
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
Compens tion Insurance, or a Cent ied Copy thereof.
te: ignature: dze
�— 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:
/P2 -hour notice for Encroachment Permit Inspection is required by calling
blic Works at 949-644-3311.�
--T5: 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 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 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, or 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 connectjcns,
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.
KENNETH BRADLEY SCHWARZ AND KATHLEEN COURTNEY SCHWARZ
DECLARATION OF TRUST
KENNETH BRADLEY SCHWARZ and KATHLEEN COURTNEY SCHWARZ,
hereinafter referred to as "Settlors" do hereby transfer and
deliver to KENNETH BRADLEY SCHWARZ and KATHLEEN COURTNEY SCHWARZ,
as Trustees, without consideration, the property described in
Exhibit "A" attached hereto. KENNETH BRADLEY SCHWARZ and KATHLEEN
COURTNEY SCHWARZ are also sometimes referred to herein as
"Husband" and/or "Wife".
1. Property Contributed
1.1 Property subject to this instrument and listed
in Exhibit "A" is referred to as the "Trust Estate" and shall be
held, administered and distributed in accordance with this
instrument by Trustees. Any community property transferred to the
Trust Estate shall remain community property after its transfer.
Likewise, any community property withdrawn from the Trust Estate
shall remain community property. Any separate property
transferred to the Trust Estate shall remain separate property
after its transfer. Likewise, any separate property withdrawn
from the Trust Estate shall remain separate property.
All property listed on Exhibit "A" is the community property of
the Settlors.
1.2 No present completed gift is intended by the
creation of this revocable trust.
1
particulars and request that the Trustees accept and execute it.
Dated: January 10,
mg
"Settlors"
STATE OF CALIFORNIA
COUNTY OF ORANGE 1 $e.
n this
RI
S. RONCA, aNotary 1Publicyinfandnforysaid9County andbeforemState, ANNE
personally appeared KENNETH BRADLEY SCHWARZ and KATHLEEN COURTNEY
SCHWARZ, personally known to me, or proved to me on the basis of
satisfactory evidence to be the persons whose names are subscribed
to the within instrument and acknowledged to me that they executed
the same in their authorized capacities, and that by their
signatures on the instrument the persons, or the entity upon
behalf of which the persons acted, executed the instrument.
WITNESS my hand and official seal.
MA MNNE & RONCA
COMM. i 1011641
'E Notory pumc — calfwNa
ORANGECOUmv
My Comm. EVUes JAN It IM
29
MARIANNE S. RONCA
Notary Public
`:.MEN RECORDED MAIL TO:
on 1 1 zy i u
Kenneth B. Schwarz
Kathleen C. Schwarz
3600 Surfview Lane
Corona del Mar, CA 92625
MAIL TAX STATEMENTS TO ADDRESS ABOVE
RECORDING REQUESTED BY:
PAID
DOC TRANSFER TAX
L'LE A. BRANCH
ORANGE W.RECORDER
RECORDED AT REQUEST OF
TITLE INS. & TRUST CO.
L
N, OFFICIAL RECORDS OF
RANGE COUNTY, CALIFORNIA
$ 5,00 CA.a9. JAN15 1979
A. BRANQ-I, County Recorder
THIS SPACE FOR RECORDER'S USE
'.Y TRANSFER TAX $ 50.60
_Computed on the consideration or value of property
conveyed; or
_Computed on the consideration or value less liens
and encumbrances remaining at time of sale.
The Irvine.Com
ignature of Declardfit or Agent determing tax - fira..name.
PARCEL No `2 L -0f,/„2
C041
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ticle
Insurance and Trust Company, a California corporation, as Trustee under Trust
No. 1R-1923-00-2, and The Irvine Company, a Michigan corporation (together
hereinafter "Grantor") hereby GRANTS TO KENNETH B. SCHWARZ and KATHLEEN C.
SCHWARZ, husband and wife as joint tenants
the following described real property in the City of Newport Beach, County of
Orange, State of California: Lot 4 of Tract No. 6228 as shown on a.map
recorded in Book 229, Page 25-32 of Miscellaneous Maps, records of Orange
County, California.
RESERVING UNTO GRANTOR, for the benefit of The Irvine Company, a Michigan
corporation, its successors and assigns together with the right to grant and
transfer all or a portion of the same:
(a) the right or license to enter upon the lot for the purpose of maintaining
the landscaping on the parkways and slopes on the lots, except slopes that are
exclusively between adjacent lots.
(b) the right to emplace on, under and across such lot, transmission lines
and other facilities for a community antenna television system, and thereafter
to own and convey such lines and facilities, and the right to enter upon said
lot to service, maintain, repair, reconstruct and replace said lines and
facilities; provided, however, that the exercise of such rights does not
unreasonably interfere with Grantee's reasonable use and enjoyment of said
lot.
(c) any and all water rights or interests in water rights and any, and all
geothermal rights or interests in geothermal rights, no matter how acquired by
the Grantor or THE IRVINE COMPANY, and owned or used by the Grantor or THE
IRVINE CCIMPANY in connection with or with respect to the property conveyed
hereby, whether such water rights shall be riparian, overlying, appropriative,
percolating, prescriptive or contractual, together with full right and power,
among others, to transfer or assign to others or to use or utilize on any other
property owncd or leased by the Grantor; provided, however, that the exception
and reservationmade herein shall not reserve to or for the benefit of Grantor
or THE IRVINE COMPANY any right to enter upon the surface of the property
described herein in the exercise of such rights.
RS161b11
MAIL TAX STATEMENTS AS DIRECTED ABOVE
02-2242 (3-15-78)
Amendment #03-3 (5-75)
C,
is
Q\
BK 12999PG 191 f
(SUBJECT TO
1. The reservation of The Irvine Company, a Michigan corporation, in the grant
deed recorded October 14, 1977, as Instrument No. 18243, in Book 12415, Page
997, of Official Records of Orange County, California, of all oil, oil rights,
minerals, mineral rights, natural gas rights, and other hydrocarbons by whatso-
ever name known that may be within or under the parcel of land hereinabove
described, together with the perpetual right of drilling, mining, exploring,
and operating therefor and storing in and removing the same from said land or
any other land, including the right to whipstock or directionally drill and
mine from lands other than those hereinabove described, oil or gas wells,
tunnels and shafts into, through or across the subsurface of the land herein -
above described, and to bottom such whipstocked or directionally drilled
wells, tunnels and shafts under and beneath or beyond the exterior limits
thereof, and to redrill, retunnel, equip, maintain, repair, deepen and operate
any such wells or mines without, however, the right to drill, mine, store,
explore and operate through the surface or the upper 500 feet of the subsurface
of the land hereinabove described.
2. General and special county taxes for the fiscal year.
3. That certain Declaration of Covenants, Conditions and Restrictions recorded
on May 26, 1969,in Book 8968, Page 94 of Official Records of Orange County,
State of California, and any amendments thereto, and the covenants, conditions,
restrictions, reservations, rights, easements, benefits and burdens therein
contained, each and all of which are hereby expressly incorporated herein by
reference as though set out herein in full.
4. All other covenants, conditions, restrictions, reservations, rights, rights
of way and easements of record.
IN WITNESS WHEREOF, said corporations have caused their corporate names and
seals to be affixed hereto and this instrument to be executed by their officers
thereunto duly authorized.
DATED; December 14, 1978 E The I vine Cc Rv, a chigar.
1F1 oti7 9 rpo tion
'
�NCORPORA?ED
— -- Vice Preside.
SEF?. 22, 1976
2i` ,44 B1
y Assistant Secretary
Title Insurance and Trust Company, a
California corporation, as Trustee
under Trust No. 1R-1923-00-2
By
Vice President
J
� By 1 _�
Assis•ta�nt Secretary
i`
02-222 (8-15-78)
RS161bl,-13 Amendment #03-3 (5-75)
sx 12999rc 19 i 2
STATE OF CALIFORNIA )
ss
COUNTY OF ORANGE
On nFC ? 9 197before me, the undersigned, a Notary Public
in and for said State, personally appeared 14 °'".^. ^^, g.67r,Erq,� f
known to me to be the Vice President, and c!',I�K C. WILLETTE
known to me to be the Assistant Secretary of THE IRVINE COMPANY, the corpora-
tion that executed the within instrument, known to me to be the persons who
executed the within instrument on behalf of the corporation therein named, and
acknowledged to me that such corporation executed the within instrument pursu-
ant to its Bylaws or a Resolution of its Board of Directors.
WITNESS my hand and official seal.
J
Notary' Public in and fad) said State
STATE OF CALIFORNIA )
) ss
COUNTY OF ORANGE )
644.i&c3 d'uwvLVPa-��d, �g9 F+OC sJ4W3&0
9
OFFICIAL SEP.L
6
0
..'ORNIA
a.
y _
My Commission
IIIV
L_'rw 3junc 1, 1982
Q
On DEC 2 2 1978 before me, the undersigned, a Notary Public
in and for said County and State, personally appeared Curtis W. Merril,l
known to me to be the Vice President and R. W. Stan Or
known to me to be the Assistant Secretary of the corporation that executed
the within instrument, and known to me to be the persons who executed the
within instrument on behalf of the corporation therein named, and acknowledged
to me that such corporation executed the within instrument pursuant to its
Bylaws or a Resolution of its Board of Directors.
WITNESS my hand and official seal.
Notary Publi' in 4dd for said State
RS161b14•
oocoeaooa0000aooesocoovo®oeoo�
OFFICIAL SEAL
s "'* in iCY J. MOOPE
® �. NOTE � A
O
a GflAAI6E COUNT
s uy Commission Expires INarch 26, 1990 �
s
oa000aw000000000eooaooeoeasero
VL_L k0-1J—/O/
Amendment #03-3 (5-75)
1/2/2018 City of Newport Beach Page a of 9
4:30:26PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/03/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 3600 SURFVIEW LN
Activity.: N2017-0221
SubType : NEW
Status : APPROVED,
OWNER: SCHWARZ KENNETH BRADLEY Phone: 0
APPLICANT: SCHWARZ KENNETH BRADLEY Phone: p
Description : EA FOR BRICK AND BLUESTONE CARRIAGE WALK
Item: 10250 FINAL - PW
I,
Requested Time: 1/3/2018 12:00:OOAM Requestor: WEBUSER
7146792002
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz`
Inspector: V Date: `3 (U Time: I�AM M
Comments
I
F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
REPT131_ Run Id: 4018
l
i'1