HomeMy WebLinkAboutN2018-0174,�ygW1^rye City of Newport Beach 1pil 1111111111111111111111111111111111111 g II
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3311
s. Online Inspection Request- www.newportbeachca.gov/Online
Services
Job Address : 114 RUBY AVE NB Thomas:Guide:
Description: EA FOR BRICK ENTRY WALK; DEMO PRIOR FENCE AND BRICK PLANTER.
Permit No: N2018-0174
Project No: 2987-2016 SCANNED'
Inspection Requests Phone (949)644-3255
919C1
Parcel # :
0501-020-7 -
Legal Desc :
BALBOA ISLAND SEC 2 BLK 2 LOT 23
Owner:
BALLEO NEZ
Contractor: BURKHART BROTHERS CONSTR
Phone:
Phone: 714-350-3892
Address :
114 RUBY AVE
Address : 12 BALBOA COVES
NEWPORT BEACH CA 92662
NEWPORT BEACH CA 92663
r
f�a
Contractor State Lic: 905510
Applicant:
GOETZ ANDREW
License Expire : 10 31, 2019
Phone:
949-673-3152 [
Address :
2855 E COAST HWY #234
CORONA DEL MAR CA 92625
Business License : BT30026859
Business Expire : 03 31, 2019
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance --
Carrier: STATE COMP
Policy No: 9041905
W. C. Expire: 02 01, 2019
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:
$0.00
Processed By:
Date : _/_/_
Other Department:
Date : /_/_
Utilities Approval :
Date : _/ /_
Permit Denied
Date : _/ /
Traffic Approval :
Date: _/ /
Issued Permit :
Date
General Services Approval :
Date : / /
K d t wax,
Asti°' S hy'v'.b tr 'mt3 rat xt �IP
Gt rYC�yg11 `�'Y4'++, 'Gz ^H �y/�$ ✓' ga,�'ky&t3, "MF�.�ii'r@'yV �d
��_. a?a •. !t"T 1°,frr4 1��' 1C,ry3tt AY�Al ' m� � � li��u`F5 Z .:SY#'.•`"+^`�., x��'WwiYti,:rl
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: I Iy --e U } 'C Ci C V-1
DETAILED DESCRIPTION OF PROPOSED WORK:
�_�
APPLICANT: lAx GY 0'{ OYISA%\1
Phone: • 35 • Z2%Z
Email Address: Scl �� b S r0t" 1
Mailing Address:
z. �\W4 N
City/State/Zip:
e\A $Punch ('( Ca
OWNER: wtcQ ;I`mO A Vk Sr1 5c%mu
lPhone: 46 Icif-vo - r —)
Email Address: 1 qlt-1-0 . co"
Mailing Address: I ILI City/State/Zip:
�1b A v—e • act �h c,4
i L. ONT[ZA FQ � f i71 NF�4�IQutS Et�G>(1fk�Et7,�LEm
CQMPEE�E .' _,,.,k`M'.
CONTRACTOR: �� GY ( S CV U[ilOV)
Office Phone:
Company (if different):
lJobsite Phone: LI- 0j q 419
Other Phone: 12-1
Email Address: S C(1((1 } M • C OM
Mailing Address:
12--?mW)oq Ns
City/StatelZip:
`I'XMjt Y} Psc Gch C� clz
State License Number & Class: q V5lM
Expires: \ I
ity Business License Number:
— 0—L\.PC6Cj9 Expires:
WORKERS COMPENSATION INSURANCE - Certtri '- of Insurance (Section 3800 Labor Code)
Company: I }, , Policy No:S\,NCiIg34%P2— Ex ires:Z 1 )cj
Municipal Operations: 94.9-644-3065
Utilities: 949-644-3011
Urban Forestry: 949 644-3083
FOR OFFICE USEONLf �,.
Special Conditions of Permit:
i
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS ,'
Utilities:
Municipal Operations
Traffic: Fire:
Other:
Engineering Technician:
Per ecialist
Da e:
Permit No
N2018- 0� 7L(
f /users/w/sheretl/encmach/masters/epwaBsheet.xls
(�/(n 29 q7 20 t C�
Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
2.
3.
4.
5.
i
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
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.
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.
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.
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.
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.
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.
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.
All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
b the Public Works Department. Locate and pothole
over or within 5 feet of any City utilities, unless approvedy p
fie: water, sewer, or street lighting conduits to verify locations. Maintain a one -foot
existing City owned utilities ( t g g ) y
clearance over or under existing City -owned utilities. -Sewer cleanouts require VCP or PVC SDR35 be used with a
4TT box over the riser.
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 $10.00
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.
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.
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.
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.
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.
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.
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Co,
I certify that I have a Certificate of consent to set sure, Certificate of
Compensation )nsurance, or a Certified Copy the of
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 Cityharmless for an liability associated with the minor
Y Y
encroachments.
Date: Signature:
24-hour notice for Encroachment Permit Inspection is required by calling
Public Works at 949-644-3311Z ��i Fri_
15, Any above ground utility facifi ies willAny above ground utility will require documented approval from the adjacent documented approval from the adjacent
affected property owner(s).
16, Homeowner, contractors, and subcontmcotrs 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 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.
Permit Processing Fee: Q Inspection Fee:
Public Works Only $241.00 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 $817.00
Document Recordation Fee $192.00 Refundable Deposit: TBD
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" $65.00E--7 Sewer Connection Fee $250.00
24" x 36" $143.004TT Box & Cover $64.00
Additional
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(VacationFee (+100%ofhrlyover4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
E�
Permit
R ceipt o.
,Apfkcialist
f./users/pbw/sharedlencroeoh/masters/ep front and back masters/
Rev. 12/18/2017
epfeesheetAs-revised 11/9/17
R-CORf11NG REQUESTED BY
i i,,,j pA��M�E���RFIINNCTAT�N�ppTITLIESCIOOMPANY
.RECO'RD'1ftC,1LEQUESTEI7 BY:
First American Title Company
AND WHEN RECORDED MAIL TO:
AND MAIL TAX STATEMENT TO:
Onesimo Belelo and Lisa Belelo
816 Thayer Ave
Los Angeles, CA 90024
Recorded in Official Records, Orange County
Hugh Nguyen,Clerk-Recorder
11111111111111liHillHillHill111111111111111Hill illII11111111111111119.00
20170000009521:07 pm 01103117
37 414 G02 2 07
1210.001210.00 0.00 0.00 3.00 0.00 0.00 0.00
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARES) THAT DOCUMENTARY TRANSFER TAXIS $2,420.00
x computed on full value of properly conveyed, or
computed on full value less liens or encumbrances remaining at the time of sale.
unincorporated area: x City of Newport Beach, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Lawrence J. Raike and Debora Schall Raike, Co -Trustees of The Raike Family Trust dated December 14th, 2009
hereby GRANTS to
Onesimo J. Balelo and Lisa M. Valvo- Balelo, Trustees of the Lisa and Onesimo J. Balelo Family Trust Dated August 28, 2008.
the following described real property in the City of Newport Beach, County of Orange, State of California:
Lot 23 in Block Two of Section Two of Balboa Island, in the City of Newport Beach, County of Orange, State of California, as per
map thereof recorded in Book 6, Page 31 of Miscellaneous Maps, Records of Said Orange County.
Also Known as: 114 Ruby Avenue, Newport Beach, CA 92662
APN#: 050-102-07
GRANT DEED CONTINUED ON NEXT PAGE
Mail Tax Statements to: SAME AS ABOVE or Address noted below
�AP; TITLE COMPANY
RION
GCO7r��C�T R. QUESST DBY:
First American Title Company
AND WHEN BE MAIL TO:
AND MAIL TAX STATEMENT TO:
Onesimo Belelo and Lisa Belelo
816 Thayer Ave
Los Angeles, CA 90024
Order
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S) THAT DOCUMENTARY TRANSFER TAX IS S2,420.00
X computed on full value ofproperty conveyed, or
computed on full value less liens or encumbrances remaining at the time of sale.
unincorporated. area: x City of Newport Beach, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Lawrence J. Raike and Debora Seball Raike, Co -Trustees of The Raike Family Trust dated December 14th, 2009
hereby GRANTS to
Onesimo J. Balelo and Lisa M. Valvo- Balelo, Trustees of the Lisa and Onesimo J. Balelo Family Trust Dated August 28, 2008.
the following described real property in the City of Newport Beach, County of Orange, State of California:
Lot 23 in Block Two of Section Two of Balboa Island, in the City of Newport Beach, County of Orange, State of California, as per
map thereof recorded in Book 6, Page 31 of Miscellaneous Maps, Records of Said Orange County.
Also Known as: 114 Ruby Avenue, Newport Beach, CA 92662
APN#: 050-102-07
GRANT DEED CONTINUED ON NEXT PAGE
Mail Tax Statements to: SAME AS ABOVE or Address noted below
CONTINUATION OF GRANT DEED
Order No.:
APN: O50-102-07
Property Address: 114 Ruby Avenue, Newport Beach, CA 92662
Dated November 1, 2016
The R ke Family Trust doted De mber 1 2009
By: a recce S. R ' Ye, C rustee By: Debora Scholl Raike, Co -Trustee
STATE OF CALIFORNIA
COUNTY OF OC-c�A� }S.S.
On 1 �I l before me, uuvt Nu Public,
personally app ared r -tn c® e t L
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on
the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument
i certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my khan/ d official s
Signatu(� 11 J1{ 1 !Y 1 k (Seal)
PAGE
2124157
@4a
California z
unty, >
Se 97, 2019+
� 3 �
G�k��e� hum hit
4/121;018
City of Newport Beach Page 10 of 13
14:80:48PM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 04/13/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 114 RUBY AVE
Activity :
N2018-0174
ubType :
NEW
Status :
APPROVED
''WNER :
BALLEO NEZ Phone:
APPLICANT:
GOETZ ANDREW Phone-: 949-673-3152
-
goetzarch@earthlink.net
Description :
EA FOR BRICK ENTRY WALK; DEMO PRIOR FENCE AND BRICKPLANTER.
Item:
10200 PRE JOB - PW
Requested Time:
4/13/2018112:00:00AM Requestor: WEBUSER
7149319419
Entered By:
WEBUSER
Comments:
AM -Permit Says Pre Construction Meetin
Assigned to:
zzzzzzzzzzz•
Inspector: C�, Date: / Time: PM
Comments:
Pw&
F:\Users\PB W \Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
4116/2018 City of Newport Beach Page 5 of 10
6:34:36AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 04/16/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 114 RUBY AVE
A%P/D infoirmatlon.
Activity : N2018-0174
SubType: NEW
Status : APPROVED
OWNER: BALLEO NEZ Phone :
APPLICANT: GOETZ ANDREW Phone : 949-673-3152
goetzarch@earthlink.net
Description : EA FOR BRICK ENTRY WALK; DEMO PRIOR FENCE AND BRICK PLANTER.
Item: 10250 FINAL - PW
Requested Time: 4/16/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz`
WEBUSER
7149319419
/Z, pe(m � 1S