HomeMy WebLinkAboutN2018-0323City of Newport Beach IIIIPI�I�IIII����N�II�I�IIGII���IIII
s 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3311
yam. Online Inspection Request - www.newportbeachca.gov / Online
Services
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Job Address : 1729 PORT SHEFFIELD PL NB
Description : EA FOR STONE CARRIAGE WALK
Permit No: N2018-0323
Project No : 0125-2018
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889G5
Parcel # :
4581-120-5 -
Legal Desc :
N TR 6621 LOT 15
Owner:
HARRIS JASON
Contractor : ECOWORKZ INC
Phone:
Phone: 714-582-7800
Address :
1729 PORT SHEFFIELD PL
Address : 1560 W LAMBERT RD
NEWPORT BEACH, CA
BREA CA 92821
Contractor State Lic: 947517
Applicant:
ECOWORKZ INC
License Expire : 05 31, 2018
Phone:
714-582-7800 [
Address :
1560 W LAMBERT RD
BREA CA 92821
Business License: BT30062915
Business Expire : 04 30, 2019
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : MID CENTURY
Policy No: B09484343
W. C. Expire: 03 31, 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
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: Ecr�V�bdu.Z INc , Phone: - @--
Email Address: oro�eW ENE,-r
Mailing Address:
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Phone: T9 - -
OWNER: N
Email Address:
Mailing Adess:
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CONTRACTOR: cc cLK_Z
Office Phone:
Company (if different):
Jobsite Phone:
Other Phone:
Email Address:
Mailing Address:
Ci /state/ZIp: � 1
GA,
State License Number & Class:
9 4 1-1 Expires:
City Business License Number:
Ex ices
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
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FOR OFRCE USE ONLY
Special Conditions of Permi -
,_ G
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARMEfS z
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public WqdLs Specialist:
j
Date:
s
Permit No.
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Public Works Department 949-644-3311
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0
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I
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 properly 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 Slate 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.
5 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.
B All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feel of any City utilities. unless approved by the Public Works Department. Locale 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 S10.00
per barricade per day, with a nunimurn 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 limes
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 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
the Public Works Department Any work affecting the Stale Highways 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 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.
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, 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:
24-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 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, cr 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.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and understands 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 Issuance.
Permit fees are nonrefundable. Date:---... Signature:
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
$241.00
$275.00
$817.00
$192.00
$502.00
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
Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee
24" x 36" $143.00 4TT Box & Cover
Additional
_ _ _ _ _
THE POLLOWING ITEMS REQUIRE APPROVAL FROM THE R
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES lA
TBD
TBD
$108.00 0
$ $64.00
B
64.00
venue Division
I
MY.
[Water Meter:
Installation Charge
$528.00 1
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box
$96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box
$203.24 1
B
12" Meter
$425.00
1
12" Turbine Meter
$845.00
13" Meter
$3,310.00
1
�4" Meter
$4,730.00
6" Meter
$7,190.00
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 hriy 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
GO
Permit S ecialist
Receipt No.
fluserslpbw/shared/encroach/masterslep front and back masters)
Rev. 12/18/2017
epfeesheet.xls-revised 11/8/17
RECORDING REQUESTEO BY:
Lawyers Title Company - Irvine
AND WHEN RECORDED MAIL TO:
Jason Harris
1729 Port Sheffield Place
Newport Beach, CA 92660
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk -Recorder
IIJ IIIII.IIIIII ILIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII'IIIII 15.00
* $ R 0 0 0 7 9 2 7 5 5 3 $
201500056176611:01 am 10129/15
90 422 G02 4 07
1127.50 1127.50 0.00 0.00 9.00 0.00 0.00 0.00
THIS SPACE FOR RECORDER'S USE ONLY
Tice Order No.: 2152547Z3 Escrow No.. 0,4 074.TLD
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS $2.255.00
CITY TRANSFER TAX $
® computed on full value of property conveyed, or
computed on full value less liens or encumbrances remaining at the time of sale.
unincorporated area: (a Newport Beach, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Albert Hansen, an unmarried man, as to an undivided 50% interest and Karen M. Muller,
an unmarried woman, as to an undivided 50% interest, as Tenants in Common
hereby GRANT(S) to
Jason C. Harris and Melissa G. Harris, Trustees of the Jason C. Harris and Melissa G.
Harris Revocable Living Trust Dated July 18, 2011
the real property in the City of Newport Beach, County of Orange, State of Califomia, described
as:
Commonly known as: 1729 Port Sheffield Place, Newport Beach, CA 92660
Parcel No. 458-112-05
Dated: September 17, 2015
Signature page attached hereto
and made a part hereof
MAIL TAX S-ATEMEN-S 'O PARTY SHOWN BELOW: IF NO PARTY SHOWN. MAIL AS SHOWN ABOVE
RECORDING REQUESTED BY:
Lawyers Title Company - Irvine
AND WHEN RECORDED MAIL TO:
Jason Harris
1729 Port Sheffield Place
Newport Beach. CA 92660
THIS SPACE FOR RECORDER'S USE ONLY
T'cle Order No 215254723 Escrow No 04-40074-TLD
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS $2.255.00
CITY TRANSFER TAX S
computed on full value of property conveyed, or
computed on full value less liens or encumbrances remaining at the time of sale,
unincorporated area CK Newport Beach. and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged.
Albert Hansen, an unmarried man, as to an undivided 50% interest and Karen M. Muller,
an unmarried woman, as to an undivided 50% interest, as Tenants in Common
hereby GRANT(S) to
Jason C. Harris and Melissa G. Harris, Trustees of the Jason C. Harris and Melissa G.
Harris Revocable Living Trust Dated July 18, 2011
the real property in the City of Newport Beach, County of Orange, State of California. described
as:
Commonly known as: 1729 Port Sheffield Place, Newport Beach, CA 92660
Parcel No. 458-112-05
Dated: September 17, 2015
Signature page attached hereto
and made a part hereof
"1:>I_ TAX 5—�—=MEN_S -:� =)AR'v S1'JWN 15Eu-O* IF NO =A:-`Y SHC'-AN MAIL 4S S-4C'.J4'N ABOVE
Title Order No.: 215254723 Escrow No.: 04-40074-TLD APN: 458-112-05
SIGNATURE PAGE
Title of Document: _ "`- `t l
Date of Document:
x�_t t•�-' >� �—" SIGNED IN COUNTERPART
Vbc-1 Fia acn Karen M. %fuller
ACKNOWLEDGMENT
A. notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness accuracy, or validity of that document
t' if ` '1
STATE OF
COUNTY OFF
Or
before me, - - N 11 .t �S
A Notary Public personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) isiare subscribed to the
wither instrument and acknowledged to me that heishelthey executed the same in his/herltheir 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. r \ f4.; d
I certify under PENALTY OF PERJURY under the laws of the State of Gefiferrvia that the foregoing
paragraph is true and correct.
W17NESS my hand and official seal.
r
Signature —�..�� � � . - r.. ...f. ......t. ...
NOTARY PUBLIC
STA(SCI)NEVACGA
County of Clark
LApU
TINA WALSH
ntrrent Ex .JUN. 6. 2016
Title Order No.: 215254723
Title of Document:
Date of Document:
SIGNED IN COUNTERPART
Albert Hansen
Escrow No.: 04-40074-TLO APN: 458-112-05
SIGNATURE PAGE
RBI
Mt. Muller
ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy. or validity of that document.
STATE OF CALIFQRNIA
COUNTY OF
On -
before me. ,
A Notary Public personally appeared
A.
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/am subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in ttis/her/thoir authorized
capacity(ies) and that by his/her/theft signature(s} on the instrument the personal, 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 hand and official seal -
Signature '
(Seal)
File No: 215254723
EXHIBIT "A"
THE LAND REFERRED TO HEREIN IS SITUATED IN THE COUNTY OF ORANGE, STATE OF
CALIFORNIA, AND IS DESCRIBED AS FOLLOWS:
LOT 15 OF TRACT NO. 6621, IN THE CITY OF NEWPORT BEACH, COUNTY OF ORANGE, STATE OF
CALIFORNIA, AS SHOWN ON A MAP RECORDED IN BOOK 244, PAGES 1 THROUGH 6 INCLUSIVE OF
MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
EXCEPT THEREFROM ALL OIL, OIL RIGHTS, MINERALS, MINERAL RIGHTS, NATURAL GAS RIGHTS,
AND OTHER HYDROCARBONS BY WHATSOEVER 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 HEREINABOVE 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 SAID LAND,
AS RESERVED IN THE DEED RECORDED DECEMBER 13, 1968 IN BOOK 8814. PAGE 557 OF
OFFICIAL RECORDS.
ASSESSOR'S PARCEL NUMBER: 458-112-05
Certification of Trust
The trustees of the Jason C Harris and Melissa G Harris Revocable Living Trust declare
as Iollows:
Part I. Existence and Name of Trust/Grantors
Jason C Harris and Melissa G Harris, called the grantors and trustees, created a revocable
livinutrust. known as the Jason Trris and Melissa G Harris Revocable Living Trust,
by Declaration of Trust dated It . This trust has not been
revoked. moditied or amended in st • a way that would contradict what is stated in this
Certification of Trust and remains in full force and effect.
( irantors' address is:
_ nuj '9)6YA
Part 2. Amendment and Revocation
The grantors may amend or revoke the Jason C Harris and Melissa G Harris Revocable
Living Trust at any time, without notifying any beneficiary. The power to revoke or
amend the trust is personal to the grantors. A conservator, guardian or other person shall
not exercise it on behalfof the grantors, unless the grantors specifically grant a power to
revoke or amend the trust in a Durable Power of Attorney.
Part 3. Trustees
Jason C Harris and Melissa G Harris are the currently acting trustees of the trust.
The trustees in office shall serve as trustees ofall trusts created under the Declaration of
Trust, including children's subtrusts.
Part 4. Title to Trust Assets
Title to trust assets should be taken in the name of Jason C Harris and Melissa G I larris,
trust. ofthe Jason C Harris and Melissa G Harris Revocable Living Trust, dated
Certification of Trust — Page I of 4
Part 5. Trustee's Management Powers and Duties
Powers Under State Law
The trustees shall have all authority and powers allowed or conferred on a trustee
under California law, subject to the trustees' fiduciary duty to the grantors and the
beneficiaries.
Specified Powers
The trustees' powers include, but are not limited to:
1. "l he power to sell trust property, and to borrow money and to encumber trust
property, including trust real estate, by mortgage, deed of trust or other method.
_'. The power to manage trust real estate as if the trustee were the absolute owner of
it. including the power to sell, lease (even ifthe lease term may extend beyond the
period of any trust) or grant options to lease the property, to make repairs or
alterations and to insure against loss.
3. The power to sell or grant options for the sale or exchange of any trust property,
including Mocks, bonds, debentures and any other form of security or security
account, at public or private sale for cash or on credit.
4. The power to invest trust property in every kind of property and every kind of
in, including but not limited to bonds, debentures, notes, mortgages, stock
options, futures and stocks, and including buying on margin.
. The power to receive additional property from any source and add to any trust
created by this Declaration of Trust.
6. The power to employ and pay reasonable fees to accountants, lawyers,
investment experts or other protessionals for information or advice relating to the
trust.
7. The power to deposit and hold trust funds in both interest -bearing and non -
interest -bearing accounts.
". The power to deposit funds in bank or other accounts, whether or not they are
insured by the FDIC.
9. The power to enter into electronic find transfers or safe deposit arrangements
with financial institutions.
Certification of Trust — Page 2 of 4
10. The power to continue any business of either grantor.
I l . The power to institute or defend legal actions concerning this trust or the
srantors' affairs.
12. The power to execute any documents necessary to administer any trust created
by this Declaration of Trust.
13. The power to diversify investments, including authority to decide that some or
all of the trust property need not produce income.
This Certification of Trust is being signed by all currently acting tnistees.
ConHarris, Grantor and Trustee
Mel"sa 0 Harris. Grantor and Trustee
Dated: �'
Dated:
Certification of Trust — Page 3 of 4
CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
State of California
) ss.
County of 0�-aA y
J
On 3vl before me, N a
notary public. personally appeared
Parris and Mew G E ar�i.� — -- --
„ho
proved to me on the basis of satisfactoy evidence to be the person(s) whose name(s) isi
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
si_inature(s) on the instrument the person(s), or the entity upon behalfof which the person
(s) acted, executed the instrument.
I certity under PENALTY OF PERJURY under the laws of the State of C'alitOrnia that the
foresoimi is true and correct.
WESLEY JAMES MCLEAN
Commission ar 185S
a = - Notary Public . California i
z�•�
z ' ' Orange County
NlComm Expires Jul 25. 2013
[NOTARIAL SEAL
WITNESS my hand and official seal.
��17_ S;�l �
Signaturkl6f Notary Public
My commission expires: —7Z w ) `3
Certification of Trust — Page 4 of 4
1729 PORT SHEFFIELD PLACE
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