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N2017-0545
a.q•; 1, City of Newport Beach MIIIIII IIIIIIII IIIIIIIIII IIIIIIIIIIII III ��� Permit No: N2017-0545 100 Civic Center Drive, Newport Beach, CA 92660 IIII N 2 0 1 7 0 5 4 5 Permit Counter Phone (949)644-3311 Project No . 2272-2016 S Online Inspection Request - www newportbeachca gov /Online Services Inspection Requests Phone (949)644-3255 Job Address : 2912 BROAD ST NB Thomas:Guide: 8881-16 Description EA TO MAINTAIN EXISTING BRICK WALK FROM CURB TO PROPERTY LINE Parcel # : 0490-210-2 - Legal Desc : FIRST ADDITION TO NEWPORT HEIGHTS BLK 22 LOT 2 AND POR ABAND STR Owner: DAVIS CHARLES & ELIZABETH Contractor : MY BOTANICA INC Phone: Phone: 949-715-7557 Address : 20763 E RIM LN Address : 2495 LAGUNA CANYON RD DIAMOND BAR CA 91789 LAGUNA BEACH CA 92651 CUR fA11111111110mom Contractor State Lic: 23182 Applicant: MY BOTANICA INC License Expire : 05 31, 2018 Phone: 949-715-7557 [ Address : 2495 LAGUNA CANYON RD LAGUNA BEACH CA 92651 Business License : BT30045503 Business Expire : 11 30, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier : EVEREST NATIONAL INS CO Policy No: 7600016712 W. C. Expire: 09 01, 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 ;fC,, �' 1 -) - L Traffic Approval Date. _/ / Issued Permit . - — Date :� /�/ General Services Approval : Date _/_/ PROJECT ADDRESS: q/ Z 8�d,4ct57- f j DETAILED DESCRIPTION OF PROPOSED WORK: 6-u /'10 Phone: APPLICANT: Email Address: Mailing Address: City/State/Zip: OWNER: C. 57-c: &y/s Phone: Email Address: ct a V G rz L a, Mailing Address: City/State/Zip: CONTRACTOR: Office Phone: Company (if different): Jobsite Phone: Other Phone: Email Address: Mailing Address: City/State/Zip: State LFRnse umber & Class: Z i Z_ Expires: City Business License Number: Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Municipal Orations: 949-644-3055 Utilities: 949-644-3011 Urban Forestry: 949-644-3083 Z,2-1Z 2C)l(p Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 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 L or Code) 1 Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed I certify that I have a Certificate of consent to self -insure, C rti icate of Worker's contractor must provide a Letter of Authorization" to allow another party to pull a permit An approved copy of the Com a sation Insurance, or a Certified Copy thereof. permit and construction plan shall be kept at the job site at all times Work, which has been done prior to issuance of Date: Signature: a permit, is subject to selection/tine City reserves the right to void permit if work does not commence within 30 days after date of issuance CERTIFICATE OF EXEMPTION (Section 0 L IaRr 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 arising out of any accident, loss I certify that in the performance of the work under his -pofntq, 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 W Irker's Compensation Laws. If, 3 All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings 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 comply with the provisions 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 permit shall be deemed revoked. 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 Date: Signature: Public Works Director A valid State Contractor License Class A can perform any work in the public right-of-way For CONTRACTOR LICENSE EXEMPTION construction or connection to water lines a valid State Contractor License Class C-34 is required For construction or 6 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, As the Owner of the benefiting property, I certify I am personally 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 VCP or PVC SDR35 be used with a Date: Signature: 4TT box over the riser 24-hour notice for Encroachment Permit Inspection is required by calling 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 ' public Works at 949-644-331'!�L 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 i 15 Any above ground utility facilities will require nted 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 limes affected property owners) 10 Work within or near beach sensitive areas will not be allowed during, City holidays, sprang break Memorial Day 16 Homeowner, contractors, and subcontracotrs is -each be liable for violations of Water weekend, summer between June 15 and September 15, and during the holiday season from December 19 to Quality Laws Best Management Practices ill be enforced it is against the law to January 1, unless approved by the Public Works Department discharge construction debris into the gutter and storm drain Felony violations of Water 1 1 Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to Quality Laws are punishable by fines up to $25,000 and/or up to three years in State acquire a Temporary Street Closure Permit from the Public Works Department Access for fire, police and prison 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 17 If a refundable deposit was paid, applicant must submit a Soils Compaction Handbook (WATCH) No nighttime traffic lane closures, unless prior approval has been granted Any lane(s) closure Certificate or Evidence of a Slurred Backand request a final inspection from the on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Public Works Department Monies may bee held for six months after final inspection the Public Works Department Any work affecting the Slate Highways traffic or within the Stale Highway right-of-way before a refund will be processed 12 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 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 V'Jork; 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 or 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 must 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 acknowledges he/she has read and and ands 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. Datet_/=% Slgnature� __-_ _� RECORDING REQUESTED BY FIRST AMERICAN TITLE COMPANY RESIDENTIAL DIVISION RECORDING REQUESTED BY: First American Title Company AND WHEN RECORDED MAIL TO: Stephen Davis 20763 E. Rim Lane, Diamond Bar, CA 91789 Recorded in Official Records, Orange County Hugh Nguyen, Clerk -Recorder Ili I I II II II III I I I II I II I II ! II 12.00 *$ R 0 0 0 7 8 2 0 2 1 7$ 2015000468249 2:18 pm 09/10/15 63 404 G02 3 07 888.25 888.25 0.00 0.00 6.00 0.00 0.00 0.00 THIS SPACE FOR RECORDER'S USE ONLY: Title Order No.: 4967305 -D►-" Escrow No.: NB-61206-15 AP#: 049-021-02 GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $1,776,50 [X] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ J Unincorporated area [X] City of Newport Beach AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Martha M. Bogard, an Unmarried Woman hereby GRANT(s) to: Charles Stephen Davis and Elizabeth Davis, Husband and Wife as Community Property with Right of Survivorship the real property in the City of Newport Beach, County of Orange, State of California, described as: LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF Also Known as: 2912 Broad Street, Newport Beach, CA 92611 1 n 11 Dated August 4, 2015 Bogard 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 CALIF(RNIA �jam( COUNTY,OF, On before S I A Notary Public personal) appeare who proved to me on the basis of satisfactory evidence' to be he person(s) whosh name(s) is/are Yubscribed 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 hand and official seal. KRISTINA DOLLINS Commission # 2063880 < a llotary Public - California z Z Orange County D 4kluv 3 My Comm. Expires May 6, 2018 Signatur MAIL TAX STATEMENTS TO PART ISHOWN BELOW: IF NO PARTY SHOWN, MAIL AS SHOWN ABOVE ESCROW NO.: NB-61206-15 TITLE ORDER NO.: 4967305 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 California Countyof D RA P On 1v/ before me, A Notary Public personally appeared IV► . 1 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 thel foregoing paragraph is true and correct. WITNESS my hand and official seal. &k Signature KRISTINA DOLLINS _ Commission # 2063880 -� d Notary Public . California z Z ' Orange County � My Comm. Expires May 6, 2018 (Seal) Order Number: O-SA-4967305 EXHIBIT"A" Page Number: 5 LEGAL DESCRIPTION Real property in the City of Newport Beach, County of Orange, State of California, described as follows: LOT 2 IN BLOCK 22 OF "FIRST ADDITION TO NEWPORT HEIGHTS" AS PER MAP RECORDED IN BOOK 4, PAGES 94 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. APN: 049-021-02 First American Title Page 5 of 14 � f �_ y -� `� '� !- `hj !.itr ,r .,.. .. 1'Fiv�`( i(��� 3 EOIS DAVIS RESIDENCE nn [11 sR xaea Yaa � INVI Oi wOec :nolrn rr •lore• ` (P 1) �.�j}.p} _ __—_ Ly1 DEIGN �.$ �,: o ,r •.•4:: :':1 va - lYl 1 i N Liill(T 1; DEVELOPMENT 4� ( 6 :• >va v RES�I} NCE 1 h P-U CP_3}IP_ .-: -1ILJ�p 110_0 a>xand{ o u arlarmasnew+. No~ Mach CA 1p P_ •; g1 v, �.: �•• < WHITIN GIROUX 31 GARAGE i 1 ;(gg` 3 WORKS wrdcNc M1/clww:n.R 1 1� _ •- �) S- ENLARGEMENT'S' KNr IIl.10 EI r KT ---r----------- \� /�"�'> f>: mole« _ -1 v11 a r•,....,..-/ a I (� . 1 �aaw'O� --> na � N)um JIII LOT 1 �f � - VIat11ANR r I b Tl la N PLAN VIEW aa+rr -IaIMo/Afa•rR Noiun r.Anr.ola. MnA� •.nsroMnNnenowlroebum3friml >rnwna�/vMedwAu/r•xv. nfl>f>a MtnAu >ow1>gr/10f•O/1vA IO/>w vA>/cwu>xtlugrMAM > DII1M RiA109Ml1t MgRCIM 11AC2 l rnrIMDUNDIw ANDIQ//. r/0161MAKx TD . W111DIILQi1RKJ.Ma1R. 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An A•NnR.Ngl/RWS/fd WlOfCwrRNNIM Afr«RIIOI.lrgblSlM w111N I as ,.Ld��A.aAuimr �owtlla«AwwRN�nNn wiMAxwv.na• " •• m•.Ao,.r.w n....w. - - arAa� O r.,..,.,r.ax. x, , vvvt" wcd>nNnrAcq.vnf ..-rnxr. rm.a. x.,..o tA/011 M�af�C11aC TAaag1.®Wla,If IRS gAtgT1b M111O0 © M1a� Wa AwM rl/aa arra oaauraMrn w a1N �• • a • SxPIW01U BALL r1.w1MG Af/M IMUIOWn/NfwR � w Tirrw wnow>axgwA x.wrAaaarrl. iaxr aura. • ar �f11re1 Na A i AYIaW/C �`COIII/OYMIYIIIIaarAW RWQw vAEY. _ _ --- -__ µ l wA1W1>TK lVM/fdMallR101MCMMIrbbM/r wraaal ♦A at D� MF,NS� oa BROAD STREET 9/9/22. 7 16 AM IPW-008094-2022-Manage Inspection iPW-008094-2022 (2912 BROAD ST) I Permit Number: N2011-0545 In`,ptr( f1Ull lyln' Kt,(1(w:,t U itr lut"t line, 1),itt-I melt(( Details Final Public Works 09/09/2022 12 : 00 0"9/2022 9 Location In ,lu t lu)n';l,itu.: h, chili :>I,itt I)<iit heffillr `,t'iii 1�klflwdlll, I Ild IMIt Additional Requested 09/09/2022 12 : 00 QW9/2022 Info I Inspectors (1) inh Iy1w , A( lu,1l ,Lill Il,il, „ 111,11'J'llt IIIIA1,111,11 I Ild 1),Ile Permit 09/09/2022 12 : 00 OW9/2022 Previous Inspections I in1<. Ntunl„v Checklist N2017-0545 �T Contacts (1) Comments Fees \Jv 1 t Time Tracker Files Print https //Ims newportbeachca gov/energov_prod/manageinspection/#/inspection/1a5a754d-14fb-4196-a33a-6afd7fe54a9b/details h,•iiilk. I [Id I untw 12 : 00 AN At tu'{I I n,l 1 nu,- 12 : 00 AN 1� 6 VL