HomeMy WebLinkAboutGA050017_Grading -Original Bond and Release LetterD R A N 0 E C a u N T r Jess A. Carbajal [hector
300 N. Flower Street
r?* T> 7 7 • it T r 7 Santa Ana, CA
r u U JU V■■ V l X 6 P.Q. box 4048
Santa Ana, CA 92702-4048
Our Community, Our Commitment. Telephone, (714) 834-2626
Fax; (714) 834-5188
July 26, 2011
Tushar Patel
620 Newport Center Drive Floor 14
Newport Beach, CA 92660
Subject: Grading Permit Surety Bond Release: GA050017
Dear Owner:
This is to advise you that the terms and conditions set forth by the referenced grading permit have
been complied with to the satisfaction of the Building Official of the County of Orange. The
excavation/grading work has been accomplished in accordance with Section 7-1-829 of Article 8,
Division 1, Title 7 of the Codified Ordinances of the County of Orange.
Bonding Reference Data
Owner:
Tushar Patel
Surety Bond:
864739S
Name on Bond:
Tushar Patel, Trustee of the Tushar Patel Family Trust
Date of Bond:
0310312005
Amount of Bond:
$31,000.00
Grading Permit No.:
GA050017
Address[Tract No.:
11 Avalon Vista, Newport Coast115346 11 TR
The above referenced bond is enclosed, and hereby released
Sinceria
Chuck ie
Admin rt
OC inspection
{cG` �eYf'I Main office Inspection Office
4p�fj County of Orange 300 N. Flower Street 22921 Triton Way
Third Floor Laguna hills, CA
a .. Resources & Development Management Department Santa Ana, CA 2653
f 92702
For Inspections' Call: (949)472-7922 or (714) 796-0407 or Visit us on the web at; http_//www.ocglanning.net
PRELIMINARY GRADING PERMIT
Grading Permit Number: GA050017 Issue Date:415106
Description of Work/Use:Rough grade for Sfd Issued By: Michael Fisher
Job Address: 11 Avalon Vista , Newport Coast Owner: Tushar Patel(Applicant)
Additional Address: Tract 15346; Lot 11 Address: 620 Newport Center Drive Floor 14
Assessor Parcel No: 473-163-15 Newport Beach,CA 92660
Legal Description: 15346 11 TR Phone: 949-760-8813
Related Permits: CP050017
Waste Discharge ID No. (WDID): 830C335278
Approval Info: Grading Plan Check Approved By: Michael Fisher Date:2116106
Current Planning/Zoning AI Gordon Date:8/15105
Civil Engineer: Marvin Harwood (Hunsaker & Associates)3 Hughes Irvine, CA 92718
Engineering Geologist: Robert Ruff (Petra Geotechnical, Inc)3185-A Airway Avenue Costa Mesa, CA 92626
Civil Engineer- Shahrokh Radvar (Petra Geotechnical, Inc)3185 Airway Avenue, Suite A Costa Mesa, CA 92626
Applicant: Tushar Patel 620 Newport Center Drive Floor 14 Newport Beach, CA 92660 (Permitteej
Company: Developers Surety and Indemnity Company Type of Bond: Surety
Amount: $31,000,00 Bond#: 864739s
By signing below, i certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to
building construction, and hereby authorize representatives of this county to enter upon the above -mentioned property for inspection purposes,
pgxlarations: i hereby affirm under penalty of perjury that:
Licensed ContraQt9 declaration Constructioo LenQipgAggncy
❑ i am licensed under provisions of Chapter 9 (commencing with Section 7000) of I hereby affirm under penalty of perjury that there is a construction -lending
division 3 of the Business and Professions Code, and my license is in full agency for the performance of the work for which this permit is issued (Sec.
force and effect. 3097, Civ. C.)
License Class: No.:
Contractor.
Owner - Build ar_QgaarAiort
I am exempt from the ntj rQW atate license Law for the following reason
(Sec. 7031.5), Business and Professions Code: Any city or county that requires
a permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is iicensed pursuant to the provisions of the Qontr ors'
State License Law (Chapter 9 commencing with Section 7000) of Division 3 of
the Business and Professions Code) or that he or she is exempt there from and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more
than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work and the structure is not intended or offered for sale (Sec.
7044. Business and Professions Code: The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon, and who does
the work himself or herself w through his or her own employees, provided that
the improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will
have the burden of proving that he or she did not build or improve for the
purpose of sale.).
LrJ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project (Sec.7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for such projects with a contractor(s) licensed
pursuant to the Contactors' State License Law).
❑ i am exempt under Sec. _, B & P.C. for this reason
Lender's Name: None
Lender's Address: None
Workers Compensation Declaration
❑ I have and will maintain a certificate of consent to selfAnsure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the perfermanre
of the work for which this permit is issued.
I have and will maintain worker's compensation insurance, as required by Section
3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier:
Policy Number;
dI certify that, in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workers' compensation laws of Cat Ito mia, and agree that, if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, t shall forthwith comply with those provisions.
Warning; failure to secure workers' oompensation coverage is uniawfu1, and shall
subject employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000). in addition to the cost of compensation, damages as provided
for in section 3706 of the labor code, interest, and attorney's fees.
*Failure to hold pre -grade meeting with grading inspector prior to starting
work shall result in revocation of this permit. Inspector may be con lacted
at(949) 472-7979,
"Failure to grade within 180 days will automatically expire the permit.
Building permit may be issued after rough grading has been approved.
Signato : Elaine I{rep
Crate- it 05, 2 6 1 .47PM PST
Re o . Own cant Si natur
L ca ' n: rih I
Band Number- 864739S
OCT-07-2005 11--39 OF-550
COUN-TY OF ORANGE P-02/03
PlANNINO AND DEVELOPMENT SERVICES
GRADING PERMIT SURETY BOND
Tushar Patel, Trustee of the Tushar Patel Family Trust dated 1127IO2
KNOW ALL NUE9'BY THMSE"f MElQi'S: That , as Principal, and
Developers Surety and Indemnity Compan , a Corporation organized and existing under the laws of the
State of Iowaand duly authori2ed to tt 5act & surety business in the State of Calil"ortia, as Surety, P= hcld End
firmly bound unto the County of Orupge in the just and fall sum of * * * * * * * * 31 0 0 0 .0 0 DOLLARS, for the payment Of
which, well and truly to be made, said Print -spat and Surery bind themselves, their heirs, administratofs, sucLt Ssors and assigns, Jointly
and severally, fivo3y by these presents -
THE COMMON OF THE ABOVE 019LIGATION IS SUCH THAT,
WM2AS, the said Principal above named is applicant under Grading Fermis No- GLp 0 017 _ _ of the County of
❑range, Califoraia, for gradinZ, oa the fnllnwing described property;
Tx.� 15346, Lot 11 crystal Cove
NOW THEPXFORF, IT IS AGREED that if ehe PA136pal shall:
a. Comply witfa all the provisions of the Orattge County Grad-trrg ape Exeavatian Code and other applicable
laws and ordivancaq and
d. Comply with till term s and c nuft on.55f thticnuit t6 the satfsfaetl9n of $e Buildinn flfcfal; and
C. Complete all of the work contcmplaic d under the said permit within the rimer draft spectiied in the permit,
and 9miy exmnsiea or extensions thereof, and
d. Reimburse the County for aasy work required by the permit that the Building Official deems
necessary to cvmplett, wrrect or othcrwisc uodertalce for the public safety, because of failure UP the part of
Principal, then this obligation shall be null and void; otherwise it snail remain in full force and effect_
FROVI37E1), ROVMM, that the said gttiwty, *k v-.Iua received, hereby slipup and agr= that no cbanga, cxte:asion of
time, akeradon or modificadou ofthe permit or tine work to he pet farmed thereunder shah is anyway affect its obligation an this bond
and it does hereby waive nMca of any such change, extcus!on of time, alrcradon or modificatioo of the permit or of ►;ark to be
perforated theredrider, and
PROVIDED FURTHM that in case suit is brought upon the band by the County or any other person who may bring an
action. on Ibis bond, areasonxbk atmrneYs fee, to be fixed byttte Cuw-r, shall bs pafd by the Principal or Surety,
IN WTTMSS WHEREOF, the said Principal And said Sarery havt caused these presents to he: duly signed and sealed this
3rd day of March 1 2D05
Tushar Patel, Trustee of the Tushar Patel Family Trust dated 1/27102
.,...._......�.�.,.� - Principal -_ - - - - -
(Attwh AcknawlegGtt w)
Developers Surety and Indemnity Company
Surety
(Attatli Acknowledgement)
Ey; - Jason Ford
Atrorztey in�fast
Address: 7t1�§ Hayden -Road, C-300., Scottsdale, AZ 85258
!>•�mdGedirg PRmie Screen BoMTor*W11-20-9?
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO SOX 19725, IRVINE, CA 92623 (949) 263-3300
KNOW ALL MEN BY THESE PRESENTS, that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY
COMPANY OF CALIFORNIA, do each, hereby make, constitute and appoint:
***Buck Ford, Dar Perkins, Jason Ford, Dennis Gilmore, jointly or severally***
as their true and lawful Attorneys) -in -Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings
and contracts of suretyship giving and granting unto said Attorneys) -in -Fact full power and authority to do and to perform every act necessary, requisite or proper
to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and
all of the acts of said Attomey(s)-in-Fact, pursuant to these presents, are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authorityof the following resolutions adopted by the respective Board of Directors of
DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of November 1, 2000:
RESOLVED, that the Chairman of the Board, the President and any Vice President of the corporation be, and that each of them hereby is, authorized to
execute Powers of Attorney, qualifying the attorneys) named in the Powers of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts
of suretyship; and that the Secretary or any Assistant Secretary of the corporations be, and each of them hereby is, authorized to attest the execution of any such
Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by
facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in
the future with respect to any bond, undertaking or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused
these presents to be signed by their respective Executive Vice President and attested by their respective Secretary this 1 st day of December, 2005.
BY�
David H. Rhodes, Executive Vicc-President
By:
Walter A. Crowell, Secretary
STATE OF CALIFORNIA
COUNTY OF ORANGE
r J�,��••A0D
my , spit rtP �y
�. OCT
w ; 1fl n
's 1936
T�
On December 1, 2005 before me, Gina L. Garner, (here insert name and title of the officer), personally appeared David H. Rhodes and Walter A. Crowell,
personally known to me (or 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 be/shvithey executed the same in hislherltheir authorized capacity(ies), and that by bis/her/their signature(s) on the instrument the petson(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official scal.
Signature 6�q, �:e I
GINA L. GARNER
Comm. # 1569561
(SEAL) NOTARY PUB€JC CALIFORNIA
ORANGE COUNTY
MY carom ex €res � 13, 21i09
CERTIFICATE
The undersigned, as Assistant Secretary, of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,
does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked, and furthermore, that the provisions of the resolutions of
the respective Boards of Directors of said corporations set forth in the Power of A€toxney, are in force as of the date of this Certificate.
This Certificate is executed in the City of Irvine, California, the �f day of
By —
Albert Hillebrand, Assistant Secretary -P9� j�� �/ 3 �_'
ID-1380 (Rev. 12105) v r I
THE
MuW200"UMME
DISCLOSURE RIDER
Terrorism Risk Insurance Act of 2002
The Terrorism Risk Insurance Act of 2002 created a three-year program under which the
Federal Government will share in the payment of covered losses caused by certain events of
international terrorism. The Act requires that we notify you of certain components of the Act, and
the effect, if any, the Act will have on the premium charged for this bond.
Under this program, the Federal Government will cover 90% of the amount of covered
losses caused by certified acts of terrorism, as defined by the Act. The coverage is available only
when aggregate losses resulting from a certified act of terrorism exceed $5,000,000.00. Insurance
carriers must also meet a variable deductible established by the Act. The Act also establishes a
cap of $100 billion for which the Federal. Government or an insurer can be responsible.
Participation in the program is mandatory for specified lines of property and casualty
insurance, including surety insurance. The Act does not, however, create coverage in excess of
the amount of the bond, nor does it provide coverage for any tosses that are otherwise excluded
by the terms of the bond, or by operation of law.
No additional premium has been charged for the terrorism coverage required by the Act.
Developers Surety and Indemnity Company
Indemnity Company of California
1 T78 0 Fitch, 5ulte 200
Irvine, CA 92614
(949) 263 3300
www.lnscooico.com
ID-1498 (Rev. 5/03)
ACKNOWLEDGEMENTS
STATE OF
} 5s.
COUNTY OF }
On �' ��p , 200 �p, before me, I"� W , a Notary Public
in and for said state, personally appearedU4141K,
personally known to me
RENEE L. MOLLOY
Commission # 1445700
Notary Public - CaDfOmlp
Orange County
My Comm. Expires Oct 14. 2007
❑ 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. /7
i
Signature
(Seal)
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document,,
Title or Type of Document: lly' 4-
Date of Document: 13. 3 -
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer
Signer's Name:
[]Individual
❑Corporate Officer - Title(s):
❑Partner — ❑Limited ❑General
❑Attorney -in -Fact
❑Trustee
❑Guardian or Conservator
❑Other:
Signer is Representing: