HomeMy WebLinkAboutGB090012_Grading -Original Bond and Release Letter9
PubhcWorks
Integrity, Accountability, Service, Trust
memorandum
DATE: June 4, 2013
Ignacio G. Ochoa, P.F., Interim Director
300 N. Flower Street
Santa Ana, CA 92703
P.O. Box 4048
Santa Ana, CA 92702-4048
Telephone: (714) 667-8800
Fax: (714) 967-0896
TO: Sunny Kim, Purchasing & Contracts
FROM: Satinder Verma, Manager, Su visi rt; Grading and Permit Inspection
OC Construction Division
SUBJECT: Change in Grading Permit Security Status
[ x ] Grading completed, security release
[ ] Security reduction/increase
[ ] Change of security type
[ ] Change of surety co. (simple substitution)
[ ] New permit
I ] Work Completion Agreement established
[ ] Superseded by other permit
[ ] Addition/Removal of permit on blanket bond
Type of Security:
[ ] Surety Bond
[ ] Cash
[ ] Letter of Credit (Exp. Date)
[ x ] Certificate of Deposit
Additional Information:
Owner:
Owner Address:
Name on CD:
Permit No.:
Project Address:
Legal Description:
Security Amounts:
Bank:
Bond/Certificate No
Parviz Safaei
7 Avalon Vista, Newport Beach, CA 92657
Parviz Safaei
GB090012
21 Avalon Vista, Newport Coast, CA
15346 15 TR
$29,000.00
Wells Fargo Bank
8020439868
Supporting documents are attached for the above -described change. Please
revise your records accordingly.
Attachments: Copy of Signed off Permit
Copy of COD Assignment
PublileWorks
Integrity, Accountability, Service, Trust
June 4, 2013
Parviz Safaei
7 Avalon Vista,
Newport Beach, CA 92657
Subject: Bond Release - Grading Permit GB090012
Certificate of Deposit Number:
Name on CD:
Job Address:
Bond Amount:
Dear Owner:
Ignacio G. Ochoa, P.E., Interim Director
300 N. Flower Street
Santa Ana, CA 92703
Parviz Safaei
21 Avalon Vista, Newport Coast, CA
$29,000.00
P.O Box 4048
Santa Ana, CA 92702-4048
Telephone: (714) 667-8800
Fax: (714) 967-0896
This is to advise that the terms and conditions set forth by the above referenced
grading permit for the completion of excavation and grading have been complied
with to the satisfaction of the Building Official of the County of Orange in
accordance with Section 7-1-829 of Article 8, Division 1, Title 7 of the Codified
Ordinances of the County of Orange.
The guarantee instrument posted with this permit (Certificate of Deposit) will be
returned by certified mail. If you prefer to pick up in person, please contact
Financial Operations within 10 working days from the date of this letter at (714)
667-9630 to make arrangements.
Sincere
Satinder V rma, Manager
Subdivision, Grading and Permit Inspection
OC Construction Division
County 300
®f ®range Office
00 N. Flower Street
Santa Ana, CA
OC Public Works 92702
(This permit will expire after 2 years of'inactivity and the
applicant is responsible for tracking and maintaining it active. For more information, visit our website.)
For Inspections* Call: (714) 796-0407 or Visit us on the web at: http:llwww.ocplanning.net
PRECISE GRADING PERMIT
Grading Permit Number: GBO90012 Revision 4 (Rev. Date: 4125113) Issue Date: 3/11/10
Description of Work/Use: Precise Grading for SFD Issued By: Antonia Bradley;
Rev Reason: Rev.4 - Revise hardscape, walls, drainage, section A -A, grading plan background, and topo. P 1`
Job Address: 21 Avalon Vista, Newport Coast Owner: Parviz Safaei(Applicant)
Additional Address:15346 15 TR Address: 7 Avalon Vistar
Assessor Parcel No: 473-163-10 Newport Beach,CA 92657
Legal Description: 15346 15 TR Phone: 949-502-8577 "
Related Permits: RS090178�c
Waste Discharge ID No. (WDID): NIA
Approval Info: Grading Plan Check Approved By: Roshanak Amirazizi Date:4125113
Current Planning/Zoning Xenia Regalia Date:4126113
Contractor: Century Corporation (Gary Held)7 Leicester Court Laguna Niguel, CA 92677
Engineer: Petra Geotechnical, Inc 3185-A Airway Avenue Jafroudi, Siamak Costa Mesa, CA 92626
Engineer: Toal Engineering, Inc. (Caleb Rios)l39 Avenida Navarro San Clemente, CA 92672
Engineer: Caleb Rios (Toal Engineering, Inc.)139 Avenida Navarro San Clemente, CA 92672
Applicant: Parviz 5afaei 7 Avalon Vista Newport Beach, CA 92657 (Permittee)
Civil Engineer: Raymond Toal (Sheila Wright)l39 Avenida Navarro San Clemente, CA 92672
By signing below, I certify to each of the following:
am(_)a California licensed contractor or(_)the property owner or (X)autherized to act on the property owner's beha€f. I have read this contruction permit application and the information I
have provided is correct i agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorized representatives of this city or
county to enter the above -identified property for inspection purposes. DECLARATIQN REGARDING CONSTRUCTION LENDING AGENiLY.
I hereby affirm under penalty of perjury that there is a construction lending agency for
CALIFORNIA LICENSED CONTRACTOR'S DECLARATION, the performance of the work for which this permit is issued (Sec. 3097, Civil Code)
I hereby affirm under penalty of perjury that
ICI am licensed under provisions of Chapter 9 (commencing with Section 7000) of division Lender's Name: None Lender's Address None
3 of the Business and Professions Code, and my license is in full force and effect. WORKERS' COMPENSATION gUQLARATION
Warning: failure to secure workers' compensation coverage is unlawful, and shall
Contractor Name and Address: Century Corporation 7 Leicester Court Laguna Niguel
subject an employer to criminal penalties and civil fines up to one hundred thousand
CA 92677License Class License No.: 561664 dollars ($100,000), in addition to the cost of compensation, damages as provided
OWNER - BUILDER'S DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State for in section 3706.ofthe labor code, interest, and attorney's fees.
license Law for the reason(g)indicated below by the checkmark(s) I have placed next to I hereby affirm under penalty of perjury one of the following declarations_
the applicable items) (Section 7031.5, Business and Professions Code: Any city or county ❑ I have and will maintain a certificate of consent to self -insure for workers'
that requires a permit to construct, alter, improve, demolish, or repair any structure, compensation, issued by the Director of Industrial Relations as provided for
prior to its issuance, also requires the applicant for the permit to file a signed statement by Section 3700 of the Labor Code, for the performance of the work.for which
that he or she is licensed pursuant to the provisions of the ContractorsState License r_-1 this permit is issued. Policy No.1241843
Law (Chapter 9 commencing witti Section 7000) of Division 3 of the Business and Professions L I have and will maintain worker's compensation insurance, as required by Section
Code) or that he. or she is exempt there from licensure and the basis for the alleged 3700 of the Labor Code, for the performance of the work for which this permit
exemption_ Any violation of Section 7031.5 by any applicant for a permit subjects the is issued. Insurance carrier and policy number are: Carrier STATE COMPENSATION
applicant to a civil penalty of not more than five hundred dollars ($500): ENSURANCE FUND Policyl 1241843 Expiration:2014-04-01
❑ I certify that, in the performance of the work for which this permit is issued,
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will I shall not employ any person in any manner so as to become subject to the
do all or portions of the work, and the structure is not intended or offered for sale (Secworkers' compensation laws of California, and agree that, if I should become
7044. Business and Professions Code: The Contractors' State License Law does not apply subject to the workers' compensation provisions of Section 3700 of the Labor
town owner of property who, through employees' or personal effort, builds or improves Code, I shall forthwith comply with those provisions_
the property, provided that the improvements are not intended or offered for sale. If, warning: failure to secure workers' compensation coverage is unlawful, and shall
however, the building or improvement is sold within one year of completion, the owner -builder Subject employer to criminal penalties and civil fines up to one hundred thousand
will have the burden of proving that it was not build or improve for the purpose of sale.). dollars ($100,000), in addition to the cost of compensation, damages as provided
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct for in section 3706 of the labor code, interest, and attorney's fees.
the project (Sec.7044,.Business and Professions Code: The Contractors' State License 'Failure to hold pre -grade meeting with grading inspector prior to starting
Law does not apply to an owner of property who builds or improves thereon, and who contracts work shall result in revocation of this permit. Inspector may be contacted
for projects with a licensed contractor pursuant to the Contractors' State License Law) at (714) 245-4550.
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: .Failure to grade within 180 days will automatically expire the permit.
By my signature below I acknowledge that, except for my personal residence in which I Buildin ermit ma be issued after rou h radio has been a roved.
must have resided for at least one year prior to completion of the improvements covered By my signature below, I agree that this permit is issued on the basis of the information
by this permit, I cannot legally sell a structure that I have built as an owner -builder that I submitted and the County of Orange makes no representations regarding such
if it has not been constructed in its entirety by licensed contractors, I understand information, I agree to indemnify, defend and hold harmless.the County of Orange, its
that a copy of the applicable law, section 7044 of the Business and Professions officers, ompioyees and representatives from any claim or litigation arising from or
Code, is available upon request when this application is submitted or at the related to the issuance of this permit or any actions taken on the basis of this permit_
following Web site, http:llwww.leginfo.ca.govlcalaw.html Sigf}at : Gary Held _
Daf - p Il 29; 2013 1 :49Ai i P
a 0,f CERTIFICATE OF DEPOSIT ASSIGNMENT
CO L IV7-Y OF ORAXGE
c,f�� .•- '�� RESOURCES & DEVELOPMENT MINAGEjUENT DEPARTMENT
9L I r 0% PLcNAr,,vG & DEVELOPMENT SERVICES
B U1'LDI NG & SAFETY DIVISION
PAr,Vi2 s,4F/+C r
hereinafter called ASSIGNOR, whose address is
(NAME OF IPPLICANT)
_ -7 U= f t/iS 7/7 , �� _ — t . �s T _ , does hereby assign and set over to the County of Orange
(ADDRESS OF 4PPLIC4NT )
as ASSIGNEE, all right, title and interest of whatever nature, of assignor, in and to the insured account of
assignor in the e 1 I COY evidenced by a Time Certificate of Deposit in
( BANI('SA 6"INGS & L N ASSOC )
the amount of S 2-9 4 `' , which is delivered to Assignee herewith.
Assignor agrees that this assignment carries with it the right in the insurance of the account by the
EQ ZC , and includes and gives the right to the Assignee to redeem,
(A PPROPRIA TE FEDERAL INSURANCE AGENCY)
collect, and withdraw the full amount of such account at any time without notice to the Assignor.
Assignor agrees that this assignment is given as security for the following:
Completion of Grading and On --site Drainage Improvements under Grading Permit No.
GBc�9��i'L
at _ 2-1 A Y' C- o1 T, c /4 q12,6 % , and that the Assignee may,
( PROJECT ADDRESS)
without notice to Assignor, redeem, collect, and withdraw the account
�for the purpose of having not fulfilled
the above agreement. Assignor hereby notifies the above-namedYV _elt jS Fa!:�j O
( BANK OR SA PWGS & LOAN ASSOC. )
of the assignment
Dated this _ C day of 20 10
( SIGNATURE OF ASSIGNOR)
Grading Permit No. C�', Q a o,-l 2
Certificate No. 57 o 'z e 4 9 y 6
• ':.. •
NAZLI DASTMALCHI
COMM. #1859474
r
NOTARY PUBLIC • CALIFORNIA �
O
ORANGE COUNTY
My Comm. bores JLXY 30, 2013
Place Notary Seal Assignor
....._..1........................... ...... ........... ......................................... ............ I..........................
RECEIPT FOR NOTICE OF ASSIGNMENT
Receipt is hereby acknowledged to the Assignee of written notice of the Assignment to said Assignee of the account and
Certifcate identified above. We have noted in our records the Assignee's interest in said account as shown by the above
assignment and have retained a copy of this document. We hereby certify that we have received no notice of lien,
encumbrance, hold, claim or obligation of the above -identified account prior to the assignment to the Assignee. We agree to
make payment to the Assignee upon request.
Dated this
( BANK OR SAVINGS & E
, 20 i0 .
r3 CAO l
�' °.. •
NAZLI DASTMALCHI IL
,,
COMM. #1859474
NOTARY PUBLIC - CAUFORNIA
ORANGE COUNTY
,,,.,.,.•
My Comm, Expires JUI.Y 30. 2013
Place Notary Seal -- Barrk Officer
LLGIForms;Certific.}tgafDe¢t5sif Assignm
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COUNTY OF ORANGE ENVIRONMENTAL MANAGEMENT AGENCY
CENTRAL, OFFICE REGULATION REGIONAL OFFICE
P.O. BOX 4048 22921 TRITON WAY
12 CIVIC CENTER PLAZA FEE RECEIPT FORM LAGUNA HILLS, CA 92653
SANTA ANA, CA 92702-4048 714-472-7979
714-834-2626
RECEIVED Of —_ -- PAYER'S
PAYER:�c�I 2• t TELEPHONE
PAYER'S 7
ADDRESS: -CITY ''��'�� ZIP
JOB OWNER ? i:J� .: i r TRACT NO. :.
OWNEWSADDRESS: f f C//�C U.j� t�/�7/ �i ✓�c,/ ✓�! �� f 7 Cr 1 �-.>,''� S
JOB ADDRESS:
LOCAL PARK FEE REQUIRED FOR:
Codes
SINGLE-FAMILY DWELLING 1:1MULTI-FAMILY DWELLING
CENSUS TRACT
AP
LOCAL PARK FEES DETERMINED OR MODIFIED BY
OTHER
A m't s
[/�/3�g
TELLER DATE
F0250-189.9 (R9/87)
CAA #
DATE
RECEIPT FOR
AMOUNT
❑ TRUST FUND
(Check NO)
❑ PLAN CHECK FEE
{Type)
GRADING PRE -INSPECTION FEE
LOCAL PARK FEE
ADDN -ALTERATION TO
PERMIT
( Type) (Number)
PROPERTY
❑PUBLIC
ENCROACHMENT PERMIT
VOLUME FACTOR
COST INDEX
TOTAL FEE
'REFER TO VERIFIED
BUILDING
PERMIT (Nurnt-) (nitial*)
"WORK COPY 219
FEE