HomeMy WebLinkAboutM2008-0035rin,,,,.o
Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
f— Comm'l F- Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
f—Building [7 Grading r—Drainage r— Elec F- Mech F— Plum Cu Yd VK %OLV uly.
Project Address (Not mailing address) F_ Flood [— Fire f— Liq r— li rAW'P R1 BEACH, e No
8 BAY ISLAND
Descrintion of Work
IlKe. NO pme worK.
New/Add SF I Remodel SF I X—, Garage/New/AddF—
OWNER'S NAME Last I Flint First IMarilyn
Use F—Const Type F
# Stories[ # Units (if Res)F_
Valuation $ 14,000
Material/Labor
Owner's Address Owner's E-mail Address
18 Bay Islan I d iJacquelyn.chung@sbcglobal.net
City INewport Beach State CA
F Zip 192661 Telephone 1949.631.3121
APPLICANT'S NAME Last I Chung First Pacquelyn
Applicant's Address Applicant's E-mail Address
12027 Placentia Avenue iJacquelyn.chung@sbcglobal.net
city I Costa Mesa State [CA Zip 1 92627 Telephone 1 949.631 .3121
ARCHITECT/DESIGNER'S NAME
Last First Lic. No.
Arch itect/Desig ners Address Arch itect/Desig ner's E-mail Address
F F
city state F_ zip F Telephonel
ENGINEER'S NAME Last First F Lic. No.1
Engineer's Address Engineer's E-mail Address
city State F zip F Telephone
CONTRACTOR'S NAMEXOMPANY jSwift Slip Dock and Pier Builders, Inc. Lic. No. Class A
F
Contractors Address Contractor's E-mail Address
12027 Placentia Avenue iJacquelyn.chung@sbcglobal.net
city I Costa Mesa State [CA ZipF9�627 Telephone 1 949.631.3121
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USEZONE DEVELOPMENT NO PLAN CHECK FEES $
C I TY OF NEWPORT BERCH
CITY OF
NEWPORT BUCH
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HEST
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JEM SMINGS FIRE EXPRESSED IN FEET AND DENOTE
E-EVATIONS BRSE-D ON MEAN L%ER LOW WRTER.
-HARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: 2`1�),-Lfll q _Permit Number:
"Property Address: -[t)r
,M
1 (0] -C>C)9
**Buyer's Names: IA� Ouro 1. kaa \1
Buyer's Signatures
Billing Address
e L,1-po,- 266/
Telephone No,/ 4-5),ZO6, C)9 o
'Seller's Names: i'a(dApad 1, o I
t)tthA, (-2 /-� r h v-\ r�,. R -e e -
Seller's Signatures:
Joint Owner Signature:
"Escrow Company:
"Address
"Escrow Number:
Closing Date (Estimate):
Phone#
'YA
UNV AI 1'�� -
**Fax #: 610 - 64 k, ( 0 LV
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS. -
I I
Inspection Date: Aq 114
Fee Paid: 4Q4a0+Z;-)_
Application Complete:
Reinspection Date:
Check No:
Harbor Res&�--es SignaturelDate
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Co' de.
lNewport Beach, CA 92660
949-644-3044/fx 949-723-0589
Buyees Signatures:
Billing Address:
Telephone No.:
,i,,elfer's S gnatures:
Joint Owner Slignature:
3
*STARRED ITEMS MUST BEPOMPLETE TO BEGIN THE PROCESS.
---- -------- ---- -----
Inspection Date: Reinsppction Date:
Fee Paid: Check No:
Application Complete:
Harbor Resources SignaturelDete
z fl-' 11, 1 = �07 t ;
CITY OF NEWPORT BEACH
Public Works Department
Harbor Resources Division
4/24/14
pi� —Q,
Key Escrow
Fax# 949.698.1961
Re: 9 Bay Island
Escrow#001060-jm
Dear Key Escrow,
The City of Newport Beach has inspected the above pier and found it to meet City
standards. Once we receive the application signed by both the buyer and seller
the pier will be transferred.
Thanks for your help and if you require further assistance in this matter please call
949.644.3044.
Sincerely,
46erd AlAt-e
Lisa Walters
829 Harbor Island Drive, Newport Beach, CA 92660
www.newportbeachca.gov (949) 644-3034
------ -- --- ------- ----------- - ------ ------ ----- ----- -- -------- ------------- ------------------------------------------ --------- ---------------- - ------------
000806
ESCROW NO. 001060 -JM
DATE: March 24, 2014 AMOUNT $********37.00
OFFICER: Julie McMillan
Property: 9 Bay Island,, Newport Beach, CA 92661
Seller: Richard Willis Gochnauer and Beth Andrea Gochnauer
Buyer:. William J. Sweasy. and Carol A. Sweas
y
Additional pier/dock inspection/tranfser 37.00
KEY ESCROW
keyescrow.com
March 21, 2014
HARBOR RESOURCES DEPARTMENT
CITY OF NEWPORT BEACH
829 Harbor Island Drive
Newport Beach, CA 92660
RE: 9 Bay Island, Newport Beach, CA 92660
Escrow # 00 1 060-�i m
Dear Harbor
660 Newport Center Drive, 200
Newport Beach, CA 92660
Phone: (949) 698-1960
Fax: (949) 698-1961
Please be advised that escrow has been opened with regard to the above property.
Enclosed is our check �in the amount of $248.00, so that your pier/dock inspection can be completed.
Kindly provide a copy of your letter regrading any peir transfer requirements, when available.
Let me know if you
M nk you,
Julie McMillan
Escrow Officer
julie@keyescrow.corT
any additional details or information.
KEY 8
March 21, 2014
ESCROW
keyescrow.com
HARBOR RESOURCES DEPARTMENT
CITY OF NEWPORT BEACH
829 Harbor Island Drive
Newport Beach, CA 92660
Attn: LISA WALTERS
RE: 9 Bay Island, Newport Beach, CA 92660
Escrow # 00 1 060-j m
660 Newport Center Drive, 200
Newport Beach, CA 92660
Dear Harbor Resources:
Enclosed is our check for the additional $37 due.
The Harbor Permit Transfer Application is also enclosed.
As the Buyer and tures are obtain, I'll be happy to send a copy to you.
Thank you,
Julie McMillan
Escrow Officer
row.com
Phone: (949) 698-1960
Fax: (949) 698-1961
INSPECTION FORM
Harbor Resources Department
Date: 30[+114,
Inspection Requested By:
Inspector:
Pier Address:
Pier Transfer GFI Present
Anti -Siphon / Backflow Present
Other Comments
Reinspection
Yes Need None Needed Yes Need
Eelgrass
Date Time _FJ Eelgrass Within 15'of Project
F] Eelgrass Within 15'- 30'of Project
F] No- Eelgrass; in Project Area
Pump Out
Pier Location
Yes No
Operational
Recommended Action
Encroachmenet
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
Newport
Beach
GIS
P- 0
A
0 40 80
Feet
Disclaimer: Every reasonable effort has been made to assure the
accuracy of the data provided, however, The City of
Newport Beach and its employees and agents
disclaim any and all responsibility from or relating to
any results obtained in its use.
Imagery: 2009-2012 photos provided by Eagle
Imaging www.eagleaerial.com
Please print 3 copies
Worksheet for Building Combo Permit Applica ion
City of Newport Beach - Building Department
Building Grading [7'Drainage [7Elec [71 Mech f—, Plum
-1 Drr%iat-f Address (Not mailinq address)
C ;A +; IN
if UnILS k! Res Ran a
Tenant Name(if Applicable
...........
to,
4'�o
Floor Suite No
2. Description of Work Use
boa -1
............................ .
Valuation $
........................... . ........... ........... ............ . .... . . ......
Exist House SF Demo House SF Add/Reconstruct House SF
.......... ..............
Exist Gar SF F77 Demo Garage SF E77 Add/Reconstruct Garage SF # Stories F7
TOTAL HOUSE SF Cu Yd Cut
New Add 17 Alter f—.,.Demo F .. . ........................ ......... ..
TOTAL GARAGE SF Cu Yd Fill
A% ........... ...........
Check Appropriate Box for Applicant
OFFICE USE ONLY ENERGY P/C FEE $
GRADING P/C FEE $
PERMIT NO.
PLAN CHECK NO.
PoullIPM7 ELEC/MECH/PLUM P/C PLAN CHECK FEE $
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Cn-Y OF NEWPORT BEACH
HARBOR PERNINT
MMISSION IS KREBY GRANTED TO CONSTRUCT AND
MAJNTAIN THE FACILITY SHOWN, ON THE REVERSE HEREOF,
AT THE. SITE INDICATED, SUBJECT TO THE PROVISIONS OF
THE HARBOR PERMIT POLICIES Of: NEWPORT BEACH AND
ANY SPECIAL CONDITIONS LISTED HEREON. THIS PERMIT
IS NOT TRANSFERABLE WITHOUT THE WRITTEN CONSENT OF
THE CITY HARBOR COORDINATOR OR CITY COUNCIL THE
RIGHTS GIVEN UNDER THIS PERMIT ARE PERMISSIVE ONLY
AND THIS PERMIT MAY BE REVOK�DTlblY,;jE CITY COUNCIL e7
IN ACCORDANCE WiTij T[fffLE 17 OF INICIRAL
tft? HAR�IUR COORDINATOR
ZOO 0
PERMIT NO. DATE
/67
�'1�141�N OF:
;;E
Office of the Chief
Regulatory Branch
DEPARTMENT OF THE ARMY
LOS ANGELES DISTRICT, CORPS OF ENGINEERS
P.O. BOX 2711
LOS ANGELES. CALIFORNIA 90053-2325
September 21, 1993
Mr. Tony Melum
Tidelands Administrator
City of Newport Beach
P.O. Box 1768
Newport Beach, California 92659-1768
SUBJECT: NOTICE TO PROCEED
Dear Mr. Melum:
Reference is made to your letter dated September 14, 1993 in
which you submitted on behalf of Burton Tilden at #9 Bay Island,
a notification for the maintenance dredging of 140 cubic yards of
sand and silt material by hydraulic suction and disposal of the
dredged material on the adjacent beach.
Based on the furnished information, we have determined that
the proposed maintenance dredging activity complies with the
terms and conditions of Permit No. 89 -211 -GS provided that Mr.
Tilden's contractor does not exceed the maximum dredging design
depth of -5 feet MLLW with a maximum allowable overdepth of -1
foot MLLW.
If you have any questions, please contact Bruce Henderson at
(213) 894-0351.
Sincerely,
Michele F. Waltz
Chief, South Coast Section
1, Applicant (Pro
OF W"VORT BEACH FIRE MARINE DEPARTMENT
""HARBOI:Z-e�ERMIT APPLICATION (Please print a,.,,iformation)
1
Tele
'T
�� a
12a V
2. Project' Addres's (Street Address) Harbor Permif Number
3. New Construction Revision Maintenance Dredging
V-11*_ 7)
4. Fee 3 5---Z Check No. Zf�-� Date 92—LO—OU
— 09V90 — 7_0 0/�F/Xe-, iobc/�
5. Brief Description of Proposed Work: T X=EM//1_9S
6. Submit 8 1/2" x 11" Drawings (3), Include:
1). Location and dimension of proposed structure including piles and location of existing structures.
on adjacent properties.
2). Location of bulkhead, pierhead and project lines.
3). Location of property lines.
4). Location of channel markers within 200 feet.
5). Lot sizes and lot numbers, if available.
6). Existing ground profile beneath proposed structure.
7). Elevation of top and bottom of bulkheads and piles with respect to M.L.L.W.
8). Area and profile of any proposed dredging with elevations showing'depths with respect of M.L.L.W
9). Any special conditions affecting the construction or affecting boating operations.
1 0).Complete all information required in information block, bottom of sheet. Note that the OWNER.
of the property is the applicant.
11). Drawing size shall be 8 - 1/2" x I I".
12).Scale shall be adequate to clearly show the above information.
13).Existing structures shall be shown in light dashes. New work shall be shown in heavy solid lines.
7. Owner -Builder Declaration must be com, ted (on rev e side of this sheet)
8. Applicant'slAgent's Signature: Date: _2 k -D
Joint Permittee Signature (if app�li/ble): Date:
9. Work can begin once the City has received evidence of the following additional approvals and you have
been notified to proceed. If you begin prior to the notice you will. be in violation of the Newport Beach
Municipal Code and subject to penalties.
10. Your permit will not be final until we have conducted an on site inspection once construction is
completed as per Municipal Code, Section 17.24, if we have not been contacted for a final inspection.
OFFICE USE ONLY
Approval in Concept.
Approval of the City of Newport Beach Council.
Approval of the Army Corps of Engineers
'Approval of the California Coastal Commission.
Approval of the City's Public Works Department.
Approval of the City's Building Department.
Approval of County of Orange.
Electrical and/or plumbing permit (Building Department)
Issued. (Permit is stamped drawing)
Site Inspection. (call 644-3043 for appointment)
Site Re -Inspection
Conditions:
Date
Date
Date
Date
Date
Date
Date
Date
Date,Z— —16
Dat _211—Zod
Date
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the contractor's license law for the following reasons:
(Sec. 7031d.5, Business and professions Code). Any City or County which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires
the applicant for such permit to file a signed statement that he is licensed pursuant to the
provision of the Contractors License Law (Chapter 9, commencing with Section 7000, of
Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis
for the alleged exemption. Any violation of Section 7031.5 by any applicant for a perrnit
subjects the applicant to a civil penalty for 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 Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale).
- 1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects who builds or improves thereon, and who contracts for such projects with a
Contractor(s) License pursuant to the Contractor's License Law).
I am exempt under Sec. of Business and Professional Code for this reason:
Owner's Signature:
Contractor: -7
�- 01 M, &A"
License class: A
Date:
License Contractor's Declaration
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Btpl�ess and Pr ions Code, and my license is in full force and
effect.
Contractor's Signature Date:
I
tl t MPA Y
���E -:- -PH&��4
RIVERSIDE, CALIFORNIA 92504
-in
-old
Lemons
Oranges
pure� 6
Grapefruit
ARLINGTON HEIGHTS CITRUS COMPANY
Burton W. Tilden
13us.(714) 359-6451
8000 Lincoln Ave. Res. (714) 689-1988
Riverside, CA 92504
PE1,__�j_'T NO. 161-9
DREDGING APPLICATION
Project Location:#9 Bay Island
Cubic Yards to be Drddged: 140 cubic yards
Method of Dredging: Hydraulic Suction
Nature of Dredged Material: Sand/Silt
Disposition of Dredged Material: pump onto Adjacent 12each
Method of Material Disposition: Pipeline
Turbidity Control Method: Turbidity curtain as required
Effect of dredging on contiguous bulkheading and beaches Restores
Beach and reinforces bulkhead
I, Lisa E. Miller hereby state that I have read the U. S. Army
(print name)
Corps of Engineers permit for maintenance dredging in Newport Harbor, the
City of Newport Beach and Orange County Harbors,Beaches and Parks District
(if applicable) permit for maintenance dredging and that I accept all the
provisions therein. Additionally I guarantee that the proposed dredging
will not occur because of any altering of existing use of the affected
zone.
Burton Tilden Shellmaker Inc.
(Applicant -type name) (Contractor -type name)
Signed:, �&�
Contractor's
Representative
161-17
CITY OF NEWPORT BEACH
HARBOR PERMIT
PERMISSION IS HERESY GRANTED TO CONSTRUCT AND
MAINTAIN THE FACILITY SHOWN ON THE REVERSE HEREOF
AT THE SfTE INDWAYM SMECT TO THE PROVIM& OF
THE HARBOR PERMIT POLICIES OF NEWPORT BEACH AND
ANY SPECIAL CONDITIONS LISTED HEREON. THIS PERWr
IS NOT TRANSFERABLE WITHOUT THE WRITTEN CONSENT OF
THE CFty HARBOR COORDINNOR OR CITY COUNCII- THE
RIGHTS CAVEN UNDER THIS PERMIT ARE PERMISSIVE OMY
AND THE PERW�r KAY �BECED BY THE Co=U
C'
17(
IN ACCORDANCE 17 OF IFAL
'of
V7
CIT Y W8bhtd-09DIWA—TOR
PERMIT NO. DATE
PERMIT fSS'LIED SUa,;ECT ro
DRZDGE MATERIAL BEING
'AAULE-aTOSEA
'LACED oN sEAcH
SME-CiAL C,:'l.'.;`NDlTt;i)f4 :
COrPs Of Enghw-,�,s perr,
. /,t 9/-?
0,mnp County pir mit
'U"umr , 7/-? - 51Y 7
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4
JOSEPH K. HORTON
ATTORNEY AT LAW
3810 WILSHIRE BOULEVARD
SUITE 1610
LOS ANGELES, CALIFORNIA 90010
(213) 380-5561
September 14, 1988
Ray Garver
City of Newport Beach
Marine Department
P. 0. Box 1768
Newport Beach, CA 92663
Re: 10 Bay Island
Dear Sir:
Please find herewith copy of Worker's
Compensation Insurance Policy.
JKH: j 1
Enc.
Yours sincerely,
Joseph �K. Horton
COMPENSATION
INSURANCE
FUND
HOME OFFICE
SAN FRANCISCO
ALL EFFECTIVE DATES ARE
AT 12:01 AM PACIFIC
STANDARD TIME OR THE
TIME INDICATED AT
PACIFIC STANDARD TIME
EMPLOYER'S LIABILITY INSURANCE
AMENDED
ENDORSEMENT AGREEMENT
EFFECTIVE JULY 30, 1988 AT 12.01 A.M.
JOSEPH HORTON
3810 WILSHIRE BL#1610
LOS ANGELES, CALIFORNIA 90010
1075707-88
NEW
Sc
PAGE 1L
ANY CONTRADICTION BETWEEN THE POLICY AND THIS ENDORSEMENT WILL BE CONTROLLED BY THIS ENDORSEMENT.
IT IS AGREED THAT THE INSURANCE AFFORDED BY PART TWO - EMPLOYEEEPIS LIABILITY INSURANCE OF THIS
POLICY IS SUBJECT TO THE FOLLOWING PROVISIONS,
A. "HOW THIS INSURANCE APPLIES", IS AMENDED TO READ As FOLLOWS,
A. HOW THIS INSURANCE APPLIES
THIS EMPLOYER'S LIABILITY INSURANCE APPLIES TO BODILY INJURY BY ACCIDENT OR BODILY
INJURY BY DISEASE. BODILY INJURY MEANS A PHYSICAL OR MENTALINJURY, INCLUDING RESULTING
DEATH. BODILY INJURY DOES NOT INCLUDE EMOTIONAL DISTRESS, ANXIETY, DISCOMFORT, INCON-
VENIENCE, DEPRESSION, DISSATISFACTION OR SHOCK TO THE NERVOUS SYSTEM, UNLESS CAUSED BY
EITHER A MANIFEST PHYSICAL INJURY OR A DISEASE WITH A PHYSICAL DYSFUNCTION OR CONDITION
RESULTING IN TREATMENT BY A LICENSED PHYSICIAN OR SURGEON.
1. THE BODILY INJURY MUST ARISE OUT OF AND IN THE COURSE OF THE INJURED EMPLOYEE'S
EMPLOYMENT BY YOU.
2. THE EMPLOYMENT MUST BE NECESSARY OR INCIDENTAL TO YOUR WORK IN CALIFORNIA.
3. BODILY INJURY BY ACCIDENT MUST OCCUR DURING THE POLICY PERIOD.
4. BODILY INJURY BY DISEASE MUST BE CAUSED OR AGGRAVATED BY THE CONDITIONS OF YOUR EM-
PLOYMENT. THE EMPLOYEE'S LAST DAY OF LAST EXPOSURE TO THE CONDITIONS CAUSING OR
AGGRAVATING SUCH BODILY INJURY BY DISEASE MUST OCCUR DURING THE POLICY PERIOD.
S. IF YOU ARE SUED, THE ORIGINAL SUIT AND ANY RELATED LEGAL ACTIONS FOR DAMAGES FOR
BODILY INJURY BY ACCIDENT OR BY DISEASE MUST BE BROUGHT UNDER THE LAWS OF THE STATE
OF CALIFORNIA.
C. "EXCLUSIONS", IS AMENDED TO READ AS FOLLOWS,
C. EXCLUSIONS
THIS INSURANCE DOES NOT COVER,
1. LIABILITY ASSUMED UNDER A CONTRACT,
2. PUNITIVE OR EXEMIPLARY. DAMAGES WHERE Iskle-URANCE FOR SUCH LIABILITY IS PROHIBITED BY
LAW OR CONTRARY TO PUBLIC POLICY,
3. BODILY INJURY TO AN EMPLOYEE WHILE EMPLOYED IN VIOLATION OF LAW WITH YOUR ACTUAL
KNOWLEDGE OR THE ACTUAL KNOWLEDGE OF ANY OF YOUR EXECUTIVE OFFICERS,
4. ANY OBLIGATION IMPOSED BY A WORKERS' COMPENSATION, OCCUPATIONAL DISEASE, UNEMPLOY-
MENT COMPENSATION, OR DISABILITY BENEFITS LAW, OR ANY SIMILAR LAW,
5. BODILY INJURY INTENTIONALLY CAUSED OR AGGRAVATED BY YOU,
6. BODILY INJURY ARISING OUT OF TERMINATION OF EMPLOYMENT, OR
7. BODILY INJURY ARISING OUT OF THE COERCION, DEMOTION, REASSIGNMENT, DISCIPLINE,
DEFAMATION, HARASSMENT OR HUMILIATION OF, OR DISCRIMINATION AGAINST . ANY EMPLOYEE.
NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE
OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS
POLICY OTHER THAN AS STATED. NOTHING -ELSEWHERE IN THIS POLICY SHALL BE
HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR
LIMITATIONS OF THIS ENDORSEMENT.
COUNTERSIGNED AND I -$-SUED AT SAN FRANCISCO: AUGUST 4, 1988
2086
AUTHORIZED REPRESENTATIVE PRESIDENT
SCJF FORM ID217 LREV.7-84) OLD DP 217
PLEASE KEEP THIS
ENDORSEMENT
WITH YOUR POLICY
Dear Policyholder:
The endorsement on the reverse side amends and is part of your policy. Please
keep it with your policy for future reference.
If you have any questions concerning this endorsement, please contact your local
State Fund office. I
IMPORTANT - THIS IS NOT A BILL. SEND NO MONEY UNLESS STATEMENT IS ENCLOSED.
AlEft
"alli. POLIC )ECLARATIONS
,;pTA-RANCISCO
'Tr= HOME OFFICE SA,--,.,
COMPENSATION
lKSURANCE CALIFORNIA WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY
w 0 Waft
F U IN Lj THESE DECLARATIONS ARE A PART OF THE WORKERS' COMPENSATION POLICY INDICATED HEREON.
THIS INSURANCE IS EFFECTIVE FROM
12:01 A.M., PACIFIC STANDARD TIME
7-30-88 TO 1-01-89 AND SHALL
AUTOMATICALLY RENEW EACH 1-01
UNTIL CANCELLED
JOSEPH HORTON
3810 WILSHIRE BL#1610
LOS ANGELES, CALIF 90010
CONTINUOUS POLICY 1075707-88
DEPOSIT PREMIUM $550.01
MINIMUM PREMIUM $450.0(
PREMIUM ADJUSTMENT PERIOD ANNUALLI
N SC
NAME OF EMPLOYER— JOSEPH HORTON
EDWIN PHILLIPS AND
BURTON TILDEN
JOINTLY AND NOT SEVERALLY, A COPARTNERSHIP
LOCATIONS— #10 BAY ISLAND, BALBOA 92661
1. WORKERS' COMPENSATION INSURANCE — PART ONE OF THIS POLICY APPLIES TO THE
WORKERS' COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
2. EMPLOYER'S LIABILITY INSURANCE — PART TWO OF THIS POLICY APPLIES TO
LIABILITY UNDER THE LAWS OF THE STATE OF CALIFORNIA. THE LIMIT OF OUR
LIABILITY UNDER PART TWO IS,
$3,000,000
CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE TO 1-01-89
5645 CARPENTRY --CONSTRUCTION OR REMODELING 20.34
OF DETACHED PRIVATE RESIDENCES FOR
OCCUPANCY BY ONE OR TWO FAMILIES AND
THE CONSTRUCTION OF PRIVATE GARAGES IN
CONNECTION WITH SUCH STRUCTURES—INCLUD—
ING INSTALLATION OF INTERIOR TRIM,
BUILDERS FINISH AND CABINET WORK
EMPLOYEES WHOSE REGULAR HOURLY WAGE
DOES NOT EQUAL OR EXCEED $17.00 PER
HOUR.
TOTAL ESTIMATED ANNUAL PREMIUM $510
COUNTERSIGNED AND ISSUED AT SAN FRANCISCO AUGUST 4, 1988 POLICY FORM K 1L
-Sgl;: FORM 10240 (REV. 7-841 JOVER PLEASE) OLD DP 240
Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions
agreements or limitations of the Policy other than as herein stated.
When countersigned by a duly authorized officer or representative of the State Compensation Insurance
Fund, these declarations shall be valid and form part of the Policy.
aAUTHORIZEO REPRESENTATIVE PRESIDENT
BUILDING CONSTRUCTION
EXTENSION OF SCHEDULE FORM 10500
CODE NO. AND DESCRIPTION OF PRINCIPAL WORK COVERED
5200
5222
CONCRETE OR CEMENT WORK --pouring or finishing of
CONCRETE CONSTRUCTION- -in connection with bridges
concrete sidewalks, driveways, patios, curbs or gutters--
or culverts --all types --where clearance is more than 10 feet
including the making or stripping of forms.
at an), point or entire distance between terminal abutments
(Basic Rate $8.50)
exceeds 20 feet --including making, setting up, or taking dowt
forms, scaffolds, falsework or concrete distributing apparatus.
(Basic Rate $18.32)
5200
CONCRETE OR CEMENT WORK --Pouring or finishing
of concrete floor slabs, poured in place and on the ground
5225
for other Vian concrete buildings or structural steel buildings
of multi -story construction- -including the making or stripping
REINFORCING STEEL INSTALLATION- -placing for
of forms.
concrete construction.
(Basic Rate $8.50)
(Basic Rate $11.71)
5213
6217
CONCRETE CONSTRUCTION- -Not Otherwise Classified--
EXCAVATION --Not Otherwise Classif ied- -including
including foundations, or the making, setting up or taking
borrowing, filling or backfilling.
down of forms, scaffolds, falsework or concrete distributing
(Basic Rate $8.2F7)
apparatus --No Payroll Division with 5222(l), "Concrete
Construction- -bridges or culverts", 50400, "Bridge
Building --metal". 60030, "Bridge or Trestle
Construction- -wood". or 5506 or 5507. "Street
or Road Construction."
(Basic Rate $12.16)
CARPENTRY CLASSIFICATIONS ASSIGNED BY WAGE LEVEL
REGULAR HOURLY WAGE REGULAR HOURLY WAGE
LESS THAN $17.00 EQUALS OR EXCEEDS $17.00
5403
5432
CARPENTRY- -employees whose regular hourly wage does
CARPENTRY- -employees whose regular hourly wage equals
not equal or exceed $17.00 per hour--N.O.C.
or exceeds $17.00 per hour--N.O.C.
(Basi6 Rate $18.82)
The use of this classification is subject to verification at the
time of finai audit that the employee's regular hourly wage
equals or exceeds $17.00 per hour. The payroll of an em-
-
ployee whose regular hourly wage is not shown to equal or
exceed $17.00 per hour shall be assigned to Code 5403.
(Basic Rate $16.25)
5645
5697
CARPENTRY- -construction or remodeling of detached
CARPENTRY- -construction or remodeling of detached
private residences for occupancy by one or two families and
private residences for occupancy by one or two families
the construction of private garages in connection with such
and the construction of private garages in connection with
structures- -including insta!lation of interior trim, builders
such structures- -including installation of interior trim.
finish and cabinet work --employees whose regular hourly
builders finish and cabinet work- -employees whose regular
wage does not equal or exceed $17.00 per hour.
hourly wage equals or exceeds $17.00 per hour.
(Basic Rate $18.82)
The use of this classification is subject to verification at the
time of final audit that the employee's regular hourly wage
equals or exceeds $17.00 per hour. The payroll of an em-
ployee whose regular hourly wage is not shown to equal or
exceed $17.00 per hour shall be assigned to Code 56450).
(Basic Rate $16.25)
SCIF 10500 (REV. 7-87)
LAW OFFICES
HOR-TON & FOOTE
402 SOUTHERN FEDERAL BUILDING
3921 WILSHIRE BOULEVARD
LOS ANGELES, CALIFORNIA 90005
TELEPHONE 385-3166
August 17, 1965
City of Newport Beach
Public Works Department
Newport Beach, California
Gentlemen:
Re: Pier Permit Transfer No. 11 Bay Island
Please find herewith executed Pier Permit Transfer
form in triplicate together with a letter also in triplicate
advising that the transfer of title has been completed.
I regret that the permit number has not as yet been
made available to me and will appreciate it if you can supply
this data.
Thanking you for your attention to this, I am
Yours sincerely,
Joseph K. i9i6rtdn"
JKH/nk
encl.
AUGUST 19, 1965
MR- JOSEPH K. HORTON
HORTON & FOOTE
402 SOUTHERN FEDERAL BUILDING
3921 WILSHIRE BOULEVARD
Los ANGELES, CALIFORNIA 90005
DEAR MR. HORTON'.
YOUR APPLICATION FOR TRANSFER OF PIER PERMIT No. A 0-9-R
HAS BEEN RECEIVED*
THE HARBOR PERMIT POLICIES REQUIRE A FEE OF $25-00 FOR
TRANSFER OF A PERMIT- AS SOON AS WE RECEIVE YOUR CHECK,
WHICH SHOULD BE MADE PAYABLE TO THE CITY OF NEWPORT BEACHI
YOUR APPLICATION WILL BE PROCESSED -
VERY TRULY YOURS,
yf
KENNETH L. PERRY
AsST. CITY ENGINEER
KLP: VR
h 4��-�
LAW OFFICES
HOkTON & FOOTE
402 SOUTHERN FEDERAL BUILDING
39 21 W I LSHIRE BOULEVARD
LOS ANGELES, CALIFORNIA 90005
TELEPHONE 385-3166
July 2, 1965
City of Newport Beach
Public Works Department
Newport Beach, California
Gentlemen:
Re: Pier Permit Transfer A
No. 11 Bay Island
'The transfer of title from Florence H.
Gray to Joseph K. Horton has been completed.
Yours very truly,
- V-6
I Oil
JKH/nk
R F C F I V F D
AUG 18 1965
PUBLIC WORKS DEPTIA'
CITY OF NEWPORT BEACH - PUBLIC WORKS DEPARTMENT
PIER TRANSFER INSPECTION REPORT FORM
TRANSFEREE
(NEW OWNER) -
ADDRESS
LoCATioN: DATE OF INSPECTION INSPECTED BY:
RESULTS SATISFACTORY UNSATISFACTORY F]
REMARKS
STRUCTURAL: DATE OF INSPECTION
IN4PECT.ED BY:
RESULTS SATISFACTORY� UNSATISFACTORY
REMARKS
PLUMBING.- INSPE,CTION REQUIRED YES No
DATE OF INSPECTION N S P E C T E D 8 Y
RESULTS SATISFACTORY UNSATISFACTORY
REMARKS___ZZa,-a -/-g- 1(le,)
ELECTRICAL: INSPECTION REQUIRED YES No
DATE OF INSPECT ION INSPECTED BY:
RESULTS SATISFACTORY UNSAT18FACTORY
REMARKS
PIER PE'RMIT No. -A-
,AUGUST 27.. 1965
MR. JOSEPH K. HORTON
HORTON & FOOTE
4o2 SOUTHERN FEDERAL BUILDING
3921 WILSHIRE BOULEVARD
Los ANGELES,, CALIFORNIA 90005
SOSPEtT: HARBORPERMIT No. A -899-R
DEAR MR. HORTON:
BEFORE THE SUBJECT HARBOR PERMIT CAN BE TRANSFERRED FROM
MRS. GRAY TO YOU IT WILL BE NECESSARY TO CORRECT THE
FOLLOWING DEFICIENCY:
PLUMBING: THERE IS NO BACKFLOW DEVICE ON
WATER LINE#
REPAIRS AND NORMAL MAINTENANCE TO PIER STRUCTURES DO NOT RE-
QUIRE A PERMIT. HOWEVER2 TO BUILD, EXTEND OR REVISE THE
EXISTING STRUCTURE REQUIRES APPROVAL BY THE CITY OF NEWPORT
BEACH. APPLICATIONS FOR THIS TYPE OF PERMIT MAY BE OBTAINED
FROM THE PUBLIC WORKS DEPARTMENT.
BEFORE ANY CORRECTIVE MEASURES ARE UNDERTAKEN OR ANY AD-
DITIONS ARE MADE TO THE PLUMBING AND ELECTRICAL SYSTEMS2
A PERMIT MUST BE OBTAINED FROM THE CITY OF NEWPORT BEACH
BUILDING DEPARTMENT.
PLEASE NOTIFY THIS OFFICE WHEN THIS DEFICIENCY HAS BEEN
CORRECTED -
VERY TRULY YOURS,
0
KENNETH L. PERRY
ASST. CITY ENGINEER
KLP:VR
LAW OFFICES
HOR-TON & FOOTE
402 SOUTHERN FEDERAL BUILDING
3921 WILSHIRE BOULEVARD
LOS ANGELES, CALIFORNIA 90005
TELEPHONE 385-3166
September 27, 1965
Kenneth L. Perry
Assistant City Engineer
City Hall
3300 West Newport Boulevard
Newport Beach, California
Dear Mr. Perry:
Re: Harbor Permit No. A -899-R - Your Letter, 8/27/65
The deficiency referred to in the above letter
has been corrected by Drake Plumbing Company.
Yours very truly,
on
JKH/nk
-4t?e ,
C�'Je ?-,4? %-? - 6 "�- 4 - ,
CETI
SEP 2 8 19,65
PUBUC WORKS UEPT%
CITY OF NEWPORT BEACH - PUBLIC WORKS DEPARTMENT
HARBOR PERMIT
E. G# WvtMER
NAME OF APPLICANT
#9 BAY ISLAND
,MAILING ADDRESS
NEWPOftT BEA04
IN COMPLIANCE WITH YOUR APPLICATION OF AVOUST 26 196 3
AND SUBJECT TO ALL TERMS, CONDITIONS AND RESTRICTIONS WRITTEN BELOW OR PRINTED
AS GENERAL, OR SPECIAL PROVISIONS ON ANY PART OF THIS FORM,
PERMISSION 13 HEREBY GRANTED TO RE -VISI: EXISTINO FLOAT SY g:XTENDING Ftmeelks 10,
AND W109N SLIP 3 SUOJECTL TO T149 APPlItOVAL OF TUC Coitps OF ENctuteRs.
L*tATtONt #9 BAY ISLAND - LOT 91 SAY ISLAND TAAtT
ALL WORK TO BE IN ACCORDANCE: WITH THE STANDARD SPECIFICATIONS OF THE
CITY OF NEWPORT BEACH AND DRAWINGS ATTACHED OR REFERENCED THERETO:
THIS PERMIT SHALL BE VOID UNLESS THE WORK HEREIN CONTEMPLATED SHALL
HAVE BEEN COMPLETED BEFORE OcTosto -1 19
APPROVED BY -Q'q-�
-CITY ENGINEER.,
AUTHORIZED BY THE CITY COUNCIL OF THE CITY OF NEWPORT BEACH, AT A
MEETING HELD ON THE, ti DAY F -04:TO Or;. R
�ITY C�ERK
No. A -899-R
GENERAL PROVISIONS FOR FAER.)PEOM'TTSYS
ACCEPTANCE OF PROVISIONSt IT IS UNDERSTOOD AND AGREED BY THE PERMITTEE THAT
THE DOING OF ANY WORK UNDER THIS PERMIT SHALL CONSTITUTE AN ACCEPTANCE OF ALL OF THE
PROVISIONS -
2. PERMIT FROM OTHER AGENCIES-. THE PARTY OR PARTIES TO WHOM THIS PERMIT IS
ISSUED SHALL, WHENEVER THE SAME IS REQUIRED BY LAW, SECURE THE WRITTEN ORDER OR CONSENT
TO ANY WORK HEREUNDER FROM THE U.S. CORPS OF ENGINEERS OR ANY OTHER PUBLIC BODY HAVING
JURisbiCTION, AND THIS PERMIT SHALL BE SUSPENDED IN OPERATION UNLESS AND UNTIL SUCH
ORDER OR CONSENT IS OBTAINED.
3. TRANSFERRING PERMIT: THIS PERMIT,IS NOT TRANSFERABLE WITHOUT THE WRITTEN
CONSENT OF THE CITY COUNCIL OF THE CITY OF NEWPORT BEACH -
4. INSPECTION: THE WORK SHAL_48E SUBJECT TO THE SUPERVISION AND APPROVAL OF
THE PUBLIC WORKS DEPARTMENT. THE PERMITTEE SHALL NOTIFY THE PUBLIC WORKS DEPARTMENT
AT LEAST 3 DAYS IN ADVANCE OF THE DATE WORK IS TO BEGIN AND BEFORE ITS COMPLETI ON-
5- PROTECTION OF TRAFFIC: ADEQUATE PROVISIONS SHALL BE MADE FOR THE PROTECTION C"
OF THE TRAVELING PUBLIC. BARRICADES SHALL BE PLACED ON STREETS, WITH LIGHTS AT NIGHT,
ALSO FLAGMEN EMPLOYED, ALL AS MAY BE REQUIRED BY THE PARTICULAR WORK IN PROGRESS.
THE PERMITTEE SHALL NOT ATTEMPT TO FORBID THE FULL AND FREE USE BY THE PUB-
LIC OF ALL NAVIGABLE WATERS AT OR ADJACENT TO THE WORK OR STRUCTURE. IF;THE DI -SPLAY
OF LIGHTS AND,SfGNAIS ON ANY WORK HEREBY AUTHORIZED IS NOT OTHERWISE PROVIDED YY LAW)
SUCH LIGHTS AND SIGNALS� AS MAY BE PRESCRIBED BY BUREAUiOF'LIGHT HOUSES, DEP ' ARTMENT�
OF COMMERCE, SHALL BE INSTALLED AND MAINTAINED AT THE EXPENSE OF THE PERMITTEE -
STRUCTURES SHALL BE SO CONSTRUCT ED AS NOT TO OBSTRUCT) INTERFERE WITH OR
PREVENT THE FREE USE OR PASSAGE OF ANY SIDEWALKS, STREET, ALLEY, PUBLIC WAY OR
NAVIGABLE CHANNEL -
6. LlASILITY FOR DAMAGES-. THE PERMITTEE IS RESPONSfB-LE FOR ALL LIABILITY FOR
PERSONAL JURY OR PROPERT I Y DAMAGE I WHICH MAY ARISE OUT OF WORK HEREIN PERMITTED) OR
WHICH MAY ARISE OUT 'OF THE USE OR POSSESSIONCOF SAID WORKS, AND IN THE EVENT ANY c!_%;:;
CLAIM IS MADE AGAINST THE CITY OF NEWPORT BEACH OR ANY DEPARTMENT) OFFICER� OR tM�".
PLOYEE�--THEREOF, THROUGH,, BY REASON OF, OR IN CONNECTION WITH SUCH WORK, FERMITTEE
SHALL DEFEND, INDEMNIFY AND HOLD THEM, AND.EACH OF THEM, HARMLESS FROM SUCH CLAIM -
7. REVOCATION OF PERMIT-. THE RIGHTS GIVEN UNDER T HIS PERMIT'ARE PERMISSIVE
ONLY AND THE CITY OF NEWPORT BEACH RESERVES FULL RIGHT) POWER AND AUTHORITY TO 'REVOKE
THIS PERMIT AT ANY TIME- IN THE EVENT THE PERMITTEE FAILS TO REMOVE SAID WORKS WITH-
IN THE TIME SPECIFIED� THEN THE CITY ENGINEER SHAJ_L�:HAVE THE RIGHT TO IMMEDIATELY
REMOVE SAME AT THE COST AND EXPENSE OF THE PERMITTEE -
8. REPAIRS': THE PERMITTEE SHALL KEEP THE STRUCTURES IN GOOD REPAIR AT ALL
TIMES. FAILURE TO REPAIR, WHEN WRITTEN NOTICE HAS BEEN GIVEN TO THE CITY ENGINEER,
SHALL BE CAUSE FOR THE REVOCATION OF THE PERMIT.
CITY OrNEWPORT BEACH - PUBLIC WORKS DEPARTMENT
. APPLICAT!I:ON,FOk'HARBOR PERM,IT
CITY OF NEWPORT BEACH
CALIFORNIA
GENTLEMEN'.
DATE i2lUg. 26, 1963
APPLICATION IS HEREBY MADE FOR PERMISSION TO
aevise existing float by extending fingers 101 and widen 1 p 31
1 5 i Existing permit
(APPL I CANT W FLL DESCRIjLSE� HERETFUILLY';� WHAT f HE WiSHE t1!TOYDO1!AND!:PURPOSt,-,OF0 I MPROVEMENT)
io&
;e,�AA'
ADDRESS OF PROPOSED WORKj 9 Tj a,, 7- 1sland, 1ienvvort Be ch Ce:
Lif,
.APPLICANT IS OWNER OF LOT BLOCK TRACT B�V Island
THE UNDERSIGNED AGREES TO DO THE WORK IN ACCORDANCE WITH THE RULES, REGULATIONS AND SPECI—
FICATIONS AND SUBJECT TO THE INSPECTION AND APPROVAL OF THE CITY OF.NEWPORT BEACH AND
ACKNOWLEDGES THAT THE APPLICATI-ON AND PERMIT ARE SUBJECT,TO THE GENERAL PROVISIONS FOR
HARB : OR PERMITS ON THE REVERSE SIDE HEREOF AND TO ANY SPECIALJCO�:D? 100§��IIMPOSE_40�'
CONT'RACTOR� r
RE C "D F E E$
571�
CHECK No. 494-z, GNATURE OF
DATE iff9 Pay Island
FROM
RAILING ADDRESS
Ne-tVort Beach., CaliLornia
PHONE
APPLICATION SHALL BE IN DUPLICATE, No. A
GENERAL PROVAS-IONS �.OR HARBOR PERM I TS
ACCEPTAWCE OF PROVISIONS.- !IT 85 UNDERSTOOD AND AGREED BY THEPERMITTEE THAT
THE DOI I NG OF ANY WORK'UNDER 'THIS PERMIT SMALL CONSTITUTE AN ACCEPTANCE OF ALL OF THE
PROVI'316NS-
2.. PERMIT FROMOTHER AGENCIES.' THE-PARTY,01t PARTIES. -TO WHOm,:THIS PERMIT -M
ISSUED SMALL, WHENEVE'RTHE SAME IS.ftEQUIRED BY LAW) SECURE THE WRITTEN ORDER'OR CONSENT
TO ANY WORK HEREUNDER FROM THE'Q-S- CORPS.OlF,ENGoN.EERS 09 A - NY OTHER FlUBLIC'.80DY HAYI NO.
JURISD'ICTION)-AND THIS PERMIT SMALL &E SUSPENDED IN OPERATION UNLESS AND UNTIL SUCH
OR PER OR CONSENT IS OBTAINED -
3. TRANSFERRING PCRMtT: THIS PERMIT IS NOT TRANSFERABLE WITHOUT THE WRITTEN
'CONSENT OF THE CITY COUNCIL OF THE CITY'oF NEWPORT BEACH.
PLEASURE PIERS TO BE CONSTRUCTED HEREON, SHALL NOT BE SOLD, LEASED,, SUBLET
OR TRANSFERRED WITHOUT THE WRITTEN CONSENT OF THE CITY COUN&IL-
4. INSPECTION.- THE WORK SHALL BE SUBJECT TO THE SUPERVISION AND APPROVAL OF.
THE PUBLIC WORKS DEPARTMENT. THE PERMITTEE SHALL NOTIFY THE PUBLIC WORKS DEPAft-TMENT
AT LEAST 3 PAYS IN ADVANCE OF THE DATE WORK IS TO BEGIN AND BEFORE tTS COMPLETION*,
5- PROTECTION OF TRAFFVc.,,,ADEQUATE PROVISIONS SHALL BE MADEIFOR THE PROTECTION OF
THE TRAVELING PUBLuc. BARRICADES.SNALL BE.PLACED ON STREET! . 5
WITH LIGHTS.AT MIGHT.,.
ALSO FLAGIMEN EMP40YEb, ALL AS".MAY BE REQUIRED BY THE PARTICULAR.,WORK IN -PR - OGRES$.
I
THE PERMITTEE SHA . LL NOT ATTEMPT TO FORBID THE FULL AND FREE USE'BY THE PUBLIC
OF ALL NAVIGABLE WATER$ AT.01R. ADJACENT TO,TMP_ WORK OR STRUCTURE- IF THE DISPLAY OF'
'LIGHTS AND SIGNALS ON ANY WORK HEREBY AUTHORIZED IS NOT OTHERWISE PROVIDED BY LAW,
SUCH LIGHTS AND �SI.GNALSi' AS MAY BE PRESCR'IBED By BUREAU OF LIGPT HousEs., DEPARTMENT
..OF COMMERCE, SHALL BE,INSTALLED AND MAINTAINED AT THE EXPENSE OF THE PERMITTEE, -
STRUCTURES SHALL BE SO CONSTRUCTED AS NOT TO OBSTRUCT, INTERFZRE'WITH OR
PREVENT"_THE FREE' USE.OR PASSAGE OF ANY SIDEWALKS, STREET, ALLEY,,PUBLIC WAY OR
NAVIGABLE CHANNEL -
6. LIA13OLITY For< DAMAGES: THE PERMiTTEE IS RESPONSIBLE FOR ALL LIA131LITY FOR
PERSONAL INJURTOR PROPERTY DAMAGE, WHICH MAY ARISE OUT OF'WORK HEREI,N PERMITTED.1 OR -
WHICH MAY ARISE OUT OF THE USE OR POSSESSION OF SAIDIWO00, AND IN THE EVENT ANY CLAIM
I,S MADE AGAINST THE CITY OF NEWPORT BEACH OR ANY DEPA'RTMtNT�, OFFICER, OkEMPLOYEE
THEREOF, THROUGH) BY REASON OF., OR I I N CONNECTION WITH SUCH WORK, PERMITTEE tk ALL DE,FEND,
INDEMNIFY AND HOLD THEM, AND EACH OF TMEMp HARMLESS FROM SUCH 'CLAIMo
.7. REVOCATION OF PERMIT., THE RtGHTS GIVEN UNDER TM'IS,PeRMITARE PERMISSIVE ONLY
AND THE CITY OF NEwP6RT BEACH RESERVES FULL. RIGHT, POWER AND AUTHORITY TO REVOKE THIS
PERM,IT AT.ANY TIME. IN THE EVENT THE PERMITTEE FAILS TO REMOVE 4AIP WORKS�WITHIN THE
TIME SPECIFIED, THEN THE CITY ENeiNEER'-SkALL HAVE THE RIGHT TO IMMEDIATELY REMOVE SAME
AT THE COST AND EXPENSE OF THE PERMITTEE -
8. REPAIRS: THE PERMITTEE SHALL KEEP THE,$,T-RUCTURES IN GOOD RE I PAIR AT ALL TIMES -
FAILURE TO REPAI�,WHEN WRITTEN;NOTICE HAS BEEN GIVEN TO THE CITY ENGINEER, SHALL BE
CAUSE FOR THE-REVOCATiON OF THE PERMIT.
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a
CITY OF NEKPORT BEACH
OALIFORNIA
P E R It I T
In conplLan3e with your written request of
and subject to all te.-Ms, conditions and restrictions written below or
printed as general, or epecial provisions on any part of this form,
PHRUISSION IS HE1RE3-Y GFANTED TO
in accordance with the p" ans shown on the drawing attached heretos entitled
MV, WA SUP40 40*4d %V**NW 240 1"s
Coj'\TT
SUBJECT TO THE FOUTOWING "TIONS
General Provisionst
1. Accentance of Provisionst It is understood and agreed by the
Permittee that the doLng of any work under this permit shall constitute an
acceptance of the provillsions.
2. Permi't from Other Agenciesc The party or parties to whom this
permit is issued shall, i,�fnenever the same is required by law, seoure the
written order or consent to any i,,Tc--k hereunder from the War Department of
- 1 -
the United States or any other publ J oJDody�g juri-sdLction) and this
permit shall be suspendedin operation unless. and-uritil such order or
consent is obtained,
3. Transferring Permit: This permit is not transferable-Vdth-
out the written consent of the City Council of the City of Newport Beach.
4. Notice Prior to Starting Work% The Permittee shall notify
the City Engi r at least three (3—) days in advance of the date work is
to begin and its completion.
5. Inspection! The work shall be subject to the supervision
and approval of the City Engineer. On work which requires the presence
of an employee of the City of Newport Beach as inspector, the salary and
other incidental expense of such inspection during the work shall be paid
by the Permittee upon presentation of a bill therefore.
6. Protection of Traffict Adequate provisions shall be made
for the prote on of the travelling public. Barricades shall be placed
on streets, with red lights at night, also flagmen employed, all as may
be required by the particular work in progress.
The Permittee shall not attempt to forbid the full and free
use by the public of all navigable waters at or adjacent to the work or
structure. If the display of lights and signals on any work hereby auth-
orized is not otherwise provided by law, such lights and signals3 as may
be prescribed by Bureau of Light Houses, Department of Commercej shall be
installed and maintained at the expense of the Permittee.
7. Liability for Damages: The Permittee is responsible for all
liability for'Farsonal injury or property damage which may occur through
work herein permitted, and in the event arry claim is made against the City
of Newport Beach or any department, officer or employee thereof, through)
by reason of, or in connection with such work� Permittee shall defend,
indemnify and hold them� and each of them., harmless from such claim. This
Permit shall not be effective for any purpose unless and until the above
named Permittee files with the City of Newport Beach., a surety bond in the
form.and amount required �y the said City, unless specifically exempted on
the face hereof.
8. : If the structure or work herein auth-
orized is not completed on or before the j -,'K 0 ' 1 1-9 A
VIth day f alft—AM64-01
this permit, if not previously revoked or specifically,6xtend6d, shal
cease and be null and void.
-2-
PLEASURE PIERS
1. The City of Newport Beach shall never be held liable or
obligated for any injury or damage resulting to either persons or
property through the e.�-ection, use or possession of, private piers.
2. The pier shall be'so constructed as not to obstruct.,
interfere with, or prevent the free use or passage of any sidewalks,
street, alley, public way or navigable channel,
3. The right given for the erection and maintenance of a
pier is permissive only and the Permittee shall, upon revocation
hereof, remove said pier and appurtenances thereto, within thirty (30)
days after date of mailing written notice of the revocation of this
permit, which notice may be mailed to the last known address of the
Permittee.
4, The City of Newport Beach reserves full right, power
and authority to revoke this permit, and in the event the Permittee
fails to remove said pier within the time specified, then the City
Engineer shall have the right to immediately remove same at the cost
and expense of the Permittee.
5. Pleasure piers shall be constructed in accordance with
Standard Plan No. for Pleasure Piers, adopted by the City
Counoil. Painting of Piers shall be designated by the City Eheneer.
6. The Permittee shall keep the pier in good repair at all
times and shall paint the pier iAThen required to do so. Failure to
repair or paint pier, when written notice has been given by the City
Engineer, shall be cause for revocation of the permit and removal of
the pier.
7. The pier to be constructed herein, shall not be sold,
leased, sublet or transferred, without the prior written consent of
the City.
- 3 -
Approved by
City Engineer
Authorized by the City Council of the City of Newport Beach,, at a meeting
held on the day of
City Clerk
Re,oeipt of a copy of the within and foregoing permit is.hereby acknow-
ledged, and in consideration of the issuance of the sames we hereby
accept all terms: conditions and covenants.
Dated and signed this day of
Permittee
Permittee
APPLICATION FOR PERMIT '0 -
Applicant will not fill
CITY OF NEWPORT BEACH,
CALIFORNIA
Gentlemen:
Application is hereby made for permission �o
- ------ ----------------------------------------------------------------------------
(Applicant will describe here fully what he wishes t:��ncl purpose of improvement)
----------------- ---------------------------------------------------------- ---------------------------- -------------------------------------------------------------------------------------- --------------
-------------------------------------------------------------------------------------------------
---------------- ----------------------------------
------------------ ------------------------------------ ---------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------ -------- ------------------------------------------------------------------------------------------------------- --------------------------------------
----------------------- --------------------------------------- ------- ----------------------- ------------ ----------------------------------- ------- -------------------------------------------------
Location: ---- - ----- Z/a
�V' W-4�el --- ie� eA� --- f -�( -------------------------------------------------------------
(Applicant will state here accurately the location of the wrc
------ -ee- rk he wishes to do)
-------------------------------------------------------------------- -- ----------------------------- ---------------------------------------------------------------------------------------------------------------
Applicant is Owner Lot ----- ...... -------- Block ----------------- ----------------------- Tract ---- oe?� 11':;�el /
--------------------------------------------
The undersigned agrees to do the work in accordance with the rules. regulations an specifications and subject to the
inspection and approval of the City of Newport Beach.
Application shall be in duplicate.
Plans in quadruplicate shall accompany all applications.
Application Filed ----------- .........................
Referredto ------------ ----------------------------- - ----
Permit Issued----
NB-702-1 M 10-54
,/-- 4" AtIl 7-""0qW
------------- - ------ --- --------------- - ------------------ ---------------------------------------
f Ce of A plicant
# 'le 161 10�7 ;1
say
-4 --- A -;--k --- e- A- ---------------------------------------------------
-9 ------------- _-_Bay ------ zz�'.V ------- ------------- -------- -----------
Address
BAY ISLAND CLUB
INCORPORATED MARCH 20, 1903
P. 0. Box 1 86
COSTA MESA, CALIFORNIA
March 30., 1956
TO WHOM IT MAY CONCE10%
Enlease be advised that at a meeting of the Board of
Directors of Bay Island Club the Board approved the con—
struction of a pier and dock for the joint use of Messrs.
Tilden., Gray and Witmer, to be constructed on Bay Island
as per plan dated November 16, 1955.
Yours very truly,
sista See zetary
JS'iV:mq
I