HomeMy WebLinkAbout11810 Honey Hill Dr ` t Department of Building&Safety
City of Grand Terrace
w 22795 Barton Rd,Suite B, Permit No. PWO-000-M
Grand Terrace,CA 92313-5295 Permit Type: Public Works Off Site
CALIfOPhLI
POST THIS CARD IN A SAFE,CONSPICUOUS PLACE AT FRONT OF JOB
HAVE PLANS AVAILABLE ON JOB AT TIME OF INSPECTION
24 HOUR NOTICE FOR INSPECTIONS CALL 909-825-3825
Building 11810 Honey Hill Dr Building Date Insp. status
Address NPDES
Owner Darwin, Family Tr Phone Pad Certificate
Nam
A 92324
Pre-Construction Site Meeting
Contractor Phone- Pre-Grade Meeting/Insp prior to Grac
Name and
Autitess
1st Site Insp
State Lie City Lie,# 2nd Notice
&Classrf
2nd atte./trio -- —- --
Proposed Construction: Street/Pub RoW Back Fill
REMOVE AND REPLACE EXISTING DRIVEWAY Compaction
spection
APPROACH AND PORTION OF EXISTING Foundinal Foundation and
DRIVEWAY BUILD NEW 13' x 60' DRIVEWAY Foundatio /Fill eel
Sepage Pit/Fill
ON-SPTIE FOR 11610 FfONEY HELL OIL. - 351'',�RDS OF Septic Tank Removal
Set Backs
Sewer/Septic System
Site
Slab
r'rssfsrtsv.,repair F�m Goad' yfi
asph,concrete,curb/gutter, utility or i
Trash Enclosure
Boring,Asph Cut Trench TCP Exca
Wall Location
Water Supply and Backflow
Engineering Date Insp. status
Compaction
Pre-Construction Meeting at Office b
Pre-Construction Site Meeting
Project Notice
Other Inspection
Other Inspection
Inspection
Sidewalk Repair,Replacement or Im
Slab
asptr,concrete,eurt_fttYer;uftWor#
Boring,Asph Cut,Trench,TCP, ExcE
Improv,, Repair,Cap Proi,Cond of
Grading Date Insp. status
NPDES
Ekslor PAI
Compaction
NOTICE TO OWNER Pre-Grade Meetin /g Ins nor to Grac
Slab
CALL FOR FINAL INSPECTION ON EVERY JOB. Improv,, Repair, Cap Prol, Cond of,
THIS PERMIT WILL EXPIRE IF WORK IS SUSPENDED OR asph concrete curb/ utter, utility or
ABANDONED FOR A PERIOD OF 180 DAYS. Sidewalk Repair, Re tacement or Im ( t
• • Boring,Asph Cut,Trench,TCP. Exca
PROTECT THIS CARD
Project Notice
When signed its your permanent record of permitted work. Inspection 37 0= ,per
File with your important papers. Pubii Works Date Insp. statue
1-1177a
City of Grand Terrace PERMIT NO.
Department of Building&Safety, Public Works and Housing PWO-000-583
22795 Barton Rd , Suite B, Grand Terrace, CA 92313-5295 Permit Type: Public Works Off Site
(909)825-3825 • Fax(909)825-7506
PROJECT TRACT NO BLK NO LOT NO APPLIC DATE ISSUED BY Issue Date: 02/05/2018
2/1/2018 LG Permit Status: Issued
PROJECT ADDRESS ASSESSORS PARCEL NO GEO CODE
11810 Honey Hill Dr 0276-351-03-0000
OWNER MAILING ADDRESS
Darwin, Family Tr
324
APPLICANT MAILING ADDRESS
Darwin Family Trust
313
CONTRACTORIPROFESSIONAL MAILING ADDRESS
PHONE NO FAX NO
EMAIL ADDRESS
TENANT MAILING ADDRESS
PHONE NO FAX NO
DESCRIPTION
Street/Pub RoW
REMOVE AND REPLACE EXISTING DRIVEWAYAPPROACH AND PORTION OF EXISTING DRIVEWAY BUILD NEW 13'
x 60'DRIVEWAY ON-SITE FOR 11810 HONEY HILL DR -35 YARDS OF DIRT TO BE EXCAVATED NEW GRADING(IT
WILL BE LANDSCAPED)TO BE BACK SLOPED ON BOTH SIDES TO PREVENT EROSION 2 EXISTING TREES, ONE
MAY BE REMOVED NO OFF-SITE GRADING
CALCULATION TYPE UOM #OF UNITS VALUE CALCULATION TYPE UOM #OF UNITS VALUE
OCCUPANCY TOTAL VALUATION $0.00
FEE DETAIL
QTY UOM DESCRIPTION AMT DUE AMT PAID CITY UOM DESCRIPTION AMT DUE AMT PAID
1 In ft Drive Approach $61 00 $61 00 78 Miscellaneous PW Fees $78 00 $78 00
6350 Plan Check-Outside Agency $63 50 $63 50
Total Fees $202.50 Total Paid $202.50 Balance Unpaid, $0.00 Paid Today
RECEIPTS DETAIL
RECEIPT# TRANS DATE NAME PAYMENT TYPE PAYMENT TYPE# AMOUNT
3,385 2/1/2018 DARWIN ENTERPRISES Check 2430 $202 50
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Building and Safety Department
Payment Due Selection
February 1,2018
Permit No. PWO-000-583
Project Address: 11810 Honey Hill Dr
Payer Name: DARWIN ENTERPRISES
ACCOUNT NO. AMOUNT DUE FEE DESCRIPTION
10-410-03 $63 50 Plan Check-Outside Agency
10-410-02 $61 00 Drive Approach
,10-410-02 $78 00 Miscellaneous PW Fees
Total Due: $202.50
Please make payment at cashier in Main Lobby After payment is made, please return to the
Budding and Safety Department with your receipts Your permit will then be issued to you A
permit will NOT be,issued until a c y of thi invoi a and a receipt showing payment are returned
to the issuing department
Authorized By: Date:
Bsyld g and Safety D art nt
Y
1st Copy-Community Development 2nd Copy-Owner 3rd Copy-Revenue 4th Copy-Finance
Printed 2/1/2018 2 46 pm Page 1 of 1
'
I/~ �X,
CITY Of GRAND TERRACE 38
22795N00NROAD
(QUQ) 438 2i"14 / 713
02/81/2018 15:26:01,000 ka8 C88|-D|'0E8
Validation Receipt
Payur; DAKNlN ENTERPRISES
CHARGE8-
104\003 $ 83.50
OUTSIDE AGENCY
1041003
1041002 * 81.00
DRIVE APPROACH
|041O82
1841[A2 $ 78,80
# PM FEES PN0000588
i��00P
� -_'--_--__
Sub-totol $********202.50
PAYN[NT-
Chadk 2430 * 202.50
Change
*°**
s
CITY OF GRAND TERRACE Land Use Application
Community Development Department
227,95 Barton Road
Grand Terrace,CA 92313
(909)824-6621
General Information
OFFICE USE ONLY
File No Related Files Fees Received$: Received Br.
co
Date Submitted: Categorical Exemption(if applicable) Approval Date. Approved Br
z II J/20lb Z ) 201� —�—
Applic t Contact Person
Address
Fax E-mail.Address
q0CJ -783 -0891 �
Additional Contact Person:(Please Specify Name,Company,Title)
Address
Phone Fax E-mail Address
Legal Property Owner: a
Bap )9 0
Address
E-mail Address
Project Description
Detailed Description of Proposed Project(attach additional sheets if necessary)
OVN
Project Address ` Assessors Parcel Number(s)
Page 1 of 2
� P I
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CITY OF GRAND TERRACE
�n,tr.,
Land Use-Application
Community Development Department
' 22795 Barton Road
Grand Terrace,CA 92313
(909)824-6621
AppficantAffldavit
I certify that the foregoing and following information in this application is true and accurate to the best of my knowledge and belief
d
Date. Signature
Print Name and Title
i
a 'NA w3Aj (j(,0 N C�
Pro er OwnerAffdav*
I certify that I am presently the legal owner of the above-described property Further,I acknowledge the filing of this application and
certt4r that all of the above unformatton is true and correct
Date Signature
Print Name and Tide
Submittal Requirements
A. Completed application
B. Letter of intent
C. Four(4) copies of a plot plan'
D. Four(4) copies of a floor plan(if applicable)
E. One (1) complete set of site photographs
F. Appropriate fee(s)b
a. A fully dimensioned drawing showing the following.
1. All structures,existing and proposed
2. All walls and fences, existing and proposed
3. All swimming pools,existing and proposed
4. All property lines
5. North arrow
b Additional fees may be required.
1. Land Use Application fee is$97
2. PLEASE CALL COMMUNITY DEVELOPMENT DEPARTMENT TO
VERIFY FEES
Page 2 of 2
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--- ----
EI 1
Kenneth E ti>ousel 4i 7
I
AaM�IM�Mecp„Om 1.Ag V TrVA CST&AMO tS-ra OTNOr I
w•1K >a�I.OM a{AIL TM •TATEgOUTIa TO
ivaR Earl J. %tiller
A
92324 OCT 21
2 I L
z,.L_ . I ,
I
J � SAP.
Title Order No Es CO.. CALIF
Escrow'\o i
I
INE FOR RECORDER'S USE I
GRAFT DEED
i
The unders'gned (Ieclare- that the dorumeotari tran*fer lax li E Nore 1
❑ computed on the full .alue of the mtercmt or prupert) ron-ved. or „ and n% I
❑ computed on the full .aloe M s the value of hen, or eneumbrane� remaining thereon at the Pme or.ale The land. i
tenement-,or ttalt)1.located in
❑ unincorporated area ly ehT of Grand Terrace
and ,
FOR A VALUABLE Co NSIDERATIO\, nectlpt of ahich to hereby acknowledged, r`
MARKHAM F.-MILLER and RIT-X MILLER, Trustees under the itc��drot~ \idler cno t _ ,�
Rita Miller Declaration of Trust dated March 29. (976.
I.- t
hereby GR11Tt51 to i V
EARL J. 'HILLER and FORA MILLER, husband and aife,
I
the follot+irg dcscnbed real pro{iertti inthe ,
muntrt of San Bernardino ,
elate of(.ahfornia-
An easem6nt for ingress,egress and parking over, under and ac-ro5s a portion of Parcel i
No.-I,-Parcel IM2p No. 483, in the City of Grand Terrace, Count%y of San Bernardino,
State of California, as per plat recorded in Hook 4 of Parcel %Iaps, page 75, records of .�
said County, described as follows:
1
Beginning at a point on the Northwesterly line of %aid Parcel NO. I ahich bears S28"15')4"R
16.00 feet from the most Northerl) corner of aa)d Parcel No. 1; thence Continuing S28115'54"A t�
along said Northwesterly line 149.00 feet: thence N61°37'53"E 40.00 ft: thence S28'22'G7"E
47.73 feet; thence N27"10'21"R
18.00 feet; thence N61'37'53"E 35.00 feet; thence N28'22'07"W 18 riG feet; thence 161�37 ee
93"E
81.97 feet to the point of beginning_ 1
I
1
I �
U �
I
Dated October - i 985 ..---•�, I
-Mat:(fham F. Miller
Trustees under the 1loodrow hiller and
Rita A9iller Declaration of Trust dated
March 29, 1976 i
I
STATE OF CAt.iFQI�A I
COUNTY OF—SAM.$EI;2, I RL}INO SS - -- -- - ---- - - .. I
C1i,&as the '
� _ day or October 79 85 gn 1
Notary PuEric in and fur t wad Canty and Sffisa.pi>a x0r+aliy tltl_ _ tlelpe me tha uWersgd a I
--J31Ia117i1_ ier, — -- - FOR NOTARY SEAT. OR STAIRP
I
P ala0
!�mB Or proaed to me on riie bas ofs -- dMW I
to b8 the
Pelaoll�_..whose nano (P=neat srwU i
a +braaedtotneramn tngrlsnt r f; KENNETH E SKOUSEN ,a4�
otpry — -- I
Assessors Parcel No
MAIL TAX STATEIIFNTS To P4RT1 SIIOS•\ ON FOU_()4IN,;I1�} IF 1U J 9RTl c0 SNOB1 tI t1L iSt)IHF(TFU 4ROtF
1
Name
�Irml AdJrr.. ---- - -'
CAL-t(Rev 8-t)2) t a) a btate
I
SHEET 1 OF 1 SHEET
EXHIBIT MAP
SHOWING THE PROPOSED LINE ADJUSTMENT BETWEEN PARCEL 1 OF PARCEL MAP No.
352 PER P.M.B. 3/53 AND PARCEL 1 OF PARCEL MAP No. 483 PER P.M.B. 4/75.
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LINE DATA
®' BEARING DISTANCE
1 N 61'44'O6" W 3.85'
2 N 45'26'30' E 27.07'
EXISTING
3 N 6231'22° E 37.05' ACCESS \
4 N 2756'51" W 392' EASEMENT
�\ wry• \
P.IM.
Q 4
k
G0lr- Pt
O
4, 131 SQ. FT.
-15 CAN
4 �,;'b
�Y I LAND S�
5 y �
D.
EXISTING
D6y CONCRETE �' Q
�Y WALK No. 4343
* Exp. 6-30-12 * '
EXISTING
CONCRETE 9TF WALK OF CAL\Fo4=
PREPARED UNDER THE SUPERVISION OF'
W.O. 11-25 GABRIEL D. YBARRA L.S. 4343 DATE
` --- — —
fig`! !ar•TAO n+w7 r.+i/iwb.r�+O,t.ti^ry atrrK Ailv'Y 4w4�o.0 wn1 ,eta►7M"yn.}1►Mrw.�. - -L
P=ORDING RtQUE*. 0■r
Kenneth E. Skousen W
AND WNtM ItasoltDttD N.\iL TWID DO**AND UNLtM OTllaa D!)`!rMv
(7
Wla[ a110'WN �aL01M MAIL TAX fTATa"WN" To
OFFICIAL ECORDEDIN
rRtta Miller ICOFFICIALRECCORQ
R Grand Terrace, California 972kal
1 - 2 12 A
rAr SAN BERNARDINO 1_q
�- CO., CALIF.
Tale Order No Escrow No
NE FOR RECORDER'S USE —.
GRANT DEED
The undermined declares that the documentary Transfer tax is S None and is
❑ computed on the full value of the interest or property conveyed,or is tali
❑ computed on the full salue less the value of liens or encumbrances remaining thereon at the tirne of sale The land,
tenements or really is located in
❑ unincorporated area [j city of Grand Terrace and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
EARL J. MILLER and NORA MILLER, husband and wife,
hereby GRANT(S) to
MARKHAM F. MILLER and RITA MILLER, Trustees under the WOODROW MILLER and
RITA MILLER Declaration of Trust dated March 29, 1976
the following described real pproperty in the Wj
county of San Bernardino ,state of California n J I
An easement for ingress and egress, over, under and across a portion of Parcel
No. 1, Parcel Map No. 352, in the City of Grand Terrace, County of San Bernardino,
State of California. as per plat recorded in Book 3 of Parcel Maps, page 53, records
of said County, described as followsi
Beginning at the Northeast corner of said Parcel No. 1; thence N61°4410611W along `
the Northeasterly line of said Parcel No. I a distance of 46.00 feet; thence S)2°23'13"E
32.62 feet; thence 326°51'23"E 30.17 feet to a point of intersection with the South- v
easterly line of said Parcel No. 1; thence N28°15154"E along said Southeasterly line `IC
42.00 feet to the point of beginning,
J 3
Dated er/,/. 1985
'x RL 1 - LER / --
NORA MILLER - -
STATE OF CAUFORNIA -----
0Ut1NTY OFS�tLBern _ S'
on this Ble _� - day of October _-- fy85_- bWm 11s ft„ndorsgnad a
Notary Pubro In NW for Bald Caunly wW State,peroon&Vy oppewod
F.ARI- J M1l FR and NORA MILLER V `--
FOR NOTARY SEAL OR STAMP
pekeonaM kwwn =KENNETHE.
to me or proved b me on the basis of aabslactory evldarioe W be the tuuL ataU
Ptxaon_s_—whamonies—Ues+becribeatoyrewatrninstiunen E.SKOUSENaiW th�SheKe C CAUFORNtADINO COUNTYMY CWr zo,19"Sigiiahxaottidary -----_— --
Assessor's Parcel NO
%1AII TALC STATFIIFNTS TO PARTt SHOWN ON ;011 OWING I INE U NO PARTY SO SHOWN.11AII ASDIRKTI'D ARO%f
Name Strrtt AJdre., -- -•-------�ny d State -_-----
CAL•1(Rev 8-82)
EX�IIBIT MAP SHEET 1 OF 1 SHEET
SHOWING THE PROPOSED LINE ADJUSTMENT BETWEEN PARCEL 1 OF PARCEL MAP No.
352 PER P.M.B. 3/53 AND PARCEL 1 OF PARCEL MAP No. 483 PER P.M.B. 4/75.
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LINE DATA
QN BEARING DISTANCE
1 N 61'44'06" W 3.85'
2 N 45'26'30" E 27.07' EXISTING
3 N 6231'22" E 37.05' ACCESS
'.
4 N 27 56 51 W 3.92 EASEMENT �
1`V \
N�
n
0
�Q o3
° GpNG
O
_ 4.861 SQ. FT.
P hil.B. 4 l 76
4 Wg'1
5�
D LAND
S;
L D. y G
6T. EXISTING
06h CONCRETE �Q
No. 4343
* Exp. 6-30-12
EXISTING
1 ��aoJQ� CONCR WALK �T�OF CAL��G�
�5 G
PREPARED UNDER THE SUPERVISION OF-
W.O. 11-25 GABRIEL D. YBARRA L.S. 4343 DATE
�ALO�REW
=PURPOSE Tract No. 6471, M.D. 82/98-99 City of Grand Terrace U276— 3 tJ
Ph. S.E.1/4 Sec.33, T.1S,,R.M, S.B.B.&M.
Tax Rate Area
16001
/
156 32
/ Sp
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t
.9 88 04
If
ti
55
/ , i '•miry', ZS 22 26
30 27 q
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6
Par. 1 40 12.
1 0 rr
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/ For. 3 ,J
_ *��
� y � Par. 1 � � 2
y to
134 01
98 72 % 161 Ac. 1 w SB 3 0
f3 \�% JB i Js 30 130
/ ' )
f 11 Par. 2 _ I ti5 04 ti 1 J)
ae _•/ L 65 27 119 W
84 89 25 02 y
I
134 01 251 25 ''^� 1_ 1r0 8 Ol
VICTORIA STREET
5 3 N W COR S E 1/4 �
S E 1/4, SEC 33 OCT Q
+ TIS,R4W ���`
REVI
Ptn Vista Grande Tract, M.B 17/10 Assessor's Map
Parcel Map No 483, P M 4/75
,her 2003. Parcel Map No 352, P M 3153 Sank ,0276 PageCounty
'
e
TYPE 1: 6" TOE DQ,No�s�PoP�, TYPE 2: 6" HEEL `�5s�oe�
2—( PO Z,�,P� -- 2
IF LEVEL GRADE \\\\/� G�
SEE TABLE fOR LEVEL GRADE -- LEVEL GRADE
�- 1 =W= SEE TABLE FOR LEVEL GRADE
=m=n Fill
Min
_ #4 HORIZ AT TOP COURSE #4 HORIZ.ATTOP COURSE
I
t „
#4 HORIZONTAL REBAR AT 24"ON CENTER - #4 HORIZ AT 24"ON CENTER
Y-BARS — 8"CONCRETE BLOCK
"H" •E—s"CONCRETE BLOCK "H" Y-BARS
6'40"MAX 614"MAX
2-3/4"MAX (NOT SHOWN TO SCALE)
2 3/4"MAX
#4 HORIZ AT 24"ON CENTER #4 HORIZ AT 24"ON CENTER
#2TIES ----
3„MAX 3„MAXuu
-
:j
„H1„ 6" ,.H11.
DRAINAGE SYS (12"BLOCK) DRAINAGE SYS (t2•BLOCK)
SE
FINISH � /"1 SEE NOTE 5 FINISH r E NOTE 5
GRADE (1`JI II II,=7111117—�I GRADE _� 1
IIII_I�II =IITI _G-
I = =1111
is
"min 18"ml � —X-BARS
12"
Z-BARS
X-BARS
yr (3) #4 i
Z-BARS "K" HORIZONTAL (2) #4 .Kn
- 6' tsr`'' REBARS HORIZONTAL
{� REBARS
TYPE-A.-6-
:ubti,.l .,'Wnp 3y, X-BARS ai# XBAFt�* x ZBARS , K "
8,6NbiT1OF1 (VITAL H Itll x _12 BL AQK (R1?O �NGL;M1F�D ff) -' - F r El(DEPTH)
6'-1"to 6'.0" 24" 68" #4(M 16" #4(M 32"µ #4 g 11"Y 30"
4`+` 9 ---$.LdPiNti�'f�RADE'ua,,, 4'_1"to � ____N/R.---- � -- -48=----- -#4�-16••—..__.#4`�_1g"-__-#4(� 12�- - -- 26••
AT,TOP OR WAE Ve, 3'-1"to 4'-0" N/R 30" #4 9 32" #4 g 32" #4(M 32" 16"
(2n1 Up to 3'-0" N/R 18" #4(M 32" #4 0 32" #4(M 32" 8"
6'-1"to 6'-0" 24" 46" #4(M 24" #4(M 32" #4(9 24" a,.
LSVECGRADik 4'-1"to 6'-0" N/R 36" #4(81 24" #4(M 24" #4(fly 24" 7-
A"- 3'-1"to 4'.0" N/R 24" #4 Q 32" #4(M 32" #4(9 32" 6"
Up to 31-0" N/R 21" #4(M 32" #4(M 32" #4(M 32" N/R
t ' ,'TYPE 2'.•`6"' HEEL.. ,
'GRADL?• VV'*.+a .I .+
e)(:$I►R8, �d BAR$a� ZBARS K
CONDITION.+,s ', ll(flAL4'H61GHTk {f2"BLOCK` (FdOTI48'iR ibTHy s< ,,A1 , r, i ? r.,.u.•j �KEY'DEPTH)
6'-V.to 6'-0" 24" 39" #4(M 16" #4(M 32" #4(M 12" 28"
SLOpINCa,t3RADEi;ct:' 4'.1"to 6'-0" N/R 29" #4(LD 16" #4(M 16" #4(M 12" 22"
`AT TOP O.P'WEALL,',' 3'-1"to 4'-0" N/R 24" #4(M 32" #4 9 32" #4(M 32" 16"
�„ ,t2:1 MqX)*;„" ;;'• Up to 31-0" N/R 18" #4(81 32" #4(93 32" #4(M 32" 2/R
6'-1"to 6•-0•• 24" 33" #4(M 24" #4 9 32" #4� 24"4'-i"to 6'-0" N/R 26" #4(M 24" #4(9 24" #4(M 24";;- 3'-1"to 4'-0" N/R 20" #4(M 32" #4(9? 32" #4 9 32"Up to 3'-0" N/R 20" #4(M 32" #4(M 32" #4(M 32"
N/R=NOT REQUIRED
'SEE PAGE 2 FOR ADDITIONAL INFORMATION' WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
g CITY OF GRAND TERRACE
DISCLAIMER: Hf �
ALTERNATE RETAINING WALL DESIGNS MAY BUILDING DEPARTMENT
BE POSSIBLE WHEN PROVIDED WITH AN r
ENGINEERED ANALYSIS. USE OF THIS RETAINING WALLS
STANDARD DESIGN IS AT THE USERS RISK ciLlrarttila
AND CARRIES NO IMPLIED OR INFERRED 22795 BARTON RD STE B
GUARANTEE AGAINST FAILURE OR DEFECTS (909)825.3825
GRAND TERRACE CA 92313
FAX(909)825-7506 01/10/2007 GTRETWALLFINAI-VSD PAGE I OF 2
KKMff MP SHEET 1 OF 1 SHEET
SHOWING THE PROPOSED LINE ADJUSTMENT BETWEEN PARCEL 1 OF PARCEL MAP No.
352 PER P.M.B. 3/53 AND PARCEL 1 OF PARCEL MAP No. 483 PER P.M.B. 4/75.
� v
v
"l
110
in
LINE DATA
1 �
Q BEARING DISTANCE
1 N 61'406" W 3.85'
2 N 45'26'.W E 27.07' EXISTING
3 N 6231'2Y E 37.05' ACCESS \
4 N 27'5651" W 3.92' EASEMENT �ry
C�
PARCEL 1 ` arc
P,m.B. 3 l 63 ,
ools 1P
O�
0
4,861 SO. FT.
PARCEL 1
P,M.B. 4
y�0 LAND
QEASTING
N 8� CONCRETE
�, �\ WALK No. 4343
* Exp. 6-30-12
EXISTING ��q
1 CONCRETE OF CA��F
� G�Q'� WALK
�y PREPARM UND R THE SUeQVISION OF.
/x. z z-9o//
GABRIE YBARRA L.S. 4343 DATE
W.O. 11-25
® FEB
2a18
ftlldi Safety Dept.
MIFOFNIA
CITY OF GRAND TERRACE
DEPARTMENT OF PUBLIC WORKS
22795 BARTON ROAD,SUITE B
GRAND TERRACE,CA 92313
(909)825-3825
BLANKET ENCROACHMENT PERMIT APPLICATION
INSTRUCTIONS FOR SUBMITTAL
I. Please complete Pages 2 & 3 of this application (Attached)- Please make sure all required
information is included to avoid any delays in processing
2. Applicant may attach any documents and/or information which may be useful to expedite the
processing of this application.
3 The Engineering Department may require additional documentation and/or information in order to
process your application
4 Specific conditions may also be imposed by any utility company whose facilities, equipment, or
access to same (within the public right-of-way, public utility easement or easement of record) is
affected by the proposed encroachment.
5 An encroachment fee will be assessed on the basis of the type of structure, the nature of the
encroachment,and the desired duration of the permit.
6. Additional penalties may be assessed for any structures constructed without benefit of permit.
7. Once your application has been approved by Engineering,any additional conditions and/or specific
limitations of your Encroachment Permit will be noted.
8 The City Engineer will not sign this permit until all conditions have been met by the applicant and
any specific limitations of this permit have been acknowledged and accepted by the applicant as
evidenced by the applicant's signature
9. In the case of a rental property,the tenant may complete and submit this application on behalf of the
owner of record,however,all encroachment permits will be granted to the towner of record,and will
require the owner's signature
10. The encroachment permit may require approval of the City Council;this may add four(4)to six(6)
weeks to the processing time.
MINI
CALIFORRIA
CITY OF GRAND TERRACE
DEPARTMENT OF PUBLIC WORKS
22795 BARTON ROAD,SUITE B
GRAND TERRACE,CA 92313
(909)825-3825
BLANKET ENCROACHMENT PERMIT APPLICATION
The undersigned hereby applies for a permit to excavate, construct and otherwise encroach upon an area
of the Public Right-of-Way,or upon any Public Utilities Easement(P.0 E.)as described below.
Encroachment shall be designated as"PROPOSED"or"EXISTING";the description shall identify the
nature of the encroaching structure and the anticipated time frame of said encroachment. Details and
dimensions shall be noted on the drawing submitted on Page 3 of 4,or may be submitted as an
attachment to this application.
APPLICANT'S NAME:
MAILING ADDR 0 t,
P , -?,4 ' FAX 01627930 O O
ASSESSOR'S PARCEL NUMBER: - 0 2-1!�- 3 1 '-` 0 - co of
OWNER OF RECORD: D r-�Aw I � 6(y) i -T u
ADDRESS OF OWNER:
CE- C4,
PROPERTY ADDRESS: ' ®� 9 V �� C
ENCROACHMENT PERMIT NO .
&DATE ISSUED:
NOTE In the event this application is being submitted as a direct result of action initiated by the City of Grand Terrace,the applicant may
attach copies of any permits issued by the City of Grand Terrace,with regard to the encroaching structure,or any other information
the applicant may deem necessary for mitigation of this situation.
Grand Terrace, CA Code of Ordinances Page 1 of 1
4.48.020 - Fees.
The permit and inspection fees shall be in accordance with the following schedule:
Description Permit Fee+ Inspection Fee
Public works permit fee $58.00
Curb and gutter 58.00 $0.15/11.
Cross gutter 58.00 0.10/s.f.
Drive approach 61.00 0.10/s.f. so
Sidewalk 58.00 0.10/s.f.
Curb drains 122.00 each
Under sidewalk drains 122.00 each
Catch basin 244.00 each
Drainage channel 58.00 0.25/s.f.
Retaining walls 58.00 0.25/s.f.
Subgrade 0.0050/s.f.
Base material 0.0050/s f.
A.C. pavement 58.00 0.0050/s.f.
A C. berm 58.00 0.10/1.f.
Overhead installations
Sewer mains 58.00 0.20/11
Sewer laterals 58.00 0.20/l.f.
Storm drains 58.00 0.25/l.f
Water lines 58.00 0.20/11
Irrigation lines 0.20/l.f.
Electric lines 58.00 0.20/11
Gas lines 58.00 0.20/11
T.V. cable lines 58.00 0.20/l.f.
Telephone lines 58.00 0.20/11
Manholes 183.00 each
Street lights 61.00 each
Signals 5%of the estimated cost
(Ord. 220 § 1(part), 2006; Ord. 161 § 1 Exh. A(part), 1996: Ord. 112 § 2(Exhibit A Item I I(part)),
1989)
about:blank 4n qi�n�
5ij?s„r 7t4,1,n
CALIFOMA
CITY OF GRAND TERRACE
DEPARTMENT OF PUBLIC WORKS
22795 BARTON ROAD,SUITE B
GRAND TERRACE,CA 92313
(909)825-3825
BLANKET ENCROACHMENT PERMIT APPLICATION
Location of existing/proposed encroaching structure in relation to centerline of street,curb,sidewalk,utility
structures,property lines,public Right-of-Way,Public Utility Easements and any other existing structures.
Dimensions shown herein are subject to field verification by the Engineering Department; said field
inspection does not constitute a legal survey,and applicant has the right to submit a survey performed and
documented by a licensed Land Surveyor or Civil Engineer.
pwfm W""',
CALIFORRIA
CITY OF GRAND TERRACE
DEPARTMENT OF PUBLIC WORKS
22795 BARTON ROAD,SUITE B
GRAND TERRACE,CA 92313
(909)825-3825
BLANKET ENCROACHMENT PERMIT APPLICATION
HOLD HARMLESS AGREEMENT
In consideration of the granting of this application for an encroachment permit,the applicant shall
be required to agree to the following:
1 Indemnify,defend and save the City,its authorized agents,officers,representatives and employees,
harmless from and against any and all penalties, liabilities or loss resulting from claims or court
action and arising out of any accident,loss or damage to persons or property happening or occurring
as a proximate result of any work undertaken under the permit granted pursuant to this application.
2 The property owner will need to remove/relocate encroachment installed or maintained under this
permit,within 30 days of written notice from the City, if determined by the City Engineer that the
effected Right-of-Way is needed for Public improvements.
3 Notify the City Engineer at least 1 week in advance of the time when work will be started and
upon completion of the work immediately notify the City Engineer in writing of such completion.
4. Comply with the terms and conditions of the permit and all applicable rules and regulations of the
City of Grand Terrace and other public agencies having jurisdiction.
The applicant may be asked to provide additional information during or prior to the review process.
The average turn around time for processing and Encroachment Permit is two(2)to four(4)weeks.
The application fee for an Encroachment Permit is non-refundable.
The applicant agrees to all of the above conditions as evidenced by his/her signature below;
applicant further understands thal"additional conditions may be attached to an Encroachment
Pe
W / !
Signature of Applicant Date
HEET / U E
PARCEL MAP NO. 352
BEING A DIVISION OF LOT 10, TRACT NO. 6471, M.B. 82 / 98-99, RECORDS OF
SAN BERNARDINO COUNTY, CALIFORNIA. FEBRUARY 1970
CM ENGINEERING ASSOCIATES CIVIL ENG!NEERING, PLANNING, a SURVEYING
Sc
0�t��°xq9 SURVEYORS CERTIFICATE-
7
h0 4�0 his map was F)rC•PQrCd by nne or ender my
gyp' L g d/re'Ctio- and.vcrs complied from record data
/R cc Wformance with the requ/rcmen is of the
� ( Saba/vis/on dvm'o"4C: at the reoucst of W0006-o v
O i J� iN/l/er /n Frbruary, /970 I here%y C r,—
o� s (,0 that Q//provisions or cppliccvble stafe low
n / rem S�VV and local ordinance; have been co.-'plied with
SCALE /' /00'
l/ l �cG� � rq) Per
` Tract./a 447/ "NB.BZ/98-99
31 A(u,^, 7 - L S No. 069
' i o
� 1.
/tip
ems' 7 Cq? ' ` COUNTY" SURVEYORS GERT/F/GATE
se �; J. Th o map has been exam/nPa this 2¢01cav of
Se-ctiono//S75 for//h,7& Suh(:yi v on ejgc)oo,4c f
'`'���/• �! 5�ti5� �� a J PV ABBEY, Coun<y Surveyor
�Q cot^t or
2 Dara °ti�P qa� S _��y, �' q C�r:,farnia
34'1 _\0 fsasr �D • Bg ABP/tty
I T•/5563' (Sav-ossrnd PARCEL N0 P C 4 (/
'L•2700/ ; 241 AC
o � O
M ESTW000 NOTES
(i/3 rs) _ (N B9'44 05'E) (4Gs rs ST�EE7- Basis of ec-ar")gs T//c centerline e<' ,ycr7cy yi//pr c�,
St N/CTOR/.4 STREET h (NBf•44 01 E GS971 �� p-- - 7act No 647l M.6
82/9B s9, bearing /1 6/44 06'yV
D/StanCe and Bearings /n parenthess aFc recc^-
C1'5 *4s ir) Tract No 647/, /JIB aP�9B-99
T Z 4 ` T
t Indcates .monument �
found os no tcd per
Tract No 647/&,6&&Y9--99 636
-- --- I ,uY 70
3 P9Rcc�
pac-
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� INOvDR9�. HiLagR