HomeMy WebLinkAboutAgr 2008-08-08 (McMullen)
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Recording Requested By:
_I/~ Town of Tiburon, Marin County, CA
1. ~ k\ When recorded mail to:
~~own ofTiburon
Diane Crane Iacopi, Town Clerk
1505 Tiburon Blvd
Tiburon, CA 94920
2008-0044189
Recorded I REC FEE 0.00
Official Records I
County of I
Harm I
JOAN C. THAYER I
Assessor-Recorder i
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~:19PM 23-Sep-2008 I Page 1 of 13
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SPACE ABOVE THIS LINE FOR RECORDER'S USE
Document Title
Memorandum of Encroachment for 2105 Mar East Street, Tiburon, CA 94920
THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
ADDITIONAL RECORDING FEE APPLIES
MEMORANDUM OF ENCROACHMENT
PERMIT CONDITIONS
THIS MEMORANDUM OF ENCROACHMENT PERMIT CONDITIONS, is made and executed at
Tiburon, California, this '6 \- "'- day of AlAi 'j + , 20.!S-, by and between
M ic..JrlAe\ (Vt <. VYtu. \\-i> ~ i~ 'k 0.... r e,^ lr11.L 1{ \-e '"'" ' ("Owners")
RECITALS
1. Owners are the owners of that real property located at .:2 I oS- M..,. ~Q~+ ,
Tiburon, California.
2. On,;r- w~ .:LA , 200'i' , Owners filed with the TOWN OF TIBURON, a
Municipal Corporati n ("Town"), an applIcation for encroachment permit for the constructIon of the
improvements described in Exhibit A, which is attached hereto and incorporated herein by reference.
3. Owners proposed to construct said improvement on the public right-of-way or public land
known as (APN, ADDRESS)oS-r""S*-of. a./OS MIII4 ~- ~+; ~J)rt)f cb4.""",,<.o .
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4. On ~I~ ..3D ,.,,,C)Q , 20_, Town granted a revocable encroachment permit
(No. 0 8 - #if' ) ("Perinit") to Owners allowing the construction of said improvement subject to
conditions of approval ("Permit Conditions"). The Permit Conditions include, among other things,
the requirement to maintain the improvements to safe, clean, and serviceable level, and that Owners
remove said improvement at Owners' expense in the event that that the Town requested such removal
to accommodate future plans to improve said right-of-way or public land.
NOW, THEREFORE, OWNERS ACKNOWLEDGE THE FOLLOWING:
1. Upon receipt by Owners of a certified copy of a resolution of the Town Council of the
Town of Tiburon evidencing the intention of Town to improve said right-of-way and requesting
owners to remove said improvement, owners will, exclusively at their own cost and expense, within
forty-five (45) days from receipt of said resolution, remove or cause to be removed said
improvement.
2. Upon the failure of owners to comply with any of the Permit Conditions, Town may
declare said improvement to be a public nuisance and may take such action as may be authorized by
law to abate said nuisance. The remedy of Town as contained in this paragraph shall not be
exclusive.
3. The Permit Conditions are covenants and servitudes running with the land and shall
be binding upon Owners, and their successors, assignees, executors, administrators and personal
representati ves.
1/2
4. This Memorandum includes Exhibits A, which are attached hereto and incorporated
herein by reference.
ER(S): '
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(To be recorded at the County of Marin)
See attached
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CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of ~n
who proved to me on the basis of satisfactory evidence to be the person~whose nameG)-is'/are subscribed to
the within instrument and acknowledged to me that1lefsfte/they executed the same in hblil\.ll/their authorized
capaci~ and that by ~/their signatur~ on the instrument the person(S)) or the entity upon behalf of
which the perso~cted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WI
Signature of Notary Public
DESCRIPTION OF THE ATIACHED DOCU1\ffiNT
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(Title or description of attached document continued) ~\" )
Number of Pages L Document DatlJ<<.,(J6~
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
o Individual (s)
o Corporate Officer
(Title)
o Partner(s)
o Attorney-in-Fact
o Trustee(s)
o Other
2008 Version CAPA vl2,lO,07 800-873-9865 www.NotaryClasses.com
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~. ". . NOTARY PUBLIC - CALIFORNIA s:
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(N tary S . My Cc.Jf.n.m. Ex. pires Oct. 6 2011 J
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PTI NAL INFORMATION
INSTRUCTIONS FOR COMPLETING TIllS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verbiage as. may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authorized capacity of the signer). Please check the
document carefully for proper notarial wording and attach this form if required
· State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
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must also be the same date the acknowledgment is completed.
· The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public),
· Print the name(s) of document signer(s) who personally appear at the time of
notarization.
· Indicate the correct singular or plural forms by crossing off incorrect forms (i,e.
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Impression must not cover text or lines, If seal impression smudges, re-seal if a
sufficient area permits, otherwise complete a different acknowledgment form,
· Signature of the notary public must match the signature on file with the office of
the county clerk.
.:. Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
.:. Indicate title or type of attached document, number of pages and date,
.:. Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i,e, CEO, CFO, Secretary).
· Securely attach this document to the signed document
ENCROACHMENT PERMIT APPLICATION
Town ofTiburon · 1505 Tiburon Boulevard · Tiburon. CA 94920 . (415) 435-7354
.
Payment Amt: ~
~CheckNo: ~~
o Cash
FOR OFFICE USE ONLY APP
Encroachment Permit No: OS-- f:/{
Date Received: .., /.z. s /t!J8
,
'Yes 0 No
o
Notes:
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~pection Required. Contact Public Works at 435-7399 two days before starting work.
o ~erfonnance Bond / Deposit required
W'" Additional Conditions Apply - See Attached List.
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CONDITIONS OF APPROVAL: S ~ ~"W &JL--- C" --<6 e 1'7Cwv'~
Plan Attached:
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APPI1 ed by Public Works Appr val Date
-~ ~h~ penuit is valid for 6 month from approval date, unless otherwise stated.
APPLICATION INFORMATION
Basic applications (e.g., driveway resurfacing or routine utility connections) are reviewed by the Public Works and usually
granted within 5 to 7 business days. The basic Encroachment Application fee is $85 with a $150 Inspection Fee (for I
insPection). Applications for more involved projects are reviewed by the Town Engineer and there may be an additional fee
charged. After the encroachment application has been reviewed and granted, the applicant will be notified to pick up a copy
of the approved application which serves as the permit. When the project is completed, a final inspection will be perfonned.
Ifrelated to a building project, occupancy pennit will be withheld until final Public Works approval.
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Location of Work & Nearest Cross Street'n ,l \ ""'- lt~e ofPrqperty own..er
. r~f'c..CA' ~ Ul' ' \- S" lltM.. Cl
Description of Proposed Work - Attach any drawings, dOCWDents, schematics, and written description to illustrate your
scope. For driveways, specify type of surfacing and size of culvert, if applicable.
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Estimated Completion Date:
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Name of Contractor
Licen~e No. - a. .
4 i 5:'- L S-2... (':, ~~ J
(Area Code) Phone Number
The undersigned hereby applies for permission to perform the above described work and/or otherwise encroach on Town of
Tiburon right-of-way or property pursuant to any required building permits. Applicant agrees that all work shall be
performed in accordance with the rules, regulations and standards of the Town ofTlburon, in addition to the General
Provisions or Special Conditions as applicable. All work shall be subject to inspection and approval by the Public Works
Department. Applicant agrees to indemnify, defend and hold the Town ofTiburon, and its employees, agents, and officials,
honnless from any claims, losses or damages that may arise from Applicant's exercise of this encroachment penn it and any
other pennit granted by ~~~;, ~Qest L. I',,,,,,~
Applicant's Signatu~~ Date: 4:~_l)~
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21 05 Mar East
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Mar East
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2105 Mar East
Description of Proposed Work.
Under this encroachment permit and related Memorandum of Encroachment, we will maintain
landscaping and irrigation on Town of Tiburon right-of-way adjacent to our property and driveway (2105
Mar East) along north edge of Mar East. We will also build and maintain a stone curb along Mar East,
adjacent to the east side of our driveway (the driveway and curb adjacent to the west side were built
under encroachment permit 04-41).
E:. -A. f>'..{-
TOWN OF TIBURON
PUBLIC WORKS ~PERMIT CONDITIONS - Permit No. t:Je.J:j1
Note: The following standard and cheqked (.J) conditions apply to this permit.
1. APPENDING LIST OF CONDITIONS: In the event that these following conditions conflict with the
conditional notes and language found in the Permit Application, the following conditions and special conditions
will supersede and prevail.
2. ACCEPTANCE OF THE PROVISIONS: It is understood and agreed by the Permittee that all c~nditions have
been read, and understood. The Permittee agrees to comply with all conditions.
3. KEEP PERMIT ON WORK SITE: This permit, or a complete copy, shall be kept at the site 6fthe work and
upon request must be shown to any representative of the town or any law enforcement officer.
4. PERMITS FROM OTHER AGENCIES: Permittee must obtain all other permits required by other public or
private agencies or individuals necessary in order to perform the intended work. It shall be the responsibility of
. the Permittee to notify the utility and cable TV companies prior to starting any construction that may involve
th~ir underground or overhead utilities.
5. INSPECTION NOTIFICATION: Apreconstruction meeting or discussion will occur. The Permittee shall
. notlfythe Maintenance Division at (415) 435-7399 a minimum of two (2) working days prior to the
performance of any work under this permit. Permi~ee will provide construction schedule, initially and .
periodically, and contact information. Allwork must inspected prior, during, and after backfill, or re-
excavation will be required at Permittee's expense.
6. ' CONSTRUCTION METHODS: Any work performed without inspection or contrary to discussions with the
Town's inspector, the Marin County Public Works Uniform Construction Standards, (latest edition), Caltrans
Standard Plans (latest edition) or. approved plaiJ.s shall be deemed non-complying and will not be accepted by
the Town. Attention is called to the following special provisions:
(a) ~ Underground line (e.g. conduits, ma~, service~) installation will be neat open cut.
(b) ~ Cement slurry backfill for trenches. is required unless proper compaction can be
demonstrated as per attached standards or greater.
(c) / A minimum of six (6) inch saw-cut. and removal of pavement beyond trench edge lines .will
be required. .
(d) ~ If trench is within three (3) feet of edge of curb/gutter, saw-cut and removal will continue to
the edge of gutter. '
(e) '" All PCC concrete replacement will be full panel, score line to score line, or as directed by the
Inspector.
(f) vi Plating of trenches will be allowed for up to five .(5) calendar days. Ramping of plates is
required.
(g) vi All cement slurry backfill and paving will be completed within ten (or 10 ) calendar days
of excavation for each 100-foot section of pipe installation.
(h) ,,-I Backfill, required compaction, final AC paving and/or PCC replacement will be conducted
within ten (or to) calendar days of excavation.
(i) Temporary repairs to existing grades, backfilling, and making the work site safe are required.
Town of Tiburon - PW Pennit Conditions - Pennit No. 'tp 8'..."1
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(j) Others:
7. WORK HOURS: All work shall be restricted to 8:00 am (_) to 5:00 pm (_), Monday - Saturday
(excluding holidays) or as directed by the Engineer. Work at times other than regular workdays requires
additional compensation for overtime inspection and written approval from the Town.
8. TRAFFIC CONTROL: Construction traffic control shall conform to the current edition of the "Manual <;>f
Traffic Controls for Construction and Maintenance Work Zones", as published by the State of Cali fomi a,
Department of Transportation. Provisions shall be made for lighted barricades, delineators, traffic control
personnel during construction and excavation.
9. PERMIT EXPIRATION: This pennit is valid for a period of six (6) months or until liability insurance expires,
whichever comes first.
10. UNDERGROUND SERVICE ALERT: Permittee must notify Dig Alert network at least 48 hours 'in advance of
start of work for location of underground utilities.
11. _ GUARANTEE: For a period of one "(or ) year after acceptance by ~he Engineering
Division, the Permittee shall guarantee all work performed under this permit. Any failure caused by defective
materials or workmanship shall be promptly repaired or replaced at the Permittee's expense.
12., STORAGE OF MATERIAL: Excavated material, sand, gravel, or any constru~tion materials and debris shall
not be stockpil~d or stored on the Town right-of-way, except as approved by the Town.
13. PUBLIC CONVENIENCE:
~.
(a) The Permittee shall conduct his operations as to offer the least possible obstruction and inconvenience
to the public and abutting property owners, and he shall have ,under construction no greater amount of
work than he can prosecute properly with que regard to the rights of the public. .
(b) Spillage resulting from hauling operations along or across any publicly traveled way shall be removed
immediately by the Permittee at his expense. As applicable, noxious fumes and smells shall be
mitigated to the satisfaction of the Town, at the Permittee's expense. Action may include using
alternative material or relocation of material until installed. .
(c) Convenient access to driveways, houses, and buildings along the work shall be maintained and
temporary approaches to crossings or intersecting highways shall be provided and kept in good
condition.
(d) If ordered by the Inspector, water shall be supplied by the Permittee for the alleviation or prevention of
dust nuisance. The Permittee may USe water from a fIre hydrant for this purpose provided he first
ob~ains any appropriate Fire Hydrant Permit.
(e) In order to expedite the passage of public traffic through or around the work and where ordered by the
Inspector, the Permittee shall install signs, lights, flares, barricades, and other facilities for the sole
convenience, safety and direction of public traffic.
(f) Also, where directed by the Inspector, the Permittee shall provide and station, at Permittee's expense,
competent flag-persons whose sole duties shall consist of directing the movement of public traffic
through or around the work. Flag-persons and guards, while assigned to traffic control, shall perform
their duties and shall be provided with the necessary equipment.
(g) Pedestrian access shall be maintained and provisions for ADA accessibility shall be required.
Town of Tiburon - PW Permit Conditions - Permit No. ef-' I
20f4
14. EROSION AND SEDIMENT CONTROL MEASURES: The Permittee is obIlgated to insure compliance
.with all appiicable'.stOl1Jlwater regulations at all times. The BMPs (Best Management Practices) ~ccording
to the Marin Co~t.Y Stoimwat~r Protectio~ Program (MCSTPP) shall be ,implemented and,niaiiltained to
effectively preve#t the potentially negative 'impacts on this project's construction activities ~Il sto!IDwa~er'
quality., TIi~ maintenance. ofth.e BMPs is the,peImittee's responsibility, and failure to properly install or
majntain the BMPs may result in enforcement action by the Town or others. Ifinstalled BMPs fail, they
must be repaired or replaced with an acceptable alterna~e within 24 hours, ,or as soon as safe to do so.
(a) Stockpi;}es of soil, materia~, and wastes shaU be propeTly contained to minimize sediment transport
from the site to streets, drainage facilities or adjacent properties via I1J1l0ff; vehicle tracking, or
wind:, . ,
(b j ,Attention is called to Sto1'1D:water Best ~anag~ment Practice Handbook Cons~ctipn BMP Fact
Sheets: SWeepii1g and Vacuuming, Starin Drain Inlet Protectio/t Stockpile Management, Spill
. Pr,evention a:uJ Control and Concre(e Waste Ma,nagement. '
15. CLEAN UP: Upon ~omp]etion of d8iJ~ ~ork the Permittee shall clean tbe right-o~way of all rubbish,
, coi1struc~ion debriS, trees, brush,. exc~ss' materials, tenip~raiy structlD"es and eqirlpm~t:, . , . ,
" . .
16. SAFETY:,
. ,
(a)' The Pemiittee slu1ll be solely an4 ~ompletely responsible for the conditions of the joli ~iteJincluding
safety,' and shall not be limited to normal workiDg hours. , Work 8l)d Safety pro~ionS .~ .QOnform .to
' all applicable Federal, State, and .1oc8J laws, or~ces, and'codes, and to the rules and regulatiolis' .
establiShe~ by the ~oiDia Divisi~n of Industrial Safety applicable to the.work. . :"."
(b), The s~ces of,ne . inspeCtor .~conducting constroction review oftbe' Pennittee'sperfo~ai1ce is not
, intendeq. to incl11d~ review'offhe adeqUacy of :the Permittee's' work methoCb or safety Dieasur~s, in, .on,
or.near the ConStruction ~ite,an~ shall 'not be' construed as supervision oftbe aCtUal construcii~n nor
m'ake the Inspector or the ToWn responsible 'Qi' providing a safe place for the performilnce of work by
the P~rmittee, or ~bcontractors; ~ f~r aCcess, visi~, uSe wo~ travel or opcUp~CY by any person.
", , . . . ". '. . .
, (c) The Petnii~~ Shall ~fu]]y bistruct'all personn~l working in potentiBny hazardous work ~ .as to
potenti8:l qangers and shall provide ~ch ne~essaiy safety equip~ent .~ inStruction as isneC?essary to
prev~~ mj1iry'~ pers~nneland ~ag~ to property. . " " . ." " .,' . .
(dJ shoring arid Trench Safety Pian, .. Attention is directed to Section 832 ,of the Civil C.ode of the State of
California, Section 6705 of the State Labor Code, and the COD$Uction Safety orders 'of the, S~te of
California Division of Industrial Suety. .
] 7. PROTECTION OF PERsON AND PROPERTY:' ,
(a) The Permittee shall take whatever precautions are necessary to prevent damage to all existing
improvements,' including above ground and undergro~d utilities, trees;. shrubbery that is not
specifically shown to be. removed within 'Or adjacent to the work If such improvements or property are
injured or-damaged by re~on of the Permittee's operations, they shall be replaced or restored, at the
Pemuttee's expense. '
(b) The Pennittee shall protect against injury any pipes, conduits or other structures crossing any trenching
or encountered in ,the work_ and shall be responsible for any injury done to such pipes or structures, qr '
damage to property resulting therefrom. He shall support or replace any sucb structures without delay. .
. (c)' The Pem1ittee is cautio.ped .th~t be must replace all improvements in rights-of-way and within the '
public streets to a ~oi1dition equal to what existed prior to his enil.Y onto 'the job.
18. RESPONSmlLITY FOR REPAIR OF FACILITIES: All public orpiivate facilities, including but not .limited to
structures, telephone cables, roadways, curbs, gutters, patking lots, private drives, and storm drains disturbed
duting construction of the work shall be repaired andJorreplaced by the Pennittee to match facilities existing
Town of Tiburon - PW Pemlit Conditions - PeI1l1it No. ~91
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prior to construction. In addition;"the Pennittee shall 'be responsible ror any settlement damage.to such facilities
or adjoining areas for. a period mentioned, in Item 11 - "Guarantee" after acceptance of such required facilities.
In the event the Pennittee refus~ or neglects to make good any loss or damage .fQT which he is respon~'ible
under this Pennit, the Town may itself, or by the employment of others, make good any such loss, or damage~
and all cost and eXpense of doing so shall be charged to the Pennittee.
19. CONTRACTOR'S LICENSE NOTICE: Contractors are required by law to be licensed and regulated ~y the
Contractor's State License Board.
20. INDEMNIT)':
The Pemiittee specifically obligates himself and hereby agrees to protect, hold free 8:Dd harmless, defend and
indemnify the Town, the ;Engineer and his cpnsultants, IJnd each of their officers, employees and agents, from
any and all liabilitY, penalties, costS, losses, damages, eXpenses, causes of action, claims or judgments,
including att~mey's fees, which arise out of or aTe in any ,way conn~cted with the Pei1nittee's, his Contractox:~s,
or his subcontractors' or suppliers' performanC?e ofworlqmderthis Permit To the extent legally permissjble~
this indemnity and hold ~armless agreenlent by the Permittee shall apply to ~y acts or ()missi~ns, w~ether'
active or passive, on the part of the permittee or his agents~ employees, representatives, or .S1Jhcontractor' S , '
~gents, employees and r~PJ:Csentative$, resulting in liability irrespectjve of whetlim: or Botany a$ or omissions .
of~e parties to be inde~ed hereunder may 81so .have been a contn"buting &etar to the liability. Urness .
waived,' Permittee shall include the Town, the Engineer and his consultBnts; and each of their officers,
employees and agents as additional insureds on ~eir policy and insurance documents sball besnbJDltted to the
Town ~orto'wodc ccimmenCing., ,... . .. .. . ..'f .
21. OTHER:
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