HomeMy WebLinkAboutX2018-0387 - Permits_
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION O 3.2,7 -;Z0f 3
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 193 q Sa br; na I-er
www.newportbeachca.gov 1 (949) 644-3200
AGREEMENT TO BUILD A FENCEIWALL CENTERED OVER THE PROPERTY LINE
THIS AGREEMENT has been entered into by the following property owners for the construction
of a common property line fence where 50% of the wall thickness and foundation will be built
over the adjacent property.
This is a sample form intended to assist both parties through the permitting process, it is not intended to address any property rights
or legal issues. Any other forms of agreements emay be used as long as it contains the basic information herein.
SUBJECT PROPERTY ADDRESS: LQl ` SAU i � I EI9r R_.G—
OF PROPERTY OWNER
IA
ADDRESS OF ADJOINING PROPERTY 1 (See key plan): l V 1 S S A&ZJAJA Te 2RACE
PRINT NAME SIGNATURE OF PROPERTY OWNER DATE
ADDRESS OF ADJOINING PROPERTY 2 (See key plan):
PRINT NAME SIGNATURE OF PROPERTY OWNER DATE
ADDRESS OF ADJOINING PROPERTY 3 (See key plan):
PRINT NAME SIGNATURE OF PROPERTY OWNER
KEY PLAN
PROPERTYI
forms/property line wall agreement 2016-08-12
PROPERTY2
SUBJECT PROPERTY:
-----------------STREET
DATE
PROPERTY 3:
DAY DATE
engineering
geotechnical
PROJECT NAME PROJECT NO. applicationsILOCA�ION CITY
consultants LLT f 1�
SUPERINTENDENT/FOREPERSON
, IC
FIELD REPORT I CONTRACTOR(S)
TO: File
'
EQUIPMENT
ON SITE
PrRII. A a _ , /.vfl l � 1 1 '' � f t.` � , I,
ERSONNELONSITE .
'S�O��
TYPE OF LIS Is Structural Steel Assembly ZI Quality Control
INSPECTION D R02Ll forced Concrete LI Drainage D Epoxy
REQUIRED Q Reinforced Masonry El AsDhalt Ll Other
SUMMARY OF OBSERVATIONS AND/OR DISCUSSIONS:."!
ic "L"/
j t'
)'4-i t
I 'ro
i ix : ,`ti
t-"
TESTS PERFORMED: CYLINDERS:
RECOMMENDATIONS:
SIGNATURE, TITLE (POSITION)
ON SITE ARRIVAL /DEPARTURE/ TIME ON TR
PERSONNEL SITE TIME
SIGNATURE OF SUPERINTENDENT, TITLE (POSITION)
EGA CONSULTANTS
375-C Monte Vista Avenue
Costa Mesa, CA 92627
1OTAL HIRS (949)642-9309
-(4 HR. MIN.) FAX (949) 642-1290