HomeMy WebLinkAbout17-8-22 Signed app_inspectionDocuSign Envelope ID: E6F4D849-3830-4C1D-AB11-OF3AC58C3E52
I `%\ Wpoy?>, HARBOR PERMIT
�
O ��` TRANSFER APPLICATION
(�
n 100 Civic Center Drive
-_ Newport Beach, CA 92660
c�+ f , F �,z� •`' 949-644-3044
**Date of Applicaton: 22 1 Permit Number:
**Property Address: /yoo k), 8af� Al.'nun
Ntw,00rf- deAe,6 y Cg 1"06 /
**Buyer's Names: ti/ela""C epLo r Ti• utee,
Oocuftnad by:
Buyer's Signatures: ; [— , Cofe
Billing Address:.,, 2222 Foothill Blvd #330
La Canada Ca 91011
Telephone No.. -
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
818 439 6901
-venue �Proy,er �7'e5 LLG
**Escrow Company: Kt&, ESLjrn,jA Toe. Phone# (9yq 6 �-l96 0
**Address y50 A%<ulperi- eer,kr de Oil So toead ?�raa.( C'fF TaG6 0
**Escrow Number: oo-a056 -rc�. _**Fax #: 9Ygi69r-f961
Closing Date (Estimate): 8 ,7 Email: �aMm�c�j t_�rs�rpw. Car
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection DateReinspection Date
Fee Paid _ Check No:
Application Complete.
H'rboa soarces Sigr7ature/Date
Special Conditions. This permit is revocable by the City Council
0 accerdance with Title 17 of the Newport Beach Municipal Code
A13n' 3('03W)1.
,Pc' HARBOR PERMIT
TRANSFER APPLICAT10N
�- .,. 100 Civic Center Drive
v }` '•- '� Newport Beach, CA 92660
949-644-3044
"Date of Applicaton: 82x l Permit Number:
"Property Address: _ /Y00 4yen"V_ _
"Buyer's Names: Ade/ania _ V4
Buyer's Signatures
Billing Address:
Telephone No.:
"Seiler's Names: t3a .4vrnwe ro a�h.s LLG
Seller's Signatures:,--)
Joint Owner Signature
*Escrow Company: ik f Escio!��, rn�. _ Phone# �9ya _6 �� -�96 0
**Address y5o �ypje,it ee"ler Le 416-0" "f .rt „� CA 'fz64 o
**Escrow Number: oU-aOs(, -7e, *'Fax #_ (qm) 6q_C - qal_
Closing Date (Estimate): g/j, 1r7 Email: �D�nmG�t ICE csarow. r.•a
'STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: _ Reinspection Date:
Fee PaidCheck No:
Application Complete
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KEY ESCROW
City of Newport Beach
Attn: Harbor Resources - LISA WALTERS
100 Civic Center Drive, Floor 1 - Bay C
Newport Beach, CA 92660
Dear Lisa Walters:
450 Newport Center Drive, 150
Newport Beach, CA 92660
Phone: (949) 698-1960
Fax: (949) 698-1961
Date: August 22, 2017
Escrow No. 003056-TG
Re: 1400 West Bay Avenue, Newport Beach, CA
92661
Please be advised that escrow is open with regard the above property and is scheduled to close August
31, 2016.
Enclosed is a copy of the Harbor Permit Transfer Application. This form, signed by both the Buyer and
Seller, will be provided to you at close of escrow.
Also enclosed is our check for $234.00 for the inspection/transfer fee due.
Please complete your inspection and email your findings to Key Escrow, so that a copy of your inspection
letter can be provided to the Buyer and Seller, prior to closing.
Let me know if you are in need of any additional details or information - thank you so much!
cerely,
ey Escro
Tom-mi-e-Griffon
Escrow Officer
(949) 698-1289 -- Direct
tommie@keyescrow.com
INSPECTION FORM
Harbor Resources Department
Date: 0> o_K111
Inspection Requested By:
Inspector:
Pier Address: 4ct) Co
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Pump Out
Other Comments
Pier Location
Reinspection
Yes Need None Needed Yes Need
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request