HomeMy WebLinkAbout16-8-26 Pier trnsfr signed apps�rW 1.10
04 ?� HARBOR PERMIT
F TRANSFER APPLICATION
829 Harbor Island Drive
c.11.rpo�P Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: g 26// Permit Number:
**Property Address: /909 E Avenue-
/VL�c(j02orf ;RC4 c h 1 CA `) -64, /
**Buyer's Names:
Buyer's Signatures -
Billing Address:
Telephone No.:
1ID&I'/F 13APTZ-
1�
9
**Seller's Names: �'1 ���RG�i�IG �ieDP�i2T/E5 , GGG�
Seller's Signatures: 13
Joint Owner Signature:
**Escrow Company: Key Escrow, Inc. Phone# (949) 698-1960
**Address 660 Newport Center Dr. StO 200, Newnort Beach, CA
**Escrow Number: **Fax #: (qyg92660
Closing Date (Estimate): 6)/zi/j6 Email: iu/,',re �e��sr.�-�r,,,�oy►-�
_* *STARRED ITEMS _MU_ST B_E C_OMPLETE TO BEGIN THE PROCESS.
Inspection Date: f3lt(p Reinspection Date:
Fee Paid: Check No: lI r-j
Application Complete:
Harbor Resources ignature/Dale
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
DocuSign Envelope ID: E1F8FC34-6115-4B39-B4F4-FB1A551BC784
HARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: $ 2G Permit Number:
**Property Address: /909 E. &atl Avenue_
/1/Cc2e_or-f- Bc°a ch , GR 9a GH /
**Buyer's Names: ypwiE 13R-,0z-Z-
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names: / -/ L - 0 t2TIEs GGG
Seller's Signatures:
EPA140IE2C294DB.
Joint Owner Signature:
**Escrow Company: Key Escrow, Inc. Phone# (949) 698-1960
**Address 660 Newport Center Dr. St@ 200, Newport Beach, CA
**Escrow Number: _ po��9� -.T�^1 **Fax #: (qy9,) (098-/9bl 92660
Closing Date (Estimate): 91211j6 Email: Iu/,'e �
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
September 13, 2016
Key Escrow
Re: 1909 E. Bay Ave.
Escrow# 002692-JM
Dear Key Escrow,
CITY OF NEWPORT BEACH
Public Works Department
RECEIVED By PUBLIC WoRKs
Harbor Resources Division
u(J 2 4 2016
CITY OF NEWPORT BEACH
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,
1i8a Wa&M
Lisa Walters
100 Civic Center Drive, Newport Beach, CA 92660
www.newporlbeachco.gov (949) 644-3034
INSPECTION FORM
Harbor Resources Department
Date: to I a I LP
Inspection Requested By: L-
Inspector:
Pier Address: lQOa E .B2AA wc_�
i
%Pier Transfer
CGFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
Date Time
Pump Out
Pier Location
Reinspection
Yes Need None Needed Yes Need
❑ Eelgrass Within 15' of Project
❑ Eelgrass Within 15' - 30' of Project
❑ No Eelgrass in Project Area
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
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