HomeMy WebLinkAbout2016 signed pier trnsfre P
TRANSFER APPLICATION
"Date of Applicaton: L�tiSI to
**Property Addres:
"Buyer's Name:
* Buyer's Signature
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
Permit Number: 601— 32,C>
Billing Address: 3000 otymy,c 61vJ 41,2r°
SglZq Mad,cA (Q go4a4
�i Telephone No.: 310 N 6 G M 1S
**Seller's Names: WtmeAo 't-.-N6a 1
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: I Phone#Q-�O�ui
**Address 20 OV A , N Zw
**Escrow Number: 1 -12� **Fax #:9 - 4q.i 3,
Closing Date (Estimate): `l 6u Email: Ck,ArC�rr •CtKY1
�.1 N a3 ft - Ca-,W'\
* *STARRED ITEMS MUST BE COMPLETE TO -BEG -IN -THE PROCESS;_
Inspection Date: I Lt to Reinspection Date:
Fee Paid: Chec No: o2113
Application Complete:
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.
0
HARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: 2,'15 tU Permit Number:
**Property Address: 5-0 (gYA(oll ("
**Buyer's Names:
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Nam
Seller's Signatu
Joint Owner Signature: 1
**Escrow Company: �yadm-\ Phone#a�-�t-1�-i";
"Address Q W NrA%t -- Ctf\--�Cy 0Y �— , N b 0(2 J
**Escrow Number: Q!�D1 2l **Fax #:9t-4-(.Q4q- 3F
Closing Date (Estimate): `I tU Email:CWm
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 3 ( lfo Reinspection Date:
Fee Paid: [> ��C�h�&eck No: �0�(3
Application Complete: 6OL,c
Harbor Resobftes Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
INSPECTION FORM
Harbor Resources Department
Date: flae
Inspection Requested By: L
Inspector:
Pier Address: 37Ci 11CJ� �flJ/
Pier Transfer i
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
Yes Need None
m C
3I1(,#<<c,
Reinspection
Yes Need
m
Date Time ❑ Eelgrass Within 15' of Project
❑ Eelgrass Within 15' - 30' of Project
❑ No Eelgrass in Project Area
Pump Out
Pier Location
Yes No
Operational m
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
Freedom Escrow - Trust Account
20713
Date02/25/2016 Escrow Na 051372-JW Check Amount$"""'230.00
OFFICER: Jason Watrous
Property: 320 Grand Canal, Newport Beach (Balboa Island area), CA 92662
Seller: Pamela L. Wilson, Succesor Trustee of The Custer Family Trust, U/A/D
5-22-90
Buyer: Matthew Olmstead and Dawn Olmstead, Trustees of Olmstead Family Trust
for Pier Transfer Report 230.00