HomeMy WebLinkAbout25-03-11 Completed App & InspINSPECTION FORM
Public Works
Date: - 12/Z5
Inspection Requested By:
Inspector: (J\
Pier Address: �015 Ma,-Cakt Ave
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments
w1 (P6 f e cic�
Comments / Observations
Other Request
Docusign Envelope ID: C8D9B6BD-854E-4C80-B296-93ABFC7714DB
WPOji'
o t: i _ 7 HARBOR PERMIT
TRANSFER APPLICATION
),07 100 Civic Center Drive
IL��,hr,•' Newport Beach, CA 92660
949-644-3044
11 /20/2024
**Date of Application:
**Property Address: 4015 Marcus Avenue, Newport Beach, CA 92663
**Buyer's Names: Vu Thai
Signed by:
Buyer's Signatures: "L
201 E center St #108, Anaheim Ca 92805
Billing Address:
Telephone No.: (310) 220-7550
**Seller's Names: Lucasio Investments LLC/ Mich el and Lisa Zuccato
Seller's Signatures:
\./ 4fi:�
Joint Owner Signature:
**Escrow Company:
Portfolio Escrow
Phone#
949-270-0040
**Address 12 Corporate Plaza #120, Newport Beach CA 92660
**Escrow Number: NB-10880-24
**Closing Date (Estimate): 12/18/24 **Email: autumn.bender@portfolioescrow.com
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 2-AZ/2. , Reinspection Date: L/21Li /2-5 - A vZ s
Fee Paid: .00 Check No: IOq L36
Application Complete: 3�11 1 s
Public Works Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.