HomeMy WebLinkAbout16-05-31 Pier Permit Application - 322 Buena VistaHARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
** Date of Application: May 19, 2016
** Property Address:
** Buyer's Names:
Billing Address:
Telephone No.:
** Buyer's Signatures:
** Seller's Names:
** Seller's Signatures:
Joint Owner Signature
Permit Number:
322 Buena Vista, Newport Beach, CA 92661
Stephen E. Rogers, Trustee of the Non Exempt QTip Trust Under The Rogers
Family Trust dated May 2, 2002
Ruth I. Field
** Escrow Company: Mariners Escrow Corporation
** Address: 1100 Newport Center Drive Suite 200 Newport Beach CA. 92660
** Escrow Number: 51044-BF ** Fax Number: 949.721-8167
Escrow Officer: Brian Foxeroft Phone Number: 949-640-6040
Closing Date (Estimated): May 31, 201.6
"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Reinspection Date:
Check No.:
Application Completed:
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of Newport Beach Municipal Code
INSPECTION FORM
Harbor Resources Department
Date: 51(
Inspection Requested By: �—
Inspector:
Pier Address:
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
Reinspection
Yes.,, Need None Needed Yes Need
m 0
OU.w
Date Time ❑
Pump Out
Pier Location
Eelgrass Within 15' of Project
Eelgrass Within 15' - 30' of Project
No Eelgrass in Project Area
Yes No
Operational m
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request