HomeMy WebLinkAboutM2007-0033WORKSHEET FOR BUILDING / FIRE PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DEPARTMENT
P1 FARF PRINT OR TYPF
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
FLOOR
SUITE NO.
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FIRST
LEGAL DESCRIPTION
No. UNITS
LOT BLOCK TRACT
OWNER'S E-MAIL ADDRESS
2. DESCRIPTION OF WORK
USE /We5,C,
# OF STORIES
VALUATION $
NEW E] ADD D ALTER E] DEMO )SQ FT
If D� 70(�, Q
ww OSSr,,, Wr S/.;jS/&r/ADDED/EXTG)
Check Annronriate Box for Annficant
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3. OWNER'S NAME
LAST
i�o
FIRST
OWNER'S ADDRESS
OWNER'S E-MAIL ADDRESS
CITY
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STATE
ZIP
PHONE NO.
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4. ARCHITECT/DESIGNER'S NAME LAST
FIRST
LIC. NO.
ARCH ITECT/DESI G NER'S ADDRESS
S E-MAIL ADD
ARCHITECT/DESIGNER' 7�s
CITY
STATE
ZIP
PHONE NO.
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5. ENGINEER'S NAME
LAST
FIRST
STATE LIC. NO.
ENGINEER'S
ENGINEER'S E-MAIL ADDRESS
CITY
STATE
ZIP
PHONE NO.
6. CONTRACTOR'S NA
1/0
BUSINESS LIC.
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ST/�*L�C.
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No. class
CONTRACTOR'S ADDRESS
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CONTRACTOR'S E-MAIL ADDRESS
CITY
STATE(��
zIP ��6. -?
PHONt NO.
I
OFFICE USE ONE—Y
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $
PLAN CHECK ENG.
BUYERS, NAME(S) ADDRESS OF FACILITY: PERMIT
TELEPHONE XK No. DATE
MAILING ADDRESS NO. FEE
ciTY OF N�EWPORT BF-ACH, CALJF- vllx FORM se-lols Rrv.
C'Ty OF NEWPORT� SEACH, CALIEr.
WX FORM 06.1olS REV.
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CITY OF NEWPORT BEACH
P.O. BOX 1768, NEWPORT BEACH, CA 92659-1768
October 26, 12990
Sandra Bode
1316 Westhaven Road
San Marino, CA 91108
Re: Harbor Permit 175-824-1
Dear Ms. Bode:
Thank you for your letter informing us that the above Pier Permit
has a new owner. As you will note there is usually a fee for the
transfer of a pier permit, but it has been City policy to waive the
fee and pier inspection when the transfer to a new owner results
from inheritance.
To bring our records up to date we ask that you complete the
enclosed transfer card and return it to the Marine Department at PO
Box 1768, Newport Beach, CA 92659-1769. Please indicate your name,
address, and telephone. It will be necessary to have your
signature for "buyer" and the signature of the executor of the
estate for "seller".
Thank you for your cooperation.
714-644-3044.
sincerely,
..............
Tony Melum
Tidelands Administrator
by db
If,you have -questions please call
3300 Newport Boulevard, Newport Beach
SANDRA A BODE
1316 Westhaven. Road
San Marino, CA 91108
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