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HomeMy WebLinkAboutM2008-0015RD Please print 3 copies Worksheet tor 8ui Id ing (;om-bo Permit Appl - icat ion City of Newport Beach - Building DepartmeHARBOR RESOURC uilding F- Grading [7:Drainage fu NEWPORT 17., Elec I—, Me c ra 1. Project Address (Not mailing address) F_-1, 2-t� Tenant Name(if Applicable) z. Liescription ot work J L. .. ....... Exist House SF Demo House SF Add/Reconstruct House SF ............ ... .. .. ...... .. .......... Add/Reconstruct Garage SF Exist Gar SF Demo Garage SF F TOTAL HOUSE SF New Add Alter [7.Demo GARAGESF Check Appro2riate Box for Applicant 3. Owner's Name Last F irst ..... . ....... Owner's Address Owner's E-mail Address "n ................... ...... .... .. .... . .. ..... . .. .... ... ..... . .. . ....... .. .. .... ... ...... Ly State Zip Telep hon e # Units (if Residential) . .... .. . ............. ....... Use r Valuation JJ Cu Yd Cut Cu Yd Fill # Stories 4. Arch itect/Des ig ner's N arne Last First Lic, No. ... ....... ............ Architect/Designer's Address Arch itect/Designer's E-mail Address . .. ... ....... . . . ............ .................................................... ........ State 5 E - ngineer's Name Engineer's Address Last Telephone ............. .......... . . ..... . First .... ... . .. ....... ....... ,::ngineer's E-mail Address ... . ......... .. ... ........ .ty i State Zip Telephone .. . ... .. .... . .... ... ......... .... ..... . ... .......... ..... . . . ... ....... .... ........... . ................ Lic. No. _P7 7 6. Contractor's Name ast First Lic. No: :,ss Contractor's Address Contra`616r's Xail Address .............................. .......... ..... ..... . ......... . ........... "Ity Telephone State zip (;FF,'—'—E USE ONLY ENERGYP/CFEE$ GRADING P/C FIEE $ Rev 1118107 ELEC/IV1E0H/PLUI%A P/C PERMIT NO. PLAN CHECK NO. PLAN CHECK FEE $ =--- bd 0 A -t -e, Vag se% IV" gv ar 007 -ZZ:5 () kt I 140t C-14�4ul� A.P. AIVWNr�P MAMA" HA )-42/7 V I W--� P"— Z/O 4 dor upto own IV Im RALPH N. HIGHSMITH ATTORNEY AT LAW GENEVA 1-3842 SEAL BEACH 322 MAIN STREET CALIFORNIA C ITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT P!ERPERMIT TRANSFER FORM DATE APPLiCATION HEREBY MADE T�IIRANSFER ALL MY RiGHT3 TITLE AND I NTEREST IN �17 ER AND FLOAT PERMIT NO. FOR 210 south Ba ',r Y VOUt Balboa ISI#md LOCATED BAYWARD 016 PROPERTY AT' IF (ADDRES� BEING LOT BLOCK SECTION OF TRACT IT IS AGRE.ED Tt4AT ALL COND�TIONS CONTAINED IN THE ORIGINAL PIER PERMIT AND ANY SPECAAL PROVISIONS SHOWN HEREON SHALL APPLY, AND THAT THE TRANSFEREE HAS ACQUIRED OR IS IN THE PROCE83 OF ACQUIRING THE ABUTTING UPLAND PROPERTY. IN THE EVENT THAT THE ACQUISITION DOES NOT BECOME FINAL, THIS TRANSFER IS NULL AND VOID. BEFORE FINAL ISSUANCE OF TRANSFE I R A LETTER FRTU Mj R 0*, A R 1 --A-(i_�NT WILL BE -REQUIRED STATING THAT TRANSFER OF TITLE HAS EdfN L E DeceaSed 1700 brooklyns Los Aqp TRANSFEROR Calif Co 8, I't Jr., ELIZABETH MAILgNG-ADDRESS �LABAUOH and MARY P. 0. 30 300$ Fullerton-* Calif, TRANSFEREE T (BUYER) X MA I L I x Tw J* -or, T -mat" SIGNATUR . E OF TRANSFEROR x �bW4. "�C'IaCb�' E LmRn IGNATURE F TRAN IGNATURE OF TRANSFERORI x TRANSFER AP VED ENlIED BY THE C.ITY CIL UN DATEJ/-��C� SPECIAL P ROV ION 3MPO 3 BY CITY COUNC -7� -p&;j vv - PERMIT NO. 2/7 GENERAL PROVISIONS FOR HARBOR PERMITS ACCEPTANCE OF PROVISIONS: IT IS UNDERSTOOD AND AGREED BY THE PERMITTEE THAT, THE DOING OF ANY WORK UNIJERTHIS PERMIT SHALL CONSTITUTE AN ACCEPTANCE OF ALL OF THE PROVISIONS - 2. PERMIT FROM OTHER AGENCIES: THE PARTY OR PARTIES TO WHOM THIS PERMIT IS ISSUED,,SHALLj WHENEVER THE SAME IS REQUIRED BY LAW,, SECURE THE WRITTEN ORDER OR CONSENT TO -ANY WORK-,...HE/REUNDER FROM THE U. S. CORPS 0,F ENGINEERS OR ANY OTHER PUBLIC BODY HAVING JUR-ISDICTI9..'Nv.AND THIS PERMIT SHALL BE SUSPENDED IN OPERATION UNLESS AND UNTIL SUCH ORDER OR CONI�ENT IS OBTAINED. TRANSFERRING PERMIT: THIS PERMIT IS NOT TRANSFERABLE WITHOUT THE WRITTEN CO'N'stw-T OF THE PUBLIC WORKS DEPARTMENT OR OF THE CITY COUNCIL OF THE CITY NEWPORT OF BEACH IF .1 COUNCIL AP PROVAL IS REQUIRED. 4. INSPECTION. THE WORK SHALL BE SUBJECT TO . THE: SUPERV IS ION AND APPROVAL OF THE PUBLIC WORKS DEPARTMENT. THE PERMITTEE SHALL NOTIFY'THE PUBLIC WORKS DEPARTMENT AT LEAST 3 DAYS IN ADVANCE OF THE DATE WORK IS TO BEGIN AND BEFORE ITS COMPLETION. 5-' PROTECTION OF TRAFFIC. ADEQUATE PROVISIONS SHALL BE MADE'FOR THE PROTECTION OF THE -TRAVELING PUBLIC. BARRICADES SHALL BE PLACED ON STREET$, WITH LIGHTS AT NIGHT, ALSO FLA'GMEN".- EMPLOYED.9 ALL AS MAY BE REQUIRED BY THE PARTICULAR WORK IN PROGRESS.' THE PERMITTEE SHALL NOT ATTEMPT TO FORBID THE FULL AND FREE USE BY THE PUBLIC OF ALL NAVIGABLE WATERS AT OR ADJACENT TO THE WORK OR STRUCTURE. IF THE DISPLAY OF LIGHTS AND SIGNALS ON ANY WORK HEREBY AUTHORIZED IS NOT OTHERWISE PROVIDED BY LAWly SUCH LIGHTS AND SIGNALS, AS MAY BE PRESCRIBED BY BUREAU OF LIGHT HOUSES, DEPARTMENT OF COM- MERCE, SHALL BE INSTALLED AND MAINTAINED AT THE EXPENSE OF THE PERMITTEE. STRUCTURES SHALL BE SO CONSTRUCTED AS NOT TO OBSTRUCT, INTERFERE -WITH OR PRE- VENT THE FREE USE OR PASSAGE OF ANY SIDEWALKS STREET, ALLE _Y, PUBLIC WAY OR NAVIGABLE z ..OHANNEL. -'FOR DAMAGES-. THE PERMITTEE IS RESPONSIBLE FOR ALL LIABILITY FOR 6. LI AB,I� L 1. T Y PERSONAL INJURY OR PROPERTY DAMAGE WHICH MAY ARISE.OUT OF WORK HEREIN PERMITTED) OR WHICH MAY ARISE OUT OF THE USE OR POSSESS.ION OF SAID WORKS, AND IN THE EVENT ANY CLAIM IS MADE AGAINST THE CITY OF NEwPORT-BEACH OR ANY DEPARTMENT, OFFICER OR EMPLOYEE THEREOF, THROUGHi BY REASON OF, OR IN CONNECTION WI-TH SUCH WORK, PERMITTEE SHALL DEFEND, INDEMNIFY AND HOLD THEM, AND EACH OF THEM,, HARMLESS FROM SUCH CLAIM. -REVOCAT10N OF PERMIT: THE RIGHTS GIVEN UNDER THIS PERMIT ARE PERMISSIVE ONLY, 7. AND THE CITY OF NEWPORT BEACH RESERVES FULL RIGHT, POWER, AND AUTHORITY TO REVOKE THIS PERMIT AT ANY TIME. IN THE.EVENT THE PERMITTEE FAILS TO REMOVE SAID WORKS WITHIN THE TIME SPECIFIED.9 THEN THE CItY ENGINEER SHALL HAVE THE RIGHTJO IMMEDIATELY REMOVE SAME� A -,T THE COST AND EXPENSE OF THE PERMITTEE� REPAIRS TRE PERMITTEE SHALL KEEP THE STRUCTURES IN GOOD REPAIR AT A LL TIMES. FAILURE TO REPAIR.9 WHEN WRITTEN NOTICE HAS BEEN GIVEN BY THE.CIJY�TNGIN,�-,El SHALL BE CAUSE FOR THE REVOCATION OF THE PERMIT. kv 4sA -ZT 5, P1451WI-1,674D -//A/� O� 5, 45 411- I<W AVAD , e- / IVC. 1`,4F 0 I -NG A9 <10 0 LV Nt 0 Aj? AZ 804 4S' 93' 30 Ale VICI-NITY SKETCH NF-vvpoRT 13,A,4r, CAt-i r-oFZNIA Jzrry a,, -e coGe7oA-- 04&,024/7s be/ow "&(7,? Zi:?kv,-I- low WaAq,-. rc7,-7ye o';O 20'1*01& /0 1,eet. Ila,#-bor 1117es ane 77k CITY OF NEWPORT BEACH - PUBLIC WORKS DEPARTMENT PIER TRANSFER INSPECTION REPORT FORM TRANSFEREE (NEW OWNER) ADDRESS 42 x /e LOCATION-, DATE OF INSPECTION INSPECTED By* RESULTS SATISFACTORY UNSATISFACTORY F-1 REMARKS STRUCTURAL: DATE OF INSPECTION INSPECTED BY: RESULTS SATISFACTORY UNSATISFACTORY El REMARKS PLUMBING: INSPECTION REQUIRED YES No DATE OF INSPECTION INSPECTED BY.' RESULTS SAT13FACTORY UNSATISFACTORY N REMARKS "2 zL d -10 -ell Z/ ELECTRICAL: INSPECTION REQUIRED YES NO DATE OF, INSPECTION INSPECTED By: RESULTS SATISFACTORY UNSATISFACTOR'Y REMARKS PIER PERMIT No. 112/7 D_-ALPH n. HIGHSMITH ATTORNEY AT LAW 322 MAIN STREET SEP L B -E49 C H, GR LlfoQniq GENzvA 1-3842 October 11, 1967 Mr. Glenn Weldon City Attorney, New -port Beach 3300 West Newport Boulevard Newport Beach., California Re: 210 South Bay Front, Balboa Island Lot 6 of Block 3 of Resubdivision of Section 1 of Balboa island, as shown on a Map recorded in Book 6. Page 30, Miscellaneous Maps, records of Orange County, California Dear Mr. Weldon: The above -captioned property is owned by the Estate of John A. Wahlen, deceased, and is being sold to Mr. C. Stanley Chapman. The property has a boat dock attached to it and floatin- on the waters of the bay. I have been advised that it is necessary to clear with your offices in order that the purchaser -may acquire the full rights of the seller in this property and dock- age. Would you please advise what, if anything, is necessary for the Wahlen Estate to do in order to accomplish this purpose. Very truly yours, RALP N. 1111G� RUN -H - f S RJU E C fl-vf D UqLPH n. HIGHSMITH ATTO R N EY AT LAW 322 MAIN STREET 5E41L BEACH, C-ALWOMIq GENEVA 1-3842 November 15) 1967 dot, OF C F I Yr'U NOV FUMC, W DEpt, 4 Mr. Glen E. Welden Senior Engineering Aide City of Newport Beach 3300 Newport Boulevard Newport Beach, California 92660 Re: Harbor Permit #217 (210 South Bayfront, Balboa Island) Dear Mr. Welden: Confirming our telephone conversation of November 143% 1967, 1 am enclosing my report from Gill -s Plumbing Service wherein he deletes the'necessity of anti -syphon device on this particular property. Also enclosed are the executed Pier Permit Trans- fer Forms and a check in the sum of $25.00 to cover the costs thereof. The escrow in this matter will close as soon as this permit is granted. It is being handled through the Orange County Title Company in Santa Ana. Thank you for your cooperation. Very truly yours, J, SMI, RA&LF N. H12 RNH: f s Enclosures: 6