HomeMy WebLinkAboutM2010-0019®rksheetfoo Buildingf Nport ®mbut ®g Permit Application
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`Building F_ Grading (;Drainage
1. Project Address (blot mai 'ng address,) 'Ain aun mkxnuite No
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# Units (if Residential)
Tenant Name(if Applicable)
2. Description of Work Use �3
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Extg Building SFF77
Demo Building SF Add/Reconstruct Bldg SF .............
Extg Gar sf Demo Garage sf Add/Reconstruct Garage sf #Stories.
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TOTAL BLDG SF Cu Yd Cut
New Add Alte Demo F77
TOTAL GARAGE SF Cu Yd Fill
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neCK Appropriate box Tor Applicant
[7.3. Owner's Name Lastf G First
Owner's Address Owner's E-mail Address
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City �/ ry State ��ip Telephone% �))
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F_ 4. Architect/Designer's Name Last
Architect/Designer's Address
City State Zip
5. Engineer's Name Last
First Lic. No.
Architect/Designer's E-mail Address
Engineer's Address Engineer's E-mail Address
.......................................................................................................................................................................................................
City State Zip Telephone....
6. Contractor's Name Last First
.........�....................... ....................................
Lic. No.��� ss
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Contractor's Address Contractor's E-mail Address
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City r��l. State Zip Telephon C
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OFFICE USE ONLY ENERGY P/C FEE $ PERMIT NO.
GRADING P/C FEE $ FIRE P/C FEE $ PLAN CHECK NO.��� C J
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Date:
Inspection Requested By:
Inspector:
Pier Address:
INSPECTION FORM
Harbor Resources Department
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Don Duffy
Pier Transfer r
Reinspection
GFI Present Yes Need None Needed
Anti -Siphon / Backflow Present ry
Other Comments
Eeigrass
Yes No
Present
Pump Out
Pier Location
Yes No
Operational
Recommended Action
Encroachmenet
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
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CITY OF NEWPORT BEACH
829 Harbor island Drive, Newport Beach, CA 92659
949-644-3034/Fax 949-723-0589
Fidelity National Title Escrow
949-644-0844
Re: Permit # 441-4016
4016 Channel Place, Newport Beach
Escrow # 11526 -LAB
Dear Sirs:
The above dock was inspected by The Harbor Resources Division of the City of
Newport Beach inspected the dock at the property mentioned above.
We cannot transfer the pier permit until the following deficiencies have been
corrected and the property has been re -inspected:
1. It needs a new anti -siphon device installed (please see diagram).
The Newport Beach City Council Harbor Permit Policies state:
10.D. "At the time of transfer, all harbor structures shall be inspected for
compliance with the City's minimum plumbing, electrical and structural
requirements, and the conditions of the existing permit. All structural
deficiencies must be corrected prior to transfer of the permit."
Please call 644-3034 to request a reinspection. Once the property has passed
reinspection and we have the signed application, the pier will be transferred.
Sincerely,
Lorrie Arcese
Division of Harbor Resources
HARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
**Date of Applicaton: 1 23 0 Permit Number: VYC-
**Property Address: L4 1
"Buyer's Name:—..,. clnn
b
Billing Address:
Telephone No.:
Buyer's Signatures:"'
"Seller's Names:
Seller's Signatures:
Joint Owner Signature: y
**Escrow Company.
* "Address � �- �F� � 2� a � IZGC> b
"Escrow Number: 1.52-16- L-Ae **Fax #:
Closing Date (Estimate): 21 1 Wj D
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: V/0 Reinspection Date:
Fee Paid: -?Y5 ice.- Check No:
Application Complete:
Harbo Resources Signaturemate
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
-7 7,5�
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LIFOR
February 5, 2003
CITY OF NEWPORT BEACH
Harbor Resources Division
829 Harbor Island Drive, Newport Beach, CA 92659
949-644-3034/Fax 949-723-0589
Fidelity National Title Escrow
949-644-0844
Dear Sirs:
I just received your Transfer Application for 4016 Channel Place. The fee for pier
permit transfers as of September is $397.00. In order to start the transfer
process I will need to receive a check in the amount of $12.00.
Thanks for your cooperation and once I receive the additional check the
inspection will be ordered.
Sincea rely,
L
( rrie Arcese, Administrator
Harbor Resources