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WORKSHEET FOR BUILDING I FIRE PERMIT APPLIW'FffiR RESOURCES DIV.
CITY OF NEWPORT BEACH COITY OF NEWPORT BEACH
PLEASE PRINT OR TYPE (9 BUILDING DEPARTMENT 6�,175- 1-jd� 10
1. PROJECT ADDRESS (NOT MAILING ADDRESS) FLOOR SUITE NO.
LEGAL DESCRIPTION No. UNITS
LOT BLOCK TRACT
2. DESC�IPTION OF WORK
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3. OWNER'S NAME LAST FIRST
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OWNER'S ADDRESS
—OWNER'S E-MAIL A ESS
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LIC. NO.
ARCH ITECT/DES I GN ER'S ADDRESS
ARCH ITECT/DESIGN ER'S E-MAIL ADDRESS
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PHONE NO.
F] 5. ENGINEER'S NAME LAST FIRST
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TONTRACTOR'S E-MAIL ADDRESS
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OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
PLAN CHECK FEE $
OCCUPANCY- GROUP PLAN CHECK ENG.
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BUILDING DEPARTMENT
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1. PROJECT ADDRESS (NOT AILING AD RESS) FLOOR SUITE NO'
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LEGAL DESCRIPT16N-- No. UNITS
LOT BLOCK TRACT
2. DESCRTTION OF WOR� ��' K
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3. OWNER'S NAME T
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4. ARCH ITECT/DESIGNER'S NAME LAST
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DEMO 0 SQ FT
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OWNER'S E-MAIL ADDRESS--
PHON5NO,
FIRST LIC'. NO.
ARCH ITECT/DES IGN ' E-MAIL'ADDRESS
ZIP PHONE NO.
FIRST STATE LIC. NO.
ENGINEER'S E-MAIL ADDRESS
ZIP PHONE NO,
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CONTRACTOR'S E-MAIL ADDRESS
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PLAN CHECK NO.
PLAN CHECK FEE $
PLAN CHECK ENG.
C3 Coldwell Banker
ESCROW SERVICES, INC.
A COLDWELL BANKER COMPANY
F
CBE -021
City.of Newport Beach
Dept. of Marine Safety
3300 Newport Blvd.
Newport Beach, Ca 92663
2161 San Joaquin Hills Rd.
Newport Beach, Ca 92660
644-9060
—1
Date January 12, 1981
Escrow No. 5-3309
RE: 4018 Channel Pl.
Permit -No. 441-4018
In connection with our above numbered escrow, we enclose
herewith the items checked below:
(W Application for Transfer of Pier Permit
(XX) Our Check for $175-00 to cover the Fee.
WE UNDERSTAND THE ANTI-SIPHON'VALVE HAS BEEN
INSTALLED. PLEASE RE -INSPECT AND ADVISE YOUR
APPROVAL SO WE CAN RELEASE FUNDS BEING HR'nD.
/11
THANK YOU11 Very truly yours,g�"" '/
E
F01701 IN
STATUS SHEET
HARBOR PERMITS
TRANSFER
LOCATION— �/-o PERMIT #
0
(-,tV16
Seller
Buyer cj0,4,,7 4 _5
Date Application Rec'v:
Date Fee Recv:
Oral Request for -Inspection
'Escrow Co. (2-
Date
Escrow Officer
Escrow #
1-12-� Date Inspection Made
Date Deficiency Letter Sent (if applicabl
ca
Date Deficiency Corrected (if appli, Able)
Date Orange County Notified (if applicable)
Date Transfer Completed
I . Location:
2. Plumbing:
3. Electrical:
.4. Structural: to
REMARKS:
Inspector's Initials:J4�
3anuary 15, 1981
, CITY OF NEWPORT BEACH
Coldwell Banker �scrow
2161 SanJoaquin Hills Road
Newport Beach, CA 92660
Attn: Jack E. Poole
Dear Sir,
MARM DEPARTYMNT
640-2156
The City of Newport Reach has received an application to transfer pier permit
#441-4018for the property located at 4018 Channel Place
The structure was inspected on 'L/i/5/81 at which time it was determined
that the following deficiences exist:
The anti -siphon valve that was installed was the wrong valve. The owner
says he will have a new valve installed.
2.
3.
4.
5 �
In accordance with Section 10—D ol the City Harbor Permit Policies, "All
structural deficiencies must be corrected,,." A permit for this work must be
obtained from the Building Department,
Would you please advise this department when this requirement has been met.
It you have any questions, please contact -me at 640-2156. Thank you for your
cooperation.
Sincerely,
Ton,
Tidelands Administrator
TM-ak
Clity IT lall 3300 Newport Boulevard,� Newpor,, Be2ch, California 92663
0
.December 23, 1980
.Coldwell Banker Escrow Services
2161 San Joaquin Hills Road
Newport Beach, CA 92660
.Attn: Sharon
Dear Sir:
The City of Neu -port Reach has received an application to transfer pier permit
# 441-4018for the property located at 4018 �hannel Pl, Newport Beach, CA 92660
The structure was inspected on 12/12/80 at which ti -me it was determined
that the following deficiences exist:
1. Needs and anit-siphon valve on water line to dock.
2.
3.
4.
5,
In accordance with Section 10-D of the City Harbor Permit Policies, "All
structural deficiencies must be corrected..." A permit for this work must be
obtained from the Building Department,
Would you please advise this department when this requirement has been met,
If you have any questions, please contact -me at 640-2156. Thank you for your
cooperation.
Sincerely,
Ton yMe 1 um,/"
Tidelands Administrator
TM: ak
Cliy I !all - 3300 Newport Boulevard, Newpori Beach, California 92663