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WORKSHEET FOR BUILDING I FIRE PERMIT APPLICATION
CITY OF NEWPORT BEACH
PLEASE PRINT OR TYPE BUILDING DEPARTMENT
PROJECT ADDRESS (NOT MAILING ADDRESS) I FLOOR ISUITE NO.
LEGAL DESCRIPTION -I
No. UNITS
LOT BLOCK TRACT
L
2. DESCRIPTION OF WORK USE
r
# OF STORIES
VALUATION $ 5;sz2e, Oe
NEW F� ADD F-1 ALTER F-] DEMO 0 SQ FT
(NEW/ADDED/EXTG)
Check Appropriate Box
117 3. OWNER'S NAME Fl_�Sy
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OWNER'S ADDRESS
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OWNER'S E-MAIL ADDRESS
CITY-,, STATE ZIP
PHON N
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4. ARCH ITECT/DES IGN ER'S NAME LAST FIRST
-IC. N 0.
ARCH ITECT/DESIGNER'S ADDRESS
ARCH ITECT/D ES IGNER'S E-MAIL ADDRESS
CITY STATE ZIP
PHONE NO.
5. ENGINEER'S NAME -7:> LAST FIRST
STATE LIC. NO.
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ENGINEER'S ADDRESS
NGINEER'S E-MAIL ADDRESS
C 1:�7 STA,, -TE ZIP
PHONE NO.
1 6. CONTRACTOR'S NAM�--,
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STATE -LIC.
CONTRACTOR'S ADDRESS
CONTRACTOR'S E-MAIL ADDRESS
CITY STATE 4 ZIP
P H 0 N E/,N
OFFICE
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $
PLAN CHECK ENG.
SPECIAL CONDITIONS
CITY OF NEWPORT BEACH, CALIF. WX FORM 68-1010
NAME
ADDRESS OF PROPOSED FACIL Y PERMIT #
TELEPHONE NO. FEE 6HECk NO. bATE
00 16 X�5 rd,
T 6'
MAILING ADDRESS
APPROVED BY: DATE
AF�PLICATION IS HEREBY MADE FOR A 0 ERM IT TO
CONSTRUCT/REVISE A L-11 4:kQ
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AT THE ABOVE LOCATION IN ACCORDANCE WITH THE CITY OF
ENGR
NEWPORT BEACH PERMIT POLICIES AND THE ATTACHED DRAWIt4G
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COUNCIL E]
BY' COMPANY
DATED 6, A -7i
PUBLIC WORKS
DEPT.
DATE
ESCROW
INSPECTION
SIGNATURE
VYJA
SPECIAL CONDITIONS
CITY OF NEWPORT BEACH, CALIF. WX FORM 68-1010
NAME
Y
ADDRESS OF PROPOSED FACILITY
PERMIT #
ll�
MAILING,
�T LEPHONE
APPROVED BY:
NO.
, r — ,— .. ,
Z
E CHECk No.
DATE
7"
OCHD
DATE
APPLICATION IS HEREBY MADE FOR A
�A,�BOR FERMIT TO
CONSTRUC REVISE A
T/
ENGR
AT THE ABOVE LOCATION IN ACCORDANCE WITH THE CITY OF
COUNCIL
NEWPORT BEACH PERMIT POLICIES AND THE �T
_TACHEDjlR-AWING
BY
COMPANY
PUBLIC WORKS
DEPT.
DATED
7,26
ESCROW
INSPECTION
0
DATE
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SIGNA Zl-
SPECAL UUNIJI I IONS:
CITY OF NEWPORT BEAC�, �CALIFII
WX FORM 68-1010
F0 FL
-February 28, 1978
CITY OF NEWPORT BEACH
CALIFORNIA
City Hall
3300 W. Newport Blvd.
Area Code 714
640-2.156
-Joan B. Foster
73-570 Juniper St.
Palm Desert, CA 92260
Dear Sir:
Pier Permit # 441-4022 for the pier and slip facility located
at 4022 Channel Place is registered to Bank of America.
The annual pier administration billing was returned to our
office. Upon checking with the City's Finance Department, the
above property is listed to you. If you have purchased the
property, we will need a harbor permit transfer application and
corresponding $150.00 fee as required by City Ordinance 17.24.030.
At your earliest convenience, please advise this office if you
have acquired this property so that the necessary transfer can
be accomplished.
Sincerel
en E. el en
Tidelands Administrator
Marine Department
GEW:ll
A. 4
4�
I
-September 20, 1974
CITY OF NlEWPORT BEACZ'-*]7L
-Bank of America Exec. HT & SA Trust
555 -Flower Street
Los Angeles, Calif. 90071
Dear Sir:
CALIFOIRNIA
C-Aity Fall
3300 W. Newport Blvd.
Area Code 714
673-21,10
On March 1 of this year, in accordance with Chapter 17 (Pier
Registration Fees) of the City of Newport Beach Municipal -
Code, a statement was mailed to all bayfront property owners
who have a pier and float facility bayward of their property.
According to our records, payment of the subject fee has not
been received by the City's Finance Department.
Section 17.33-050 of the Municipal Code states:
PENALTY FOR FAILURE TO PAY FEES. Any owner or
permit holder who fails to pay any fee required by this
Chapter within thirty (30) days after -�he same is due
shall be subject to a penalty in the amount of ten per
cent (10%) of the uncollected fee. Failure to pay the
fee plus any accrued penalty within sixty (60) days after
the fee was originally due shall constitute grounds for
revocation of the permit by the City Council.
To avoid fur --'---her action by the City on this matter, please
remit the following amount.
Pier Registration Fee: 10.00
Pa,st Due Penalty: 4.00
TOTAL FEE -14.00
Sincerely,
Glen E. Welden
Tidelands Operations Coordinator
Marine Department
GEW: lf
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