HomeMy WebLinkAboutM2014-0003j— Comm'I f- Residential
Worksheet for Building Combo Permit Application *n,
City of Newport Beach -Building Division�g gyUR
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBM' �°T� �
[--Building f— Grading
j—Drainage .r Elec (— Mech (— Plum CuvdCut �,, u M,
Project Address (Not mailigg address) Su
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1
Description of Work .
Use
-- -- ------
-- __-------------- — -- --
FRemove and replace 2
existing 12" square pre -stressed concrete
# StoriesF # Units (if Res)F
guide pile.
Valuation $
Material/Labor
New/Add SFi.—
Remodel. SF I Garage/New/Add �
OWNER'S NAME
Last First v
J '
Owner's Address
Owner's E-mail Address
Jacquelyn.chung@sbcglobal.net
City Newport Beach
State Califomia ZipTelephone 1949,631.3121
APPLICANT'S NAME
Last Swift First Pete
Applicant's Address
Applicant's E-mail Address
2027 Placentia Avenue
Jacquelyn.chung@sbcglobal.net
City Costa Mesa
State California Zip 92627 Telephone 1 949.631.3121
ARCHITECT/DESIGNER'S NAME Last First �— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �— Zip �— Telephonel
ENGINEER'S NAME
Last Bazley First Tim Lic. No. 50019
Engineer's Address
Engineer's E-mail Address
2500 Via Cabrillo Marina Unit 200 Jacquelyn.chung@sbcglobal.net
City San Pedro
San
State. (California Zip (90731 Telephone 949.631.3121
I I
CONTRACTOR'S NAME/COMPANY Swift Slip Dock and Pier Builders Lic. No. 797052 Class
Contractor's Address
Contractor's E-mail Address
2027 Placentia Avenue
Jacquelyn.chung@sbcglobal.net
City Costa Mesa
State California Zip 92627 Telephone 1 949.631.3121
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO.
GRADING P/C' FEE $
PLANNING P/C FEE $ PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $
qV/OF NEWPORT SERCH
CITY OFv
NEWPORT BENCH � !J I
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CITY OF NEWPO" BEACH
HARBOR PER MR.51T
PERMISSION IS HEREBY GPANTZr D TO CONSTRUCT AND
MAINTAIN THE FACILITY ::10V -% G TNF E PEVE SF- HERi_OF, '
AT THE SITE INtDICAJ*rD, Sums '�: 7- 'i F' .'9►Ji57S3R1S OF
THE HARBOR P.°�.d:;.Iti i'�' i1.` c� c'Sf= N— c - `Ft��:il R?d.`"
ANY SPCCiAI Cil•'v. 2 iC�
' �• iI:'s r'�rrr'�'Ptd:.
IS NOT TPANS.^EPAr�. s Pwr :, '.t .. -^N <.,,:: G':
TH-E CITY HA, i. Y:+.�, iaii �A4 R'r y <i::.';7. 7t:
RIGHTS G:'Vi:iv € i\�" Th... 4'r:.S .. q a r : ' .0i,;L
AND THIS PER''c'iT'MZAY LEE PC ', ;,Y HL i;.'7V COUNCst
IN ACCORDANCE WITH TITLE I..7,_YF ThE MU-NiCiPAL .0-ODE.
4CY; HAR26OR C® RDIN R
� - 1.!5— �z
POINT DATE
WP
5�1
CITY OF NEWPORT BEACH
829 Harbor island Drive, Newport Beach, CA 92659
949-644-3034/Fax 949-723-0589
,9trFOR�l
August 19, 2004
Cal Counties Escrow
Fax 949-450-0390
Re: Pier Permit #636-601
60136" Street
Newport Beach, Ca 92663
Escrow # I R4546
Dear Sirs:
The pier has been found to meet City standard and the permit will be transferred
into the buyer's name. Thanks for your help.
If you require further assistance in this matter, please call 644-3034.
Sincerely,
LorrLe Aroese
Lorrie Arcese
Harbor Resources Division
Date of Applicaton:
Property Address:
Buyer's Names:
Billing Address:
Telephone No.:
✓ Buyer's Signatures:
Seller's Names:
Seller's Signatures:
Joint Owner Signature:
Escrow Company:
Address
Escrow Number:
Closing Date .(Estimate):
HARBOR PERMIT
TRANSFER APPLIC�MRN/�a7 .
Q
0
Inspection Date:
Fee Amount: 1 L{ .0 r
Date Paid:
Application Complete:
ri
i
7�//V//,
Fax
Reinspection Date:
Check Number: 2-92
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
_ .. INSPECTION FORM
Harbor Resources Department
Date: A
Inspection Requested By:
Inspector: Don Duffy
Pier Address:
Pier Transfer
Reinspection
GFI Present Yes .Need None Needed Yes Need
Anti -Siphon / Backflow Present y
Other Comments > �a
Eelgrass
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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-
�. BUYERS' NAMEIS) -''sx111M'-
-ADDRESS OF FACILITY .' -
P MIT -
L1FfGAD R 5 '•
j0' d.TELEPHONENO}., .�
�Fll'
CHECK'NO JE
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ROI/EDBY: r--- v�,)`. ' '�` APPL A7CCN 15`NEIjEBY,MADE i0 7RANQI:ER.HARBOR P-E►ZMIi
T
`CJI46
SELLERS' NAME(S)';- - BUYERS NR B(5
ENG ' ` _ -
( IBOVE NAMES TO BE TYPED),
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if
COUNCIL
{i
SIGNATURE -OF S LLER :SIGNATURE OF BUYER
PUBLIC WORKS.❑ -7--77777
,PEP 7
ESCROW L,1 -
5ICsNATUREOF SELL R,�T^ SIGou OF 1�F1YF. '
P.
_
INSPECTIONS p
r F 51GNATUR� qF JOIN; OWNE# {
APP6.Ic�t7�bl�xp�OEb '
:f --I
CITYHARBORCOORDINATdR �
-
--SPECIAL CONDITIONS: THIS PERMIT IS REVOCABLE BY THE CITY COUNCIL IN ACCORDANCE WITH TITLE 17' "
OF THE MUNICIPAL CODE. -
-- _- -
4-j
CITY OF NEWPQRT BEACH, CALIF FORM p 1013 Rev
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ENG
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�'. COUNCIL
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PERMIT # - - -
- i
IR PERM�ITT. - G
SPECIAL CONDITIO I GITT HARBOR COORDINATOR --
THIS PERMIT IS REVOCABLE BY THE CITY COUNCIL IN ACCORDANCE WITH TITLE 1.7
OF THE MUNICIPAL, ODE.
,i
CITY OF NEWP9RT BEACH. CALIF.
WX FORM le•10Ia REV.
SEW P()
CITY OF NEWPORT BEACH
U ? P.O. BOX 1768, NEWPORT BEACH, CA 92659-1768
e�
C'qC! Fp Fit,`P
October 4, 1990
Mariners Escrow
4 Corporate Plaza
Newport Beach, cA.982660
Sirs: ,
Regarding a pier permit transfer for the property located at 601
3.Eth Street, Newport Beach, City ,Pier, Permit No., 6.36-601:
The structure was inspected on October 4, 1990, at which time it
was determined that it conforms to City standards.
When we have received the pier transfer card, signed by both the
previous owner and the new owner and the $275 transfer fee, we will
transfer the pier permit.
Sincerely,
Tony Melum
Tidelands Administrator
3300 Newport Boulevard,, Newport Beach
STATUS SHEET
HARBOR PERMITS
TRANSFER
�3
Seller c-,.% Buyer cD
Date Application"Ree4vo -;,-"te Fee Rec' v:
Oral Request for-InSpection
Escrow t.
Escrow -Officer Escrow # it"Z�
�
Da 7j
Date Inspection Made-
DatA Deficiency Letter Sent (if applicable)
Date Deficiency Corrected (if applicable)
Date Orange County Notified (if applicable)
Date Transfer Completed
1. Location:
2. Plumbing:
3. Electrical:
4. Structural:
REMARKS: tit _Pt I) A+gj IUL_ M f_(, &C -M4 C A L
Inspector's Initials
C -W F) F119—
b3(� -60 /
O� iO/� � `I 1 'l
�• ,� , `' CITY OF NEWPORT BEACH
c �P
'.. AGI Fp iiN
April 7, 1980
Mr. John Polen
c/o Pacesetter Homes, Inc.
4540 Campus Drive
Newport Beach, CA 92660
Dear Mr. Polen:
Attached you will find (2) transfer cards for
the properties.at 601 and 603 36th Street. Please complete
the cards as outlined in the attached instruction sheet
and return to the Newport Beach Marine Department. Once
we have received them, we will inspect the piers and floats
then the permits will be transferred.
I am also including copies of the past due
Pier Administration statements. If.you can pay these
also, you will incur; -no additional penalties.
Sincerely,
MY
Tony Melum
Tidelands Administrator
TM:mw
Attachments
City Hall • 3300 Newport Boulevard, Newport Beach, California 92663