HomeMy WebLinkAboutM2007-0065Worksheet for Building Combo Permit Application
IMM� City of Newport Beach - Building Department !�IIQPPO
Please print 3 copies HARBOR RESOUP
<,Building Grading —Drainage 7 Elec F7 Mechc
QF NEWPORT
I..." F
1. Project Address (Not mailing address) "ZiteU6i'
611 rV . .................
................. ......... ...
# Units (if Residential)
Tenant Name(if Applicable)
I ............... V/ ANA� . .................. . ................... .................. .... ...................................
2. Description of Work 0—
Use 5 rsu
.......... I ................................ ..... .
...................................... P- I ...............................
............................................... ................................... .... ................................
Valuation $
Exist House Demo House SF Add/Reconstruct House SF
F -.4 . ..................
F7
# Stories
Exist Gar SF Demo Garage SF Add/Reconstruct Garage SF
........................... ......... ..... . .
TOTAL HOUSE SF
New d Alter ........ . . . ............. . ...... . Cu Yd Cut
—iDemo
F F
F.............................
GE SF
Cu Yd Fill
uneCK ADoroonate box tor
-
FT-77ef
First
: Lic No. Class
6. Contractor's Name Last
.......... F ................................ I ........................
5M z ...................................
Contractor's Address Contractor's E-mail Address
K_� AA
............................................. ................ ......................... .......... ....................................
city State Zip Telephone
V�71
FC F
OFFICE USE ONLY ENERGY P/C FEE $ PERMIT NO.
GRADING P/C FEE $ PLAN CHECK NO.
Rev 1118107 ELEC/MECH/PLUM P/C PLAN CHECK FEE $
� �21W
UWJA L
w
D
/,� ts-
_�Cc Joe
r
(Z_
L.-VIC)NITY SKETCH
P�Z IV A-rkr- '4 �9 -4 �j M L�:
rl
4-1,
ax. EAWA
101
1 72 AC
L)NbA 15Lr--
Na 4-oall
-FOR M Nz -J,4 V, V/,4 NA
DETACH AND RETAIN THIS STATEMENT
RESIDENTIAL ESCROW CORPORATION Tt� TACHED CHEC� IS IN PAYMENT OF ITEMS DESCIRIBED BEI -.W.
CORREOT PLEISE NOTI� US PIOMPTLY, NO RECE"`T DE ( 5'
DELUXE FORM WVO-4 SPL N-224
AMOUNT
DATE C,-- -7 3N
Property: 101 Linda Isle
10/29/87 tP
Newport Beach, California
ESCROWNO. 10137m-1; $**250.00**
Funds due you
Pier Slip Transfer Fee
N-224
p d EIS)
ADDRESS OF FACILITY: PERMI�-
MAILINIFG A�D R SS1
TELEPHONE NO. FEE CHECK NO. DATE
-4 Lai Ai F-47
APPROVED BY: DATE
APOLICA TION IS HERERY-MADE 'I'D TRA SFER HARBOR PERMIT
OCHD
Aftw"i
SELLERS' NAME(S) BUYERS'
EkG
4ABOVE NAMES TO BE TYPED)
COUit
SIGNAtk-E OF SELLER SIGNATURE OF BUYER
BLIC WORKS
!",FPT.
T
I 'ESCROW
SIGNATURE OF SELLER SIGNATURE OF BUYER
PECTION
NATURE- OFJOINT, OWNER
CITY 14ARBOR COORDINATOR
SPECIAL CO-1461-Ilb NS _RMI -VIS REVOCABLE BYTHE CITY COUNCIL IN ACCORDAMCF-WITH TITLE 17
OF TI,,K MUNMIPAL C6 _ DE
CITY OF -'NEWP6-R-i7 EIEACfi41 LIP. --.WX-FORM 4
DETACH AND RETAIN THIS STATEMENT
RESIDENTIAL ESCROW CORPORATION Tt� TACHED CHEC� IS IN PAYMENT OF ITEMS DESCIRIBED BEI -.W.
CORREOT PLEISE NOTI� US PIOMPTLY, NO RECE"`T DE ( 5'
DELUXE FORM WVO-4 SPL N-224
AMOUNT
DATE C,-- -7 3N
Property: 101 Linda Isle
10/29/87 tP
Newport Beach, California
ESCROWNO. 10137m-1; $**250.00**
Funds due you
Pier Slip Transfer Fee
N-224
LOCATION PERMIT NO.
Sel I-er ffvAk-� Buyer C
Date Application Received: Date Fee Received:
Request for'Inspe t
-%jon made by:
Escrow Co. Date
Escrow Offiter
Escrow No.
Address q, 7
Phene:
ection mad
Date Insp
Deficiency Letter sent: Deficiency corrected:
Transfer completed: Date
REMARKS:
Inspected
M -AMP
vkjj
zz" 40
WA Ll.,� L J. -LW
MOW
.j
D
Me
III HOP-,) <:p ol
VICINITY SKETC14
Pl)�> IVA-rE—: 4 4 C:RAwj ri L�:
561)
Pi EF R H EEA t:) L- I �J.
C, I
L
16
S U.W< EAC) L)tJF-
7
L Ic- eAWA I- L-
7RAC"T- Jja
LINOA 15 L
mlo
t
PLANJ
�CA
zn,-3 N! 89 6
P M'O P 05 M 0
Fo R m ra V/A
101 L-)K]Dk ISLC-.
wavipolzrr 13C44. :
-rzAL)-rvjr-=11-j - C-3rQGS
D F -AW " '. rA Ik leAd 05,r
LQ A
i N
IL
� . ............ ............. ......
P0
CITY OF NEWPORT BEACH
-August 6, 1987
Residential Escrow
Attn: Ter esa
1470 Jamboree Road
Newport Beach, CA 92660
Dear Sir:
FDR 0 PO S .5
MA
m L-ILIW I
LL --
D
VE
/ 33 - 10
CL
x
V UNITY
L
=5Z iV A
Pn5RHMAO
C -z SA.)
4� A S' e)(T'F-= w
R U LK
4 -TO I
EX 0 K
100 101 1
'TR AIC
L I r I U A
�P-v
0 C,5 A t -J
SKETC14
A
Mq 4-n- PLAI'Q
.. cp'� .
1 15 L �-
pkzoposeo
. ....... .. . SIXT!a�,JS101-4
r--oR*, M�Z.F.AY Si -L -10r -r
ioi L-)KIDA, I!SLf--
K) a I'lu PC NZ Ir RCH -
-r�--AOTUJ�wltJ V3F--"0'-
VWAW Ij - L., C.
STATUS SHEET
HARBOR PERMITS
TRANSFER
Location /o/
Permit #
Date Application Received Fee Rec'd
8.LcL± Request for Inspection
Escrow
Co.
(f p 14
4 dfle Da t e
? q
[)'V, f6A 21,r
Date
Inspection Made
Date
Deficiency Letter Sent
(if applicabl-e)
2,7 �-73 Date
Deficiency Corrected (if
applicable) -
Date
Orange County Notified
(if applicable)
Date,
Transfer Completed
KV
-7 -7
/33
ex, -61 y zd bp
E�X - WA
C-: x <;lZb%) K) t?
11 io
L-va::-
zL�-
VICINITY
CJJA7J �J 7--
ID'�Z IV A -T C—
P -3r�: r�p
-Ld-.
—GA
I c)
4'/, S' aX , ca
R- U 'K Hi IFA
-14EAWAL.L
rr=
4,r)
IL
ml
6�11
C)C CA�4
SK S TIC H
rr--O r,> 0, T-1