HomeMy WebLinkAboutR2020-0337 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Application Fee: $191.00 Notice: Applications with insufficient fee
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units: l Address:1208 Somerset Lane City: Newport Beach State: CA Zip: 92660
Property Owner: The Michael A. Glueck Family Trust u/d/t November 30 1983
Owner Address: 5 Stearns Ridge P.O. Box 65 City: Irvington
State: NY Zip Code: 10533 Home Pho
Owner's Authorized Agent: Michaela McCloskey Work Phone:
Agent Address: 341 Bayside Drive, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: (949) 887-8602 Agent Email Address: michaela.mccloskeyPcompass.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
Escrow # 58011 -DJ
City: Newport Beach
Escrow Phone: 949-640-6040
Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
I authorize inspections and re -inspections of the property listed above. I understand that if Building or Zoning
violations are discovered I will be responsible to correct said violations.
Owner or Agent's signature to authorize inspection
OR
Owner or Agent's signature to decline i
Account # 2900-5005.................Nake checks payable to CITY OF NEWPORT BEACH