HomeMy WebLinkAboutR2020-0521 - Permit ApplicationCity.,of Newport Beach r�CT_;'vE`} aY
COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY
BUILDING DIVISION or-.vr_t oPMEN7
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 9RWAzo
www.newportbeachca.gov 1 (949) 644-3200
RBR41 W .0 21
CITY OF
Application for Report of Residential Building ftcorqPc�
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:1 Address:1845 Port Charles Place City: Newport Beach State: CA Zip: 92660
Property Owner: The Cowden Family Trust dated February 25, 2004
Owner Address: - City:
State: -Zip Code:- Home
Owner's Authorized Agent: Heather Kidder Work Phone:
Agent Address: 201 Marine Avenue, City: Newport Beach State: CA Zip Code: 92662
Mobil Phone: (949) 264-9000 Agent Email Address: heather.a.kidderCo)gmail.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newoort Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: bfoxcroft@marinersescrow.com
For Inspection Call (Name):
Escrow # 58526 -BF
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 inspection Date:
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH