HomeMy WebLinkAboutR2020-0463 - 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.newportbeachea.gov 1 (949)644-3200
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Application for Report of Residential Building Records
Application Fee: $191.00
(For All Residential Buildings)
Reinspection Fee $125.00
Application with insufficient fee payment
or incomplete will be returned
Please type or print and complete all information
Number of units: 1 Street Address: 1835 Newport Hills Drive East
Property Owner: TJC Holdings I, LP
Zip Code:
Owner Address: 26880 Aliso Viejo Pkwv, Suite 100, Aliso Viejo, CA 92656
Street City Zip
Home Phone: NIA Work Phone: (949) 435-9714
Owner's Authorized Agent: Gary Sibbald, Listing Agent— Re/Max
Agent Address: 3471 Via Lido, Suite 207, Newport Beach, CA 92663
Work Phone: (714) 856-1212
Escrow Name and Address: West Coast Escrow, Escrow No. 4511220-04705 - DO
Escrow Address: 11835 W. Olympic Blvd, #1120 -East Tower, Los Angeles, CA 90064
Escrow Phone: (310) 826-2925 Email Report to: teamwestla@westcoastescrow.com
For Inspection Call (Name): Jason Fry Phone: (949) 435-9714
CONSENT TO INSPECT (FORM MUST BE SIGNED AND 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 violatio
Owner/Agent's signature to authorize inspectio Date
OR
Owner/Agent's signature to decline inspection Date
Account #01050504-521040............ Make checks payable to CITY OF NEWPORT BEACH
Who to call for inspection?
Name:—j-8,g)w F-1ZI, Direct Phone:
or Extension #