HomeMy WebLinkAboutR2020-0854 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT RECEIV
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 Co4f., Y
www.newportbeachca.gov 1 (949) 644-3200 Or`Wilry
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Application for Report of Residential Building Rec00§V,,Zt,,<.
Application Fee: $194.00 Notice: Applications with i i`OPV
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units:1 Address:413 Acacia Avenue City: Newport Beach( Corona Del Mar Area) State: CA Zip:
92625
Property Owner: R Stephen Hannahs and Carla Hannahs
Owner Address: - City:
State: _Zip Code:- Home Phone:
Owner's Authorized Agent: Brad Hinman Work Phone:
Agent Address:
341 Bayside Drive, City: Newport Beach State:
CA
Zip Code: 92660
Mobil Phone: -
Agent Email Address: brad hinman@compass.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 # 59333 -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
Owner or Agent's signature to decline
Account #
V� VAJA ��k.
payable to CITY OF NEWPORT BEACH
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