HomeMy WebLinkAboutR2021-0195 - Permit ApplicationMEE City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT CrOM ILINnv
BUILDING DIVISION
6c�020 O lgt5 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-,gRK51 7 2021
RBR# www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records ,'I TY °'
Please type or print and complete all information
# of Units: 1 .Address: Paris Lane #207 City:
200 Newport Beach State: CA iZip 92663
Property Owner: Ray Wongchinda Zip Code:82663
Owner Address: 200 Paris Lane #207 City: Newport Beach
---'......... .......... _..... _._.. Home Phone:
.. -----
State: Zip Code... ...__J
CA 92663
Owner's Authorized Agent: Kevin Aaronson
Agent Address: 27101 Puerta Real, Ste 150
Work Phone (949) 388-5194
City: Mission Viejo
State: CA Zip Code: 92691
Agent Email Address: info@previewochomes.com
Email Report to: L
TeamMayra@corinthiantitle.com
For Inspection call (Name): Ray Wongchinda Direct Phone: (949) 244-5124
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account If 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
Bui1ding_D1vision\Forms\RBR_7-30-20