HomeMy WebLinkAboutR2021-0060 - 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
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Application for Report of Residential Building Records
Application Fee: $194.00 Notice: Applications with insufficient fee
payment
Reinspection Fee $ 129 00 or incomplete will be returned
Please jype or print and complete all information
# of Units:_1 Address:21 Augusta Lane City: Newport Beach State: CA Zip: 92660
Property Owner: Steve Bruno and Kim Bruno
Owner Address: - City:
State: Zip Code: - Home
Owner's Authorized Agent: Lindsay Bibb Work Phone:
Agent Address: 450 Newport Center Drive Suite 100, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: - Agent Email Address: lindsay(alindsaybibb.com
Escrow Company: Mariners Escrow Escrow # 59982 -BF
Escrow Address: 270 Newport Center Drive Suite 200 City: Newport Beach
State: CA Zip Code: 92660 Escrow Phone: 949-640-6040
Email Report To: bfoxcroft@marinersescrow.com
For Inspection Call (Name):
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
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH