HomeMy WebLinkAboutR2020-0955 - 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
RBR#*9Wt 015
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 type or print and complete all information
# of Units: 1— Address:2020 East Balboa Boulevard City: Newport Beach State: CA Zip: 92661
Property Owner: Nyna Karen Malley
Owner Address: - City:
State: Zip Code: - Home
Owner's Authorized Agent: Jenna Downes Work Phone:
Agent Address: 520 Newport Center Dr. Ste 330 City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: (949) 887-8725 Agent Email Address: Jenna downes@compass.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: bfoxcroft@marinersescrow.com
For Inspection Call (Name):
Escrow # 59610 -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
Owner or Agent's signature to decline inspection
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH