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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