HomeMy WebLinkAboutR2020-0814 - 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# "L2L-���1
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:_ Address:441 M Street City: Newport Beach State: CA Zip: 92661
Property Owner: Star Property LB Investment LLC. a California Limited Liability Company
Owner Address: - City:
State: -Zip Code:- Home
Owner's Authorized Agent: Matt Genova Work Phone:
Agent Address: 425 30th Street. #1, City: Newport Beach State: CA Zip Code: 92663
Mobil Phone: (949) 698-2715 Agent Email Address:
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: rmiyamoto@marinersescrow.com
For Inspection Call (Name):
Escrow # 59226 -RM
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
OR
Owner or Agent's signature to decline inspection Matt Genova by B. Hutchinson
Date: September 18, 2020
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH