HomeMy WebLinkAboutR2020-0931 - 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 (949) 644-3200
P-2020-0:;(';51
20
RBR# 20-V t�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:73 Ocean Vista #93 City: Newport Beach State: CA Zip: 92660
Property Owner: Hawkins Family Trust dated June 11 1984 as amended on November 9 1992
Owner Address: 73 Ocean Vista # 93 City: Newport Beach
State: CA_ Zip Code: 92660 Home Phone:
Owner's Authorized Agent: Carter Kaufman Work Phone: (714) 342-1098
Agent Address: 1804 Newport Blvd Suite B, City: Costa Mesa State: CA Zip Code: 92627
Mobil Phone: 949.294.6411 Agent Email Address: carterCc@kaserealestate.com VECEIVED eh
Escrow Company: Mariners Escrow Escrow # 59523 -SW NOV 2 RECD
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: swelker@marinersescrow.com
For Inspection Call (Name):
City: Newport Beach
Escrow Phone: 949-640-6040
Direct Phone:
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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
C 0 OR
Owner or Agent's signature to decline inspecti� , ✓ 2 �/ � [X�a
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH