HomeMy WebLinkAboutR2020-0890 - 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# 92020 _090
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: 2743 Alta Vista Dr. City: Newport Beach State: CA Zip: 92660
Property Owner: Amy J. Olmstead and Alfred M. Masse
Owner Address: - City:
State.: -Zip Code:- Home Phone:
Owner's Authorized Agent: Steven Geary Work Phone:
Agent Address:
840 Newport Center Dr.,
Suite 100, City: Newport Beach
State: CA Zip Code: 92660
Mobile Phone:
(949) 375-4487
Agent Email Address: steven
gearynowakco.com
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 # 59450 -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 T. Desler for Steven Geary/ " /6fA/-^ate:
_10/12/20
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH