HomeMy WebLinkAboutR2020-0908 - 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# R 2020 ` 09 Q 0
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
# o Units:_ Address:2338 Tustin Avenue City: Newport Beach State: CA Zip: 92660
Property Owner: OC Homes. a General Partnership. a California General Partnership
Owner Address: 2338 Tustin Avenue
Statc CA Zip Code: 92660 Home
Owner's Authorized Agent: Brian Gibnev
City: Newport Beach
Work Phone:
Agent Address: 450 Newport Center Drive, Suite 100, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: (949) 500-1603 Agent Email Address: BrianGGibney@amail.com jkEcuvra �y
COMMUNITY
Escrow Company: Mariners Escrow Escrow # 59480 -SW
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:
OCT 2 0 RECD
0. DEVELOPMENT
�PV
OFNEWPORl g4
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
I au+horize 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.
Owrer or Agent's signature to authorize inspection
OR
Owner or Agent's signature to decline inspection Date: lo- Z0 - Z0 to
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH