HomeMy WebLinkAboutR2021-0411 - Permit Application.: t"]ocu.1,gn Envelope ID: CD7409E3-E3CB-49DA-a6Aa.o3547C3D11C9
City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
P202 f� 100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA92658-8915
RBR# I V 4 www.newportbeachca.gov 1 (949) 644-3200
for Report of Residential Building Records
Please type or print and complete all information
#of Units: Address: 11 Suprema Drive City: Newport Beach State: CA ZIP:g2657
Property0wner. Ronald C. Caporale
Zip Code: 92657
Owner Address:8500
Burton way Apt 619
City:
Cos Angeles
State: CA
Zip Code: 90048
Home Phone: 917-543-4078
Owner's Authorized Agent: Andrew Kari gan
Work Phone: 949-929-6922
Agent Address:
12 Corporate Plaza Suite 250
City:
Newport Beach
State:Oq
Zip Code: 82660
Agent Email Address:
andrewkari gan@gmai 7 . com
Escrow Company:
Corner FSCroW
Escrow #: 05 -13262 -ET
Escrow Address:
F8202 Cabot Road Suite 120
City:aguna
Niguel
State:
Zip Code:
F'
92677
Escrow Phone:
949-325-3003
Email Report to:
ddie@cornerescrow.com
For Inspection call (Name): onald Caporale Direct Phone: 917-543-4078
CONSENT TO INSPECT (FORM MUST BE SIGNED 8t DATED BELOW)
Account # 01050504-521040 .................Make checks payable to: CTV OFNEWPORT BEACH
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