HomeMy WebLinkAboutR2021-0435 - Permit ApplicationDocuSign Envelope ID: 46CBAD00-496D-406A-96C6-1 B201140E84C COMMUNIl Y
"1111�vlrr: %.ILY of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION JUN -14 2021
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915
RBR# !/r/� www.newportbeachca.gov1(949)644-3200 CITYoF
Application for Report of Residential Building Records +,NIP T nt:Ptdx\
Arrotication Fee: - $194.00 Notice:
(For AIIResidential Buildings) Applications with insufficient fee payment
Reinspection Fee $129.00 or Incomplete will be returned
Please type or print and complete all information
#ofUnits: Address:
26 vienna
City: Newport Beach State:
CA Zip: 92660
Property Owner:. Wang Property Management,
LLC
Zip Code: 92660
Owner Address: 6 Strafford
City; Newport Beach
State: CA
Zip Code: 92660
Home Phone: I
Owner's Authorized Agent;
Felicia Lim
Work Phone: 626-238-5633
Agent Address: 556 Las
Tunas Dr #101
City: Arcadia
State: CA
Zip Code: 91007
Agent Email Address: felicialim3l2@gmail.com
Escrow Company: Centra Escrow #:
Escrow Group CEG607207-FM
Escrow Address: 20 corporate Park #185 City: Irvine
State: CA Zip Code: 192656 Escrow Phone: 949-333-8788
Email Report to: Ifelicialim312@gmail.com, faye.mazaheri@centralescrowgroup.com
For Inspection call (Name): I Felicia Lim
Direct Phone: 1626-238-5633
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 responsibleto correct said violations.
Owner/Agent's signature to authorize inspection:
Owner/Agent's signature to decline inspection:
OR
�o uneE by:
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Date:
Date: 16/10/2021
mccounc FF U.LUnUSU4-St1U4U .................Make Checks payable to: CITY OF NEWPORT BEACH
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