HomeMy WebLinkAboutR2021-0730 - 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 new ortbeachca ov I (949) 644-8200 (IC '1 ', 111M
RBR#
Application for Report of Residential Building Records
Application Fee: $198.00 Notice: Applications with insufficient fee
payment
Reinspection Fee $131.00 or incomplete will be returned
Please type or print and complete all information
# of Units:_ Address:607 Hilvanar City: Newport Beach State: CA Zip: 92660
Property Owner: Dorine Sterner
Owner Address: 607 Hilvanar City: Newport Beach
State: CA Zip Code: 92660 Home Phone: 949-278-6266
Owner's Authorized Agent: Keven Stirdivant Work Phone:
Agent Address: 1804 Newport Blvd, Suite B, City: Costa Mesa State: CA Zip Code: 92627
Mobil Phone: (949) 545-8588 Agent Email Address: ks(@kaserealestate.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: pkennedy@marinersescrow.com
For Inspection Call (Name):
Escrow # 61712-SW
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 Date:
OR
Owner or Agent's signature to decline inspecti6�Date:
Account # 2900-5005.................Make checks payable to CITY OF NEWPORT BEACH