HomeMy WebLinkAboutR2022-0093 - Permit ApplicationAcrlvED 6y
COMMUNITY
City of Newport Beach DEVEI.OPMENY
COMMUNITY DEVELOPMENT DEPARTMENT FEB 2 5 2022
BUILDING DIVISION
�� �0 100 Civic Center Drive P.O. Box 1768 Newport Beach, CA 92658-891
RBR# www.newportbeachca.gov (949) 644-3200 cl or
Application for Report of Residential Building Records PORT
[Rein
pplication Fee - $198.00
or AIIResidential Buildings) Notice:
spection Fee $131.00 Applications with insufficient fee payment
or incomplete will be returned
Please type or print and complete al information
ti
#of Units: 1 Address: 2201 Vista HOgar City:Newport Beach I State: CA ilip:
92660
PropertyOwner: Harrison Radie and Lauren Radie
— _ zip Code: F92660
owner Address: I 2201Vista Hogar - 9 cite Newport Beach
State: CA Zip Code: 92660 Home Phone: (`)/q
Owner's Authorized Agent: Nancy Perez Work Phone:
_—._ —.__. J (714) 250-4004
Agent Address: 4 First American Way
City:[ Santa Ana
State:CA _� zip Code: F92707 _
Agent Email Address: teamnancy@firstam.com
Escrow company: First American Title Company_ _ Escrow #: OSA-6786476
Escrow Address: 1 4 First American Way City:
p SEIE Escrow Phone: ( ) — J
State: CA I zi Code: 92707
714 250-3000
Email Report to: teamnancy@firstam.com
— A
For Inspection call (Name): Nancy Perez
-- I Direct Phone:(714) 250-4004 _
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
IFOwner/Agent's
ctions and re -inspections of the property listed above. I understand that if Building or Zoning
scovered l will be responsible to correct said violations
gnature to authorize inspection:
Date: �--I
OR
Owner/Agent's signature to decline inspection:
gate:2/23/2022
BuildlnB_pivlslan\Forms\BBB >-1-Z1 Account # 01050504-521040 ................. Make checks payable to: CITY OF NEWPORT BEACH