HomeMy WebLinkAboutR2022-0145 - Permit Applicationnot dorm City of Newport Beach .COVED ay
= COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA9265MA1(5% 2022
RBR# LQia-' f%I www.newportbeachca.gov 1 (949) 644-3200
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Application for Report of Residential Building Records -" -
Application Feer- $198.00 - Notice: PORT BSP.
(For All Residential Buildings) Applications with `insufficient fee payment
.
Reinspection Fee $131.00 or incomplete will be returned
Please type or print and complete all information
#of Units: 7, Address: 1 22 Deep Sea '., City:Newport Beach',, State: [CA
IZip: 92657
Property Owner: Xinyou, Inc. (Yu Juan, authorized signer) j zip Code: F92657
Owner Address: 1 22 Deep Sea I City: Newport Beach
State: FCA
—) zip Code: 92657 Home Phone: 1 909-702-6888
Owner's Authorized Agent: I
Nancy Perez
work Phone:
1 (714) 250-4004 _....
Agent Address:
4 First American Way city:
Santa Ana
State: CA Zip code: 92707 Agent email Address:
teamnancy@firstam.com
Escrow Company: First American Title Company
i Escrow #. OSA-6801375
Escrow Address: 1
4 First American Way City
Santa Ana
State: CA , zip Code: 92707
Escrow Phone: (714) 250-4004 �!
Email Report to:
teamnancy@firstam.com
For Inspection call (Name):
Direct Phone: 1 (714) 250-4004
Nancy Perez
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
I authorize inspections and re -inspections of the pro pertyliste M�S� ICir ar�t�� yhatifBuildingorZoning
violations are discovered l will be responsible to correct said vio�at on�� 1 9l JSV
DECLINED
.Owner/Agent's signature to authorize inspection: Date:.._
Owner/Agent's signature t
declineinspiection:. O Date: 3/16/2022 j
Account # 01050504-521040 ................. Make checks payable to: CITY OF NEWPORT BEACH
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