HomeMy WebLinkAboutR2022-0214 - Permits (2)City of Newport Beach ��c�tveD ay
COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY
BUILDING DIVISION DEVELOPMENT
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
RBR #Q I,2"VZI wwN.newportbeachca.gov 1 (949) 644-3200 APR 18 2022
Application for Report of Residential Building Records CITY OF
Application Fee: - $198.00 Notice: 4j2 p 7 O�Pd
(For All Residential Buildings) Application with insufficient fee payment
Reinspection Fee $131.00 or incomplete will be returned
Please type or print and complete all information
# of Units: Address: 36 Mainsail Drive
City: Corona Del Mar State: CA Zip: 92625
Property Owner: The Covalt Revocable Living Trust U/D/T March 12, 1991
Zip Code:
Owner Address: 7456 E. Raintree Court City: Scottsdale
State: AZ Zip Code: 85258 Home Phone: 847-302-6012
Owner's Authorized Agent: Suzanne Wyrick Work Phone: 949-466-3161
Agent Address: 3 Curl
State: CA Zip Code: 92625
Escrow Company: West Coast Escrow
City: Corona Del Mar
_Agent Email Address: Suz9921@gmail.com
Escrow #: 4530622-02979 - LS
Escrow Address: 840 Newport Center Dr., Ste.150 City: Newport Beach
State: CA Zip Code: 92660
Email Report to: teamnewport@westcoastescrow.com
Phone: (949) 759-7072
For Inspection call (Name): Direct
CONSENT TO INSPECT (FORM MUST BE SIGNED AND 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.
INSPECTION
Owner/Agent's signature to authorize inspection: nit In sEE) Date
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OR = —_//
Owner/Agent's signature to decline inspection:zwull WNnI i i� Date
Aq_al A " IVO'
Account #01050504-521040............ Make checks payable to: CITY OF NEWPORT BEACH
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