HomeMy WebLinkAboutR2022-0250 - Permits (2)Print Form City of Newport Beach COMMUNITeYY
COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT
BUILDING DIVISION
7 00 Civic Center Drive i P.O. Box 1768 i Newport Beach, CA 92658-Y4Y51 7 2022
RBR# OZZ- L www.newportbeachca.gov 1 (949) 644-3200
CtT-Y OF
Application for Report of Residential Building Recork a,
ARDlication Fee: - $198.00 Notice:
(For AIIResidential 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: F, Address: 230 Lille Lane, #206
PropertyOwner:l Hunter D Armstrong and Jessie Bird
Owner Address: 1 230 Lille Lane, #206
State: ICA
Zip Code: F92663
Owner's Authorized Agent: I Darla Gorton
Agent Address: 1 30342 Esperanza
State: CA Zip Code: 92688
Escrow Company: I Platinum Key Escrow
City: Newport Beach State: CA Zip: 92663
Zip Code: 92663
City: Newport Beach
Home Phone: I 949-939-4156
Work Phone: 1949-295-7590
City: I Rancho Santa Margarita
Agent Email Address: I daria@bullockrussell.com
Escrow Address: 131351 Rancho Viejo Rd, Suite 105
State: CA Zip Code:92675
Email Report to: julie@piatinumkeyescrow.com
For Inspection call (Name):
Escrow #: 1 01 -10914 -JS
City: I San Juan Capistrano
Escrow Phone: 1949-503-2151
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.
DECLINE
Owner/Agent's signature to decline inspection: Date: I S
Account # 01050504-521040 .................Make checks payoble to: CITY OF NEWPORT BEACH
Building Division\Forms\RBR 7121