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HomeMy WebLinkAboutR2022-0693 - Permit ApplicationPrint Form City Of Newport Beach 0r6IVED 6,y COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY BUILDING DIVISION DEVEL.4PMEN`I NO 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA92658-89 5 S 2027 RBR# P;- z - U6 R 3 www.newportbeachca.gov 1 (949) 644-3200 Application for Report of Residential Building Records CITY U4= Application Fee: - $202.00 Notice: "4�VVFORI © � (For All Residential Buildings) Applications with insufficient fee payment Reinspection Fee $134.00 or incomplete will be returned Please type or print and complete all information # of units: F46 Address: 89 Seaborough city: Newport Beach state: CA ',ZIp: 92660 Property Owner:j Sandra L Sowers Trust zip code: F92660 Owner address: 189 Seaborough city: Newport Beach stater CA Zip code: 92660 Home Phone: 1 949-6504433 Owner's Authorized Agent: I Melissa Zalden Work Phone: 714-342-5847 Agent Address: 2100 Main St, #150 city: Huntington Beach State: CA Zip Code: 92648 Agent Email Address: melissaZaiden@gmail.com Escrow Company: I Escrow Options Group, Inc. Escrow #: I 5-7914-SA Escrow Address: 14000 Barranca Pkwy, Ste 220 city: Irvine State: CA zip code: 92604 Escrow Phone: 1 (714) 274-2710 Email Report to: ( TeamShastin@Escrow0ptions.com For Inspection call (Name): I Melissa Zalden Direct Phone: 1714-342-5847 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/Agent's signatureto authorize inspection: Owner/Agent's signature to decline Date: Date: I//. / 7. ?0 Z. Arrmint # audding_DivWon\%mms\RBR 615-22 Mnk< rhnrkc nnunhla to • rITV nF NFWDnRT RFArH