HomeMy WebLinkAboutR2022-0717 - PermitsIVE;, FYI.
11OMMUNITY�
City of Newport Beach evel.OPhgEN
COMMUNITY DEVELOPMENT DEPARTMENT DEC 0 A 2022
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA92658-8915
RBR# 22a�2 .. 011 www.newportbeachca.gov (949) 644-3200 CITY OI'
Application for Report of Residential Building Records NDrtT
Please Woe or print and complete all information
#of Units: 77 Address: �` d p ��.) City: NewportBeach i State: CA Zip:
uIAJ'f'
Property Owner: r�reu� VciC.e� Zip Code:
Owner Address: �LlZ �I— City:
State: CA Zip Code: VZ� Home Phone:
Owner's Authorized Agent: Work Phone: Ali
Agent Address: City:
State: Zip Code: 17-71 Agent Email Address:
Escrow Company:/� �JC('vy e"� Escrow#:/.b`
Escrow Address: 'j(� �{%Gh'{j /'vv+✓�-L_ �U__� City: ��6all
`�-f� �y 2q c�
State: Zip Code: I (.� Escrow Phone: 7—�� ('i,.l "7 (� /
Email Report to: fC 1/��S(il(fi(A7 G.OY� (_IR7._E��ff-jt)M _5�,'yctyco ✓ `._J
For Inspection call (Name): 111 �J Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Buildin�Dlvision\Forms\RBR 6-15-22