HomeMy WebLinkAboutR2021-0234 - Permit Application (2)City of Newport Beach Qo,ivru 11y
COMMUNITY DEVELOPMENT DEPARTMENT 'IJMN UNII Y'
BUILDING DIVISION
olavtor at_rn
o 100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA I5449AVI
yt2
RBR# �L l �J(.,J www.newportbeachca.gov (949) 644-3200
r5 t'Y oi'
Application Tor Keport oT Kesidential Building Records
Aoolicatlon Fee:-..$194.00� Notice: -
(For AliResidential Buildings) Applications with Insufficient fee payment
Reinspection Fee $129.00 or incomplete will be returned
Please type or print and complete all Information
# of Units: F—Address: 11. Narbonne City: Newport Beach State: CA jZlp: 92660
Property Owner. Jeremy Brandon Huang, Trustee of The Regalia 2016 Trust Zip Code: 192660
Owner Address I 11 Narbonne City: I Newport Beach
j' $g gg qq
State: ICA. Zip Code: 92660 Home Phone: MonaPMaghamiml.(949) 873d14020
intvT a Mapfiami an ose7 p1 g a f Joseph Maghami: 949,813.1619
Owner's Authorized Agent: pacl8c Sotheby's International Realty ! Work Phone: Mina Maghami:_ (g49) 874-4020
Agent Address: 11200 Newport Center Drive #100 j City: I Newport Beach
State: CA Zip Code: I 92660 Agent Email Address: Joseph Maghami : kjmeghamlQgmail.com
Mina Maghami: minamaghami@gmail.com
Escrow Company: I... CORNER ESCROW INC. -
Escrow Address: I 18600 MACARTHUR BLVD #350
State: CA Zip Code: 92660
Escrow #:I 08-9987-VK
City: I... IRVINE
Escrow Phone: 1949-800.8908
Email Report to: I vesna.kopac@cornerescrow.com / kjmaghami@gmail.com / minamaghami@gmail.com _.
For Inspection call (Name): rect Phone: Joseph Maghami:
Joseph Maghami: 949.II13.1619! Mina Maghamrggg) 874-;40� _.949.813.1619
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
l authorize inspections and re -inspections of the property listed above. I understand that if Building orZoning
violations are discovered lwill be responsibletocorrectsaidviolations.
OccuSlgned by:
Owner/Agent's signature to authorize Inspection: 15r'0.1n.hV' AU")
N.kL' 3/26/2021
082CB C1F.
OR
owner/Agent's signature to decline inspection: pate: f
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH