HomeMy WebLinkAboutR2023-0513 - Permit ApplicationRECEIVED BY
DocuSign Envelope ID: 12AC664C-3EAC-4206-BC11-5CBC5C45CD84 COMMUNITY
DEVELOPMENT
Print Form City of Newport Beach JUN 092023
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION CITY OF
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-84J*PORT BEACH
Rim," Q11pZj — 05 i3 www-newportbeachca.gov ( (949) 644-3200
AP/4
Application for Report of Residential Building Records 9 36 _ /#C.p
Application Fee: - $202.00 Notice:
(For AIIResidential 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: F Address: 29 Saint Tropez, # 26
PropertyOwner:l WEI DAI
owner Address: 1 29 Saint Tropez, #26
State: CA Zip Code: Fq2660
City: Newport Beach State: CA Zip: 92660
Zip code: 92660
City: I NEWPORT BEACH
Home Phone; please contact an Agent
Joseph Maghami @949-813 1619..
Owner's Authorized Agent: Mina Maghami and Joseph Maghami Work Phone: I Joseph Maghami: 949-813-16
Mina Maghami: 949-874-4020
Berkshire Hathaway HomeServices
Agent Address: 1400 Newppn Cenfer Dnvee200 NB, CA92660 City: Newport Beach
State: CA Zip Code: 92660 Agent Email Address: Mina - MinaMaghami@gmail.com
Joseph - kjmaghami@gmail corn
Escrow Company: FcORNERESCROW
Escrow Address: F18600 MACARTHUR BLVD #350
State: CA Zip Code: 92612
Escrow #:I 08-11938-VK
City: I IRVINE
Escrow Phone: I 949-800-8908./ 949-346-2368
Email Report to: ( VESNA KOPAC, Escrow Officer: vesna.kopac@cornerescrow.com
For Inspection call (Name): Joseph Maghami @ 949-813-1619 Direct Phone: 949-813-1619
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
[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.
DocuSigned by:
Owner/Agent's signature to authorize inspection: E vai Date: 6/5/2023
9>FAAVA43r.44—
2
Owner/Agent's signature to decline
Date:
Z,6
Account # 01050504-521040.................Make checks payable to: CITY OF NEWPORT BEACH
auitmn�n�muon\rorms\noa a-ts-zt