HomeMy WebLinkAboutR2023-0610 - Permit ApplicationDocuSign Envelope ID: AE9C12ll-2A2E-45D8-BA6B-4l B6DSC148B8 REEVED BY
Print Form City of Newport Beach DEVELOPMENTCOMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION JUL 0 7
100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA92658-8915
AR# 2Zo23 lO(oID www.newportbeachca.gov (949)644-3200 CITY OF
NEWPORT BEACH
ucation for Report of Residential Building Records
Application Fee: - $202.00
(For All Residential Buildings)
Reinspection Fee $134.00
Notice:
Applications with insufficient fee payment
or incomplete will be returned
Please type or print and complete all information
#of Units: F Address: 302 Carnation Avenue
City: Newport Beach State: CA Zip: 92625
PropertyOwner: RM Agave LLC - Steve Hoffman
Zip Code: F92625
Owner Address: 302 Carnation Avenue City_ Newport Beach
State: CA Zip Code: 92625 Home Phone: 1 310-993-7071
Owner's Authorized Agent: I Boulevard Escrow
Agent Address: 13625 Thousand oaks Bl. #253
State: Zip Code: Fg1362
Work Phone: i 818-528-6717
City: i Westlake Village
Agent Email Address: I teambudd@blvdescrow.com
Escrow Company: Boulevard Escrow Escrow #: 011371-MM
Escrow Address:/ 3625 Thousand Oaks B1. #253
State: FCA Zip Code: F
91362
EmailReportto: I teambudd@blvdesc row, com
For Inspection call (Name): I Alexandra Rose
City: I Westlake village
Escrow Phone: 1818-528-6717
Direct Phone: 949-630-5777
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 orZoning
violations are discovered I will be responsible to correct said violations.
Owner/Agent's signature to autjxprizeins p buJ.v.Ua.6�td. Date: 7/3/2023
OR
Owner/Agent's signature decl ni e Dater
Account # U105U5U4-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
BWld ing Division\Forms\RBR_6 15-22