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HomeMy WebLinkAboutR2024-0084 - Permit ApplicationRECEIVED BY Print Form City of Newporteac Beach COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT DEPARTMENT MAR 15 2024 BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915 RBR# 02q —00�q www.newportbeaGhGa.gov 1 (949) 644-3200 CITY OF NEWPORT BEACH Application for Report of Residential Building Records Application Fee: - $208.00 Notice: (For All Residential Buildings) Applications with insufficient fee payment Reinspection Fee $139.00 or incomplete will be returned Please type or print and complete all information # of Units: Address: City: Newport Beach State: CA Zip: 92661 1 1760 East Ocean Blvd. Property Owner: Gregg Stratton Linhoff and Karen Elaine Luttrell, Successor Co -Trustees of Zip Code: the Linho#Family Trust Owner Address: 5110 Mocha Court City: Oceanside State: CA Zip Code: F92058 Home Phone: 760-622-3100 Owner's Authorized Agent: Tara Shapiro Work Phone: 949-478-7781 Agent Address: 1100 Newport Center Drive #110 City: Newport Beach State: F CA Zip Code: F92660 Agent Email Address: tshapiro@homgroup.com Escrow Company: I Comer Escrow Inc, Escrow #: I 05-17153-TO Escrow Address: I 27201 Puerta Real #450 City: Mission Viejo State: CA Zip Code: 92691 Escrow Phone: 949-325-3003 Email Report to: tiana@Comerescrow.com and barbara@cornerescrow.C.Om For Inspection call (Name): I Gregg Linhoff 760-822-3100 Direct Phone: CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW) I authorize inspections and re -inspections of the property I isted above. I understand that if Building or Zoning violations are discovered I will be responsible to correct said violations. Owner/Agent's signature to authorize inspection: Owner/Agent's signature to decline '01.1 Date: Date: BuBdin�RNsian\Fw Sz RSR 6-15-ZZ Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH