HomeMy WebLinkAboutR2024-0107 - Permit ApplicationRECEIVED BY
COMMUNITY
City of Newport Beach DEVELOPMENT
Prlrit,Form ,,
COMMUNITY DEVELOPMENT DEPARTMENT APR 11 W4
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915 CITY OF
RBR# ?, 2 ( www.newportbeachca.gov 1 (949) 644-3200 NEWPORT BEACN
Application for Report of Residential Building Records
Application Fee: - $208.00 Notice:
(For All Residential Buildings) Applications with insufficient fee payment
Reinspection Fee $138.00 or incomplete will be returned
Please type
or print and complete all information
#ofUnits: Address:
28 Fairway Pt
City: Newport Beach State:
CA Zip:
92657
Property Owner: Dana View Properties, LLC Zip code: F92625
Owner Address: 1 3334 E Coast Highway, Ste 517 City: Corona Del Mar
State: CA Zip code 92625 Home Phone: (248) 568-3077
Owner's Authorized Agent. [ Nancy Perez, escrow officer
Agent Address: 14 First American Way
Work Phone: 1 (714) 250-3000
City: Santa Ana
State: CA _.... Zip Code: pi707 Agent Email Address: teamnancy@firstam.com
Escrow company: First American Title Company Escrow #:I OSA-7107177
Escrow Address: 14 First American Way City: I Santa Ana
State: CA Zip Code: F92707 Escrow Phone: 1 (714) 250-3000
Email Report to: teamnancy@firstam.com
For Inspection call (Name): I Nancy Perez Direct Phone: 1 (714) 250-3000
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 or Zoning
violations are discovered I will be responsible to correct said violations.
Owner/Agent's signature to authorize inspection: Date:
O
Owner/Agent's signatu re to d ecl i n e Date: 4/ 10/2024
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
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