HomeMy WebLinkAboutR2024-0166 - MiscRECEIVED BY
Pr;n(Farm City of Newport Beach COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT
BUILDING DIVISION JI�N 77 $ 2024
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA92658-Z3915
RBR# CI — 01 G b www.newportbeachca.gov 1 (949) 644-3200 CITY OF
NEWPORT BEACH
Application for Report of Residential Building Records
Aonlication 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
# of units: F— Address: 1 int Tropez
PropertyOwner:I the Survivor's Trust under the BSR Trust
City: Newport Beach State: FCC Zipf 92660
Owner Address: I 11 Saint Tropez City:
State: CA Zip Code: F 92660
Zip Code: ( 92660
Newport Beach
Home Phone: 1 Josep Maghami -949-813-1619
Owner's Authorized Agent: I Mina Maghami and Joseph Maghami Work Phone: I Joseph Maghami - 949-813-1619
Agent Address I Berkshire Hathaway Ho2neSemces City:
g 3301 East Coast Hwy, Crona Del Mar, CA 92625
State: ca Zip Code: 926 00 Agent Email Address: inamaghami@gmail.com and kjmaghami@gmail.com
Escrow Company: I Comer Escrow Inc.
Escrow #:1 10-15029-VK
EscrowAddress: I 18302 Irvine Blvd, Suite 350 City: I Tustin
State: CA zip Code: 92660 Escrow Phone: 714-922-3288
Email Report to: vesna.kopac@cornerescrow.com and minamaghami@gmail.com and kjmaghami@gmail.com
For Inspection call (Name): I Joseph Maghami - 949-813-1619
Direct Phone: 1 949-813-1619
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: /11,0 G Date: �Z�
OR
Owner/Agent's signature to decline
Date:
80d.ng_Orvislon\rwms\RBR 6-15.22
Account # 01050504-521040................. Make checks payable to: CITY of Nt WPUKI MALN