HomeMy WebLinkAboutR2020-0331 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
RBR# 201-0 • 0J31
Application for Report of Residential Building Records
Application Fee: $191.00 Notice: Applications with insufficient fee
payment
Reinspection Fee $129.00 or incomplete will be returned
Please type or print and complete all information
# of Units:_1 Address: 1949 Vista Caudal City: Newport Beach State: CA Zip: 92660
Property Owner: Peter Polos and Kristie Polos
Owner Address: - City:
State: Zip Code: - Home Phone:
Owner's Authorized Agent: Kim Walker/ Mollie Butcher Work Phone:
Agent Address: 520 Newport Center Dr. Ste 330, City: Newport Beach State: CA
Mobil Phone: - Agent Email Address: kim.walker(a)compass.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
Escrow # 58144 -DJ
City: Newport Beach
Escrow Phone: 949-640-6040
Zip Code: 92660
Direct Phone:
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 or Agent's signature to authorize inspection
Owner or Agent's signature to decline inspection
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Account # 2900-5005 ................. Mak checks payable to CITY OFNEWPORT BEACH
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