HomeMy WebLinkAboutR2020-0544 - Permit ApplicationCity Q„ ►^Iewport Beach CEIVEo a,
COMMUNITY DEvELOPMENT DEPARTMENT .,c
BUILDING DIVISION comMUNrry
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658'=8998'm" '
www.newportbeachca.gov 1 (949) 644-3200 JUL 01 ZON
111311#17/0" 'MJ44
Application for Report of Residential Building Recor`dioF
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:1969 Vista Caudal City: Newport Beach State: CA Zip: 92660
Property Owner: The Chris and Matte Light Family Trust. dated 2/11/2009 and Christine N Light
Owner Address: - City:
State: -Zip Code: - Home Phone:
Owner's Authorized Agent: Kevin Kanda Work Phone: (949) 717-7133
Agent Address: 1400 Newport Center Drive, Suite 100 City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: - Agent Email Address: kkanda(cbsurterreproperties.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: bfoxcroft@marinersescrow.com
For Inspection Call (Name):
Escrow # 58552 -BF
City: Newport Beach
Escrow Phone: 949-640-6040
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
OR
Owner or Agent's signature to decline inspection
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH