HomeMy WebLinkAboutR2020-0862 - Permit ApplicationPnnt For n,
City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
/1
,6P6 Center Drive I P.O. Bax 17681 Newport Beach, CA92658-8915
RSR# yL„ V �f% (� w,ww.newpodbeachea.gov 1 (949) 644-320D
for Report or rtesloentaal
AR011l;af nnFee[-$194.00
(For All Residential Buildings)
Reinspection Fee $129.00
Kecoras
Notice.
Applications with insufficient fee payment
or incomplete will be returned
Please type or print and eamplete all information
# of Units: i l Address: 54 Beacon Bay City: Newport Beach State:CA Zip: 9266D
Propertyownen Steve amd Ardeem DuElow I Zip Code: 92660 ;
Owner address: 54 Beacon Bay _ __ _ civ. Newport Beach
State! Zlp Code: 92660 -� Home Phone g49 800-6745
Owner's Authorized Agent: John & Anne Hoover work Phone: 949-422-5893
Agent Address: 1400 Ne owp rt center Drive #100_ City:. Newport Beach
State. OAS �' Zip Code: 92660 Agent Email Address:. jhoover@surterreproperties.coM
Escrow Company Biue water E9Czaw, Inc_ Escrow#: 20 -7165 -JM
Escrow Address: 1400 Newport Center Dr. 1125 i City: Newport Beach I
State: CA Zip Code: 92660 Escrow Phone: 949-4,18-0900
Email Report to: I jasonQniuewateresorow_com
For Inspection call (Name): Direct Phone: �—
CONSENT TO INSPECT (FOkM iVIUST BE SIGNED & DATED: BELOW)
I authorize inspections and re -inspections of the property listed above. I understand that if Building orZoning
violations are discovered 1 will be responsible to correct said violations.
Owner/Agent's signature to authorize inspection;
Owner/Agent's signature to decline inspection:
Account 9 01050504521040
&.IWrE_(wition\,cont\x� ]-30.M
Date:
Date:
checks payable to: tr7YOFNEWPORT BEACH