HomeMy WebLinkAboutR2020-0308 - Permit Applicationa
City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION ^"
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-891�SL',
www.newportbeachca.gov 1 (949) 644-3200
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Application for Report of Residential Building Recorgc _
Application Fee: $191.00 Notice: ApplicatiOnSAuif 4nsPLfficient fee
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units: -1— Address:1827 Port Seabourne City: Newport Beach State: CA Zip: 92660
Property Owner: Lawler Family 2015 Trust for the benefit of Raymond Metz Lawler and Zoe Lynn Lawler under Instrument.
dated April 22. 2015, community property
Owner Address: - City:
State: Zip Code: - Home Pho
Owner's Authorized Agent: Stephanie Lowe Work Phone: (949) 264-9000
Agent Address: 520 Newport Center Dr. Ste 330, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: - Agent Email Address:
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 # 58047 -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 inspectio
Account # 2900-5005 ................. Mb#e checks payable to CITY OF NEWPORT BEACH