HomeMy WebLinkAboutR2020-0306 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT „ti %1Vep QY
BUILDING DIVISION coMMtINIrY
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-89A&j_o MrNr
www.newportbeachca.gov 1 (949) 644-3200
f MAR 2 4 2020
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Application for Report of Residential Building Recorc!SCITYor
Application Fee: $191.00 Notice: Applications with msufficien t fee
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units: Address:519 Aliso Avenue City: Newport Beach State: CA Zip: 92663
Property Owner: Parker Pinkalla and Katherine Pinkalla
Owner Address: - City:
State: Zip Code: - Home Phone:
Owner's Authorized Agent: Jill Wiese Work Phone:
Agent Address: 450 Newport Center Drive, Suite 100 City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: - Agent Email Address: JWiesePvillarealestate.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 # 58014 -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
Owner or Agent's signature to decline
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH