HomeMy WebLinkAboutR2020-0294 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT .cweu $y
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-89�e�o��nEN7
www.newportbeachca.gov 1 (949) 644-3200
RBR# 11620'aL'q � MAR 13 2020
Application for Report of Residential Building Records,,
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Application Fee: $191.00 Notice: Applications with-Th9fiffill9i fee
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units:_ Address:1436 Key View City: Newport Beach f Corona Del Mar Areal State: CA Zip: 92625
Property Owner: Kendall Young and Camille Young
Owner Address: - City:
State: -Zip Code:- Home
Owner's Authorized Agent: Heather Kidder Work Phone: (949) 939-3684
Agent Address: 341 Bayside Drive, 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 # 57979 -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 comet -skid violations.
Owner or Agent's signature to authorize inspection
Owner or Agent's signature to decline
Account # 2900-5005 ................. Make checks paybble to CITY OF NEWPORT BEACH