HomeMy WebLinkAboutR2020-0282 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT ?�;60veo ey
BUILDING DIVISION c;OMMUNITY
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-89mr6.OPMENT
�7 www.newportbeachca.gov 1 (949) 644-3200 IvAAR 12 ZOZO
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Application for Report of Residential Building Record§TYOF
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: Address:1843 Port Manleioh Place City: Newport Beach State: CA Zip: 92660
Property Owner: The Ransford Family Trust
Owner Address: - City:
State: Zip Code: - Home Phone:
Owner's Authorized Agent: Stephanie Lowe Work Phone:
Agent Address: 341 Bayside Drive
City:
Newport Beach State:
CA
Zip Code: 92660
Mobil Phone: (949) 264-9000
Agent Email Address:
stephaniePkidderlowe.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 # 57950 -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 Q —
Owner or Agent's signature to decline inspection _X0)(C0)( C tr Date: 3' l2- Z,:D
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH