HomeMy WebLinkAboutR2020-0349 - Permit ApplicationCity of Newport Beach
COMMUNITY. DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
RBR# V"o "40"
Application for Report of Residential Building Records
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:424 Vista Grande City: Newport Beach State: CA Zip: 92660
Property Owner: Richard Jackson and Jeanette Robertson Trustees of The Bettye Trowbridge Vaughen Inter Vivos trust
dated September 25, 2000
Owner Address: - City:
State: Zip Code: - Home Phone:
Owner's Authorized Agent: Laurie Eastman Work Phone:
Agent Address: 341 Bayside Drive,
City: Newport Beach State:
CA Zip Code:
92660
Mobil Phone: (949) 280-3235
Agent Email Address:
Iaurie.eastmanQcompass.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 # 58183 -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 sviolations.
Owner or Agent's signature to authorize inspection
Owner or Agent's signature to decline i
i
Account # 2900-5005................Mkke cheG naioble to CITY OF NEWPORT BEACH