HomeMy WebLinkAboutR2020-0547 - Permit ApplicationPrint Form City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
qW r 100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA92658-8915
RBR# Sq I www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Application Fee: -$191.00 Notice:
(For All Residential Buildings) Applications with insufficient fee payment
Reinspection Fee $129.00 or incomplete will be returned
Property Owner] Water Mill Homes, Inc.
Owner Address: 20151 SW Birch St. #150
State: I`"' Zip Code: F92660
Zip Code: 92660
City: FNewport Beach
Home Phone: 949-250-4200
Owner's Authorized Agent: I Michael Manning Work Phone: I 949-322-8283
Agent Address: 20151 SW Birch St. #150 City: Newport Beach
State:. CA Zip Code: F92660 Agent Email Address: michael@manninghomes.com
Escrow Company: I_ Fidelity National Title Escrow #:I
Escrow Address: 4400 MacArthur Blvd. Suite 200 City: Newport Beach
State: FCA Zip Code: 92660 Escrow Phone: 949-221-4763
Email Report to: I michael@manninghomes.com
For Inspection call (Name): I. Michael Manning Direct Phone: 1 949-322 8283
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 orZoning
violations are discovered I will be responsible to correct said violations.
Owner/Agent's signature to authorize inspection:
Owner/Agent's signature to decline inspection:
Bu11d1n9_BNN1.n\Farms\RBR 9-18-18
OR
Date:
Date:7/7/20
Account # 01050504-521040 .................Make checks payable to: CITYOF NEWPORT BEACH
Please type
or print and complete all information
#ofUnits: I - Address:
1937 Port Trinity PI
City: Newport. Beach;
State: Zip:F 92660
Property Owner] Water Mill Homes, Inc.
Owner Address: 20151 SW Birch St. #150
State: I`"' Zip Code: F92660
Zip Code: 92660
City: FNewport Beach
Home Phone: 949-250-4200
Owner's Authorized Agent: I Michael Manning Work Phone: I 949-322-8283
Agent Address: 20151 SW Birch St. #150 City: Newport Beach
State:. CA Zip Code: F92660 Agent Email Address: michael@manninghomes.com
Escrow Company: I_ Fidelity National Title Escrow #:I
Escrow Address: 4400 MacArthur Blvd. Suite 200 City: Newport Beach
State: FCA Zip Code: 92660 Escrow Phone: 949-221-4763
Email Report to: I michael@manninghomes.com
For Inspection call (Name): I. Michael Manning Direct Phone: 1 949-322 8283
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 orZoning
violations are discovered I will be responsible to correct said violations.
Owner/Agent's signature to authorize inspection:
Owner/Agent's signature to decline inspection:
Bu11d1n9_BNN1.n\Farms\RBR 9-18-18
OR
Date:
Date:7/7/20
Account # 01050504-521040 .................Make checks payable to: CITYOF NEWPORT BEACH