HomeMy WebLinkAboutR2020-0853 - Permit ApplicationCity of Newport Beach RECEIVeo 6�6
COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-891@CT e REC'd
www.newportbeachca.gov 1 (949) 644-3200
RBR# W LO - O DS J n^�L DEVELOPMENI` A,
Application for Report of Residential Building RecorckN'twPos, ¢�,
Application Fee: $194.00 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:1 Address: 1101 White Sails Way City: Newport Beach ( Corona Del Mar Area) State: CA Zip:
92625
Property Owner: Matthew S Watson Shea H Watson and The Watson Trust dated January 23, 1992
Owner Address: - City:
State: _ Zip Code: - Home Phone:
Owner's Authorized Agent: Casey Lesher Work Phone:
Agent Address: 840 Newport Center Dr. #100, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: _ Agent Email Address: caseylesher(@gmail.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: rbuenrostro@marinersescrow.com
For Inspection Call (Name):
Escrow # 59341 -RB
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 Date:
M
Owner or Agent's signature to decline inspection
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Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH