HomeMy WebLinkAboutR2021-0207 - Permit ApplicationPrint Form City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
RBR#P 7 Z C� Z 0 www.newportbeachca.gov J (949) 644-3200
Application Fee: - $194.00
(For All Residential Buildings)
Reinspection Fee $129.00
for Report of Residential Building Records
Notice:
Applications with insufficient fee payment
or incomplete will be returned
Property owner: Kent A. McNaughton
Owner Address: I—
State: Ic Zip Code:
City:
Home Phone:
Zip Code:
Owner's Authorized Agent:
Please type Or
print and complete all information
Work Phone:
# of Units: Address:
I Villa Real Estate
City: Newport Beach State:
�2ip: 92660
27 Montpellier
Property owner: Kent A. McNaughton
Owner Address: I—
State: Ic Zip Code:
City:
Home Phone:
Zip Code:
Owner's Authorized Agent:
Work Phone:
I Villa Real Estate
949-922S5n '..
Agent Address:
Oso Newport Beach center Drive ste 199..
City.
Newport Beach
State: F CA
Zip Code: F92660
Agent Email Address:
olga@oglamaterewsre.corn
Escrow Company: I Fidelity National Title Escrow #: I 344639 -TL
Escrow Address: I 4400 MacArthur Blvd, ste leo City: I Newport Beach
State: cA Zip Code: 92660 Escrow Phone: 949-788-2836
Email Report to: I TLE@FNF.COM
For Inspection call (Name): 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/Agent's signature to authorize inspection:
Owner/Agent's signature to decline inspection:
Account # 01050504-521040
Boildln Division\Form kRBP,730.20
Date:
Date: 13 `.Z®2/
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