HomeMy WebLinkAboutR2020-0816 - 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# MlV)
Application for Report of Residential Building Records
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: Address:205 42nd Street City: Newport Beach State: CA Zip: 92663
Property Owner: Paul F. Cheatham
Owner Address: 8480 Red Oak Street City: Rancho Cucamonga
State: CA Zip Code: 91730 Home Phone:
Owner's Authorized Agent: Mark Bridge Work Phone: (949) 851-3030
Agent Address: 18111 Von Karman Ave..
Suite 1000, City: Irvine State:
CA
Zip Code: 92612
Mobil Phone: (949) 293-0673
Agent Email Address: mark.bridc
ePcushwake
com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: rmiyamoto@marinersescrow.com
For Inspection Call (Name):
Escrow # 59286 -RM
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:
OR
Owner or Agent's signature to decline inspection B. Hutchinson for Mark Bridge
Date: September 22. 2020
Account # 2900-5005 ................. Make checks payable to CITYOFNEWPORT BEACH