HomeMy WebLinkAboutR2021-0842 - Permit ApplicationPrint Form City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
�ZI' INril 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
RBR# w w.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Duplex (2 Units) - $192.00 Application with insufficient fee payment
More than 2 units - $192.00 + 11.00 per unit over 2 or incomplete will be returned
Reinspection Fee $88.00
Please type or print and complete all information
# of Units: Address: 44 Villa Point Drive City: Newport Beach State: CA Zip: 92660
Property Owner: Richard R. Bonadio
Owner Address:
State: CA
Zip Code:
City:
Home Phone:
Owner's Authorized Agent: Daniel Pedersen Work Phone:
Agent Address: 3304 Marcus Avenue
City: Newport Beach
State:CA Zip Code: 92663 Agent Email Address: mauidan7@yahoo.cwm
Escrow Company: Key Escrow, Inc.
Zip Code:92660
Escrow # 006013 -BR
Escrow Address: 450 Newport Center Drive, 230 City: Newport Beach
State: CA Zip Code: 92660 Escrow Phone: (949) 698-1960
Email ReportTo: brandi@keyescrow.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.
violations are discovered I will be responsible to correct said violations.
Owner/ Agent's signature to authorize inspection:
Owner/ Agent's signature to decline
I understand that if Building or
Date:
Date:
Account #2900-5005........... Make checks payable to CITY OF NEWPORT BEACH