HomeMy WebLinkAboutR2020-0326 - 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
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Application for Report of Residential Building Records
Application Fee: $191.00 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:310 Anade Avenue City: Newport Beach State: CA Zip: 92661
Property Owner: Andrew Cogliano
Owner Address: - City:
State: -Zip Code:- Home
Owner's Authorized Agent: Jon -Paul Bell Work Phone: (949) 554-1272
Agent Address:
1200 Newport Center Drive Suite 100,
City: Newport Beach State: CA
Zip Code: 92660
Mobil Phone: -
Agent Email Address: jpbell0pacificsir
com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
Escrow # 58115 -DJ
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
OR
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Owner or Agent's signature to decline ins a ion e:
Account # 2900-5005 .................Make -checks payable to CITY OF NEWPORT BEACH
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