HomeMy WebLinkAboutR2020-0517 - Permit ApplicationCity of Newport Beach
COMMUNITY UELOING DIVISION DEPARTMENT 'C�MM1fiUN9XVED Y
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-89 -BF-t Orin`
www.newportbeachca.gov 1 (949) 644-3200 0 r, qQZ®
Application for Report of Residential Building Records crrv"
'I/P 0V
Application Fee: $191.00 Notice: Applications with insu icient fee
payment
Reinsoection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units: _1_ Address:717 Avocado Ave #113 City: Newport Beach ( Corona Del Mar Area) State: CA
Zip: 92625
Property Owner: The Don C. Whitaker Revocable Trust U/A dated August 1, 2002
Owner Address: - City:
State: Zip Code: - Home Phone:
Owner's Authorized Agent: Mark Taylor Work Phone:
Agent Address: 520 Newport
Center Dr. Ste 330, City: Newport Beach
State:
CA
Zip Code: 92660
Mobil Phone: (949) 335-8698
Agent Email Address: masontaylor(@compass.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: bfoxcroft@marinersescrow.com
For Inspection Call (Name):
Escrow # 58502 -BF
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
Owner or Agent's signature to decline inspection
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH