HomeMy WebLinkAboutR2020-0538 - Permit ApplicationCity of Newport Beach N�1(vEU er
COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY
BUILDING DIVISION x;vE, oPlIEN1
' 100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA 92658-8915
RBR# T��'a www.newportbeachca.gov 1 (949) 644-3200 ,)UN 3 O 70Zd
Application for Report of Residential Building Record5TYOF
Please type or print and complete all information
# of Units: IT] Address: 18 AltlnO I City: Newport Beach State: CA Zip: 82657
Property Owner: Sahara Plaza, LLC Zip Code:
Owner Address: City:
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State: F7-71 Zip Code: C7-71 Home Phone J
Owner's Authorized Agent: Work Phone:
Agent Address: City:
State: 7-7 Zip Code: 177 Agent Email Address:
Escrow Company: Freedom Escrow Escrow #: 053808 MM
Escrow Address: 1200 Newport Center Dr., Suite 180 city: I Newport Beach
State: CA Zip Code:92660 Escrow Phone: (949) 644-3939
Email Report to:mm(G freedomescrow.com
For Inspection call (Name): N/A Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 01050504-521040 .................Make checks payable to: CITY OFNEWPORTBEACH
Builtling Division\Forms\RBR 9-18-18