HomeMy WebLinkAboutR2020-0536 - Permit ApplicationCity of Newport Beach`,
COMMUNITY DEVELOPMENT DEPARTMENT taF`
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926%§91;5 , )
www.newportbeachca.gov 1 (949) 644-3200
RBR# S 02'0' 05�L
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Application for Report of Residential Building Re ox&-
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:8 Sevne City: Newport Beach ( Newport Coast Area ) State: CA Zip: 92657
Property Owner: The Chris Schwartze and Karlylle Schwartze Joint Living Trust established November 15, 2005
Owner Address: - City:
State: -Zip Code: - Home
Owner's Authorized Agent: Marlene Reed Work Phone: (949) 463-4880
Agent Address: 260 Newport Center Drive #100. City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: - Agent Email Address: mreed@coastaldwellingsca.com
Escrow Company: Mariners Escrow Escrow # 58546 -BF
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: bfoxcroft@marinersescrow.com
For Inspection Call (Name):
City: Newoort 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
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH
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