HomeMy WebLinkAboutR2020-0924 - 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: $194.00 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:_ Address:621 Poppy Avenue City: Newport Beach ( Corona Del Mar Area) State: CA Zip:
92625
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Property Owner: The Aaron and Jennifer Frye Family Trust Dated December 29, 2014 J-
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Owner Address: 621 Poppy Avenue City: Newport Beach
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State: CA Zip Code: 92625 Home Phone:
Owner's Authorized Agent: Timothy Tamura Work Phone:
Agent Address: 2720E Coast Highway, City: Corona Del Mar State: CA Zip Code: 92625
Mobil Phone: - Agent Email Address: timC@valiaoc.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: swelker@marinersescrow.com
Escrow # 59493 -SW
City: Newport Beach
Escrow Phone: 949-640-6040
For Inspection Call (Name): Jennifer Frye Direct Phone: 949 441-9034
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 corr t 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