HomeMy WebLinkAboutR2020-0946 - 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
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:25 Old Course Drive City: Newport Beach State: CA Zip: 92660
Property Owner: Hankey Investment Company. LP a California limited partnership
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Owner Address: 4751 Wilshire Blvd, Suite 110 City: Los Angeles
COMMUNITY
State: CA Zip Code: 90010 Home Phone:
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Owner's Authorized Agent: NA Work Phone: o CFVE! O€ MFNT Z-
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Agent Address: -, City: - State: CA Zip Code: LO /VE..wPOV6
Mobil Phone: - Agent Email Address:
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: swelker@marinersescrow.com
For Inspection Call (Name):
Escrow # 59554 -SW
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 Date:
OR
Owner or Agent's signature to decline inspection Date: 106 !N
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH