HomeMy WebLinkAboutR2020-0840 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION 1RECE1VF0
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 ay
www.newportbeachca.gov 1 (949) 644-3200 cohr'VUNiry
RBR# 6U40 SEP 2 4 RECO
Application for Report of Residential Building Regors^
Application Fee: $194.00 Notice: Applications
payment
Please type or print and complete all information
# of Units:1 Address:27 San Pietro City: Newport Beach ( Newport Coast Area) State: CA Zip: 92657
Property Owner: The 27 San Pietro Trust executed January 11, 2017
Owner Address: - City:
State: -Zip Code: - Home
Owner's Authorized Agent: Chris Moreno Work Phone:
Agent Address: 1400 Newport Center Drive, Suite 100, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: (949) 280-6357 Agent Email Address: cmoreno(o)surterreproperties.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
Escrow # 59310 -DJ
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
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Account # 2900-5005 ................. eche s payable to CITY OF NEWPORT BEACH