HomeMy WebLinkAboutR2020-0826 - Permit ApplicationV2020 -Opo City of Newport Beach �SCF1vE3 6y
COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-89ff P 2 8 RCCT
nn www.newportbeachca.gov 1 (949) 644-3200
RBR# FZ6Z� 6�Z4� n� DEVELOPMENT 6,
Application for Report of Residential Building Recor`a6s'VEWPOV0 0�P
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:1 Address: 1521 Bavadere Ter City: Newport Beach( Corona Del Mar Area) State: CA Zip:
92625
Property Owner: REKLAW. LLC. a California limited liability company
Owner Address: - City:
State: -Zip Code: - Home
Owner's Authorized Agent: Kim Walker Mollie Butcher Work Phone:
Agent Address: 520 Newport Center Dr. Ste 330, City: Newport Beach State: CA
Mobil Phone: - Agent Email Address: kim.walker(acompass.com
Escrow Company: Mariners Escrow Escrow # 59263 -DJ
Escrow Address: 270 Newport Center Drive, Suite 200 City: Newport Beach
State: CA Zip Code: 92660 Escrow Phone: 949-640-6040
Email Report To: djohnson@marinersescrow.com
Zip Code: 92660
For Inspection Call (Name): 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
c j�j 12-4,—, A
ICP.K LUW LLL
Account# 2900-5005.................Make'dveks payable to CITY OF NEWPORT BEACH
d Jc1���uv..�v�.ct�Y„�•wsescvu�..�� c.��