HomeMy WebLinkAboutR2021-0257 - Permit ApplicationPrint Form City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
21 _ 0 2��' 100 Civic Center Drive P.O. Box 1768 Newport Beach, CA 92658-8915
RBR# ` ` www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
ARRIlcation Fee: - $194.00 Notice:
(For AIIResidential Buildings) Applications with insufficient fee payment
Reinspection Fee $129.00 or incomplete will be returned
Property Owner:j rsanuchehr M Darani and Gusty P.I. Darani.. Co -Trustees of The Daram Fanidy Trust., Zip Code: 928x{}
Owner Address: 2 Vienna #36 — City: I Newpoit Beach
State: CA Zip Code: 92660 Nome Phone: Joseph Maghami: 949.813.1619
1 Mlna Maghami: (949) 874-4020
Owner's Authorized Agent: Mina N�aghaml an9 Josep vi a_gham7_ Work Phone: Ooseph Maghami: 949.813.1619
Pacific Sotheby's International Realty Mina Maghami: Iggg� 874-4020
Agent Address: 1200 Newporl Center Drive 9100 City: FNewport Reach
State: CA Zip Code: 92660 Agent Email Address: Joseph Maghami : kjmaghami@gmaifcom
�...._._____�...� I_._ __..._..___.. Mina Niagharni: rninamayhami@gmail.com
Escrow Company: i W CORNER L=SGROW --INC------------ Escrow #:F6
Escrow Address: 18600MACARTNURBLVD4350 City: FIRVINE
State: r CA Zip Code: 92660 Escrow Phone: F949-800-8908 i
Email Report to: rvesna kopac@cornerescrow corn i kyneghami@gmall con) 1 nrinarnaghaml@gmail.com
For Inspection call (Name): or rest Phone: Joseph Maghami:
P ( ) Joseph 6Aaghaml: ,9.813.16191 Mlna Magharn�.ggg) g7q_ 0� 949.813.1619
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/Agent's signature to authorize inspection: �V Date: — 2c
RD
Owner/Agent's signature to decline inspection: i�� Date:
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
Builtling Division\Foons\RBR ]-30.20
Please type
or print and complete all information
# of Units:
Address: f
City: Newport Beach
state: ICA
Zip: 92660
2 Vienna -# 36
Property Owner:j rsanuchehr M Darani and Gusty P.I. Darani.. Co -Trustees of The Daram Fanidy Trust., Zip Code: 928x{}
Owner Address: 2 Vienna #36 — City: I Newpoit Beach
State: CA Zip Code: 92660 Nome Phone: Joseph Maghami: 949.813.1619
1 Mlna Maghami: (949) 874-4020
Owner's Authorized Agent: Mina N�aghaml an9 Josep vi a_gham7_ Work Phone: Ooseph Maghami: 949.813.1619
Pacific Sotheby's International Realty Mina Maghami: Iggg� 874-4020
Agent Address: 1200 Newporl Center Drive 9100 City: FNewport Reach
State: CA Zip Code: 92660 Agent Email Address: Joseph Maghami : kjmaghami@gmaifcom
�...._._____�...� I_._ __..._..___.. Mina Niagharni: rninamayhami@gmail.com
Escrow Company: i W CORNER L=SGROW --INC------------ Escrow #:F6
Escrow Address: 18600MACARTNURBLVD4350 City: FIRVINE
State: r CA Zip Code: 92660 Escrow Phone: F949-800-8908 i
Email Report to: rvesna kopac@cornerescrow corn i kyneghami@gmall con) 1 nrinarnaghaml@gmail.com
For Inspection call (Name): or rest Phone: Joseph Maghami:
P ( ) Joseph 6Aaghaml: ,9.813.16191 Mlna Magharn�.ggg) g7q_ 0� 949.813.1619
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/Agent's signature to authorize inspection: �V Date: — 2c
RD
Owner/Agent's signature to decline inspection: i�� Date:
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
Builtling Division\Foons\RBR ]-30.20