HomeMy WebLinkAboutR2021-0234 - Permit Applicationf j
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COMMUNITY DEVELOPMENT DEPARTMENT VELOPIITY
BUILDING DIVISION v€.Le>P'tEfl
100 Civic Center Drive ( P.Q. Box 17681 Newport Beach, CA4-89201
RBR# www.newportbeachca.gov 1 (949) 644-3200
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Application for Report of Residential Building Recor&
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Please type or print and complete all information
# of Units: Address: 11 Narbonne City NewportBeach; State: CA Zip: 92660
Property Owner:Jeremy Brandon Huang, Trustee of The Regalia 2016 Trust I Zip Code: 92660
Owner Address: 11 Narbonne City: Newport Beach
State: CA Zip Code: 92660 Home Phone: Joseph Maghami: gg4g.81 .1 1
_� Mina.Maghami: (949) 874020
Mina aghrami and Josepi7 MagRami Joseph Maghami: 949.813.1619
Owner's Authorized Agent: pacific Sotheby's International Realty Work Phone: MinaAaghami;_,(949) 874-4020
Agent Address: 1200 Newport Center Drive #100 City: Newport Beach
State: C CA Zip Code: 92660 Agent Email Address: Joseph Maghami :kjmaghami@gma(Lcom
_. IMina Maghami: minamaghami@gmail.com
Escrow Company: CORNER ESCROW INC - Escrow #: 08 -9987 -VK
Escrow Address: 18600 MACARTHUR BLVD #350 City: IRVINE
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State: FGA Zip Code: 92660 Escrow Phone:949-800-8908 _..
Email Report to: 1 vesna.kopac@cornerescrow.com / kjmaghami@gmaiLcam / minamaghami@gmail.com....,.. _
11LL Joseph Maghami
For Inspection call (Name): Joseph Maghami: 949.813.16191 Mina MaghamKg49)_$7_4 1Arect Phone: 949_$11— g 1818
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 orZoning;,,,,-','
violations are discovered I will be'responsible to correct said violations.
DocuSignad by:
Owner/Agent's signature to authorize inspection; b AiA.a.oVL l ) 3/26/2021
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OR
Owner/Agent's signatu re to decline inspection; bate:
Account # 01050504-521040_ ............... Make checks payable to: CITY OF NEWPORT BEACH