HomeMy WebLinkAboutR2021-0240 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT rGY,
BUILDING DIVISION I NEG p
VEDTY
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8� MuNITY -r
www.newportbeachca.gov (949) 644-3200
RBR# IJ Otto MAR 31 nZI
Application for Report of Residential Building Records aYOF
Application Fee: $194.00 Notice: Applications w' l4k1 W1c t fee
payment
Reinspection Fee $ 129.00 _ or incomplete will be returned
Please type or print and complete all information
# of Units:1 Address:104 Hartford Drive #62 City: Newport Beach State: CA Zip: 92660
Property Owner: Eucena Wueste and VCM Real Estate, LLC
Owner Address: - City:
State: Zip Code: - Home Phone:
Owner's Authorized Agent: Andrew Meneses Work Phone:
Agent Address: 21550 Oxnard St, City: Woodland Hills State: CA Zip Code: 91367
Mobil Phone: (855) 342-4739 Agent Email Address:
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email ReportTo: bfoxcroft@marinersescrow.com
For Inspection Call (Name):
Escrow # 60418 -BF
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
OR
Owner or Agent's signature to decline inspection Date:
Account # 2900-5005 ................. Make checks payable to CCTV OF NEWPORT BEACH