HomeMy WebLinkAboutR2021-0222 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915_via.(';1 rr p, i
www.newportbeachca.gov 1 (949) 644-3200
RBR# P20A- ?, MAH 2 4 2021
Application for Report of Residential Building Records i ,<o
Application Fee: $194.00 Notice: Applications with irisuffie nt fee
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units: -1— Address:428 Acacia Avenue City: Newport Beach( Corona Del Mar Area) State: CA Zip:
92625
Property Owner: Devco Homes, LLC
Owner Address: - City:
State: Zip Code: - Home
Owner's Authorized Agent: Andrew Deverian Work Phone:
Agent Address: 317 Heliotrope Avenue,
City: Corona De Mar
State: CA
Zip Code: 92625
Mobil Phone: (949) 514-4622
Agent Email Address:
ad@realestategroup.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: rbuenrostro@marinersescrow.com
For Inspection Call (Name):
Escrow # 60364 -RB
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 inspection
L
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH