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HomeMy WebLinkAboutR2020-0956 - Permit ApplicationPrlpfrForrn City of Newport Beach gSCEiVEoa), _ COMMUNITY COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT BUILDING DIVISION ;{,{7 /°`�'�y 100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 92658-8915 NOV ® 6 2020 RBR# ©15 www.newportbeachca.gov 1 (949) 644-3200 Application for Report of Residential Building Records CITYOF Application Fee: - $194.00. Notice:- fl-ORT,BEP� (For All Residential Buildings) Applications with :insufficient `fee payment Reinspection Fee $129.00 or incomplete will be returned Please tvpe or print and complete all information # of Units: Address: 2 Pinnacle Point j City: Newport. Beach State: CAi,'Zip:.92657 Property Owner: John M Hermann Zip Code: Owner Address: 2 Pinnacle Point City: FNewport Coast 57 949-500-6220 .� State: CA Zip Code: 926��—' Home Phone: �— Owner's Authorized Agent: Luxe Real Estate Work Phone: Agent Address: 3653 E Coast Hwy City: Frona del Mar State: CA Zip Code 92625 Agent Email Address: Escrow Company: Fidelity National Title Company Escrow #: 323657 -001 -NS Escrow Address: 1300 Dove St, 3rd FI City: Newport Beach - State: CA ZipCode: 92660 Escrow Phone: 949-788-2891 Email Report to: I Team Nancy@fnf.com For Inspection call (Name): Direct Phone: CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW) I authorize inspections and re -inspections of the property Iisted above. I understand that if Building or Zoning violations are discovered l will be responsible to correct said violations. Owner/Agent's signature to authorize inspection: Date: OR Owner/Agent's signature to decline. .inspection: . 122: Date: A _ 9/ - Account It UlUSUbU4-S21U4U .................MaKe cnecK5 payable to: C11Y OF NEWYURI BEACH Building Oivisian\Forms\RBR 7-30-20