HomeMy WebLinkAboutR2020-0813 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT'
BUILDING DIVISION4
100 Civic Center D\riivv newpObeach a gov Newp rt Bea 0 CA 92658-89155 Q0%f1jAf�
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Application for Report of Residential Building Re6llRdt<opyFvT
Application Fee: $194.00 Notice: Applications witgjyPicWi;rat ee
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units:1 Address:2681 Crestview Drive City: Newport Beach State: CA Zip: 92663
Property Owner: Ranalli Family Trust dated February 19, 2020
Owner Address: _ City:
State: Zip Code: _ Home Phone:
Owner's Authorized Agent: Kandy Petillo/Amie Raiaer Work Phone:
Agent Address: 1400 Newport Center Drive, Suite 100, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: - Agent Email Address: kpetillo(asurterreproperties.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
Escrow # 59250 -DJ
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 inspectio Ylt r ` e:
Account # 2900-5005 ................. Make s payable to CITY OF NEWPORT BEACH
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