HomeMy WebLinkAboutR2020-0902 - Permit ApplicationCity of Newport Beach 1
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COMMUNITY DEVELOPMENT DEPARTMENT as
BUILDING DIVISION
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100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658189 51- j ZOZ(1
RBR# R 20 ZO - O�IOZ www.newportbeachca.gov 1 (949) 644-3200
Application tor rteport or rces(aentiai tsunaing tcecoras
Application Fee: - $194.00 Notice:
(For All Residential Buildings) Applications with insufficient fee payment -
Reinspection Fee $129.00 or incomplete will be returned:
Please type or print and complete all information
#ofUnits: I I Address z28e1courtnrive City: Newport Beach. State: CA Zip: azeeo
Property Owner: Michael Abel Zip Code:aze6o
Owner Address: 2Weybridge Ct City: F Newport Beach
-77 State: CA Zip Code. szss0 Home Phone (ggg)8338085
Owner's Authorized Agent: Miohael Abet
Agent Address: L. 2 Weybridge Ct
Work Phone: s4s)s88-saes
City:Newport Beach
7-7
State: CA Zip Code: 92666
Agent Email Address: mikeabe165@gmail com
Escrow Company: codnthian Title company Escrow #: I 10 -261002 -KC
Escrow Address: 2 venture Plaza, #280 City: mine
State: FGA Zip Code 92618 Escrow Phone (948) 546-1512 %1401
Email Report to: I mikeabe165@gmailcom
For Inspection call (Name): Mike Abet Direct Phone (sas)908-sobs
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 l will be responsible to correct said violations
Owner/Agent's signature to authorize inspection: Date:
OR
Owner/Agent's signatureto decline inspection: T✓ Date: _- 10/7/2020
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
Bui1ding_D1vis1on\Form5\RBR 7-30 20