HomeMy WebLinkAboutR2020-0899 - Permit ApplicationPrint For
RBR# I` 2010 - N99
to- 1s•9oaa
mT�ll L a
City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT vrlvtrJ e
BUILDING DIVISION colwMu Tv/
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92,§COM Nr
www.newportbeachca.goV (949) 644-3200
Application for Report of Residential
Application Fee: - $194.00
(For All Residential Buildings)
Reinspection Fee $129.00
OCT 19 2020
Records
CITY OF
Notice: �,
Applications witt&1"5MgjrWp0e payment
or incomplete will be returned
Please type or print and complete all information
1 F—Corona Del Mar
# of Units: Address: 517 Acacia City: Newport Beach State: CA Zip: 92625
J.R. & Lisa Wetzel Zip Code:
Owner Address: I same City:
State: CA Zip Code: F Home Phone:
Owner's Authorized Agent: Patty Presson / Janice Arrigo Work Phone: I 949.922.0520
Agent Address: 1400 NEWPORT CENTER DRIVE, SUITE 100 City: NEWPORT BEACH, CA
State: Zip Code: 92660 Agent Email Address: ArrigoPresson@SurterreProperties.com
Escrow Company:
I N/A
Escrow Address:
State:
Email Report to:
�—
For Inspection call
(Name):
Zip Code: F --
Escrow #:I
City:
Escrow Phone:
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/Agent's signature to authorize inspection:
Date:
OR
Owner/Agent's signature to decline inspection: N,K Date: Oct 14, 2020