HomeMy WebLinkAboutR2020-0859 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION RECEIVJto 6
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200 COMMUNITY
RBR# `(Z--lo2'o"085—`1 OCT
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Application for Report of Residential Building Records
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Application Fee: $194.00 Notice: Applications witbosufficient
payment NEWPORS
Reinspection Fee $ 129.00 _ or incomplete will be returned
Please type or print and complete all information
# of Units:—l— Address:41 Monaco City: Newport Beach State: CA Zip: 92660
Property Owner: Josiah Lilly
Owner Address: - City:
State: Zip Code: - Home
Owner's Authorized Agent: Steven Bud Mastropao /Johanna Felix Work Phone:
Agent Address: 980 W. Coast Highway, City: Newport Beach State: CA Zip Code: 92663
Mobil Phone: - Agent Email Address: bud(o)oceancollective.com
Escrow Company: Mariners Escrow Escrow # 59352 -DJ
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
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
Account # 2900-5005 ................. Make cheeks payable to CITY OF NEWPORT BEACH
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