HomeMy WebLinkAboutR2020-0860 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT @}
BUILDING DIVISION COMARAl
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200 Qrl 0,
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Application for Report of Residential Building Re Fr s° 04 ,1.
Application Fee: $194.00 Notice: Applications with insufficient fee
payment
Reinspection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units: -1— Address:2045 East Ocean Blvd. City: Newport Beach State: CA Zip: 92661-1520
Property Owner: Amin Mirhadi
Owner Address: - City:
State: _Zip Code:- Home Phone:
Owner's Authorized Agent: Kimberly Bibb Work Phone:
Agent Address: 450 Newport Center Drive, Suite 100, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: - Agent Email Address: kbibbl0@gmail.com
Escrow Company: Mariners Escrow Escrow # 59397 -BF
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: bfoxcroft@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 Date:
M
Owner or Agent's signature to decline inspection
Account # 2900-5005 ................. F(ake checks payable to CITY OF NEWPORT BEACH