HomeMy WebLinkAboutR2020-0861 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION �iECEIVEp
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8105 r
www.newportbeachca.gov (949) 644-3200 NIMUNITY
RBR# L() " 0 i6 I OCT 07 RECD
Application for Report of Residential Building Rgc�t;ds
Application Fee: $194.00 Notice: Applicatioh`!PvVtii ipnssuR�fig 6t fee
payment w
Reinsoection Fee $ 129.00 or incomplete will be returned
Please type or print and complete all information
# of Units:_ Address:600 Avocado Ave. City: Corona Del Mar State: CA Zip: 92625
Property Owner: Edward C. Childs and Deborah R. Childs
Owner Address: - City:
State: -Zip Code: - Home Phone:
Owner's Authorized Agent: Monique Brown Work Phone:
Agent Address: 900 Glenneyre Street, City: Laguna Beach State: CA Zip Code: 92651
Mobil Phone: - Agent Email Address: moniquebrown0)firstteam.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: rmiyamoto@marinersescrow.com
For Inspection Call (Name):
Escrow # 59345 -RM
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:
MO.
Owner or Agent's signature to decline inspection
Date: October 5. 2020
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH