HomeMy WebLinkAboutR2021-0607 - Permit ApplicationU 61,
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City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT AUG 18 2021
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
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Application for Report of Residential Building Records
Application Fee: $198.00 Notice: Applications with insufficient fee
payment
Reinspection Fee $ 131.00 or incomplete will be returned
Please type or print and complete all information
# of Units: Address:4_93 Morning Canyon Road Unit #4 City: Newport Beach ( Corona Del Mar Area )
State: CA Zip: 92625
Property Owner: The DeLisio Family Trust dated January 25 2001
Owner Address: 66 Ocean Vista
State: CA Zip Code: 92660
City: Newport Beach
Home Phone:
Owner's Authorized Agent: Brad Hinman Work Phone:
Agent Address: 341 Bayside Drive, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: (949) 246-3221 Agent Email Address: brad hinmanPcompass com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive Suite 200
State: CA Zip Code: 92660
Email Report To: djohnson@marinersescrow.com
For Inspection Call (Name):
Escrow # 61351 -DJ
City: Newport Beach
Escrow Phone: 949-640-6040
Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED 81 DATED BELOWI
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: 4
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Owner or Agent's signature to decline inspection XX 1' Date: 8 1 g 2,DZJ
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH