HomeMy WebLinkAboutR2022-0041 - Permit ApplicationDocuSign Envelope ID: C349E35E-3341436A-AC1A-9lA23EE3AF96
it Ift, City of Newport Beach
611- W
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
Y2O�J,OoLfl 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915
www.newportbeachoa.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Application Fee: $19840 -
Notice:
(For All Residential Building'
Applications with insufficient feepay ment
Reinspiction Fee
$ 131.00— -oriricomplete'will be returned
Please type or print and complete all information
i — —
#of Units: [27 Address: 1/2 Montero St' City: NewportBeachState: CA F J
Property Owner: Helen276617ise Cann Zip Code:
-- -- - . I F
Owner Address: 1 319 MonteroStreetCity: Newport- Beach..- -- --- —
State: FA Zip Code 92661 Home Phone: 818.448.0044
Owner's Authorized Agent:Kin ger Huetsch Work Phone: 949.874.5225
Agent Address: 77535 ILvine Center Dr, #200 City:IT vine
F
State: CA Zip Code: F2618_ Agent Email Address: Ginger.Huetsch@Redfin.com
Escrow Company: Escrow Experts, Inc. Escrow #:
9492—JL
Escrow Address:
i92—TEscrowAddress: 124800 Chrisanta Drive, #100 City: Mission Viejo
State: FA Zip Code: 92691 -7 Escrow Phone: F9 49.458.3904 —
Email Report to: J_AngnlEdM
_ITh?EscrowExperts.com JLong@TheEscrowExperts.com
For Inspection call (Name): 1Ginger Huetsch Direct Phone:
1949.874.5225 _I
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
8uAding_Div1sion\Forms\RGR 7-1-21