HomeMy WebLinkAboutR2022-0042 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
RBR# a"off www.newportbeachca.gov 1 (949) 644-3200
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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:6 Water Port City: Newport Beach ( Newport Coast Areal State: CA Zip: 92657
Property Owner: The Julie Hudson Trust dated November 12. 2019 and Ronald Douglas Hudson
Owner Address: - City:
State: -Zip Code: - Home
Owner's Authorized Agent: Rob Smith Work Phone:
Agent Address: 1600 Newport Center Drive Suite 250, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: (949) 697-8855 Agent Email Address: rob@mwaluxury.com
Escrow Company: Mariners Escrow
Escrow Address: 270 Newport Center Drive, Suite 200
State: CA Zip Code: 92660
Email Report To: bfoxcroft@marinersescrow.com
Escrow # 62234 -BF
City: Newport Beach
Escrow Phone: 949-640-6040
For Inspection Call (Name): 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 checks payable to CITY OF NEWPORT BEACH