HomeMy WebLinkAboutR2022-0052 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT ��OEtvEta 6
BUILDING DIVISION Y
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 9�099-Y
www newportbeachca gov (949) 644-3200 t VELOPMENT
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.409Z FEB 012022
Application for Report of Residential Building Rg�lgos
Application Fee: $198.00 Notice: Apprigi;nyviop'tedsufficient fee
payment
Reinspection Fee $ 131.00 or incomplete will be returned
Please type or print and complete all information
# of Units: -1— Address:107 6th Street City: Newport Beach State: CA Zip: 92661
Property Owner: The Knight Family Trust, Dated June 12. 1989 Trust A and The Knight Family Trust Dated June 12 1989
Trust B
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: kbibb10(aoomail.com
Escrow Company: Mariners Escrow Escrow # 62252 -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:
OR
Owner or Agent's signature to decline inspection Date:
Account # 2900-5005 ................. Make checks payable to CITY OF NEWPORT BEACH