HomeMy WebLinkAboutR2022-0160 - Permit ApplicationCity of Newport Beach SCEIVED er
COMMUNITY DEVELOPMENT DEPARTMENT
COMMUNITY
BUILDING DIVISION DEVELOPMENT
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200 MAR 2 5 2622
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CITY OF
Application for Report of Residential Building Records
POFIT eEPC�
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:12 Troon Drive City: Newport Beach State: CA Zip: 92660
Property Owner: The Troon House LLC a California Limited Liability Company
Owner Address: P O Box 633 City: Corona Del Mar
State: CA Zip Code: 92625 Home
Owner's Authorized Agent: Rob Giem Work Phone:
Agent Address: 520 Newport Center Dr, Ste 330, City: Newport Beach State: CA Zip Code: 92660
Mobil Phone: 949-887-5117 Agent Email Address: Garrett@garrettrau.com
Escrow Company: Mariners Escrow Escrow # 62546-PK
Escrow Address: 270 Newport Center Drive Suite 200
State: CA Zip Code: 92660
Email ReportTo: pkennedy@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 IijWSR (Ur &Sjand that if Building or Zoning
violations are discovered I will be responsible to correct said LLsI{D
Owner or Agent's signature to authorize inspection
OR
Owner or Agent's signature to decline inspectior6/ Date: o/ cZ a
Account # 2900-5005.................Make checks payable to CITY OF NEWPORT BEACH