HomeMy WebLinkAboutR2022-0162 - Permit ApplicationCOMMUNITY
City of Newport Beach DEVELOPMENT
COMMUNITY DEVELOPMENT DEPARTMENT MAR 2 3 2022
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915
RBR# lY www.newportbear.hca.gov 1 (949) 644-3200 CITY OF
4e .�,
Application for Report of Residential Building RecowrRT 1
ARRIlcatiOn Fee: $198.00 Notice:
(For Ali Residential Buildings) Applications with Insufficient fee payment
Reinspetilon Fee $131.00 or Incomplete will be returned
Please type or Print and complete all information
If of Units: Address:1 310 Avenida Curnbre I City: Newport Beach state: FcA !ZIP:[92660
__J ` 1. � 11, 11__1__ j
PropertyOwnerf David Colby Northridge j Zip Code:
Owner Address; 310 Avenida Cumbre City: Newport Beach
.... ... ......
State: Zip Code: Home Phone: Joseph Maqhami.- 94-9.613,1619
Fii�7 11-1111.1. -1- ............ ... ................ ...
J 5 h maghanni-e—na-Mina Magrami a
Owner's Authorized Agent: Work Phone: aphl B499j6_1_3_1619
I- as _j!qipmationa! Ftqq!�i, Min
4 874-4020,
Agent Address: 11200,, Newport Center .Drl . v . e # 1 1 00 City: Newport Beach
State: FA Zip Code:F92660 M Agent Email Address: Joseph Maghami: kjmaghaml@gmaii.com
Escrow Company:
9RNE� ESCROW Escrow#:[
Escrow Address: 18600 MACARTHUR BLVD #350 City; IRVINE
State: Zip Code: [92660 Escrow Phone: 949-800-8908
Email Report to: vesna.kopac@cornerescrow.com / kjmaghami@gmaii.com I minpmagharnt gma Lcom
For Inspection call (Name); M o Joseph Maghami
Arect Phone:
Mina F104598PI
CONSENT TO INSPECT (FORM MUST BE SIGNED A DATED BELOW)
violations are discovered I will be responsible to correctsaldviolatic
Owner/Agent's signature to authorize Inspection: INSPI
DEC
te. I uncierstanainat it tsunoing or 4oning
IS.
Date:
—INED
Owner/Agent's signature to decline Inspection: Date: 9/.� 3
x
Account # 01050504-521040.................Make checks payable to: CITY Of NEWPORT BEACH