HomeMy WebLinkAboutR2022-0180 - Permit Applicationqs
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COMMUNITY
DEVF_LOPMENl"
APR 0 4 2022
Special Conditions: This permit is revocable by the City Council
in accordance with Titie 17 of the Newport Beech Municipal Code. CITY OF
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{IffiS City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
1i11 2� OI 100 Civic Center Drive i P.O. Box 1768 6 Newport Beach, CA9265&6915
t
IaNN U /, www.newirwtheachce-gov I (949) 6443200
for Report of Residential Building Records
I3m—risk ssaa,co Noticet
l firm All Residential aultdingsl Applications with insufficient fee payment
keinspection Pee $131,00 or Incomplete will be returned
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Puss type or print and complete all information
itof Units: Address: `�J��.I_-i�hbZCLIS City. Newportbeach State: CA Zip.
Properryowner:l t i o mrt I.-. ti35.5 tip Code�s,�2fafc+3
Owner Address. F
State: CA . __. Zip Code: F9'2.(--(43 Homophone: _..-5;(2
Owner's Authorized Agent: Work phone: a�tv�u �^IrJc2 F Ci —C)
Agent Address.yl
F—C Ap Code: LQ 1
State,
I l J- 92E�1 Agent Email Address: ����ItV Lam . A({13D(ZitzeALe51b`t
Escrow Company. Ortho-NJL 4,s«-TT��Le (. Escrau sl: .ZC�Q1(tiZ3 K..
Escrow Address: 1-1 t2 Li Cl GmLZD, C.00t,r m'I City: C7- D IR eA- j � f 75271
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State. Bptocl °��(a"%Ca EscrowPhone2 et L(;-c(6y"' (ULl9C9,
Email peport ro:R
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For Inspection call (Nampp: c� ►V �3�..1 ,11�� qe—O Foy I N G', G-*' G A, y E 6+ti g l..:v
I authorize inspections and re -inspections of the property iisted above. l understand that if Building or Zoning
violations are discovered I will be responsible to correct said. violations.
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INSPECTiON
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OwnerJAgent's signature to authorize Impectlon: IT Date:
OR
tlwner/Agent'ss€gna4utetadedMetnspectlon. —/ Date. 3. ZZ.
Account It t]3050504-511040 ... ............. Make cheds poyohk to; Cl/YOf ME`WAMT BEACH
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