HomeMy WebLinkAboutR2022-0326 - Permits00cuSign Enve;ope, ID 462C098A-5A0B-4364-A4 i CL46655C98BIX3
DECEIVED 43)-
COMMUNITY
PrutForiri City of Newport Beach DEVELOPMENT
COMMUNITY DEVELOPMENT DEPARTMENT JUL 0 7 2022
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach. CA 92658-8915
mm&M? — op www.newpovtbeachca.gov 1 (949) 644-3200 CITYOF
Application for Report of Residential Building Records;4%PORT S?-
Please type or print and complete all Information
of Units: Address: 133 OPAL AVENUE City: State: Zip:
- ------- Fewport ICA- ff2
Property Qwner.p _ULLARD, JEAN BLY, �10H Zip Code: 266
Owner Address: �11 Opal Ave City: Newport Beach
State! CA VZ667
Zip Code: me Phone: Ho 141_-_111-4717
Owner's Authorized Agent: Keaton Bassler Work Phone: 949 6 11
Agent Address: 461 OldNewportCity: Newport Beach
----- - ------
state: Zip Code 92663 j Agent Email Address:
F�(aatqq@pinpointproperties co
Escrow Company: Prominent Escrow #:
Escrow Address: 170 Newport Center Drive #150 ... ... . City: FNewport Beach
State: F�
CA ZpCocle"7 92660 Escrow Phone: 949-258-9107
Email Report to: steph@prominentescrow.com
For Inspection call (Name):
DirectPhone:
CONSENT TO INSPECT (FORM MUST BE SIGNED 8, DATED BELOW)
Account H U1050504-521040 .......... ...... Mc,ke checks payable to; CITY OFNEWPORTBEACtf