HomeMy WebLinkAboutR2022-0710 - PermitsDocuSign Envelope ID: 78DA2E00-826F-4F60-82DD-EES363257A14
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MUNITY
City of Newport Beach �M
OWMFNT
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION �l?,'! 2 8 2022
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www newportbeachca ¢ov 1 (949) 644-3200
RBR# 2.022 -01 i O :',nyol
1
Application for Report of Residential Building Records �l'UoRT eOK
Please type or print and complete all information
# of Units: 0 Address: ' 7'Oceari HeightsDrive ;r City: New ort Beach Sate: ' CA Zip: 92657 ". i
PropertyOwner: J ng Liu
Zip Code: ':
Owner Address'
City:
State: 0 Zip Code
Home Phone: "
Owner's Authorized Agent: Marcus"Kiwi: Galilter
` Work Phone. —°
Agent Address: 840" Newport Center Dr., Ste. 100I "`
City:
Newport: Beach
State: GA Zip Code: 92660
Agent Email Address:
Escrow Company: Granite Escrow &Settlement Services':":Escrow
#: -04-47497-JJP .
Escrow Address. 450 New ort"Center Drive, Suite 600 - :: "
City:
New ortBeach
State: GA . Zip Code: 92660::: ":
Escrow Phone: 949
720-0110 ''
Email Report to: " arker raniteescrow.com . `
For Inspection calf (Name): �_ { Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW)
Account # 01050504-521040..................Make checks payable to CITY OFNEWPORTBEACH
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Builtling_nivisionTon sWBR_6-15-22