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HomeMy WebLinkAboutR2023-0186 - Permits- � m City of Newport Beach COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 (2-0 Z3 0) Zia www.newportbeachca.aov 1 (949) 644-3200 Application for Report of Residential BLlildina Records r, RECEIVED BY COMMUNITY DEVELOPMENT MAR 0 8 2023 CITY OF NEWPORT BEACH Application Fee: $202.00 Notice* (For all Residential Buildings) Application with insufficient fee payment Relnspection Fee ,$134.00 • or incomplete will be returned Please type or print and complete all information # of Units: 0 Address: 18 Baffin Bay City: I Newport Beach Sate: CA Zip: 92657 Property Owner: H&Y Group, LLC I Zip Code: Owner Address: City: State: 0 Zip Code: }come Phone: Owner's Authorized Agent: I Jahn Cain Work Phone: Agent Address: Ff200 Newport Center Drive Suite 100 City: I Newport Beach State: CA Zip Code: 192660 Agent Email Address: Escrow Company: I Granite Escrow& Settlement Services Escrow #: 04-47741-JJD Escrow Address: F450 -Newport Center Drive, Suite 600 1 City: I Newport Beach State: CA Zip Code: 192660 1 Escrow Phone: 949 720-0110 Email Report to: dannelle raniteescrow.corn For Inspection call (Name): Direct Phone: CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW) I authorize inspections and re -inspections of the property listed above. I understand that if Building or Zoning violations are discovered I will be responsible to correct said violations: Owner/Agent's signature to authorize inspection, Date: Owner/Agent's signature to decline inspection: © Date: 313/23 Account # 01050504-521040..................Make checks payable to CRY OF NEWPORT BEACH Building _Di m s i m Worms UR B R,-F-15-22