HomeMy WebLinkAboutR2024-0051 - Permit ApplicationRECEIVED BY
Print Form City of Newport Beach COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT
BUILDING DIVISION FEB O a 2024
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915
RBR# k/02L1 - 0051 www.newportbeachca.gov 1 (949) 644-3200 CITY OF
NEWPORT BEACH
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Application Fee: - $208.00 Notice:
(For All Residential Buildings) Applications with insufficient fee payment
Reinspection Fee $138.00 or incomplete will be returned
Please type or print and complete all information
#ofUnits: Address: 612 Iris Avenue City: NewportBeach State: CrA Zip: 92625
Property Owner] IRCJ Holdings LLC
Owner Address: 12355 Westwood Blvd., #678
State: CA _ - j Zip Code: FO064 '..
j Zip Code: 90064
City: Los Angeles
Home Phone: 1 310. 903. 6262
Owner's Authorized Agent: Ruth Elia Work Phone:1310.869.3686
Agent Address: 433 N. Camden Drive City: Beverly Hills
State: F7Zip Code: 90210 Agent Email Address: Ruth@AaronKirman.com
Escrow Company: Escrow Experts Inc. Escrow#: Fl0777—JL
Escrow Address: 24800 Chrisanta Drive, #100 City: Mission Viejo
State: FCA Zip Code: 92691 Escrow Phone: 949.458.3904
EmailReportto: IJLong@TheEscrowExperts.com ; AngelaM@TheEscrowExperts.com
For Inspection call (Name): Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
I authorize inspections and re -inspections ofthe 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:
OR
Owner/Agent's signature to decline Date: F
0 2024
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
BAemg Division\Farms\RBR 6-15-22