HomeMy WebLinkAboutPV2018-070 - Permit ApplicationPrint—F—orm--1 Worksheet for Building Combo Permit Application ®r,,d1jg0---4-iCity of Newport Beach - Building Division /550 _1201$ j Comm'I (XI ResidentialNOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL PVe01 e07()
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Project Address (Not mailing address)
Floor __
Suite No
211 Via Ravenna
Description of Work
Use
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# Stories#Units (if Res)
-71
Valuation $
New/Add SF� Remodel SF�—; Garage/New/Add_F-I
26,000
Material/Labor
OWNER'S NAME _ _ Last Brown _
- First. Greg j
Owner's Address
Owner's E-mail Address
211 Via Ravenna
City Newport Beach - State CA
Zip' 92663 Telephone 949-293-3672
APPLICANT'S NAME Last McKnight e
First James
Applicant's Address
Applicant's E-mail Address
16 Technology Or #122
james.mcknight@sullivansolarpower.com
City Irvine - State CA
Zip 92618 - Telephone F619-458-1527 -I
ARCHITECT/DESIGNER'S NAME Last
-. -', First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �— State F-1
Zip F7777 Telephone
ENGINEER'S NAME Last Innovative Structural Engineering First Lic. No. 55627
Engineer's Address
Engineer's E-mail Address
40810 Country Center Dr #110
City Temecula — State CA
Zip 925911 Telephone 951-600-0032
CONTRACTOR'S NAME/COMPANY Sullivan Solar Power
Lic. No. 839077 - _ Cl a F -707,11_. -
Contractor's Address
Contractor's E-mail Address
16 Technology Dr #122
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City Irvine_ State CA
Zip 92618 Telephone 949-387-3399
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P/C FEE $
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CHECK FEE $ P-0 _
# �11 14 *_X.� TOTAL FEES PAID $
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