HomeMy WebLinkAboutPV2022-0444 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit plication o�EW�Re
F_Comm'I d Residential City of Newport Beach - Building Division �20� _ �((L(tJ
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
h✓Building r Grading
rDrainage r Elec r Mech
r Plum CuvdCut CuvdFill F_
Project Address (Not mailing address) F_ Flood
r Fire r Liq r Landslide FN/A Floor Suite No
I
Description of Work
Use [_ ConstType F_
# Stories #Units (if Res)
Installation of Roof Mounted Solar PV System (21 panels, 1 inverter/s) - 9.24 kW
Valuation
New/Add SFF
Remodel SFF-- Garage/New/Add F_
$ 6900
Material/Labor
OWNER'S NAME
Last POTUCEK
First MICHAEL
Owner's Address
Owner's E-mail Address
MICHAEL POTUCEK
potucek_l@hotmail.com
City Newport Beach
State FA
Zip 2663 Telephone (949) 302-8453
APPLICANT'S NAME
Last FRodnguez
First Camila
Applicant's Address
Applicant's E-mail Address
1555 N Freedom Blvd
solarpermits@solcius.com
City rovo
State UT
Zip 84604 Telephone 844) 357-2258
ARCHITECT/DESIGNER'S NAME Last
First— I
Lic No.F_
Address
Architect/Designer's E-mail Address
City
State F—
Zip F_ Telephoned
ENGINEER'S NAME
Last
First F_ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City I
Stale F
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY Solcius, LLC
Lic No. 976336 Class C-10
Contractor's Address
Contractor's E-mail Address
1555 N Freedom Blvd
solarpermits@solcius.com
City Provo
State UT
Zip 84604 Telephone 844-357-2258
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. PC2022-3163
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $