HomeMy WebLinkAboutXC2023-0121 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o o�`M° ,
(x Comm'I j— Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ��-.o.."
jXBuilding F- Grading j—Drainage rElec rMech FPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire j— Liq r Landslide F_N/A Floor Suite No
4302 Ford Rd, Newport Beach, Ca, 92660
Description of Work "�'I" r�`u�`a 1
Use U Const Type 11B
Proposed modification to existing wireless site per 6409 federal law. Crown Castle is submitting
# Stories # Units (if Res)_
astneagentTor I IVIUbILL, the wireless carrier on the pole. Please seethe drawings attached o
the building permit application for a more detailed scope of work.
Valuation $
New/Add SFF Remodel SFF—Garage/New/Add F_
Material/Labor F$32,50C.00
OWNER'S NAME Last AT&T Mobility First
Owner's Address Owners E-mail Address
PO BOX 5086
City Carol Stream State IL Zip 60197-5086 Telephone
APPLICANT'S NAME Last Crown Castle USA INC First agent for TMOBILE Wireless
Applicant's Address Applicant's E-mail Address
200 Spectrum Center Drive, Suite 1700 Aaron.Snyder@crowncastle.com
City Irvine State Ca Zip 92618 Telephone 909-568-4519
ARCHITECT/DESIGNER'S NAME Last Tower Engineer Professionals First Lic. No. 89684
Architect/Designer's Address Architect/Designer's E-mail Address
4710 E Elwood St, Suite 9
City Phoenix State Az Zip 85040 Telephone 480-285-0036
ENGINEER'SNAME Last T5(-4e et- First /4 Lic. 1\1 $76gq
Engineers Address Engineer's E-mail Address
City State F___ Zip F_Telephoned
CONTRACTOR'S NAME/COMPANY TBD-after permit is issued Lic. No. 7y/3 IK Class F
Contractor's Address Contractor's E-mail Address
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City N VO lIG State r L Zip 53 15 Tel✓epphone
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SETBACKS REAR SETBACKS FRONT PERMIT NO. ✓'?i�% (J
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �L1j.n�(DI
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $