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Print Foam ��((����77Worksheet for Combo Building & Solar Permit Application hal"I
FX Comm'I F_ ReXdlsrtfijls —30vj 0 City of Newport Beach - Building Division 3 �Sb
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_ Grading
F -Drainage rElec rMech FX- plum Cu ydCut 0 cuvdFill O
Project Address (Not mailing address) F Flood r Fire r Liq r Landslide F_N/A Floor Suite No
3450 VIA OPORTO, NEWPORT BEACH, CA 92663 F_ F—
Description of Work
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Use A-2 Const Type Type
TENANT IMPROVEMENT OF AN EXISTING RESTAURANT: NEW KITCHEN, NEW
BAT -1 IR^ nSATNEW h'V.G,
NEW ELEGT-RIGAI= AND PLUMBING, NEW FLOORING
# Storiesl2 # Units (if Res)
AND NEW FINISHES
Valuation �I
Material/Labor bor
New/Add SFF0__
Remodel SF 15657 Garage/New/Add 01
OWNER'S NAME Last DJM CAPITAL First
Owner's Address
Owner's E-mail Address
3434 VIA LIDO, SUITE 300
dsimone@djmcapital.com
City NEWPORT BEACH
State CA Zip 92663 Telephone (949) 673-1400
APPLICANT'S NAME
Last STUDIO PCH First
Applicant's Address
Applicant's E-mail Address
3436 COAST VIEW DRIVE
severine@studiopch.com
City MALIBU
State CA Zip 90265 Telephone (310) 936-7022
ARCHITECT/DESIGNER'S NAME Last STUDIO PCH First I— Lic. No. r; -3Z:$$
Architect/Designer's Address
Architect/Designer's E-mail Address
3436 COAST VIEW DRIVE
, severine@studiopch.com
City MALIBU
State CA Zip 90265 Telephone (310) 936-7022
ENGINEER'S NAME
Last GRIMM First SAM Lic. No. -� f -j�
Engineer's Address
Engineer's E-mail Address
17500 RED HILL AVE #240
sam.grimm@gcstructural.com
City IRVINE
State CA Zip 92614 Telephone (949) 250-3150
CONTRACTOR'S NAME/COMPANY SHAWMUT DESIGN AND CONSTRUCTION Lic. No.74?5 g5 Class
Contractor's Address
Contractor's E-mail Address
560 HARRISON AVENUE
kvargas@shawmut.com
City BOSTON
State MA Zip 02118 Telephone(702) 898-4107
SETBACKS REAR
SETBACKS FRONT PERMIT NO. X2_015 r 30q
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. ',337
USE ZONE
_ DEVELOPMENT NO PLAN CHECK FEES $ Z9 14 g r Ib