HomeMy WebLinkAbout20210521_ApplicationCommunity Development Department
Planning Permit Application 1 00 Civic Center Drive
Newport Beach, California 92660
949 644-3200
1. Check Permits Requested:
0 Approval-in-Concept -AIC # 0 Lot Merger D Staff Approval
D Tract Map Ill Coastal Development Permit D Limited Term Permit-
□ Waiver for Pe Minimis Development O Seasonal D < 90 day 0>90 days D Traffic Study
0 Coastal Residential Development D Modification Permit D Use Permit -□Minor □Conditional
0 Condominium Conversion D Off-Site Parking Agreement D Amendment to existing Use Permit
D Comprehensive Sign Program O Planned Community Development Plan 0 Variance '
D Development Agreement O Planned Development Permit □ Amendment -□Code □PC □GP □LCP
0 Other: D Development Plan D Site Development Review -D Major □ Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
r 41.1·~~R.~~. B.~~. ~~.~~~ .. ~~~:.~~T··~~~.~H, ~~ .. 9266~~~0~~~,1-01 ·····~·-····~··· ··-·-··-···~•·:··· ··: ··--~-~-~·.-·· -~~-:·.-··:·:·--·:·-··· -····•:···· -· ·•· -····:·1
3. Project Description and Justification (Attach additional sheets if necessary): r. ·-.. . -··-··-·· -.... -· ........ -... ·-····-··-. -· ............. ··-·--· -...... ···----· -.. . ............. -.. ···-......... -····· •..... ·-· , .. -···--··-···-·-··· ............ ,-. --. ·····•·· .. --···-..
:Demolish exisling residence to build a new single family residences. New single family residence to be 2.401 s.f. Living and 438 Garage.
' -----•--•••---,-••••--••-• ----••-•-•••• •--•-•--~--• -•-•-••---•----• ••--••••••••'" ---• ~----•-••••••----••-••-••-H-•------<••--••H-•-•-••-••-•-•--•------•--•••¥••-•--•••--••",..,.....••••
I • •
• . . jsrandon Architects 4. Applicant/Company Name--······ --··--·-····,."--········------.-.... ···-,•··•---· ·-···-· ..... ---····· ---··-··-· ·-·--······:_-_·.·::.....-:.....---:_· ........... , . . ~1 Kalmus.Ave.------·----··------·•-·--·-·--··-·-•... ·--······1 . . IG-1 . -----··1
Malling Address, . ...... ......... .... ...... .. .. . _ -··· . _ J Su1te/UmL.•.---.. ........... _1
City 1?08-~~--~esa __ ... ... .. . .. . . . . . State i?A __ .. . . J Zip i:~626 __ :~·---~:-_~·:---
Phone j114.75~'.~~4~ ....... Fax I .......... . ............ J Email 1,~-f~~~.~~~d~-~;r~~itects.com ·--·-·-·--·· ··-···
5. Contact/Company Name [Kenne~-Y~~!~... . . ·······-··--······-......... --··--··· ........ _ ....... -1 c-·····--. ·--·-····-· -· ·-···--·-·-•-···-···-··-···-·-·-... ·--•·· -····--· ---·-··-· ···----·-· ·-· ·······-····-i ,------·-----,
Mailing Address 1151 Kalmus Ave. . ! Suite/Unit 1°·1 i
City I c.08-!~-~~s~ ___ . _ ___ .. . ___ .. __ . . State L~~ . .. -·----··------....... _______ Zip j9.~~~~--, .,, ... , ..... J r···• --·· -··---····--·· ··--I ---· ... [•··---· ·---···-·-·-----···-·. ·--··--·-···--···-··------•--·······--;
Phone j714.754.4040 Fax I Email iKennedy@brandonarchitects.com j ,-. -·-· ..
1Brad Lyman 6. Owner Name L ... ~ .. _ ---'·,--· ··-·,-· __
--~---··-·--··-.. ----------······----~-.... -... ,. ___________ t
I ··-·--···-·-. --··--·J
M •1• Add J 13770 Wildflower Lane a1 mg ress .'..... .. .. .
• llos Altos Hills . City L ... 1-····.·c·c·-.. c··--.···--•---•_ ---····-··· ...... --•:·:· .•.• -······-··--. · l r·----··
Phone las0Aoo.2soo / Fax !
Suite/Unit !_ .. "--.. I r . .
State 1?A ..... ,. -···-------··· Zip 1_9.~~~~ ....... . ....... . ··-··-··-1 r·······------·· -·-·······--•······-···· ... ---·-····-·· ......... -•···-········ -· ..
i Email! .
r···· ···-·--· ····------· -···-····------··--• ······--·----· -·-·-·----
7. Property Owner's Affidavit : (I) (>Ne) I ___ ..... . ....... .. . ........... .
depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) (We) further
certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information
herewith submitted are in all respects true and correct to the best of (my) (our) knowledge and belief.
Signature(s): :(1,J) 4i .,,,.,._,,,_ TiUe: I ---·-·------·--·--,Date: F~-1lii~!l··-1 • 1----······--·······-··· ....... "•··--··---····-·-·-J 1--··. . ..... I
Signature(s): ------.-.......,....;~----Title: . .. .. _ I Date: 1. I
May be signed by the lessee or by an authorized agent if written authorization from the owner of record is filed concurrently with the
application. Please note, the owner(s)' signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized.
F:\Users\CDD\Shared\Adrnin\Plannino DivisionlADolica!ionslAnoliCRlion Guldelines\Plannlno Permit Aoolication. CDP added.docx Rev: 01/24/17
PA2021-117
I:\Users\CDD\Shared\Admin\Planning_Division\Current_Templates\Office Use Only Form Updated 01/27/2020
2700-5000 Acct.
Deposit Acct. No. ________________________
For Deposit Account:
Fee Pd: _______________________________________
Receipt No: ____________________________
FOR OFFICE USE ONLY
Date Filed: _______________________
APN No: __________________________
Council District No.: _________________
General Plan Designation: ____________
Zoning District: _____________________
Coastal Zone: Yes No Check #: __________
Visa MC Amex # ____________
CDM Residents Association and Chamber
Community Association(s): _______________________ Development No: __________________________
_____________________________________________ Project No: ________________________________
_____________________________________________ Activity No: _______________________________
Related Permits: ___________________________
Remarks:
________________________________________________________________________________________
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PA2021-117