HomeMy WebLinkAboutPA2022-0254_20221101_ApplicationCommunity Development Department
Planning Permit Application
1. Check Permits Requested:
0 Approval-in-Concept -AIC # 0 Lot Merger
Ii] Coastal Development Permit O Limited Term Permit -
D Waiver for De Minim is Development D Seasonal D < 90 day 0>90 days
0 Coastal Residential Development D Modification Permit
0 Condominium Conversion D Off-Site Parking Agreement
0 Comprehensive Sign Program D Planned Community Development Plan
0 Development Agreement D Planned Development Permit
D Development Plan D Site Development Revi1~w -D Major D Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
176 LINDA ISLE / 050-451-35
CtT\' CH·: 'F.;\!PG/i R.
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit -□Minor □Conditional
D Amendment to existing Use Permit
D Variance
0 Amendment -□Code □PC □GP □LCP
D Other:
3. Project Description and Justification (Attach additii:>nal sheets if necessary):
NEW CONSTRUCTION OF A 2-STORY 6,196 SF SINGLE FAMILY RESIDENCE
A I. t/C N I MITCHELL ROCHELEAU/ ROST ARCHITECTS I
4. pp 1can ompa~n'.!y~a~m=e==================================.-----;:.=-=-=-=-=-=-=-=-=-=-=-=i-·
Mailing Address l 16530 BAKE PARKWAY Suite/Unit I 101 I
City I iRVINE State I CA j Zip 192618 I
Phone I (949) 545-9084 I Fax ~-----, Email I MITCHELL@ROSTARCHITECTS.COM I
5 C t tic N I MARCUS HERNANDEZ I . on ac ompanyf-.:..==a~m==e-======================================,-----;::::::===========i'·
Mailing Address I 16530 BAKE PARKWAY Suite/Unit ";:! 1=0=1======::=,'
City j 1RVINE State I CA I Zip j 92618 I
Phone 1(949) 522-5717 Fax ~l _____ ~j Email IMARCUS@ROSTARCHITECTS.COM I
I STEVE HORTON I
6. Property Owner N;:.a~m.:.:.:::e-====================================.-----;:============i"'
M ·1· Add 176 LINDA ISLE s ·t /U ·t I I a, mg ress m e m '::.-=--=-=========
City I NEWPORT BEACH State j~c-A------, Zip 192660 I
Fax ~----~' Email l sFHORTY@GMAIL.COM j Phone ~--------~
. . I STEVE HORTON I 7. Property Owner's Aff1dav1t*: (I) (We) ~I----------------------~
depose and say that (I a ) (we are) the owner(s) of the property (ies) involved in this application. (I) (We) further
certify, under penal!Y o rju,y that the foregoing statements and answers herein contained and the information
herewith submitt ar · all r pects true and correct to thie best of (my) (our) knowledge and belief.
Signature(s): -7'---t-...,,.._fl'H'-:f-r-H---------Title~: lowNER I Date: I 1110112022
MM/DD/YEAR
Signature(s): ______________ Title:~--------~ Date:~----~
*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.
l:\UserslCDDIShared\Admin\Planning_Division\Applications\Application_Guidelines\Planning Permit Application_2021.docx Rev: 01/24117
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:
________________________________________________________________________________________