HomeMy WebLinkAboutPA2023-0025_20230129_Planning Permit applicationCommunity Development Department
Planning Permit Application
1. Check Permits Requested:
D Approval-in-Concept -AIC #
~ Coastal Development Permit
D Lot Merger
D Limited Term Permit -
D Waiver for De Minimis Development D Seasonal D < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
D Condominium Conversion D Off-Site Parking Agreement
D Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit
D Development Plan D Site Development Review -D Major D Minor
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
i 208 VIA LIDO NORD, 92663-4608/423-144-03
CITY OF NEWPORT BEACH
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca .gov/comm unitydevelopment
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 OLCP
D Other:
3. Project Description and Justification (Attach additional sheets if necessary):
DEMOLISH EXISTING SINGLE UNIT RESIDENCE AND CONSTRUCT NEW SINLGE UNIT RESIDENCE
4 _ Applicant/Company Name j DAVID R. OLSON ARCHITECTS I
Mailing Address l47o WALD Suite/Unit ~-----,
City I IRVINE State I CA / Zip I 92618 /
Phone ! -(-94_9_)_4-50---00_9_3 ___ / Fax ~-----, Email I DAVID@OLSONARCHITECT.COM /
I STEPHEN WAN I
5. Contact/Company_N_a_m_e--'=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=--=;-------;:===========1
Mailing Address 16 JENNER Suite/Unit I 29o /
City I IRVINE State I CA / Zip I 92618 /
Phone J (949) 450-0093 / Fax '------~' Email I STEVE@OLSONARCHITECT.COM /
6 P rt O N I VICTOR MENDES I
. rope y wner ~a~m~e~======================================;~-----;============,"·
Mailing Address I 2°8 VIA LIDO NORD Suite/Unit ':==========='',
City I NEWPORT BEACH State ! -C-A-----, Zip 192663 /
Phone I (559)783-3126 / Fax ~----~' Email lcalfrz4u@yahoo.com /
7. Property Owner's Affidavit*: (I) (We) ,....._.......__.;c__.c,___-L.-J,-\...,,.-."--~'----------------~'
depose and say that (I am) (we are) the owner(s) of the pr perty (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)~~:;_)~ ~ /UY Title: I , wv,-ev Date: I /-,d6-o<'OzJ/
MM/OD/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:\Users\COO\Shared\Admin\Planning_ Ofvision\Applications\Application_ Guidelines\Planning Permit Application_ 2021.docx Rev· 01124117
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:
________________________________________________________________________________________