HomeMy WebLinkAbout20191008_Applicationy'Jt;1,o t q --
Community D ilopment Department {f/:'VN{Z PORT BEACH
Planning Permit Application
100 Civic Center Drive
Newport Beach , Cal ifornia 926 60
949 644-3 200
r · 'beachca.gov/communitydevelopment
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
Iii Coastal Development Permit D Limited Term PF,.. .ob.9'
0 Waiver for De Minimis Development O Seasor,r " 0 1,0.,_9,
D Coastal Residential Development D M,--·· \ot C
·" Approval
._.1 Tract Map
D Traffic Study
D Use Permit -□Minor □Conditional
D Condominium Conversion .-'.l.0-..9J•~!o ~0:
6
. ,,
D Comprehensive Sign Program ~!)-'2-'\]\'3 00,oe~ .1 uevelopment Plan
D Development Agreement , 0~i\\'3~ ,c:Iopment Permit
D Amendment to ex isting Use Permit
D Variance
D Development Plan L ..Jc:velopment Review -D Major D Minor
0 Amendment -□Code □PC □G P □LCP
D Other:
D Lot Line Adjustment D t'arcel Map
2 . Project Address(es)/Assessor's Parcel No(s)
161 2 Via Lido Nord APN : 423 -231 -04
3 . Project Description and Justification (Attach additional sheets if necessary):
demo existing single story res idence . Constru ct new 2 story single residence 4 bedrooms and 4 1/2 baths
with attached 2 car garage and a roof de ck
Applicant/Company Name ~jw_i_ili_am_G_u_id_e_ro ___________________ ~---_-_-_-_-_ -_ -_ -_-_ ~-'
Mailing Address 1
425 30th st
reet Suite/Unit ';::'
2=3 ======1
City j Newport Beach State j cA I Zip 192663 I
Phone I (949) 675-2626 I Fax .,__ ______ _.I Email jguiderodesign@gmail.com I
5. Contact/Company Name jwiiliam Guidero
M .1. 'Add ,~25 30th Street
Suite/Unit ';::1
2=3 =====:'
., 6 .
a1 mg ress
City j Newport Beach
Phone j (949) 675-2626
State j cA I Zip 192663 I I Fax ~------1 Email jguiderodesign@gmail.com /
0 N I Mark and Shelly Kelegian I
wner ame ~--;::::=======================,-----;:======;·
Mailing Address 120 Old Course Road Suite/Unit ':=======ii
City j Newport Beach State j cA I Zip 192660 I
Phone j (949) 677-1840 Fax ,_j ______ __,/ Email j mark@randysdonuts .com I
. . IMark Kelegian I 7 . Property Owner's Aff1dav1t *: (I) (We)~---------------------~
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 i all respects true and correct to the best of (my) (our) knowledge and belief.
*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 own e r(s)' signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized .
F:\Users\CDD\Shared\Admin\Plannin g_Division\Applicalions\Application_Guidelines \Pla nni ng Permit Application• CDP added .docx Rev : 0 1124/17
PA2019-205
Community Development Department
Planning Permit Application
CITY OF NEWPORT BEACH
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
F:\Users\CDD\Shared\Admin\Planning_Division\Applications\Application_Guidelines\Planning Permit Application - CDP added.docx Rev: 01/24/17
1. Check Permits Requested:
Approval-in-Concept - AIC # Lot Merger Staff Approval
Coastal Development Permit Limited Term Permit - Tract Map
Waiver for De Minimis Development Seasonal < 90 day >90 days Traffic Study
Coastal Residential Development Modification Permit Use Permit -Minor Conditional
Condominium Conversion Off-Site Parking Agreement Amendment to existing Use Permit
Comprehensive Sign Program Planned Community Development Plan Variance
Development Agreement Planned Development Permit Amendment -Code PC GP LCP
Development Plan Site Development Review - Major Minor Other:
Lot Line Adjustment Parcel Map
2. Project Address(es)/Assessor’s Parcel No(s)
3. Project Description and Justification (Attach additional sheets if necessary):
4. Applicant/Company Name
Mailing Address Suite/Unit
City State Zip
Phone Fax Email
5. Contact/Company Name
Mailing Address Suite/Unit
City State Zip
Phone Fax Email
6. Owner Name
Mailing Address Suite/Unit
City State Zip
Phone Fax Email
7. Property Owner’s Affidavit*: (I) (We)
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): ________________________________ Title: Date:
DD/M0/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.
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PA2019-205
F:\Users\PLN\Shared\Staff_Dir\Garciamay\Ruby\desktop\DESKTOP_\CUT_PASTE_DRAG_COPY\Office Use Only.docx
Updated 08/15/17
FOR OFFICE USE ONLY\
Date Filed: _______________________ 2700-5000 Acct.
APN No: __________________________ Deposit Acct. No. ________________________
Council District No.: _________________ For Deposit Account:
General Plan Designation: ____________ Fee Pd: _______________________________________
Zoning District: _____________________ Receipt No: ____________________________
Coastal Zone: Yes No Check #: __________
Visa MC Amex # ____________
CDM Residents Association and Chamber
Community Association(s): _______________________ Development No: __________________________
_____________________________________________ Project No: ________________________________
_____________________________________________ Activity No: _______________________________
Related Permits: ___________________________
APPLICATION Approved Denied Tabled: _________________________
ACTION DATE
Planning Commission Meeting
Zoning Administrator Hearing
Community Development Director
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
APPLICATION WITHDRAWN: Withdrawal Received (Date): ________________________
APPLICATION CLOSED WITHOUT ACTION: Closeout Date: ________________________
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
10/08/2019
PA2019-205
CD2019-049
423 231 04
RS-D
R-1
1
LIDO ISLE COMMUNITY ASSOC.
BAYSHORES COMMUNITY ASSN.
D2019-0495