HomeMy WebLinkAboutPA2022-008_20220110_ApplicationCommunity Development Department
Planning Permit Application 100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
D Coastal Development Permit D Limited Term Permit-
□ Waiver for De Mlnimis Development D Seasonal D < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
O Staff Approval
D Tract Map
D Traffic Study
D Use Permit -□Minor □conditional
D Condominium Conversion D Off-Site Parking Agreement
D Comprehensive Sign Program D Planned Community Development Plan
D Amendment to existing Use Permit
Iii Variance
D Development Agreement D Planned Development Permit
D Development Plan O Site Development Review -D Major D Minor
0 Amendment -□Code □PC □GP 0LCP
D Other:
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
lo5o -192 -15
3. Project Description and Justification {Attach additional sheets if necessary):
Add roof (83.6 sf) over the existing kitchen area on the 3rd floor deck (256.9 sf)
4. Applicant/Company Name I Lisa Herring I
Mailing Address 1201 CryStal Avenue Suite/Unit ';::=========1
1
City !Balboa Island State lcA I Zip 192662 I
Phone 1435.460.4556 I Fax,:...._ ___ ___,j Email fherring_family@hotmail.com j
5. Contact/Company Name I Barry Walker I
Mailing Address IP· O · Box 11658 Suite/Unit ';:I========:=.'
City jNewport Beach State ICA I Zip !92658 I
Phone I 949 .246.4085 j Fax ,___ ___ ___,I Email jbwarch. biz@gmail.com j
6. Property Owner Name !Michael and Lisa Herring
Mailing Address j 1725 20th Street Suite/Unit ';::::=========i'
State.:.....lc-;:A====-' -=Z~ip-=='9=41=0=7===:]
Fax~'----~' Email~----------~
City jsan Francisco
Phone.,__ ________ ~
7. Property Owner's Affidavit*: (I) (We) ,_j L_is_a_H_e_r_ri_n_g _______________ ~
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)· 3kv 6. J/c/'//'2..c-=-= Title: !owner I Date: 1°1 -03-22 ~ V '-----17 MM/DDNEAR
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 Parcelffract Map and Lot Line Adjustment Application must be notarized.
PA2022-008
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:
________________________________________________________________________________________
PA2022-008
CITY OF NEWPORT BEACH
Date: 0 !/o1 /--i2-.. I I Permit Tech: ___ _
COMMUNITY DEVELOPMENT DEPARTMENT
PLAN SUBMITTAL FORM
Phone#: 5?~9 --z'f-6 ·fc;f5
Email: @wAR.et-f ,f-21p@GHA/ L.
o Pick-up Plans
Plan Check/Revision#: Project Address Additional Information
~mitting Plans I
Plan Check or Revision Number Number of Plan Name each document i.e., permit
Sets or application, plans, structural calcs, soil
documents report, etc.
-o 5e'r.\ p e,, A-N"I\J I J..l(JJ f1. U P;;JM !Tr-A.I -
F<PIL VA/L. IA-1\(a;?
Payment Method
Payment can be made by credit card via phone at (949) 718-1888.
PAYMENTS MUST BE MADE AFTER 48 HOURS OF SUBMITTAL DUE TO QUARANTINE OF PLANS
Notes:
PA2022-008