HomeMy WebLinkAbout20191022_ApplicationPA2019-215
Community Development Department
Planning Permit Application
1. Check Permits Requested:
D Approval -in-Concept -AIC # D Lot Merger
D Coastal Development Permit D Limited Term Permit -
0 Waiv er for De Minimi s Developm ent O Seas onal O < 90 da y 0 >9 0 day s
D Coastal Residential Development D Modification Permit
D Condominium Conve rsion D Off-Site Parking Agreement
~ Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit
D Development Plan D Site Development Review -D Maj or D Min or
D Lot Line Adjustment D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
12711 E . Coast Hw y, Coron a Del Mar
1v 1ov117
CITY OF NEWPORT BEACH
100 Civic Center Dri ve
Newp ort Beac h , California 92660
949 644-3200
new port beachca.gov/co mm un it ydeve lop ment
fA Jo r9--J (~
□ Staff Approval c._ o/ 2o l 9 -
D Tract Map
D Traffic Study
0 Use Permit -□Minor □C o n d it i on a l
D Amendment to ex isting Use Permit
D Variance
0 Amendment -□C o d e □PC □GP OLCP
D Other:
3 . Project Description and Justification (Attach additional sheets if necessary):
r omprnhe,si" Sige P,og,am
4 _ Applicant/Company Name jThe Masters Building , LLC
M .1. Add /8871 Resea rch Dr. a1 mg ress
City Irvine
Suite/Unit '-:::.
1 =====:::::'..'
State lcA I Zip 1926 18 I
Phone 1949-584-7939 I Fax ~------~' Email lmike .orgill @4g-ventures .com
!Mike Orgill
5 . Contact/Compan!-y ....'...N~a:'..:m'..'..:e~=================::;-------;:::======;'
M .1. Add /8871 Research Dr. a1 mg ress
City Irvine
Suite/Unit '";::::====~
State lcA I Zip 192618
Phone 1949-584-7939 I Fax ~------~' Email lmike .orgill@4g-ventures.co m
0 N !Th e Masters Building , LLC
6 . wner ame ----;========================,------;:::======;
Mailing Address 18871 Research Dr. Suite/Unit ';::======:::::'..
City ~'lrv_i;:::ne=========:;------;::::=====-~State lcA j Zip 19261 8
Phone 1949-331-1899 j Fax j Email lmhonarkar@4g-ventures .com
7 P rt O , Aff"d "t * (I) (W ) [Mohammad Honarkar . rope y wner s I av1 : e __________________________ _
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 subm itted are in all respects true and correct to the best of (my) (our) knowledge and belief.
Signature(s~---~ \JL------Title : ~IM_a_na_g_e_r -------~' Date: l1s1101201 9
DD /MO/YEAR
Signature(s): Title:~---------Date :~---------------------
*May be signed by the lessee or by an authorized agent if written auth o rization 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 Appli cation must be notariz ed .
F:\Use rs\C DD\Shared\Admin\Pla nning_Divisi on \Ap plica ti ons\App lication_Guidelines\Pl anning Permit Appli cation -CDP added .docx Rev : 01/24/17
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:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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CS2019-012
PA2019-215
CC
CC
459 171 12
10.22.19
D2019-0521
PA2019-215
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