HomeMy WebLinkAboutPA2021-055_20210310_Applicationcc;;
Comm~nity Develo~ment De~artrn~nt ~f-,10Y-i----D\✓ u,,,, ·~ooc~-~~.~~
Planmng Permit Apphcat1on 00;\10\'2-Newport8eadl,Ca=~
1. Check Pennits Requested:
D Approval-in-Concept -AIC # D Lot Merger ■ Coastal Development Permit D Limited Term Pennit -
D Waiver for De Mlnlmis Development □ Seasonal O < 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 Pennit
D Development Plan D Site Development Review -□ Major □ Minor
0 Lot Une Adjustment D Parcel Map
2. Pro act Address(es)IAssessor's Parcel No(s
newportbeachca.gov/communitydevelopment
D Staff Approval
□Tract Map
□ Traffic Study D Use Permit -OMlnor □conditional
D Amendment to existing Use Pennlt
D Variance
D Amendment-OCode □PC C]GP □LCP
□ Other:
I COI-LIN'o 14SL~O tJE:WPOR:r 0&&.GH lA'. '11-CN'Z---
3. Pro ect Description and Justification Attach additional sheets If necessa :
f'LE~ ~l>-IGfl.l= F'Pt-11L-r ~ IO'EJJC,F.: WI~ GAR <o~E. ~ ~~ ~~ C:ONDrn,PJlSO 46~1:: 71.,7 ~r-,-UH~DTTJoNED Cll'l!P-W-P
4. Applicant/Company Namel D l\/1(.)if=P <vie( <:.Mfl...J 1-1-G I
Mailing Address I 4-(p~ '1 · LIN DHU'2..-E-T .,,._v,a I Suite/Unit I I
City I p~ I State I Tl=~ I Zip 11i;1.t., I
Phone f ■ i.J"f. &';02-. l~1-.<?, I Fax I I Email f "ON~~J;;J:7~B &Mt't .. i¼,"1,
5. Contact/Companr Name, ~fNvt...A-IR A~IA~ ARYH ~s J NG,.. I
Mailing Addres• ~ I 04\ ~(p i,.11:::.."ff>\}~ ~ I Suite/Unit j 1.00 I
City I 1.-0 ~ f'<NC, F-1--J!=.'1:1 I Stat$ I VA ' I Zip I qcm..-,.. I
Phonel'?>IO ~--t=IC"V' I fa:irl I ema11l~4&l~a..,>.U:te.~iN{,(>IR.~t1
6. Property Owner Name I .. 0Moi£.f) ;sµy SIY1Aa L.t<!
Malling Address I 1/6.JC/ 5, L.iNOH c/12'SI lh-'f:-: I Suiterunltl I
City I .Dfr/JlrJ. I Sta,.., TJ( I Zip' :jlS722..? I
PhonelJ/f-SOJ-/5¢18:1 Fax_l ___ I ema11I...Jot-Jc:S-lo.S.S5S:S-SS"~q,f ,~oJ"'I
7. Properly Owner's Affidavit*: (I) (WEI) I .:1;,,,~,.J z .kml I 5 &to£. s ~"~ S"'f SM~l 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 submitted are in all pects true and correct to the best of (my) (our) knowledge and belief.
Signature(s): __..,~~7'",,,. ::=_... =~~-=----Title: I /111¥"1//l I l)atP-c I 3/0 /4o,;71 I
MMIDOIYEAR
*May ~ signed by the less or by ~-authorized agent if written authorization from the owner of record Is filed concurrently wtth the
application. Please note, the owner(s) sagnature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized.
. ... .--....... . .. ' ... . ... . . . . ... .,. .. . .. -. . .. ... . .. -. -..
PA2021-055
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:
________________________________________________________________________________________
PA2021-055
RECORDING REQUESTED BY:
Chicago Title Company
AND WHEN RECORDED MAIL TO:
Divided Sky SMKJ, LLC
4639 S. Lindhurts Avenue
Dallas, TX 75229
Title Order No.: 58602009170
AP#: 050-010-06
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk-Recorder
I IIIII I l llllll Ill lllll lllll lllll lllll lllll lllll lllll lllll lllll llll l I Ill llll 16. oo :11$R0011980197$:1i
2020000448686 8:00 am 08/31/20
9 503A G02 4 07
4716.25 4716.25 0.00 0.00 9.00 0.00 0.000.000.00 0.00
THIS SPACE FOR RECORDER'S USE ONLY:
Escrow No.: 004 764-BR
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $9.432.50
[X] computed on full value of property conveyed, or
[ ] computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] Unincorporated area [X] City of Newport Beach AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Jorli Perine and Michael Rountree, as Trustees of the Eichenberg 2011 Irrevocable Trust N0.1, dated
November 18, 2011 as to an undivided 50% interest and Jorli Perine and Michael Rountree, as Trustees
of the Eichenberg 2011 irrevocable Trust N0.2, as to an undivided 50% interest
hereby GRANT(s) to:
Divided Sky SMKJ LLC, a California Limited Liability Company
the real property in the City of Newport Beach, County of Orange. State of California, described as:
LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT 11A11 AND MADE A PART HEREOF
Also Known as:· .1 Collins Island. Newport Beach, CA 92662
DATED: August 12, 2020 Signature Page attached hereto
and made a part hereof
MAIL TAX STATEMENTS TO PARTY SHOWN ABOVE:
PA2021-055
RECORDING REQUESTED BY:
Chicago Title Company
AND WHEN RECORDED MAIL TO:
Divided Sky SMKJ, LLC
4639 S. Lindhurts Avenue
Dallas, TX 75229
Title Order No.: 58602009170
AP#: 050-010-06
THIS SPACE FOR RECORDER'S USE ONLY:
Escrow No.: 004764-BR
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $9,432.50
[X] computed on full value of property conveyed, or
[ ] computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] Unincorporated area [X] City of Newport Beach AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Jorli Perine and Michael Rountree, as Trustees of the Eichenberg 2011 Irrevocable Trust NO.1, dated
November 18, 2011 as to an undivided 50% interest and Jorli Perine and Michael Rountree, as Trustees
of the Eichenberg 2011 irrevocable Trust NO.2, as to an undivided 50% interest
hereby GRANT(s) to:
Divided Sky SMKJ LLC, a California Limited Liability Company
the real property in the City of Newport Beach, County of Orange, State of California, described as:
LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF
Also Known as: 1 Collins Island, Newport Beach, CA 92662
DATED:August1Z2020 Signature Page attached hereto
and made a part hereof
MAIL TAX STATEMENTS TO PARTY SHOWN ABOVE:
PA2021-055
Title Order No.: 58602009170 Escrow No.: 004764-BR AP#: 050-010-06
SIGNATURE PAGE
Title of Document: GRANT DEED
Date of Document: August 12, 2020
Jorli Perine and Michael Rountree, as Trustees of the
Eichenberg 2011 Irrevocable Trust NO.1, dated
November 18, 2011
By: ~¢7~
Jorli Per~tee
Jorli Perine and Michael Rountree, as Trustees of the
Eichenberg 2011 Irrevocable Trust NO.2
~' By: ~
Jorlirine,Trustee
s~?>⇒
MelRountree:frustee
ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accurac 1 or validit of that document.
STATE OF CALIFORNIA
COUNTY OF __Oft,016._e ____ ... _ ... __ . _____ _
On ~2l.._l'2'..,~-----before me, JV1V111qwe P. ~ IL,
personally appeared·--·---··· __ Jij_1lkfl_l..._l _..:;_Pi ....... lMLJIL...:-vrM ____ _..;;;u-=---------------
A Notary Public
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seaL
Signature~_ f~--(Seal)
........................
= @" MONIQUE P. HALE 1 _ Comm. #2159050 •
:: Notary Public • California ;:
• · Orange County -3 Comm. expires Jut. 3, 2020 l ••••••••••••••••••••••••
1M n~vy U7Wlr'tH~1oY1 ~r~
flAY~\MH1J -to t~etMtl\1-l O~f>«
N-lo1 _,iv.
PA2021-055
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of O ( vf 1'-1 l,
On /ttA8M'it 11; 2,0io before me, _____ Wl_o_n ____ iA .......... 11 ___ &____,..f_H,_............,\ {_< ----
(insert n1ime and title of the officer)
personally appeared __ 1i_o_(l.,_1_, ·~p_~_.;;r1-=-/ ....:<.fl._b _____________ _
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person{s) acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
(Seal)
PA2021-055
EXHIBIT "A"
Legal Description
-=-Fo-=-r_AP_N __ /_Pa_r_c_el_l_D..,(s'"""'): ____ 0_50_-_01_0_-0_6 _____ ._. ___ . _________ .. ,. __ . __
THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF NEWPORT BEACH.
COUNTY OF ORANGE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
LOT 1 OF TRACT NO. 1723, IN THE CITY OF NEWPORT BEACH, COUNTY OF ORANGE, STATE OF
CALIFORNIA, AS PER MAP RECORDED IN BOOK 50, PAGE 31. OF MISCELLANEOUS MAPS, IN THE
OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
PA2021-055
OocuSi.gn Envelooe ID:·o1[A9814-8F3E-4505-AF E93ADF3662
PRELIMINARY CHANGE OF OWNERSHIP REPORT
To be completed by :tie transf>Jree (buyer; pr:or ton tmnster of suoJeC! prooerty, in
accord,rnce with section ,J8C . .3 of the: R0vr:11u,! and t aXJtion Cot:~ A P1t:Lminnry
Chan9e of Ovmersh1p Henm1 must be lilP.d with each conveyance in the
County Recorder's office for the county whNe the property is located.
~,:,\~:![ /tND f·/Pn t~ ;r:, l\~;-:;~~~:\:i i. ;;:. ~-050-010.-06 (.\r;',1►:t.~ nt,tr:s~~1q.: (~:li('<'I (:.1 <.., ro 1!.::J ;;: ~:~t .. :; r J!:·1.: -.:n•.i n•· ... ~-•:p;l /td•iti:·1,,·.,
Divided Sky SMK.J t l C
46:39 S Uri.1/'urts Avenue
Dallas TX 7~.5229
Jorli Pcrir,,?. Michael Rountree, Jo:H ~.)crnu:: and M1i:l1ael R,:i",iritree-· -· •-· . ..... ... . . . -. ··-· ---....... .
SELLER! mM.fSPEIWR
!3UYEffS DAYrnvft'. -n~LEPHbffr:HUrvl1itR·
BlTYER'S EMAIL ADORES!.'.>
SrREET A0DH[SS OH PHYSICAL LOCATION OF REAi. PROPERTY
1 Collins Island, Newport Beach, CA 92662
YES NO This property is inte:ncled as my principal residence If YES. please indicate the. date of occupancy
or intended occupancy. '
MO DAY YEAR
YES NO Are you a dbab!ed veteran or an unmarried surviving spouse of a disabled veteran who was
compensated at 100°A) by the Department of Veterans Affairs?
MAIL PROPERTY TAX INFORMATION TO (NAME)
Jonathan Gross
MAil PROPERTY T.A.X lt--JFORM1\TiON lO (ADDRESS)
4639 S Lindhurts Avenun
CITY
Dallas
STATE TX ZlP CODE
7S229
PART 1. TRANSFER INFORMATION Pleast? complete all statements.
YES
( )
( )
This section contains possible exclusions from reasses.c;ment ror certain types of transfers.
NO
( ) A
( ) 8
This transfer is solely behveen spouses (addition or removal of a spouse. death of a spouse, divorce settlement. etc.).
This transfer is solely between clomestic partners currently registered with the California Secretary of State
(acfdition or 1011wv;:,/ of a parlner, death of a partner, termination settlement. etc)
)• C
)" D
)" E
)' F
) G
H
J
I<
L
M
Tl1is is a transfer: ( ) between parent(s) and child(ren) ( ) from grandparent(s) and grandchild(ren)
This transfer is the result ot a cotenant's death. Date of death
This trnnsactiori is to replace a principal residence by a person 55 yo·ars o(age ·or ofcfe;.------··-··-·-.
W1th1n the some county? ( ) YES ( ) NO
This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue
and rax3tion Code s~ctron 6~) 5. Within thr: sarne county? ( ) YES ( ) NO
Tl1is transaction is only a correction of the narne(s) of the person(s) holding title to the property (e.g, a name
change upon marriage).
If YES. please exp!a1n
Tt1 e rccordeci cjocu rnerii"cr'ea't€·3,··· fe·r·mTnatesr o,·~-,~ico·nv·~1ys-a-fe11·ae·r·s· ·i·fl'te-resf Tr,. the prcJDcrtY . -.... -·•--·--·---·-" ..
This transaction 1s recorded only as a requirement for financing purposes or to ceate, terminate, or reconvey a
secu1ity interest (<~-U, cosiqne1) If YES, pfe,:ise explain _____ _
The r ecordecJ document substitutes a trustee of a trust._ ·mortgage, or ottieTsirnii;-;· a~::;cumenl
This is a transfer of property:
1 to/frorn ,:i revccabln trust that 1n;1y be revoked by the transferor and is for the benefit of
[ ] the transferor. and/or 1 J th:-: transferor's spouse [ J re~J,stored domestic par1nc:-r
2 t:-i/trom an iHevccable trust for Hie benefit of the
f ] crt?ator/grantor/trustor and/or [ j grnntor's/trustor's spouse { ] grantor's/t,us'.or':i registered domestic
partnl:r
This property 1s subJi}ct to a '.ease 1,v;th ;:1 rerna111H1g lease term ot 35 years or more inc:w:.1;n9 vwitten options
Th,s is ,1 transfer br~l1Neen parties in which prcµortional interests of the tran::;feror(sJ r,nd tmnsteree{s) in each
ancl every parcel bP.ing trnnsfe1red remain exactly the same after the trnns:er
f h:s Is a transfer subject to sutisH.iized lovv-1ncome housing requ1rnments '.,\'lth governrnentaHy 1m~csed
1estrictic,ns or rest11dlon•;:; irnpo-;Pd t:iy ~pr:cifed nonprofit coiporat,ons
f 11rs transfer is to the first purchase1 of a new bu1ldinq containing an act1vP. solar ener~JY svstem
O:her Tt,1s trnnsf er is to
•f)lease refe, lo the instruction!-~ foi Part 1
Please provide any other information that will help the Assessor understand the n.1turc of the transfer.
THIS DOCUMENT IS NOT SUBJECT to PUBLIC INSPECTION
PA2021-055
DocuSign E.nvelor-c 10: f.i 1 EA9814-8F3E-4505-Ar~ .:93A.DF3662
t 'I~'"!·--· uf !i :! r, ___ r~r
i X , h,r(.h.:istc: ( ) Mc::r9er. sl11r.l' u pa~tr.{;r~,r.:o zi-:::qurs1t1c-n (Form UCL-100-B)
( ) Inheritance Date of Ll<:.'al!l _ .... ___ ............ ···-·
) :>eilf.1.:,n d a··1,.•~)-;,t~ ) ;,ss:r;r,rrn!nl oi a !eJ:;e r ) Ter1p,r,3;(on o! a lea!'.e Dale lease be1Ja11.
f•:e~1a,r,lrg 11::nn 1n years (im.loding 1•1:UtP.,; optionsf _--=="=-'""' ()n:;;,na, t(:m1 in 1,~,:·s (iflCluchng wr1rt'>n opiums}. ____ _
Oth·:·r Flt',Y,,:• e,q:/a1n
C. )YES )i'JO
PART 3. PURCHASE PRICE AND TEHMS OF SALE
B
.c
Ca~,h dO\r.tn payment or vdltm of tradf: 01 e;,,.clmr19c cxciuding closmg co~ts. Amount $
f'lrnt lked or trust @ Monthly Payment $
l FHr, L Discount Points) ) Cal-Vet ) VA L_Discoi..int Points) ) Fix~d Rate ) Vark?ble Rate
) Ba nk/~,avings & Lorin.'Crcdtl Union ) loan Carried by ~eller
) Balloon Payment $ ______ Due Date: __________ _
u. Second Deed of Trust@ % interest for ____ years. Monthly Payment $ _______ Amount $ __________ _
) Fixed Rate ( ) Vtiriablt'l Rr:te } Bank/Savings & loan.iCredit Union ( ) Loan carried by seller
) Balloon Payn.ont S Due Date __________ _
$~----------[. W~F> an Improvement Bcmd or other public financing assumed by lhe buyer? ( ) YES ( ) NO Outstanding balance $ __ ,
F. Amount, if any, of real cstnte commission foes paid by the buyer which am not inclllded In lhe purch~jse ptice
G. n10 property was purchi'..lsed: ( ) Through rnal est3te broker. Brok&r name: _________ _ Phone NumberL_)__ ___ _
) Direct from seller } From a family member-Relationship ____________________ _
) Ott1er: Please ,~xplain:
H. Pl1~ase e:<p!ain any specic1I terrns, sellm concessions.broker/agent fees \·,·aived. financing, and any other information (e.g. buyer assurned the existing loan
bal,mo1) lhat would assisi tile Assessor in the valuation of your property
PART 4. PROPERTY INFORMATION
1\ Typn of property transferred
( } Single-family rt:s,dcncc
) Multiple-family residence. Nwnber of llnits.
) Oliler. Descrrptiun (i.e .. timber. mineral. wall)r 1ighls. etc.)
) Co-op/Own-your-own
) Condominium
) Timeshare
) Manufac!:1Ted home
) Unimproved lot
) Cumrne1c1al/lndustrial
13 ) YES ( ) NO Pcr'.,::inalfbusinl;~;s prooerly, or incentives. provided by r..cller to bu,er are tncllJdecl in Ille purchase price. Fxarnples of personal
property are rurniture, farm equiprnen!. machinery, etc. Examples of incentives are club rnernbersh,p$, etc. ,'\ttact1 list if available.
If YES, enter the v<1lue of rtie personal/busin~~'."~s propert:1: S ________ Incentives
C ( ) YES ( } NO A manufactured home is included in the purchase price
If '(ES. t!nlcr the vah.1t~ attributed to thi; mamtfaclllred liomc~. $
( ) YES ( ) NO Tho? manulactured home is subject to loc:,31 property tax If NO. ent~~r_d_e_c_a_l n-l-,r-11_b_e-r: ___ _
D ( ) YES ( ) NO The ;)roperty product::s rental or other income
If YES. !he :ncnrrw 1s from. ( ) L eu~chent { ) Contract ( j ~.t1ineral rights ) Other:
E The condit:on o: tt·e prc-perty Bl ltK'. time of ;;ale Weis: ( ) G:Jod ( } A.vQrao~ · ) Fai;
CERTIFICATION (;:;e,Nv io/c1;ci:ati:} /U~t (!HJ fO(t?<j()ll;f]·and',::ili1frorn~aiiciri'liereon'. 1ncJu(l/r,g any ,JCcompar;y1og s!a(eriwnts or documer}l5. is'frut' /iii'd com:rit'fo dic bes(ol'irii
!<nowt,xfge and be/;(:,f ______ ..... ___ _ i ::i~i:'t:1WJifu.,9-" 5l}i[R,::TR~,~~JS'i:'f.l?::L 6R COR.POf,A7f. OFFICTH DATE .
I J,!~:;;,t;::•;~ f,NO CfR eE 'l rn,,,. "'"'''" s Elsi ,i liVE;co,;o,)iiA i ,, "' i'd R iPL EASE J-ll:>Jr, 1 mE B
119
/
2
O
2
O
l_~_on~~-~-~n Gross ...... __ ____ . _________ .
Tt·p·: /\sF<::-,s·.,r's offlr.:?. rn::·1 con!a(;I you for a!J~tit.nnal 1.,iorr--.ai1or, ri::garding this !,arsn<"!I01'1
PA2021-055