HomeMy WebLinkAboutPA2021-267_20211110_Applicationff\1-D'.2-I - lv::>"..,.f-c n·t D I ent Department -c1rv oF NEWPORT BEAcM ommu I y eve opm l l / o-s, 21 100 Civic Center Drive Planning Permit Application{)�\0·\ 1 / t0/1l Newport Beach, Ca����:4�;���
1.Check Permits Requested:D Approval-in-Concept - AIC # D Lot Merger D Coastal Development Permit Iii Limited Term Permit -D Waiver for De Minimis Development D Seasonal D < 90 day �>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)13300 Newport Boulevard
newportbeachca.gov/communitydevelopment
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 0LCP D Other:
3.Project Description and Justification (Attach additional sheets if necessary):Allow a temporary tent structure on rooftop deck for protection from wind and light rain during the colder weather months (4 month duration). See Attachment A for Justification. Building PC#2162-2021.
4 A I. t/C N jAnthony Wrzosek/R.D. Olson Development . pp 1can ompa,,_n�y_a_m_e _�_-_-_-_-_-_-_-_-_-_---�----_-_-_-_-_-_-_-_-_-_-_-�_-_-_-_-_-_-_-_-..::::-----�::.::.::.::.::.::.::.::.::.::.:::::'. Mailing Address 15 20 Newport Center Drive Suite/Unit �'-6_0...:::-0...:::-...:::-...:::-.::::-.::::-:::::::::=� City !Newport Beach State jcA I Zip �19_26_6 _o ___ �Phone 1949-271 -1109 I Fax�--------" Email lanthony.wrzosek@rdodevelopment.com
C t tic N !Anthony Wrzosek/R.D. Olson Development 5.on ac om pany��a�m�e�==================:;-------'-----;::=======;'Mailing Address �1 5_2 _o_N_e _w_po_rt_c_en_t _er_D_r_iv_e_________ =========='--S_u_i_te/Unit '-;:::16=0=0
========::::; City JNewport Beach State lcA I Zip �19_26_6 _o ___ �Phone 1949-271-1109 Fax �-------"I E mail lanthony.wrzosek@rdodevelopment.com
0 N I City of Newport Beach 6.wner ame '----;:::::============================================,------------=============:Mailing Address j 100 Civic Center Drive
City !Newport Beach Suite/Unit ';::====== State �lc_A __________ ---=----=----=----=---=----=---=-l-z_i�p�'9�2-6_6�0���----_-_�_, Ph 1949-344-3309 1. one . Fax��-------"· Email�-------------��
7.Property Owner's Affidavit*: (I) 0Ne) �'R_.D_._0_1s_o_n _D_ev_e_1o_p_m_e_nt ________________ �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: I J1ea �✓1clew+ I Date: I f,5/111£,I I
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DD/MO/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 theapplication. Please note, the owner(s)' signature for Parcelffract Map and Lot Line Adjustment Application must be notarized.
PA2021-267
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:
________________________________________________________________________________________
PA2021-267