HomeMy WebLinkAboutPA2022-061_20220316_ApplicationCommunity Development Department
Planning Permit Application
CITY OF NEWPORT BEACH
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
)( Coastal Development Permit D Limited Term Permit -
0 Waiver for De Mini mis Development D Seasonal D < 90 day 0:>90 days
D Coastal Residential Development D Modification Permit
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit -□Minor □Conditional
D Condominium Conversion D Off-Site Parking Agreement D Amendment to existing Use Permit
D Comprehensive Sign Program D Planned Community Development Plan D Variance ·
□ Development Agreement □ Planned Development Permit
D Development Plan D Site Development Review -D Major D Minor
0 Amendment -□Code □PC □GP OLCP
D Other:
D lot Line Adjustment 00 Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
1027 W. Bay Avenue
3. Project Description and Justification (Attach additional sheets if necessary):
Tentative Parcel Map for Condominuim Conversion
4. Applicant/Company Name lcefalia Development I
wMca.a.wili~n~g=A~d~d~c:::e5~$=' 2=1=6=0==P=a=c=if=ic==A=v=e=n=u=e======::;----;:=======~~S~u~ite/U nit I B2 I
City \costa Mesa State \cA I Zip \92627 I
Phone J949-697-1955 I Fax-. -----j Email ljeff@cefaliadevelopment.com I
I Suite/Un it :;:.::========~I
I State I CA j Zip 192672 I
5. caotact/Company Name \Allan Brooks, Toal Engineering, Inc
Mailing Address \ 139 Ave Navarro
City lsan Clemente
Phone \949-492-8586 I Fax \949-498-8625 \ Email \abrooks@toalengineering.com I
I
P t O ~• Cefalia Family Trust, James & Cathy Cefalia
6. roper y wner u.~a~m~e~----------------======:i------;:::============;'
~ailing Address [ 2060 Placentia Ave Suite/Unit ""'' B_1 ____ _.]
City \costa Mesa State \cA I Zip [92627 \
Phone \949-697-1955 I Fax ,___ ___ ___.I Email \jeff@cefailiadevelopment.com ·1
I James Cefalia & Cathy Cefalia 7. Property Owner's Affidavit*: (I) (We).'-________________ ----J
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 ar in all respects true and correct to the best of (my) (our) knowledge and belief.
_(,&:_~~2:::::::~--Title: I 0-.-.?µ~ I Date: I 2...1'.'."/ ~ J.~
MM/06/YEAR
Signa
*May be signed by the less e or by an authorize agent if written authorization from the owner of record is filed concurrently with the
application . Please note , lhe ·0wner~sf signature for Parcel/Tract Map aa,d lot Line Adjustment Application must be notarized.
PA2022-061
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
Countyof ~
On /fJ ,
Notary Public,persoally appeared -"<::::"::f-""-........_.,..__..::...o:::i,.,4---1,.->o=......,.-=.:-'""----"-""'-==f----f-___,,._=I'-"+'--'--·' who
proved to me on the basis of satis actory 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 signatures(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.
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 _________ ~ ss.
On ___________ , 20 __ before me,
(seal)
Notary Public, personally appeared _____________________ ,
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 signatures(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 (seal)
PA2022-061
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:
________________________________________________________________________________________
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PA2022-061
TOAL CIVIL ENGINEERS & LAND SURVEYORS
139 Avenida Navarro,
ENGINEERING, INC. @@@
San Clemente, CA 92672
Tel: (949) 492-8586
Fax: (949) 498-8625
www.toalenqineerinq.com
TRANSMITTAL LETTER
TO: The City of Newport Beach
Public Works Department, Bay C
100 Civic Center Drive
Newport Beach, CA
ATTENTION: Planning
JOB NO.: 20041
JOB TITLE: Tentative Parcel Map 2020-162
1027 West Bay
Newport Beach, CA
TRANSMITTING: THE FOLLOWING: FOR:
~ Herewith ~ Prints D Checking
□ Via Mail D Vellums D Approval
D Reports D Signature
D Letter D Other
□2WQMP
REMARKS:. Attached fro first submittal please find the following:
Notarized Permit Application
One Preliminary Title Report
Public Noticing Package
Written Statement
Eight full sized TPM
One 81/2 x 11 TPM
Filing Fees
Flash drive containing all aforementioned items
Date: 02/08/19
~Use
D Review
D Your files
D Information
□ Bid
Any questions or comments pertaining to this project should be directed to Viktor Meum,
P.L.S.
Sincerely,
Sheila Wright
PA2022-061