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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: ________________________________________________________________________________________ □ □ □ □ □ □ □ □ 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