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HomeMy WebLinkAboutPA2022-167_20220812_Application Community Development Department Planning Permit Application CITY OF NEWPORT BEACH 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca.gov/communitydevelopment I:\Users\CDD\Shared\Admin\Planning_Division\Applications\Application_Guidelines\Planning Permit Application_2021.docx Rev: 01/24/17 1. Check Permits Requested: Approval-in-Concept - AIC # Lot Merger Staff Approval Coastal Development Permit Limited Term Permit - Tract Map Waiver for De Minimis Development Seasonal < 90 day >90 days Traffic Study Coastal Residential Development Modification Permit Use Permit -Minor Conditional Condominium Conversion Off-Site Parking Agreement Amendment to existing Use Permit Comprehensive Sign Program Planned Community Development Plan Variance Development Agreement Planned Development Permit Amendment -Code PC GP LCP Development Plan Site Development Review - Major Minor Other: Lot Line Adjustment Parcel Map 2. Project Address(es)/Assessor’s Parcel No(s) 3. Project Description and Justification (Attach additional sheets if necessary): 4. Applicant/Company Name Mailing Address Suite/Unit City State Zip Phone Fax Email 5. Contact/Company Name Mailing Address Suite/Unit City State Zip Phone Fax Email 6. Property Owner Name Mailing Address Suite/Unit City State Zip Phone Fax Email 7. Property Owner’s Affidavit*: (I) (We) 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: Date: MM/DD/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 the application. Please note, the owner(s)’ signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized. 2050 East Oceanfront, Newport Beach, CA 92661 See attached sheet Pleskow Architects 13432 Beach Ave Marina Del Rey CA 90292 310.795.4236 pleskow@pleskowarchitects.com Pleskow Architects 13432 Beach Ave Marina Del Rey CA 90292 310.795.4236 pleskow@pleskowarchitects.com SMS 2012-1 Irrevocable Trust & DAS 2012-1 Irrevocable Trust P.O. Box 12010 El Paso TX 79913 915.845.4000 915.845.4040 sschwartz@mesagroup.com Tony Pleskow Architect 08/09/2022 Anthony Pleskow Digitally signed by Anthony PleskowDN: C=US, E=pleskow@pleskowarchitects.com,O="Pleskow Architects, Inc. ", CN=Anthony PleskowDate: 2022.08.09 16:31:21-07'00' PA2022-0167 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: ________________________________________________________________________________________ PA2022-0167