HomeMy WebLinkAboutPA2022-0195_20220920_ApplicationCommunity Development Department
Planning Permit Application
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
D Coastal Development Permit D Limited Term Permit -
D Waiver for De Minimls Development D Seasonal D < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
~ 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)
CITY OF NEWPOHT BEACH
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
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 □LCP
D Other:
14440 Von Karman Ave., Newport Beach, CA 92660 (APN: 445-131-09)
3. Project Description and Justification (Attach additional sheets if necessary):
1 lot parcel map to facilitate condo conversion of existing office building
4. Applicant/Company Name I SCF-4440 VKA, LLC
Mailing Address 118565 Jamboree Road Suite/Unit ';:I 2=0=0=====',
City I Irvine State I CA I Zip 192612
Phone I (949) 417-1396 I Fax ,.____ ____ __,J Email I tbitney@shopoff.com
5. Contact/Company Name I Wyatt Prichard
Mailing Address 1
18565 Jamboree Road Suite/Unit ';:I
2=0=0=======I
Cityllrvine StatelcA I Zipl 92612 I
Phone I (949) 769-6736 J Fax ~----~J Email I wprichard@shopoff.com J
6. Property Owner Name J SCF-4440 VKA, LLC I
Mailing Address 1
18565 Jamboree Road Suite/Unit -;:I
2=0=0=======I,
City I Irvine State I CA I Zip 192612 I
Phone I (949) 417-1396 I Fax ~----~I Email I brupp@shopoff.com I
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: I Exec. VP -Real Estate I nate: 19/01/2022
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.
I :\Users\CDD\Shared\Admln\Plannlng_Dlvlslon\Appll catlons\Applicatlon_ Guidellnes\Planning Perm it Appllcation_2021.docx Rev: 01124117
PA2022-0195
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:
________________________________________________________________________________________