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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: ________________________________________________________________________________________