HomeMy WebLinkAboutPA2023-0033_20230203_PLANNING APPCommunity Development Department
Planning Permit Appl ication
1. Check Permits Requested:
D Approval-in-Concept -AIC # D Lot Merger
D Coastal Development Permit D Limited Term Permit -
D Waiver for De Minimis Development D Seasonal D < 90 day 0>90 days
D Coastal Residential Development D Modification Permit
D 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 Ii] Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
I2320.Pacific Drive, Corona Del Mar APN 459-102-11
CITV OF NEWPORT BEACH
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca .gov/comm unitydevelopment
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit -□Minor □Conditional
D Amendment to existing Use Permit
D Variance
□ Amendment -□Code □PC □GP □LCP
D Other:
3. Project Description and Justification (Attach additional sheets if necessary):
Tentative Parcel Map for Condominum Conversion
4. Applicant/Company Name 12322 Pacific, LLC I
Mailing Address 1220 Newport Center Drive Suite/Unit I 11 -252 I
City !Newport Beach State lcA I Zip 192660 I
Phone 1310-926-2290 I Fax~IN_/A ____ j Email !reza@moalejbuilders.com I
5 _ Contact/Company Name !Toal Engineering, Inc Sheila Wright j
Mailing Address 1139 Avenida Navarro ~ _____ S_u_ite/Unit ';=============~I
City lsan Clemente State lcA I Zip 192672 I
Phone 1949-492-8586 I Fax 1949-498-8625 I Email lswright@toalengineering.com I
6. Property Owner Name =I 2=3=2=2=P===a=c=if1=· c=, =L=L=C============================,------;:::============::::;'I
Mailing Address 1220 Newport Center Drive Suite/Unit I 11-252 I
City I Newport Beach State lcA I Zip 192660 I
Phone !310-926-2290 I Fax~IN_/A ____ j Email !reza@moalejbuilders.com I
7. Property Owner's Affidavit*: (I) (We) 12322 Pacific, LLC I
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 tot e-best of (my) (our) knowledge and belief. ,,.
. ~·· _,,.. .. -.-· ---z___ I {!) .. , ,/ //1,,, ,/ Signature(s): _,./ ----Title: · ~ ---;r--=-~-----'7""'"-~~--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.
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 Ofo"'°'t. } ss. 1 .
On 3etn,uCJ:1 "Lb , 20~ before. me , l)JC;o }-1'.e¼ ~Qfo1C..O
Notary Public, personally appeared PieiO\ Moc1 I~ , who
proved to me on the basis of satisfactory evidence to be the personv,1 whose name,k6) @~
subscribed to the within instrument and acknowledgfa!J to me that@/sl:re/ti<ey executed the same in
~/jJ.e'r/.iJ;teir authorized capacit~st. and that by~l}lerffeleir signaturesjgJ on the instrument the
perso!Jks'f, 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.
4::.-----------
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,
LUCIO MEZA-OROZCO
• Commmission #2432264 -,,
i Notary Public -California g:
~ , Orange County ;
••• My Comm. Expires DEC 24,2026 n
(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)
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:
________________________________________________________________________________________