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100 Civic Center Drive Planning Permit Application 11/ ,s 11 Newport Beach, California 92660
949 644-3200
newportbeachca.gov/communitydevelopment
1. Check Permits Requested:
D Approval-in-Concept -AIC #
D Coastal Development Permit
D Lot Merger
D Limited Term Permit -
D Staff Approval
D Tract Map
0 Waiver for De Minimis Development O Seasonal D < 90 day 0>90 days D Traffic Study
D Coastal Residential Development D Modification Permit D Use Permit -□Minor □Conditional
D Condominium Conversion D Off-Site Parking Agreement D Amendment to existing Use Permit
D Variance D Comprehensive Sign Program D Planned Community Development Plan
D Development Agreement D Planned Development Permit 0 Amendment -□Code □PC □GP OLCP
Bc)ther: oe~~<-a-'-\,o . .s .... bE-. 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)
I r?-, """"p..,(1-,...JE... ~E.__
3. Project Description and Justification (Attach additional sheets if necessary):
I
4. Applicant/Company Name I C...Ll,,!-l~L-~ ~ ?t2--o\-.:::;;....i-::-r L'=--!:> I
Mailing Address I ,~.,_ H~v-.1.e... ~ Suite/Unit ';:::=========~I
City 1 ~fo.L==r ~p-Ac._'""4 State I c:::t,t:::.._ I Zip I q2-b<=. '2-
Phone ~4«9 --b-1S---%':sou I Fax~----~J Email~-----------~
5. Contact/Company Name I "'DA-1 \E.. l--f.-'\ l t-L,e;.. l. I
Mailing Address I \~'"1. ~l,...1£.... JA-.-..J,._ Suite/Unit I I
City I ,.Jli==-v-Jro~ ~e ~ State I C-A-I Zip I q ~"' '2-I
Phonel~~-~s,-+'ti2...../ Fax'--1 ____ ~J Email! Ao..V'\v~k>..-4-Q~~\,c..cw,J
6. Owner Name I C.... 11• /\ '2--l.-i;... ~ ~...i""";:,TLE. ,~ I
Mailing Address I l.l-7 µp..a._ ,..JE.. ,,_ve..... · Suite/Unit ';::::========:::::,I
City I ~ ~~ ~.1.-1.--State ~I _&-;:::=.p....====:::::1--=z:.:.i:iP:...'.1=~=~==£:.=?-====;
Phone I J Fax J Email'---------------~
7. Property Owner's Affidavit*: (I) (Yve) I ""Se.e.. 0 r~(Z..... l-,\~"1,'E... .tl-~t"
depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) (Yve) 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.
Sig t~ , ~,w Title:I ?....,__.,....i,.., loate:I •s-{,i],4 ~ DD/MOtEAR
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.
FOR OFFICE USE ONLY\
Date Filed: _______________________ 2700-5000 Acct.
APN No: __________________________ Deposit Acct. No. ________________________
Council District No.: _________________ For Deposit Account:
General Plan Designation: ____________ Fee Pd: _______________________________________
Zoning District: _____________________ Receipt No: ____________________________
Coastal Zone: Yes No Check #: __________
Visa MC Amex # ____________
CDM Residents Association and Chamber
Community Association(s): _______________________ Development No: __________________________
_____________________________________________ Project No: ________________________________
_____________________________________________ Activity No: _______________________________
Related Permits: ___________________________
APPLICATION Approved Denied Tabled: _________________________
ACTION DATE
Planning Commission Meeting
Zoning Administrator Hearing
Community Development Director
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
APPLICATION WITHDRAWN: Withdrawal Received (Date): ________________________
APPLICATION CLOSED WITHOUT ACTION: Closeout Date: ________________________
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
11.15.2019
050 172 23
5
MU-W2
MU-W2
PA2019-234
BALBOA ISLAND BUSINESS ASSOC.
LITTLE BALBOA ISLAND P.O. ASSOC.
BALBOA ISLAND IMPROVEMENT ASSOC.
D2019-0561
OL2019-004
PA2019-234
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PA2019-234
Operator License Application
Community Development Department
Planning Division
100 Civic Center Drive/ P.O. Box 1768 / Newport Beach, CA 92658-8915
(949)644-3204 Telephone/ (949)644-3229 Facsimile
www.newportbeachca.gov
General Information
1. Project Address:
2. Assessor's Parcel No(s).: _____________________________ _
3. Legal Description:--------------------------------
4. Business Name: , , ha. v ''-'--""""'°"• ,...i..J. --~----~-~~~---------------------
5. Business Phone Number: c=::\'-\-c:; -t-""l ~ -~ ~o a
6. Anticipated Occupancy: __ \_~;c....._o _________________________ _
7. Date Business Acquired: ~,,_ 2-o \"1-
8. Date Business Operations Will begin: ,...._ pg-'2....c, 1~
9. What are the hours of operations for the establishment? 7,-.....,..o -\) ~ ~A,'--'"(
10. Type of Alcohol Beverage Control License held or sought: __ 4_7~_S--_8 __________ _
11. Does the proposed establishment offer live entertainment? Yes ~o D
If ye,s, please explain and note the hours live entertainment is conducted:
0 ~0 w~ --Sp,,.-r ll ?~ -l \-pi4
-Su,-\ l"f>i-A -I Ora-\
12. Does the proposed entertainment include activities defined by Section 5.28.010(1 )*? YesO No W
If yes, please explain:
13. Does entertainment include dancing*? Yes D No~
If yes, please explain:
F:\Users\CDD\Shared\Admin\Planning_Division\Applications\OL
Updated 07/24/13 (seal-07/01/16)
PA2019-234
14. Is there a cover charge or door entry fee? Yes D No~
If yes, please explain:
15. Is the premise being rented or leased or being purchased under contract? Yes D No~
If yes, please attach a copy of the lease or contract. Initial here if so attached: j
'·.
16. Has the owner or owners ever operated in this or any other County, Ci~tate under an entertainment
establishment license/permit or similar business license? YesD No~
If yes, please E:l2(plain:
17. Has the owner or owners ever had such a license revoked or suspended and the reason therefore, and the
business entity or trade name under~h the business owner operated that was subject to the
suspension or revocation? Yes ~
If yes, please explain:
18. Provide a detailed written statement describing the operation of the establishment. This document will
serve as the formal statement to the Chief of Police describing the operation of the establishment and why
it should be approved. Please include any relevant information which supports the application and the
required findings pursuant to Section 5.25.050.B, which are noted on Operators the information sheet
(attach a separate sheet if necessary).
~\..4.._..., ? E=,2, .it~~ ~-no....l, ,J~._~'b,, ....lht F~'-\--~'-l, -.,...~L-E..
-"t,~' c...&... "6€:...'--'E' ~ ~ap_.✓\ '-E..,. ,t-\,c>'-;s-TE,.b f!."-'-£,,...YT""'> M t.A. ... -r \ -t::...o '-"'p.,'1,-...
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,,-.1 ~~-.......1 ~ ~~"'> .--.lb ~,Jt:-'T'1c. .J.~.
PA2019-234
19. Please attach a Security Plan. Initial here if so attached: ..... I _______ __,
The Security Plan shall address the following:
• Number of security personnel or ratio to patrons
• Qualifications of security personnel (e.g. Guard Card, Private Security License, etc.)
• Basic operation plan for security
• Plan for controlling loitering, noise, over-crowding, elicit activity, and objectionable conditions
20. Please attach a plan, if any, for contact with the Police Department, neighboring residents or businesses in
the event of planned activities or emergencies. Initial here if so attached: I I
Business Owner(s)
Attach information about the business owners or principals . If the enterprise is a corporation or LLC, list all officers . If this
is a partnership, list all general partners and if it is a sole proprietorship, list the owner information . If required, attach
if}{QL.mation about additional owners on a separate sheet.
(_~A~ Name: C> ~\ ~ '--LI-\ , ~ Alias (es): _____________ _
Address: 1-i.."i k~,,...\e::. ~-
City/State/Zip: ~po~'""T!.e..Ac..'4-C.p... ..:::i.'"1--lcoC.. ,_
\-'
Phone:4~~ -~s-, -Y::7'i ~ Fax : _________ Email : d\o...'1/\.v i \..;,,.A-\--e._~~l -c.,~
California Driver's License No.: ---"':0::....~-=-3-....,,_4._._9,,_.,__~.........,.~~C:--------------------
Name : C. ~\..-1=----:. ~ • ..Jc,.~ Alias (es): _____________ _
Address: 4 cJ-=-, ~e--, ~~:t::>~
j
Phone:~b2.-c:td-7 -~~~\ Fax: _________ Email: C...V""-'---:::r-~&.ol. c...ov-.r--,.
California Driver's License No.:
Property Owner(s)
Name : C...H-A-a-L-...E...... \.L., ,.._i. c;.,-,c.fl-Alias ( es): ______________ _
Address: ?t :> ~ ~E=--P--P---.t-:... ~
City/State/Zip: L-~"--'--1,.... ~c.. \A-. C-A. ':=f '""l...<.-S"" \
Declaration
(l)(We) herby certify that (l)(We) have read, understand, and intend to comply with all the operational
requirements of Section 5.25 of the Newport Beach Municipal Code.
(I)~ C-~'-""~~ \.!-u.i.-:,""'n-,.._J1.--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 o_f (my) (o~nelief. n
Srgna~ •• &~ Date: ________ _
Signature : C-k4:\~ L-----"'----e Date: ________ _
PA2019-234
CLK Island Properties
127 Marine Avenue
Newport Beach, CA 92662
Dba: The Village Inn
925-351-4782
City of Newport Beach
Community Development Department
100 Civic Center Drive
Newport Beach, CA 92658-8915
Re: Security Plan
November 12, 2019
The Village Inn operates with an interior and exterior camera system as well as an alarm system. Our
team has been provided TIPS training to mitigate alcohol related incident and staff understand our liabilities. In-
house management is tasked with handling guest situations or circumstances with professionalism. Our entire staff
is involved in the communication about guest misbehavior and issues are addressed with expedience, dignity, and
professionalism by our team. If guests are asked to depart the restaurant, they are offered transportation services
through Uber, Lyft, or Taxi. On the extremely rare occasion of a physical incident, the police department is
contacted immediately.
The Village Inn