HomeMy WebLinkAbout20210304_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
\\cnb.lcl\data\Users\CDD\Shared\Admin\Planning_Division\Applications\Covid-19 application update\Planning Permit Application - Covid-19.docx Rev: 05/18/2020
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 Emergency Temp. Use Permit/CDP
Development Agreement Planned Development Permit Variance
Development Plan Site Development Review - Major Minor Amendment -Code PC GP LCP
Lot Line Adjustment Parcel Map Other:
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:
DD/M0/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.
703 E. Balboa Blvd.
Owner
92661
703 E. Balboa Blvd.
Ca
3-3-21
Juvenal Alonzo
Parking spots
Great Mex Grill
(714)227-1462
Newport Beach Ca
hugocabrera1970@gmail.com
Newport Beach
Manager
703 E. Balboa Blvd.
Juvenal Alonzo
Ca
Newport Beach
3-3-21
Two
(949)675-0808
Curveside
Hugo Cabrera
hugocabrera1970@gmail.com
703 E. Balboa Blvd.
92661
hugocabrera1970@gmail.com
(949)675-0808
PA2021-042
Agreement to Provide and Maintain Liability Insurance for Temporary Use of Public Property
Agreement to Indemnify defend and hold harmless the City of Newport Beach
Emergency Temporary Use Permit No.
Business/Permittee:
Address/Location:
Unless otherwise indicated, I will obtain and maintain commercial general liability insurance on an
"occurrence" basis, including completed products and completed operations, property damage, bodily
injury and personal and advertising injury with a limit of not less than $1,000,000 per occurrence. This
insurance shall be endorsed to name the "City of Newport Beach, the City Council, its employees, and
agents" as additional insureds, and provide that this insurance is primary and non-contributory with any
other insurance or self-insurance available to the City. Permittees shall also maintain workers'
compensation as required by the State of California with Statutory Limits, and Employer's Liability
Insurance with a limit of not less than $1,000,000 per accident for bodily injury or disease. The Workers'
Compensation policy shall be endorsed with a waiver of subrogation in favor of the "City of Newport
Beach, the City Council, its employees, and agents." If permittee maintains broader coverage and/or
higher limits than the minimums provided in this Section, the City requires and shall be entitled to the
broader coverage and/or higher limits maintained by the permittee. All policies shall be issued by an agent
or representative of an insurance company licensed to do business in the State of California, which has
one of the three highest or best ratings from the Alfred M. Best company. All insurance policies shall
contain an endorsement obligating the insurance company to furnish the Community Development
Director with at least thirty (30) days written notice in advance of the cancellation of the policy. I
understand the City reserves the right to require a permittee to submit the requisite insurance documents
for review at any time.
Permittees shall agree to defend, indemnify and hold harmless the City and its employees from and
against any and all claims, demands, obligations, damages, actions, causes of action, suits, losses,
judgments, fines, penalties, liabilities, costs and expenses (including without limitation, attorney's fees,
disbursements and court costs) of every kind and nature whatsoever which may arise from or in any
manner relate (directly or indirectly) to the issuance of the emergency temporary use permit. This
indemnification shall include, but not be limited to, damages awarded against the City, if any, costs of suit,
attorneys' fees, and other expenses incurred in connection with such claim, action, or proceeding whether
incurred by applicant, City, and/or the parties initiating or bringing such proceeding..
An approved and executed permit constitutes a contract between the City and Permittee for all purposes.
On behalf of the business/permittee:
Print Name and Title
Signature Date
703 E. Balboa Blvd.
Hugo Cabrera
3-3-21
Great Mex Grill
PA2021-042
City of Newport Beach
Temporary Use Permit Program
Date:________________
Business: ______________________________________
Address: _______________________________________
Business Owner's Signature:
Site Plan
703 E. Balboa Blvd.
Great Mex Grill
3-3-21
PA2021-042