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Community Development Department Planning Permit Application 100 Civic Center Drive 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 Seasonal D < 90 day 0>90 days D Modification Permit
D Staff Approval D Tract Map D Traffic Study D Use Permit -□Minor □Conditional
D Waiver for De Minimis DevelopmentD Coastal Residential Development D Condominium Conversion D Comprehensive Sign Program D Development Agreement
D Off-Site Parking Agreement D Planned Community Development Plan D Planned Development Permit
D Amendment to existing Use Penmit
[!) Emergency Temp. Use Permit/COP D Variance D Development Plan D Lot Line Adjustment
D Site Development Review - D Major D Minor D Parcel Map
0 Amendment -□Code □PC □GP OLCP D Other: 2.Project Address(es)/Assessor's Parcel No(s)I 251 E Coast Hwy Newport Beach, CA 92660
3.Project Description and Justification (Attach additional sheets if necessary):
4.
5.
6.
Temporary outdoor seating for guests due to pandemic
Applicant/Company Name I FM Restaurants Signature OpCo, LLC
Mailing Address J 11065 Knott Ave
City I Cypress
Phonej562-346-1200 I Fax
State icA Suite/Unit I AI Zip 190630
Email I Licensing@XperienceRG.com
Contact/Company Name I Xperience Restaurant Group
Mailing Address j 11065 Knott Ave
City J Cypress
Phone 1562-346-1200 I Fax
Property Owner Namel Russell Fluter
Mailing Address j 2025 W. Balboa Bl.
City j Newport Beach
Phone 1949-673-3777 J Fax
State jcA Suite/Unit IA I Zip 192663 J Email I Licensing@XperienceRG.com
State I CA Suite/Unit I I Zip 192663 I Email I FluterProperties@gmail.com
I I I I I I I I I I I I
7.Property Owner's Affidavit*: (I) (We) �1----------------------�depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) (We) furthercertify, under penalty of perjury, that the foregoing statements and answers herein contained and the informationherewith submitted are in all respects true and correct to the best of (my) (our) knowledge and belief.
Signature(s): -----�..--'----""'---�c.._-_?��-::::----___ Title:,__] _a_w_/J_�_-_· __ __,, Date: I r/21 /� 1 I� DD/MO/YEAR
Signature(s): _______________ Title: '-----------� Date:I ,_ _____ ___.,
*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.
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PA2021-097
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PA2021-097
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:
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Print Name and Title
PA2021-097
~trr&~\ Site Plan
City of Newport Beach
Temporary Use Permit Program Business: Business Owner's Signature: I;: _\ ,I")
u ~Ill!':~ Date: Address. 5=-.t,,:-E.""~\►
PA2021-097
PA2021-097Seating plans
Specifications
10 tables
40 seats (4 per table)
Will occupy 6 parking sta lls
4 to 6 propane heaters
Q Tables
D Seats
Q Heater
NOTE: Not to scale
Sol Newport Beach - Deck Specifications
• Frame up 20’ x 38’ platform with 42” railing around platform
• Install 6’ x 6’ post to hold up platform 2” off the ground
• Install ramp with railing
• Platform to be made with 2x10 1’ plywood
• Railing to be made with 2’ x 4”
• Install 4x4 post 10’ high
• Install LED lights to light up patio
o Lights would be strung from 10’ tall pressure treated wood posts at each corner
of the deck. Additional posts may be installed between the corners to ease the
tension as needed.
PA2021-097