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Home My WebLink AboutPA2021-286_20211203_ApplicationCommunity Development Department Planning Permit Application CITY OF NEWPORT BEACH 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca.gov/communitydevelopment 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 Staff Approval D Tract Map D Traffic Study D Use Permit -□Minor □Conditional D Condominium Conversion D Off-Site Parking Agreement D Comprehensive Sign Program D Planned Community Development Plan D Amendment to existing Use Permit Iii Emergency Temp. Use Permit/CDP D Development Agreement D Planned Development Permit D Variance D Development Plan D Site Development Review -D Major D Minor D Lot Line Adjustment D Parcel Map 0 Amendment -□Code □PC □GP □LCP D Other: 2. Project Address(es)/Assessor's Parcel No(s) j311 Marine Ave, Balboa Island 3. Project Description and Justification (Attach additional sheets if necessary): Joutdoor tables for restaurant guests 4_ Applicant/Company Name __ jR_o_y_a_l H_e_n/_R_it_a_R_e_s_t_a_u_ra_n_ts ___________ .:-=--=--=--=--=--=--=--=-..:::-'-1 Mailing Address ~ 11 Marine Ave Suite/Unit __ l,..=-_-_-_-_-_-_-_-_-_ __._I City jNewport Beach Statel _C_A ____ I Zip _192_6_6_2_~1 Phone 1(949)873-5603 I Fax ___ l ____ __.I Email IEvents@Royalhen.com I s. contact/Company Name jCynthia Shafer/ General Manager Suite/Unit __ I ____ ___.I Mailing Address ~11 Marine Ave City !Newport Beach Phone j(760)238-6901 State 1....--cA ______ I Zip ~2662 I Fax1 ....-------, Email jcshafer5@icloud.com I 6. Owner Name ,:.._lo_a-;::..n-=-ie-=-1-=-C-=-_h __ u __ e __ h ________________ _::-_-_::-_-_-_-_-_-_-_-_-_-_::-_-_-_-_-_-_---=;------~-=,-;:...-=...-=...--=-.-_-_-_--:=;I Mailing Address 116261 San Clemente I Suite/Unit ,:._I ___ ._~_;-=--=--=-===::::' City !Huntington Beach State -,C_A ____ I Zip ~2649 I Phone 1(714)719-5559 I Fax,:..__ ___ ___.I Email ~rdanchueh@gmail.com I 7. Property Owner's Affidavit*: (I) (We) jDan_iel Chueh I 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 a~. ir:7.on herewitt, submitted ar ·n all respects true and correc the best of (my) (our) knowledge and belief. ~ ~ \ Signature(s): JL. . Title: IPwner I Date:~· -}.le::__ DD/MO/YEAR y Signature(s): -------------====--T.!..!i~tle: I I Date: I ·1 ttMay 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. l:\Users\CDD\Shared\Admin\Planning_Division\Applications\Application_ Guidelines\Covid-19 application update\Planning Permit Application -Covid-19.docx Rev: 05/18/2020 PA2021-286 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: ________________________________________________________________________________________ □ □ □ □ □ □ □ □ PA2021-286 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: Q_ a.... ::) ~ \ \.--\ 't , \ Address/Location: :'::> \ \ t\ 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 Uability 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 (induding 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 includ~, but not be limited to, damages awarded aga.inst 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: PA2021-286