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HomeMy WebLinkAboutCUP 2019-0032; TRAILBLAZER PARK WCF; Conditional Use Permit (CUP)( City of Carlsbad LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Coastal Development Pennlt Ii] CondHlonal Use ~~ Iii I IU1w1 ~tension D Day Care (Large) D Minor D Environmental Impact Assessment D Habitat Management Pennit D HIiiside Development Pennit D Minor D Minor D Nonconforming Construction Permit D Planned Development Pennit D Minor D Residential D Non-Residential D Planning Commission Detennination D Reasonable Accommodation D Site Development Plan D Special Use Pennit D Minor D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance D Minor (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) CUPZOf(]-~ D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change □Amendment D Amendment D Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Pennlt D Administrative D Minor D Major Vlllaa, Review A ma Permits D Review Permit ~ 0 Administrative Qrf'lt 6¥1 ~~°RI.:~ JAN O 4 2024 PLANNING DIVISION NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT'. PLEASE CONTACT THE APPOINTMENT SPECIALIST AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT. "SAME DAY APPOINTMENTS ARE NOT AVAILABLE ASSESSOR PARCEL NO(S): 208-01 0-3 8 ---------------------------------- LO CAT 10 N OF PROJECT: 3465 Trailblazer Way ----------------------------------(STREET ADDRESS) NAME OF PROJECT: CCI Trailblazer Park #831227 BRIEF DESCRIPTION OF PROJECT: Renewal of CUP for existing Wireless Telecommunication Facility PROJECT VALUE (SITE IMPROVEMENTS) NA ESTIMATED COMPLETION DATE N/A FOR CITY USE ONLY Development No. j)x;,\J 1.019-Q\ 79 Lead Case No. P-1 Page 1 of6 Revised 10120 OWNER NAME (PLEASE PRINT) APPLICANT NAME (PLEASE PRINT) Crown Castle INDIVIDUAL NAME INDIVIDUAL NAME {if applicable): (ir applicable): COMPANY NAME (if applicable) : City of Carlsbad COMPANY NAME (if applicable): Crown Castle MAILING ADDRESS: 1635 Faraday Avenue MAI UNG ADDRESS: 200 Spectrum Center Drive, Suite 1700 CITY, STATE, ZIP: Carlsbad, CA 92008 CITY, STATE, ZIP: Irvine, CA 92618 TELEPHONE: TELEPHONE: EMAIL ADDRESS: EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO KNOV\/1...EDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURPOSES OF THIS AP PUCA TION. ~~ ~~ 12119/23 12-19-23 SIGNATURE _n, DATE SIGNATURE ____ ')£, DATE APPLICANT'S REPRESENTATIVE (Print): Jill Cleveland, Plancom Inc. MAILING ADDRESS: 16776 Bernardo Center Drive, Unit 203 CITY, STATE, ZIP: San Diego, CA 92128 TELEPHONE: 760-420-4833 EMAIL ADDRESS: j ii I .cleveland@plancominc.com I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOV\/1...EDGi_ff ( ~ 11/30/23 SIGNATUJ{'1 DATE IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. ~ ~n- PROPERTY owHERsiGNATURE FOR CITY USE ONLY DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of6 Revised 10120 Indemnification and Insurance Requirement for Village Area Administrative Permit Certification Statement: I Certify that I am the Legal Business Owner of the subject business and that all of the above information is true and correct to the best of my knowledge. I agree to accept and abide by any conditions placed on the subject project as a result of approval of this application. I agree to indemnify, hold harmless, and defend the City of Carlsbad and its officers and employees from all claims, damage or liability to persons or property arising from or caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or the operation of the subject business on the public sidewalk pursuant to this permit unless the damage or liability was caused by the sole active negligence of the City of Carlsbad or its officers or employees. I have submitted a Certificate of Insurance to the City of Carlsbad in the amount of one million dollars issued by a company which has a rating in the latest "Best's Rating Guide" of "A-" or better and a financial size of $50-$100 (currently class VII) or better which lists the City of Carlsbad as "additional insured" and provides primary coverage to the City. I also agree to notify the City of Carlsbad thirty days prior to any cancellation or expiration of the policy. The notice shall be delivered to: City Planner City of Carlsbad 1635 Faraday Avenue Carlsbad The insurance shall remain in effect for as long as the property is placed on the public sidewalk or the business is operated on the public sidewalk. This agreement is a condition of the issuance of this administrative permit for the subject of this permit on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in compliance with the subject approved permit. Signature ___________________ _ Date: __________ _ Certification Statement: I Certify that I am the Legal Property Owner for the subject business location and that all of the above information is true and correct to the best of my knowledge. I support the applicant's request for a permit to place the subject property on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as tong as outdoor displays are permitted within the Village Review Area and the permittee remains in compliance with the subject approved permit. ~~Je, Signature---------~-----------Date: __________ _ P-1 Page 3 of6 Revised 10120 • (_ City of Carlsbad AUTHORIATION, CONSENT, AND DISCLOSURE STATEMENT Development Services Planning Division 1635 Faraday Avenue 442-339-2600 www.carlsbadca.gov P-1 (A) [fil APPLICATION AND ACKNOWLEDGEMENT INFORMATION This submittal form (Part A through Part F) must be completed as part of your applicatior(Jt1f1r' «@f-C{M RI_:_:; I::l AD of Carlsbad. Your project cannot be reviewed until this information is completed. PART A. Owner Authorization and Consent JAN O 4 2024 PLANNING DIVISION NOTE: This Consent and Disclosure Form must list the name of the principal owners (10% or greater) and attach a copy of the current corporate articles, partnership agreement, or trust document, as applicable. Provide name(s) of the person(s) authorized to sign on behalf of the organization. (A separate page may be attached if necessary.) IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE IND/CA TE NOT-APPLICABLE (N/A) IN THE SPACE BELOW. This is to certify under penalty of perjury that the undersigned is/are the record owner(s) of the property known as: Assessor's Map Book, Page and Parcel (APN/APNs): ________________ _ _ 2_0_8_-0_1_0_-3_8 _________________________ ; and Street Address (if applicable): __ 3_4_6_5_T_r_a_ilb_l_az_e_r_W_a_y _____________ _ that I/we (full legal name of all record owners) consent to the filing of the Land Use Review Application on our property for processing by the City of Carlsbad Planning Division. I/We declare under penalty of perjury that I/we have reviewed this Affidavit and the information is true and correct. Name: Curtis Jackson, Real Estate Manager Signature: ~ ~JI,,, Name: _________________________ _ Signature: ________________________ _ Name: _________________________ _ Signature: ________________________ _ (For additional names, please use a separate sheet of paper) Page 1 of 6 P-1 (A) F om, Rev 6/2023 • IMPORTANT: A Grant Deed is required if the ownership does not match city records. Ownership on the deed must correspond exactly with the ownership listed. if the owner noted on the Grant Deed does not match the person signing as Property Owner, provide paperwork documenting the person signing is authorized to sign as a Property Owner. Whenever any excavation, fill, or other project-related improvement requires entry onto adjacent property for any reason, the Land Use Review Application shall include the written consent or legal easements or other property rights of the adjacent property owner or their authorized representative, and shall include such consent with the application package. The application will not be deemed complete unless and until all necessary consent documents are so filed. The consent shall be in a form acceptable to the City Planner. If the proposed improvements on the adjacent property change the nature of the property's development rights (or implied bundle of rights), the city might require recordation of a Covenant and Agreement for Offsite Improvements and Release of Liability as a condition of project approval. Does the project's limits of disturbance encroach on property not owned by the Property Owner? D Yes 0 No If yes, attach adjacent owner authorization. PART B. Owner Declarations (to be signed by Property Owner) I/We hereby certify under penalty of perjury that I have read the information below and that: 1. I/We understand that it is the responsibility of the Applicant to substantiate the request through the requirements of the application. 2. I/We understand that if there is a zoning violation on the property, application review may be delayed. Any unpermitted structures or uses must either be removed or legalized at part of this application. 3. I/We understand that if this application is approved, I/we may be required to record a covenant with the County Recorder's Office, the form and content that is satisfactory to the City and its City Attorney, to notify future owners of the project approval and restrictions. 4. If this Land Use Review Application is approved or conditionally approved, I/we hereby certify that I/we will comply with all conditions attached to the approval action. I/We understand that the failure to comply with any conditions shall constitute grounds for the revocation or modification of the approval, perm ft, or other authorizations provided. 5. Prior to any use of the project site pursuant to the permit issued, all conditions of approval (if any) will be completed or secured in the manner as stated or required. /? ~-~Jt, Property Owner Signature{s): -~L,a,U.U-c:.._ ___ ~~~------------------- Name(s): Curtis Jackson, Real Estate Manager Date, 12/19/23 Page 2 of 6 P-1(A) Fann Rev612023 • PART C. Project Team Information {complete all applicable fields} Applicant: D Same as Owner ~ Different from Owner Name (if different from Owner): _________________________ _ Company or Firm: Crown Castle ------------------------ Cont a ct Address: 1 Park Place, Suite 300 City: Dublin State: _C_A __________ Zip Code: _9_4_5_6_8 __ _ Agent or Representative: D Same as Applicant □ Different from Applicant □N/A Name (if different from Applicant): Jill Cleveland ------------------- Company or firm: Plancom Inc. ------------------------ Contact Address: 16776 Bernardo Center Drive, Unit 203, City: San Diego State: CA Zip Code: 92128 ------------'---=------ Other (specify Architect, Engineer, CEQA Consultant, etc.): _______________ _ Name: __________________________________ _ Company or Firm: _______________________________ _ Contact Address: _______________________________ _ City: ___________ State: ----------~Zip Code: _____ _ NOTE: A Letter of Authorization (LOA) from the Property Owner empowering a person or persons to act on the behalf of the Property, is required if anyone other than the Property Owner signs the Lond Use Review Application as the Applicant or Agent. The authorized person (Applicant or Agent) an the LOA must correspond with the name and signature, above. PART D. Single "Point of Contact" Designation A single Npoint of contact" is an individual that handles all communications with the city and its review team for the purposes of sending and receiving application materials, information, reports, etc. The point of contact is to be the single individual elected on the land Use Review Application form for all communications and to remain as the primary contact for all status updates relating to the Land Use Review Application. Single Point of Contact: D Applicant □ Property Owner 0 Agent □Other ________ _ Page 3 of 6 P-1(A) Form Rev6/2023 • PART E. Contribution Disclosure Has the Property Owner, Applicant, or Agent had more than $900 worth of business transacted with any member of city staff, Boards, Commissions, Committees and/or Council within the past 12 months? D Yes D No If yes, indicate person(s): ____________________ _ NOTE: Attach additional sheets if necessary. PART F. Applicant Declarations (to be signed by Applicant) I hereby certify under penalty of perjury that I have read the information below and that: 1. I have carefully reviewed and prepared the application and plans in accordance with the instructions. 2. I understand that the specific information needed to initiate planning case processing corresponds to those items listed in the application form's "Minimum Submittal Intake Requirements Checklist." I also understand that even if the application is duly filed and accepted for intake processing, each application submitted to the Planning Division is required to have specified information included in the application packet before it is determined to be complete. The specific information to determine completeness is in "Completeness Determination Requirements Checklist." 3. The Planning Division has developed policies to help ensure that discretionary permit applications are timely processed. The Permit Streamlining Act shot clock starts on the intake date the Planning staff accepts a duly filed application. 4. I understand that once an application is determined to be complete, project or design changes that will increase the number of units, add uses that were not previously listed, substantially change the site plan, or other changes that trigger the need for additional discretionary approvals will require a new application, or the filing of other application permit types, which would restart the review "clock" and extend processing timelines. 5. I understand that upon city review, additional information, documents, reports, entitlements and fees might be required, including any referral fees. I understand that all fees and deposits submitted with this application will be refunded only as provided for by the ordinances, regulations, or policies in effect at the time of the application submittal. 6. I understand that it is my responsibility to ensure that statements are true, that discrepancies do not exist between the project's description on the application, the architectural plans and the structural plans. If discrepancies exist between the architectural plans and the structural plans, the architectural plans shall take precedence. Ultimately, the scope of work, as described on the permit that authorizes construction, takes precedence over the plans. If there is a discrepancy between the plans and the description on the permit, the permit governs. Page 4 of 6 P-1(A) Form Rev612023 7. I understand that all materials submitted in connection with this application might become public record subject to inspection and copying by the public. J acknowledge and understand that the public might inspect and copy these materials and that some or all of the materials might be posted on the city website or elsewhere on line, outside of the city's control. 8. I understand there are no assurances at any time, implicitly or otherwise, whether provided to me in writing or by oral communications regarding final staff recommendations to the decision- making body about this application or the determination of any decision-making body. 9. If the project is approved or conditionally approved, the approved plan set of project drawings, civil plans/grading, sections, site plans, floor plans, architectural elevations, and landscape plans shall not be altered without express authorization by the City Planner. Once a permit has been issued, the Applicant may request permit modifications. "Minor" modifications might be granted if found by the City Planner to be in substantial conformity with the approved plan set, including all exhibits and permit conditions. Modifications beyond the scope described in the approved plan set might require submittal of an amendment to the permit and approval by the authorized review body. 10. Should any proponent of the project fail to file a timely and valid appeal of the permit within the applicable appeal period, such inaction shall be deemed to constitute acceptance of the permit by the Applicant; and agreement by the Applicant to be bound by, to comply with, and to do all things required of or by the Applicant pursuant to all of the terms, provisions, and conditions of the issued permit or other approval. 11. As part of this application, the Applicant hereby agrees to defend, indemnify, and hold harmless the City of Carlsbad, its Council, boards and commissions, officers, employees, volunteers, and agents from any claim, action, or proceeding against the City of Carlsbad, its Council, boards and commissions, officers, employees, volunteers and agents, to attack, set aside, void or annul an approval of the application or related declsion, including environmental documents, or to challenge a denial of the application or related decisions. 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, causes of action, suit or proceeding whether incurred by Applicant, city, and/or the parties initiating or bringing such proceeding. The Applicant shall indemnify the city for all of the city's costs, attorneys' fees, and damages that the city incurs in enforcing the indemnification provisions set forth herein. The Applicant shall pay to the city upon demand any amount owed to the city pursuant to the indemnification requirements prescribed. Page 5 of 6 P-1{A) Form Rev6/2023 By signing below, I hereby agree to defend, indemnify and hold harmless the city and I certify that the application I am submitting, including all additional required information, is complete and accurate to the best of my knowledge. I understand that any misstatement or omission of the requested information or of any information subsequently requested might be grounds for rejecting the application, deeming the application incomplete, denying the application, suspending or revoking a permit issued on the basis of these or subsequent representations, or for the seeking of such other and further relief as deemed by the City of Carlsbad. Applicant Signature: µI ~ Q Name: Jill Cleveland, Plancom Inc., agent for Applicant Date: 12/18/23 -------- This form must be stapled/attached to the application and shaff be effective until replaced or revoked in writing. Page6of6 P·1(A) Fonn Rev 6/2023