HomeMy WebLinkAboutCUP 09-05; INNOVATIVE TIME; Engineering Application• CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits
D Environmental Impact Assessment
D Administrative Permit
D Coastal Development Permit (d)
D Minor
~ Conditional Use Permit (d)
D Minor D Extension
D Condominium Permit
D Habitat Management Permit D Minor
D Hillside Development Permit (d)
D Planned Development Permit D Non-Residential
D Planned Industrial Permit
D Planning Commission Determination
D Site Development Plan
D Special Use Permit
D Tentative Tract Map
2) ASSESSOR PARCEL NO(S).
(FOR DEPT. USE ONLy)
D Variance
D Administrative
Legislative
D General Plan Amendm'ent
c,ufD'i .... o? D Zone Change (d)
D Local Coastal Program Amendment
1-------1 (d)
D Zone Code Amendment
D Master Plan D Amendment /------...,
-0 Specific Plan D Amendment
. List other applications not specified
(FOR DEPT. USE ONLy)
3) PR'OJECT NAME: r(ll'\~ '!Ie.. ~ Y"h-e...
4). BRli:I\DESCRIPTIDNDFPROJECT: ~ ~,~ r:r~:: ..fh.e.. '1\!g.(lItwt~S. G<epll?\C(L_4_'_~ ____ _
cuJoilll,ks.
CITY AND STATE ZIP TELEPHONE
Nf'"A B~~
EMAIL ADDRESS: LA-i2-Aft€d-Ilec:Ne (j) YAHoo. Lot"""
I CERTIFY THAT AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATIO IS UE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Form 14 Rev. 01/09
6) APPLICANT NAME (Print or Type)
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THEB~~E., SIGN~ , D74' ltf't
PAGE 1 OF 4
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7) ~ ~ oj Pucd fYIr&p A roc ,5"(pt7
8) LOCATION OF PROJECT: 5858 £dd SdYl PI tLeJ...
STREET ADDRESS
ON THE I SOu..fi I
(NORTH, SOUTH, EAST, WEST)
SIDE OF I Ed; 5tj' .. _ (Jlv<~ I
(NAME OF STREET)
BETWEEN IC~ (Ada. lei>-fd ~DI I
(NAME OF STREET) (NAME OF STREET)
9) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY
STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS 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.
10) NOTICE OF RE RICTI N: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF
RESTRICTION IN ECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE
APPLICANT. 1: F RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
FOR CITY USE ONLY
, Form 14 Rev. 01/09
JUL 0 ,6 2009'
CITY O'F CARLSBAD
PLANNING DEPT
DATE STAMP APPLICATION F~ECEIVED
RECEIVED BY:
PAGE 2 OF 4
APPENDIXA .
$TORM WATER STANDARDS qUESTIONNAIRE.
I INSTRUCTIONS:
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision and land use planning approvals and construction permits). The results of the questionnaire determine
the level of storm water pollution prevention standards applied to a proposed development or redevelopment
project. Many aspects of project site design are dependent upon the storm water pollution protection standards
applied to a project.
Applicant responses to the questionnaire represent an initial assessment of the proposed project conditions and
impacts. City staff has responsibility for making the final assessment after submission of the development
application. A staff determination that the development application is subject to more stringent storm water
standards, than initially assessed by the applicant, will result in the return of the development application as
incomplete.
If applicants are unsure about the meaning of a question or need help in determining how to respond to one or
more of the questions, they are advised to seek assistance from Engineering Department Development Services
staff.
A separate completed and signed questionnaire must be submitted for each new development application
submission. Only one completed and signed questionnaire is required when multiple development applications for
the same project are submitted concurrently. In addition to this questionnaire, applicants for construction permits
must also complete, sign and submit a Construction Activity Storm Water Standards QUestionnaire.
To address pollutants that may be generated from new development, the City requires that new development and
significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices
(BMPs) into the project deSign, which are described in Chapter 2 of the City's Storm Water Standards Manual This
questionnaire should be used to categorize new development and significant redevelopment projects as priority or
non-priority, to determine what level of storm water standards are required or'ifthe project is exempt.
I 1. Is your project a significant redevelopment?
Definition:
Significant redevelopment is defined as the creation, addition or replacement of at least 5,000 square feet of
impervious surface on an already existing developed site.
Significant redevelopment includes, but is not limited to: the expansion of a building footprint; addition to or
replacement of a structure; structural development including an increase in gross floor area and/or exterior
construction remodeling; replacement of an impervious surface that is not part of a routine maintenance activity;
and land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces
includes any activity that is not part of a routine maintenance activity where impervious material(s) are removed,
exposing under/ying soil during construction.
Note: If the Significant Redevelopment results in an increase of less than fifty percent of the impervious surfaces of
a previously existing development, and the existing development was not subject to SUSMP reqUirements, the
numeric sizing criteria discussed in Table 3 of 2.3.3.4 applies only to the addition, and not to the entire
development.
2. If your project IS considered significant redevelopment, then please skip Section 1 and proceed with Section
2.
3. If your project IS NOT considered significant redevelopment, then please proceed to Section 1.
21 SWMP Rev 6/4/08
I SECTION 1
NEW DEVELOPMENT
PRIORITY PROJECT TYPE YES NO Does you project meet one or more of the following criteria:
1. Home subdivision of 100 units or more. y Includes SFD, MFD, Condominium and Apartments
2. Residential development of 10 units or more.
Includes SFD, MFD, Condominium and Apartments X
3. Commercial and industrial development greater than 1 00,000 sguare feet including parking areas.
Any development on private land that is not for heavy industrial or residential uses. Example: Hospitals, K Hotels, Recreational Facilities, Shopping Malls, etc.
4. Heavv Industrial /Industrv greater than 1 acre (NEED SIC CODES FOR PERMIT BUSINESS TYPES) '}GJ SIC codes 5013, 5014, 5541, 7532-7534, and 7536-7539
5. Automotive repair shop. )<J SIC codes 5013,5014,5541,7532-7534, and 7536-7539
6. A New Restaurant where the land area of development is 5,000 sguare feet or more including {larking
areas. ,K SIC code 5812
7. Hillside development
(1) greater than 5,000 square feet of impervious surface area and (2) development will grade on any ~ natural slope that is 25% or greater
8. Environmentallv Sensitive Area (ESA).
Impervious surface of 2,500 square feet or more located within, "directly adjacent,,2 to (within 200 feet), )< or "discharQinQ directly to,,3 receivinQ water within the ESA 1
9. Parking lot.
Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban Jc runoff
10. Retail Gasoline Outlets -serving more than 100 vehicles per da'i I~ Serving more than 100 vehicles per day and greater than 5,000 square feet
11. Streets, roads, drivewa'is, highwa'is, and freeways. }<--Project would create a new paved surface that is 5,000 square feet or greater.
12. Coastal Development Zone.
Within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable \C surface or (2) increases impermeable surface on property by more than 10%.
1 Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies;
areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality
Control Plan for the San Diego Basin (1994) and amendments); water bodies deSignated with the RARE beneficial use by
the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments);
areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and Count
of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees.
2 "Directly adjacent" means situated within 200 feet of the environmentally sensitive area.
3 "Discharging directly to" means outflow from a drainage conveyance system that is composed entirely of flows from the
subject development or redevelopment site, and n~t commingled with flow from adjacent lands.
Section 1 Results:
If you answered YES to ANY of the questions above you have a PRIORITY project and PRIORITY project requirements DO
apply. A Storm Water Management Plan, prepared ·in accordance with City Storm Water Standards, must be submitted at
time of application. Please check the "MEETS PRIORITY REQUIREMENTS" box in Section 3.
If you answered NO to ALL of the questions above, then you are a NON·PRIORITY project and STANDARD requirements
apply. Please check the "DOES NOT MEET PRIORITY Requirements" box in Section 3.
SWMP Rev 6/4/08
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I SECTION 2
SIGNIFICANT REDEVELOPMENT: YES NO
1. Is the project redeveloping an existing priority project type? (Priority projects ~ are defined in Section 1)
If you answered YES, please proceed to question 2.
If you answered NO, then you ARE NOT a significant redevelopment and you ARE NOT subject to
PRIORITY project requirements, only STANDARD requirements. Please check the "DOES NOT MEET
PRIORITY Requirements" box in Section 3 below.
2. Is the project solely limited to one of the following:
a. Trenching and resurfacing associated with utility work? JC
b. Resurfacing and reconfiguring existing surface parking lots? "JC
c. New sidewalk construction, pedestrian ramps, or bike lane on public >C and/or private existing roads?
d. Replacement of existing damaged pavement? )t"
If you answered NO to ALL of the questions, then proceed to Question 3. L..
If you answered YES to ONE OR MORE of the questions then you ARE NOT a significant redevelopment
and you ARE NOT subject to PRIORITY project requirements, only STANDARD requirements. Please
check
the "DOES NOT MEET PRIORITY Requirements" box in Section 3 below.
3. Will the development create, replace, or add at least 5,000 square feet of
impervious surfaces on an existing development or, be located within 200 X feet of the Pacific Ocean and (1)create more than 2500 square feet of
impermeable surface or (2) increases impermeable surface on property by
more than 10%?
If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY project
requirements. Please check the "MEETS PRIORITY REQUIREMENTS" box in Section 3 below.
If you answered NO, you ARE NOT a significant redevelopment, and you ARE NOT subject to
PRIORITY project requirements, only STANDARD requirements. Please check the "DOES NOT MEET
PRIORITY Requirements" box in Section 3 below.
I SECTION 3
Questionnaire Results:
D MY PROJECT MEETS PRIORITY REQUIREMENTS, MUST COMPLY WITH PRIORITY
PROJECT STANDARDS AND MUST PREPARE A STORM WATER MANAGEMENT PLAN FOR
SUBMITIALATTIME OF APPLICATION.
MY PROJECT DOES NOT MEET PRIORITY REQUIREMENTS AND MUST ONLY COMPLY
WITH STANDARD STORM WATER REQUIREMENTS.
Applicant Infonnation and Signature Box ·11l1s Box/or City Use Only
7
Assessors Parcel Number(s); NO ~I~-Oq;;t-
SWMP Rev 6/4/08