HomeMy WebLinkAboutMCUP 10-01; T-Mobile SD06224A Innovative Time; Conditional Use Permit (CUP)• CITY OF CARLSBAD • LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits (FOR DEPT. USE ONLY) (FOR DEPT. USE ONLY)
D Environmental Impact Assessment D Variance
D Administrative
D Administrative Permit Legislative
D Coastal Development Permit (d) D General Plan Amendment D Minor
'fit~dttional Use Permit (d) l~tt~ D Zone Change (d) . Minor D Extension
D Condominium Permit MC~tf /0'(){ D Local Coastal Program Amendment
(d)
D Habitat Management Permit D Minor D Zone Code Amendment
D Hillside Development Permit (d) D Master Plan D Amendment
D Planned Development Permit D Specific Plan D Amendment D Non-Residential
D Planned Industrial Permit List other applications not specified
D Planning Commission Determination D
D Site Development Plan D
D Special Use Permit D
D Tentative Tract Map D
ZIP TELEPHONE
EMAIL ADDRESS:
AM THE LEGAL OWNER AND THAT ALL THE ABOVE
UE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THEB~' SIGN~ D?4J/l5'1
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT
REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00P.M. (d)= eligible for 25% discount
Form 14 Rev. 01/09 T))V Q 'Z:>0.3Q,AGE 1 OF 4
..... ! ..
• • 7) BRIEF LEGAL DESCRIPTION ~ ~ oi Puc2J 1'&{2 A 0· 1 5"Ctz~7
8) LOCATION OF PROJECT: 5858 £t.L S6Vl pI CLCJL
STREET ADDRESS
oN THE 1 Sou --it SIDE OF I Erii SD"\L pIt?-c.z I
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN IQa.~ \Ac&_ ~Ucl AND
(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. 1/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: C F RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
FOR CITY USE ONLY
Form 14 Rev. 01/09
RECEIVED
JAN 1 4 2010
CITY OF CARLSBAD
PLANNING DEPT CltU4_~e-~
RECEIVED BY:
I ~
PAGE 2 OF 4
APPENDIX A
STORM WATER STANDARDS QUESTIONNAIRE
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 applicatiol")
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 if the 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 underlying 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. X Includes SFD, MFD, Condominium and Apartments
2. Residential development of 10 units or more. X Includes SFD, MFD, Condominium and Apartments
3. Commercial and industrial development greater than 100,000 sguare feet including parking areas.
Any development on private land that is not for heavy industrial or residential uses. Example: Hospitals, x Hotels, Recreational Facilities, Shopping Malls, etc.
4. Heavv Industrial I lndustrv greater than 1 acre (NEED SIC CODES FOR PERMIT BUSINESS TYPES) y SIC codes 5013,5014, 5541, 7532-7534, and 7536-7539
5. Automotive repair shop. )( 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 parking
areas. )( 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 (ESAJ.
Impervious surface of 2,500 square feet or more located within, "directly adjacent"2 to (within 200 feet},
or "discharaina directly to"3 receivina 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 )C runoff
10. Retail Gasoline Outlets-serving more than 100 vehicles per da'i )C Serving more than 100 vehicles per day and greater than 5,000 square feet
11. Streets, roads, drivewa'iS, highwa'is, and freewa'is. ~ 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 X surface or (2) increases impermeable surface on orooerty 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 not 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
I SECTION 2
SIGNIFICANT REDEVELOPMENT: YES NO
1. Is the project redeveloping an existing priority project type? (Priority projects X 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? X
b. Resurfacing and reconfiguring existino surface parking lots? Y.
c. New sidewalk construction, pedestrian ramps, or bike lane on public )C and/or private existing roads?
d. Replacement of existino damaoed pavement? X
If you answered NO to ALL of the questions, then proceed to Question 3.
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.
[SECTION 3
Questionnaire Results:
CJ MY PROJECT MEETS PRIORITY REQUIREMENTS, MUST COMPLY WITH PRIORITY
PROJECT STANDARDS AND MUST PREPARE A STORM WATER MANAGEMENT PLAN FOR
SUBMITIAL AT TIME OF APPLICATION.
MY PROJECT DOES NOT MEET PRIORITY REQUIREMENTS AND MUST ONLY COMPLY
WITH STANDARD STORM WATER REQUIREMENTS.
Applicant Information and Signature Box Thts Box for City Use Only
Assessors Parcel Number(s): City Concurrence:
Applicant Title:
Ll s.e_ -A a_nn
By:
Date:
ProjectiD:
NO
SWMP Rev 6/4/08
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City of Carlsbad
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DISCLOSURE STATEMENT
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the City Council or any appointed Board, Commission or
Committee.
The following information MUST be disclosed at the time of application submittal. Your project
cannot be reviewed until this information is completed. Please print.
Note:
Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization,
corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or
other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and entity of the applicant and property owner must be
provided below.
1. APPLICANT (Not the applicant's agent)
Provide the COMPLETE. LEGAL names and addresses of ALL persons having a financial
interest in the application. If the applicant includes a corporation or partnership, include the
names, title, addresses of all individuals owning more than 10% of the shares. IF NO
INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-
APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned corporation. include the
names, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Person __________ _ Corp/Part'----'tJ~).._t!;...__ ____ _
Title __________ _ Title ____________ _
Address _________ __ Address ___________ _
2. OWNER (Not the owner's agent)
Provide the COMPLETE. LEGAL names and addresses of ALL persons having any
ownership interest in the property involved. Also, provide the nature of the legal ownership
(i.e., partnership, tenants in common, non-profit, corporation, etc.). If the ownership
includes a corporation or partnership, include the names, title, addresses of all individuals
owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF
THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a
publicly-owned corporation. include the names, titles, and addresses of the corporate
officers. (A separate page may be attached if necessary.)
Person l..A¥-At"\e' &~~ Corp/Part.___;,_L-_L_(; ______ _
Title r(WJJctl't f1tf1V~-1l-Title ____________ _
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us @
• • 3. NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list
the names and addresses of ANY person serving as an officer or director of the non-profit
organization or as trust e or beneficiary of the.
Non Profit/Trust ~ A Non Profit/Trust _______ _
Title __________ _ Title ____________ _
Address ________ _ Address __________ _
4. Have you had more than $500 worth of business transacted with any member of City staff,
Boards, Commissions, Committees and/or Council within the past twelve (12) months?
D Yes ~No If yes, please indicate person{s): ________ _
NOTE: Attach additional sheets if necessary.
above information is true and correct to the best of my knowledge.
Signature of applicant/date
Print or type name of owner Print or type name of applicant
Signatur
Print or type name of owner/applicant's agent
2 of2
• • City of Carlsbad
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HAZARDOUS WASTE AND SUBSTANCES STATEMENT
Consultation Of Lists of Sites Related To Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous
Waste and Substances Sites List compiled by the California Environmental Protection Agency and
hereby certify that (check one):
15?' The development project and any alternatives proposed in this application are not contained on
the lists compiled pursuant to Section 65962.5 of the State Government Code.
D The development project and any alternatives proposed in this application !!! contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT
Name: ~d?ti S't ~ k.?..P :s,kJ
Address: I]~J \];d-o~ g.~
s a..Y\ rY\ILU.J>S } OA-4d:D <a9
Phone Number: 1}~ -aL[3-d-C}Oi)
PROPERTY OWNER
Name: ~G /lc4:f1c.8rt~~ ~
Address: 4& $ \)Ia tb . ..A..ed-t>
~tVL~ r:6a..se.htt.Je.A. ) CLft q ~ l! ()
Phone Number: ~0~--70'!-7410
Address of Site: 5~51)' P oli SD V\ P\ CL UL
LocaiAgency(Cityand County): ~sloJ . Sa VI J2ifif> (bA!~
Assessor's book, page, and parcel number: d-.l PL -oq ;2, -3(p
Specify list(s): __ C.!o..,'...::!~"""-!..~---=--=e=-s.e._.~=------------------
Regulatory Identification Number: ____________________ _
Date of List:, ________________ -r-----------
~-Appli ~ SlQflatUreiDaie Pro pert
Admin/WebPage\Applications
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us (!}
• • PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME: k-fVlo\o) \-e. 9Do (o;;rd.lf TnrJ.ova._-f-ive_ Tl VVle_
APPLICANT NAME: ·EJe_c.L.f 5 l S(<-ow:)(U
Please describe fully the proposed project by application type. Include any details necessary to
adequately explain the scope and/or operation of the proposed project. You may also include any
background information and supporting statements regarding the reasons for, or appropriateness of,
the application. Use an addendum sheet if necessary.
Description/Explanation:
T-Mobile currently has an existing site at 5858 Edison Place. The permit number is CUP 98-06.
The site has expired and must be repermitted. In addition, T-Mobile is proposing to replace 6
existing antennas with 6 like for like antennas and also will be replacing 2 existing cabinets with
2 like for like cabinets. The configuration will remain the same 6 ant/2 cabs. No additional
equipment will be added.
• •
Description of wireless system proposed
T-Mobile is proposing a wireless cellular system that will provide voice, video and data
transmissions.
--
Description of site selection process
T~Mobile has an existing cell site at 5858 Edison Place. T-Mobile is required to re-permit this
site as it has expired. T-Mobile is also proposing to upgrade existing equipment at the site. The
objective is to provide coverage to the surrounding industrial/commercial areas as well as the
traffic on Palomar Airport Road. No other locations were deemed appropriate for the
installation of the equipment proposed at this site. No other locations could provide the desired
coverage. There are other existing and proposed T-Mobile sites close by. To move this cell site
would create overlapping coverage. Therefore, the conclusion is to maintain the existing
location of this cell site.
tF ··Mobile··
July 5, 2009
Planning Dept.
City of Carlsbad
1635 Faraday Avenue
Carlsbad, CA 92008
Omnipoint Communications, Inc.
a subsidiary ofT-Mobile USA Inc.
10180 Telesis Court, Suite 333
San Diego, California 92121
Re: FCC Guidelines - T -Mobile site SD06224A Innovative Time at 5858
Edison Place (case number CUP 98-06)
To Whom It May Concern:
T -Mobile is proposing to upgrade the cell site at the above address. T-
Mobile will be replacing the existing six antennas with six newer antennas
and the existing two cabinets will also be replaced with two cabinets.
PerT -Mobile's RF engineer, Kamal Sadarangani, the RF emissions level
will continue to remain below what is allowed by the FCC.
Thank you,
~ ,.
Becky Siskowski
DePratti, Inc.
858.243.2900
)epratti
Project Description for SD06224 Innovative Time
T -Mobile has withdrawn CUP 09-05. The project's design has changed to be consistent with City Policy
64. T -Mobile will be removing the existing fa~de mounted antennas (6 total} and will be replacing them
with new antennas (6 total) to be completely concealed behind RF screening. This screening will
integrate with the current design of the building to make it seem as if it was originally built as such. In
addition, T-Mobile will be replacing two cabinets for two like for like cabinets. The total count will be 6
antennas/2 cabinets.
1747 Victoria Way, San Marcos, CA 92069
858.243.2900
bsiskowski@cox.net
City of Carlsbad
Faraday Center
Faraday Cashiering 001
0918701-2 07/06/2009 96
•
Man, Jul 06, 2009 09:19AM
Receipt Ref Nbr: R0918701-2/0007
PERMITS -PERMITS
Tran Ref Nbr: 091870102 0007 0008
Trans/Rcpt#: R0075306
SET #: CUP09005
Amount:
Item Subtota 1 :
Item Tot a 1:
ITEM(S) TOTAL:
1 @ $4,465.88
$4,465.88
$4,465.88
Check (Chk# 0001421063)
Credit Card (Auth# 092100)
Total Received:
$4,465.88
$4,454.00
$11.88
$4,465.88
Have a nice day!
**************CUSTOMER COPY*************
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111 ~1111111111111111111111111111111111111111111111111
Applicant: SISKOWSKI BECKY
Description Amount
CUP09005 4,465.88
5858 EDISON PL CBAD
Receipt Number: R0075306 Transaction ID: R0075306
Transaction Date: 07/06/2009
Pay Type Method Description Amount
Payment Check 4,465.88
Transaction Amount: 4,465.88
East View
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WestView
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South View
Beach Ov~rlay
· .. Deferre<l Certifi~ailon.
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·Parcel Bo~ndaries ·
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2005
b Building Permits
0 Planning ProJects
0 Hom~o~~~[~ . Association ; ~"
Flood Hazard ? Zones/FioodWays,
0 LFMZ Boundary .
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