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Home My WebLink AboutMCUP 16-01; Aviara Four Seasons; Conditional Use Permit (CUP)APPLICATIONS APPLIED FOR: (CHECK BOXES) LAND USE REVIEW APIPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Development Permits (FOR DEPT. US Eo ONLY) Legislative Permits (FOR DEPT. USE ONLY) D Coastal Development Permit (*} D Minor ~ Conditional Use Permit (*} !jJ Minor D Extension D Day Care (Large) 0 Environmental Impact Assessment 0 Habitat Management Permit 0 Minor 0 Hillside Development Permit (*} 0 Minor D Nonconforming Construction Permit D Planned Development Permit D Minor 0 Residential 0 Non-Residential 0 Planning Commission Determination 0 Reasonable Accommodation 0 Site Development Plan 0 Minor 0 Special Use Permit 0 Tentative Parcel Map (Minor Subdivision) 0 Tentative Tract Map (Major Subdivision) D Variance 0Minor D General Plan Amendment 0 Local Coastal Program Amendment (*} D Master Plan 0 Specific Plan 0 Zone Change (*} 0Amendment 0Amendment 0 Zone Code Amendment South Carlsbad Coastal Review Area Permits D Review Permit D Administrative D Minor D Major Village Review Area Permits 0 Review Permit 0 Administrative 0 Minor 0 Major (*) = eligible for 25% discount NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M. ASSESSOR PARCEL NO(S).: 215-750-01-00 ----------------------------------------------------------------------PROJECT NAME: Aviara 4 Seasons ----------------------------------------------------------------------BRIEF DESCRIPTION OF PROJECT: Modification to an existing wireless telecommunications facility. BRIEF LEGAL DESCRIPTION: lot 1, Map Ref: 013335 ------~~------------------------------------------------------------ LOCATION OF PROJECT: 7100 Aviara Resort Drive ON THE: South (NORTH, SOUTH, EAST, WEST} BETWEEN Aviara Drive (NAME OF STREET) P-1 STREET ADDRESS SIDE oF Aviara Parkway (NAME OF STREET) AND Aviara Parkway (NAME OF STREET) Page 1 of6 'I>...VOOit~ Revise~7115 OWNER NAME (Print): Aviara Resort Associates SPE LLC APPLICANT NAME (Print): b~lt~ m~•l: Ofi ~dMII f &f VenulJ MAILING ADDRESS: 248 Homer Avenue MAILING ADDREss: w& ~rsJ / Sfe)J00\9 •ssus ·ir-ele{~ & --------------------------CITY, STATE, ZIP: Palo Alto, CA 94301 TELEPHONE: 760-448-1234 EMAIL ADDRESS: efren.augusto@hyatt.com I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR PURPGS LIC ION. ~ ... DATE CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: ' I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE APPLICANTS REPRESENTATIVE (Print): Elizabeth Brown at Eukon Group --------------------~---------------------------------MAILING ADDRESS: 65 Post, Suite 1000 CITY, STATE, ZIP: Irvine, CA 92618 TELEPHONE: 949-413-9876 EMAIL ADDRESS: elizabeth.brown@eukongroup.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 !(:~. J/t-B/1~, SIGNATURE 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. INVE 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-A UCCES RS IN INTEREST. c.:;;:........-<~ FOR CITY USE ONLY JAN 2 9 RECEIVED BY: P-1 Page 2 of6 Revised 07/15 liP l_ Cicyof Carlsbad DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov 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, titles, 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 Q!Jblicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Elizabeth Brown on behalf of Verizon Wireless Corp/Part. ___________ _ Title Site Acquisition Title. _____________ _ Address 65 Post, Ste 1000, Irvine, CA 92618 Address ___________ _ 2. OWNER (Not the owner's agent) P-1(A} 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, titles, 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 Aviara Resort Associates SPE LLC Corp/Part. ___________ _ Title ___________ _ Title ____________ _ Address 248 Homer Avenue Address. ____________ _ Palo Alto, CA94301 Page 1 of2 Revised 07/10 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 trustee or beneficiary of the. Non Profitrrrust. _______ _ Non Profitrrrust. _________ _ 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 J;;j No If yes, please indicate person(s): __________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true 9nd correct to the best of my knowledge. t.fh---- Signature of owner/date Signature of applicant/date a....f Lowe Print or type name of ner Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent P-1(A) Page 2 of2 Revised 07/10 (city of Carlsbad HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov 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): Ill 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 N Elizabeth Brown on behalf of Verizon Wireless ame:. ______________ _ Address: 65 Post, Suite 1 000 Irvine, CA 92618 Phone Number: 949-413-9876 Address of Site: 7100 Aviara Resort Drive PROPERTY OWNER N Aviara Resort Associates SPE LLC ame: _________ _ Address: 248 Homer Avenue Palo Alto, CA 94301 Phone Number: 760-448-1234 Local Agency (City and county): City of Carlsbad, County of San Diego Assessor's book, page, and parcel number:_2_1_5_-_7_5_0_-_0_1_-_0_0 ___________ _ Specify list(s):_N_/_A ________________________ _ Regulatory Identification Number: _____________________ _ Date of List: N/ A -------------------------------------- Applicant Signature/Date The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C} Page 1 of2 Revised 02/13 City of Carlsbad Faraday Center Faraday Cashiering 001 1602801-2 01/29/2016 149 Fri, Jan 29, 2016 11:37 AM Receipt Ref Nbr: R1602901-2/0018 PERMITS -PERMITS Tran Ref Nbr: 160290102 0018 0020 Trans/Rcpt#: R0114713 SET #: MCUP1601 Amount: Item Subtota 1 : Item Tot a 1: 1 @ $765.00 $765.00 $765.00 ITEM(S) TOTAL: $765.00 Cred1° Card (Auth# 02621P) $765.00 icJtui Peceived: $765.00 a nice day! **************CUSTOMER COPY************* 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll Applicant: VERIZON WIRELESS/SIPP KAREN Description Amount MCUP1601 765.00 Not valid unless validated by Cash Register PLEASE RETAIN RECEIPT FOR REFUNDS OR ADJUSTMENTS Receipt Number: R0114713 Transaction ID: R0114713 Transaction Date: 01/29/2016 Pay Type Method Description Amount Payment Credit Crd VISA 765.00 Transaction Amount: 765.00 City of Carlsbad Faraday Center Faraday Cashiering 001 1610501-2 04/14/2016 149 Thu, Apr 14, 2016 12:35 PM Receipt Ref Nbr: R1610501-2/0032 PERMITS -PERMITS Tran Ref Nbr: 161050102 0032 0034 Trans/Rcpt#: R0116559 SET #: MCUP1601 Amount: Item Subtota 1 : Item Tot a 1: 1 @ $10.'78 $10.78 $10.78 ITEM(S) TOTAL: $10.78 Check (Chk# 022138) $10.78 Total Received: $10.78 Have a nice day! **************CUSTOMER COPY************* City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll Applicant: VERIZON WIRELESS/SIPP KAREN Description Amount MCUP1601 10.78 7100 FOUR SEASONS PT CBAD Not valid unless validated by Cash Register PLEASE RETAIN RECEIPT FOR REFUNDS OR ADJUSTMENTS Receipt Number: R0116559 Transaction ID: R0116559 Transaction Date: 04/14/2016 Pay Type Method Description Amount Payment Check 10.78 Transaction Amount: 10.78