HomeMy WebLinkAboutRP 2016-0002; SUNDIAL REAL ESTATE; Redevelopment Permits (RP)0 PL4)61
Ity of LAND USE REVIEW Development Services
Planning Division
Carlsbad APPLICATION 1635 Faraday Avenue
P-1 (760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR:(CHECK BOXES)
Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY)
El Coastal Development Permit El Minor 0 General Plan Amendment
Conditional Use Permit Local Coastal Program Amendment Minor 0 Extension
El Day Care (Large)El Master Plan Amendment
D Environmental Impact Assessment Specific Plan Amendment
111 Habitat Management Permit Minor Zone Change
El Hillside Development Permit Minor Zone Code Amendment
D Nonconforming Construction Permit South Carlsbad Coastal Review Area Permits
Planned Development Permit El Minor Review Permit
Residential 0 Non-Residential 0 Administrative 0 Minor Major
Planning Commission Determination
El Reasonable Accommodation Village Review Area Permits
11 Site Development Plan Minor 2/Review Permit
Special Use Permit [Administrative 0 Minor 0 Major 0'0 KO
111 Tentative Parcel Map (Minor Subdivision)000 2
Tentative Tract Map (Major Subdivision)
111 Variance Minor
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M.
ASSESSOR PARCEL NO(S).:1-04 0534 —0 0
PROJECT NAME:StArlo‘AL_cZEAL.Es -nvre atla isAct-pcikcoALI4 REAL-'!I`?60.ave lisic •
BRIEF DESCRIPTION OF PROJECT:go. Deo .i„..keAL.Esiikrg U Ff
BRIEF LEGAL DESCRIPTION:pAGLA.vaiociA 1(NC.c•‘c..e
LOCATION OF PROJECT:%Roo S i...T Sitt&er STE 0
SliREET ADDRESS
ON THE:EAST SIDE OF ROOS e V E LT STREt"1"
(NORTH, SOUTH EST)(NAME OF STREET)
BETWEEN (MOi$p.ST,AND TILE
-a Sr.
(NAME OF STREET)(NAME OF STREET)
D'el 9/0 .1.34P-1 Page 1 of 6 Revised 03/16
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SIEP1414.4 t Mc-LA.0.441-,J
OWNER NAME APPLICANT NAME (Print):M4LA A 6.44.Rok n Giautt(Print):ArIv%ES W IP4 &
MAILING ADDRESS:(o .e)0.( sboo toms is-t)MAILING ADDRESS:'3.1.;et Aocisevram.Sl •S.Te 10.1
CITY,STATE, ZIP:kZ.S.c.cvok si2.4:4,0"CITY, STATE, ZIP:"s AW6k0 I CA 910%4.
TELEPHONE:tck'.1 93-4itit TELEPHONE 160. 45S.ltkto
EMAIL. ADDRESS.•tz...1 e 9...ksNykr .EMAIL ADDRESS:Ska.enautt 0,14stioirokttr:co 0"
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
KNOWLEDGE.I CERTIFY AS LEGAL OWNER THAT THE APPUCANT AS THE BEST OF MY KNOWLEDGE.
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR •
PURPOSES OF THIS APPUCATION.
?cSIGNATURE DAT SIGN RE DATE
APPLICANTS REPRESENTATIVE (Print):•
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:•
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTA •A••F THE APPLICANT FOR
PURPOSES OF THIS APPUCATION •D THAT ALL THE ABOVE
INFORMATION IS TRUE AND 6-4*CT TO THE BEST OF MY
KNOWLEDGE.
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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.I/VVE 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.
QT-Alt IN1AS
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PROPERTY ER SIGNATURE
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FOR CITY USE ONLY
•RECEIVED
NOV 1 8 2016
19‘111‘6941k T.RECEIVED
PLANNIN -•
RECEIVED BY:
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Indemnification and Insurance Requirement for Village Area Administrative Permit
Certification Statement
I Certify that I am the legal Business Omer 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—"t5i •"1204--t...9.4.-Date:If iv% ks-ek1/4.
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 long as outdoor displays are permitted within the Village Review Area and the permittee
remains in compliance with the subject approved permit.
„.17 cV 21(4Signature(T/7141WINI-9 Date:
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Development Services
4 City of DISCLOSURE STATEMENT Planning Division
Carlsbad P-1(A)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
Poispp is defined:as "Any Individual, firm, co-partnership, joint venture, association; social clu14.ftaterhalorganization, corporation, estate, trust, receiver, syndicate,In this and any other county. city and county,
city inuniCipality, district or Other politiCal subdivision or any other group or combination acting as a unit"
Agentii 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,PLEASEINDICATENON-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 Serteti.04 P .6&4.1-Au6 Ira Corp/Part
Title tau-./4 Title •
013%izodst4e.c.r tier3Addressc.048-so•ve ,cA 4vaa4 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, 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,andaddresses of the corporate officers.(A separate page may be attached if necessary.)
Person Jihr".e.._5 u-4 A144 Corp/Part LA/ (CU'(./t -•i9,13frrtrar LL C
Title ow ett_oc not. evan Title
Address et. SQL So Address tC•LkS 2-R.eser-qe-bt -it6
Ks oes Atb(pi-ito vE-G.I eA tit 7A-2.3.S709
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3.NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit oraanizatiori 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 Profit/Tr 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?
y6s 54 No If yes, please indicate person(s):
NOTE:Attach additional sheets if necessary.
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I certify that all the above information is true and correct to the best of my knowledge.
77-04 (A)/k /V61 ?. l'•-,ail64/1..-9-.1,
Signature of owner/date ignatu of applican
jpit-te s W ik Cri STEPPkr.%9.c.L.P4)144.4.4
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent •
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MON OW
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C ity of PROJECT DESCRIPTION Development Services
Planning Division
Carlsbad P -1(B)1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PROJECT NAME:SunsoiAL.(ZEAL.ES SE abe.AkciAix.coti-ol Ceitc.fri &Awl;Nc
APPLICANT NAME:S go oP Mc LAAXG.14‘1/4 6ttou to,(NIC
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:
rico%).s eoN Use ?10 USE OFfCE ilArtopl PS A
Res IDEN-nat-g-EAL ES'nkfrr 0 FfiCe
REC 1.4 Fvg_e A.
'Co KW-ETLE-01 ck goon&
•%Ai*1R-IX.Room%w(oe-sr4 hrao saw(' "rwr
P-1(B)Page 1 of 1 Revised 07/10
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.:HAZARDOUS WASTE..pevelooment Services;IL City of AND SUBSTANCES Planning Division
Carlsbad.STATEMENT 1635 Faraday Avenue
(760) 601-4610
P-1(C)www.carisbadca.gov•
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!Consultation of Lists of Sites Related to fi e rdous Wastes .
(Certification of Compliance with Government C e Section 65962.5)
.
,Pursuant to State of California Government Code Sectlo 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):
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:1 The development project and any alternatives proposed in this application are not contained on the
Ilists compiled pursuant to Section 65962.5 of the State Government Code.-
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i 0 The development project and any alternatives proposed in this application g contained on the Usti i
complied pursuant to Section 65962.5 of the State Government Code.
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APPLICANT PROPERTY OWNER f
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i Name:Ikketito4sti.4.4 Regorsi Greuv,p..c..Name .70100-eS LAI .44..1 5 -i
Address:11313 ItasSLIVEI..r 97.Std 4 Adoress.›MS"N(0111'17)4 Diew-lea .
Il
C.-mu-scot-a i CAActl-se8 ITI-111(4/2.CA liziq
i *Phone Number ifoo••4C3.-1 'It*Phone Nuirber:tetq ---PliS "tot t 1
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Address of Site:'341%bush •
i51,`'Te tkl •.
;!.Local Agency (City and County):r.s,•04..S (11 or°i 6.444 4+t ftG. es •
!rAssessor's book, page, and parcel number:i.
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Specify list(s):
,tRegulatory Identification Number:.i
Date of List:
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'Ai }-..0.t.AVAlAtto 4C7WILArVC.:i Signaturto ettsa arty Owner Sig natura/Daita
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•The Hazardous Waste and Substances Sites List (Cortese 11.1.9t)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 materia#s release sites.
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13.1(c)Page 1rif 2 Revised 02/13 :.
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ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed:/14/70/-6 (To be completed by City)
Application Number(s):9614 -000 2
General Information
1.Name of project:500 DIAL ttE At-kSIPTE Akott./Kt-Leivaw.10 Re.Goocro tat..
2.Name of developer or project sponsor:
Address:giscis ekoosevaL-r St.ESi'I
City, State, Zip Code:citir -Ls 4Prn i c A 91-00`g
Phone Number:—Roo .453.1910
3.Name of person to be contacted concerning this project:5-rePNaa 4.ho• C LAOG skt.:r3
Address:3(5%RooSt vr.r 51E
City, State, Zip Code:C.ARA-%GA 0 CA qt. o SS
Phone Number:'I be.5.1 cl%o
4.Address of Project:3%3t.(LooSkg 9te.r..1
Assessor's Parcel Number:2.-ozq -00
5.List and describe any other related permits and other public approvals required for this project,
including those required by city, regional, state and federal agencies:
6.Existing General Plan Land Use Designation:\.1
7.Existing zoning district:(\)-
8.Existing land use(s):R-eTkik_CoHtiL.-7Sa4A-
1.1
9.Proposed use of site (Project for which this form is filed):9€44t..A2S1A9g—opri (.Q
Project Description
10.Site size:6.00
11.Proposed Building sqUare footage:-sq6111.)6)
12:Number of floors of construction:1-4A--esi -111.16
13.Amount of off-street parking provided:4-•l 4C.(et-310e-`otte)
14.Associated projects:t-f
P-1(D)Page 2 of 4 Revised 07/10
EIA INFORMATION
C
•,,,Development Services
CC'ity of FORM Planning Division
Carlsbad.P-1(D)1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
IN'RUCTION SHEET FOR COMPLETING AN
E IRONMENTAL IMPACT ASSESSMENT
INFORMATION FORM .`
This Environmental Information .rm will be used to assist staff in determining what type of
environmental documentation Environmental Impact Repojt,Mitigated Negative
Declaration,Negative Declaration •Exemption)will be required o be prepared for your
application,per the California Enviro ental Quality Act (CEQA)=nd Title 19 of Carlsbad's
Municipal Code.The clarity and accura y of the information you •ovide is critical for purposes
of quickly determining the specific enviro ental effects of your •oject.
Any environmental studies (i.e.,biolo. cal,cultural re -.ource,traffic,noise)that are
necessary to substantiate a "no impac "or "yes i 'pact"determination should be
submitted as an attachment to this Envir.mental I ormation Form.This is especially
important when a Negative Declaration is bein•sought.he more information provided in this
form,the easier and quicker it will be for taff t complete the Environmental Impact
Assessment Form —Initial Study.
P-1(D)Page 1 of 4 Revised 07/10
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15.If residential, include the number of units and schedule of unit sizes:i4
16.If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities:
of-Ptce
5 Ogi
17.If industrial, indicate type, estimated employment per shift, and loading facilities:rI 0.
18.If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project:(.1 tor
19.If the project involves a variance, conditional use or rezoning applications, state this and indicate
clearly why the application is required:Mau ‘S totaao.C-AAD oS E Di ST0Nc-t
6 (14Q.0%ts Rzkk.grown-Sits ItttLeNtA r Tb c.o&vOL.E..re ?Lit P APfLA coovel
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P-1(D)Page 3 of 4 Revised 07/10
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Are the following items applicable to the project or its effects?Discuss all items checked yes (attach
.59 additional sheets as necessary).
Yes No
20.Change in existing features of any bays, tidelands, beaches, or hills, or substantial El
alteration of ground contours.
21.Change in scenic views or vistas from existing residential areas or public lands or 0 IR1
roads.
22.Change in pattern, scale or character of general area of project.Lid
23.Significant amounts of solid waste or litter.0 131
24.Change in dust, ash, smoke, fumes or odors in vicinity.El
25.Change in ocean,bay,lake,stream or ground water quality or quantity,or 0
alteration of existing drainage patterns.
26.Substantial change in existing noise or vibration levels in the vicinity.
27.Site on filled land or on slope of 10 percent or more.El El
28.Use of disposal of potentially hazardous materials,such as toxic substances,0
flammables or explosives.
29.Substantial change in demand for municipal services (police, fire, water, sewage,Ei El
etc.).
30.Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.).
31.Relationship to a larger project or series of projects. 12:1
Environmental Setting
Attach sheets that include a response to the following questions:
32.Describe the project site as it exists before the project, including information on topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects.Describe any existing
structures on the site, and the use of the structures.Attach photographs of the site.Snapshots
or Polaroid photos will be accepted.IA —t5-
110--)6%130 tL.-0;04-1
33.Describe the surrounding properties,including information on plants and animals and any
cultural, historical or scenic aspects.Indicate the type of land use (residential, commercial, etc.),
intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of
development (height,frontage,set-back,rear yard,etc.).Attach photographs of the vicinity.
Snapshots or polaroid photos will be accepted.I--)est 116.%BuluDi 06,
Certification
I hereby certify that the statements furnished above and in the attached exhibits present the data and
information required for this initial evaluation to the best of my ability, and that the facts, statements, and
information presented are true and correct to the best of my knowledge and belief.
Date:et .2. ei Signature:./Lry—IN-CP'
For:Ram-Il Gr.ouY i <.
P-1(D)Page 4 of 4 Revised 07/10