HomeMy WebLinkAboutRP 2017-0016; GROUND UP CAFE; Redevelopment Permits (RP)L City 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)
111 Coastal Development Permit E Minor General Plan Amendment
E Conditional Use Permit Local Coastal Program AmendmentinMinorEExtension
Day Care (Large)E Master Plan D Amendment
Environmental Impact Assessment Specific Plan D Amendment
Habitat Management Permit Minor Zone Change
1:1 Hillside Development Permit D Minor E Zone Code Amendment
Nonconforming Construction Permit South Carlsbad Coastal Review Area
Permits
Planned Development Permit Minor D Review Permit
0 Residential E Non-Residential E Administrative 0 Minor 0 Major
D Planning Commission Determination
D Reasonable Accommodation Village Review Area Permits
Site Development Plan 0 Minor 21 Review Permit 11.40 n t016
D Special Use Permit Administrative E Minor Major
D Tentative Parcel Map (Minor Subdivision)
Tentative Tract Map (Major Subdivision)
D Variance Minor
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):203-291-0200
LOCATION OF PROJECT:550 Grand Ave
(STREET ADDRESS)
NAME OF PROJECT:Ground Up Cafe'
BRIEF DESCRIPTION OF
PROJECT:To add outdoor seating for new coffee shop
PROJECT VALUE ESTIMATED COMPLETION DATE(SITE IMPROVEMENTS).
FOR CITY USE ONLY
Development No.C.)0(14 t.()eL4C Lead Case No.
P-1 Page 1 of 6 Revised 03/17
OWNER NAME (PLEASE PRINT)APPLICANT NAME (PLEASE PRINT)
INDIVIDUAL NAME INDIVIDUAL NAME
(if applicable):Ester Ahronee Trust it applicable).Gaetano CiCciottiS
COMPANY NAME COMPANY NAME
(if applicable):(if applicable):
MAILING ADDRESS:4139 Illinois St MAILING ADDRESS:1933 San Elijo Ave
CITY, STATE, ZIP:San Diego, CA 92104 CITY, STATE, ZIP:Cardiff-by-the-Sea, CA. 92007
TELEPHONE:76043457603 TELEPHONE:
EMAIL ADDRESS:nissoma@gmail.com 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 T ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE.I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE ST OF MY KNOWLEDGE.•
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
PURPOSES OF tiS APPLICATION.
11/25/17 /2)(124//
SIGNATURE DATE SI T RE DATE
APPLICANTS REPRESENTATIVE (Print):Bruce Duggan
MAILING ADDRESS:14168 Poway Road, Suite 104
CITY. STATE. ZIP:Poway, CA. 92064
TELEPHONE:760-390-0007x3
EMAIL ADDRESS:bruce@madesigning.com
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFORMATION I RUE AND CORRECT TO THE BEST OF MY
K LEDGE.
Os/17TUED
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 BIN NY .rpCCESSORS IN INTEREST.
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
•
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
P-1 Page2e16 Revised 03/17
••
C.Ity of PROJECT DESCRIPTION Development Services
C Planning Division
Carlsbad P-1 (B)1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PROJECT NAME:Ground Up Cafe'
APPLICANT NAME:Bruce Duggan-MADesign & Drafting
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:
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P-1(B)Page 1 of 1 Revised 07/10
Indemnification and Insurance Requirement for Village Area Administrative Permit
Certification Statement:
I Certify that I am the Leaal 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 rmi within the Village Review Area and the permittee remains in
compliance with the subje approved it.
I.Signature .2 Date:
Certification Statement:
I Certify that I am the Leaal Praxis:arty 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.
Signature Al.i.--.•Date:11/25/17
P-1 Page 3 of 6 Revised 03117
HAZARDOUS WASTE Development Services
•L(.1tV AND SUBSTANCES Planning Division
Carlsbad STATEMENT 1635 Faraday Avenue
(760) 602-4610
P-1(C)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):
E 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.
The development project and any alternatives proposed in this application go contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT PROPERTY OWNER
Name: Gaetano Cicciottis Name: Ester Ahronee Trust
Address: 1933 San Elijo Ave.Address: 4139 Illinois St
Cardiff-by-the-Sea San Diego, Ca 92104
Phone Number:Phone Number:76° 845 7603
Address of Site: 550 Grand Ave
Local Agency (City and County): City of Carlsbad
Assessor's book, page, and parcel number 203-291-0200
Specify list(s):
Regulatory Identification Number:
Date o List:
)17
•
Ape n Signature/Date Property Owner Signature/Date I
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 of 2 Revised 02/13
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IftS...CPRE.CERTIFICATE OF LIABILITY INSURANCE
:DA',/2017
•TH18 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 0.I.-THISCERTIFICATE 'DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY :POLICIESBELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),•••-4 .4 DREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder le an ADDITIONAL INSURED, the poScy(les) must be endorsed.If.SUBROGATION IS W •=1 subject tothe terms and Conditiens of the poScy, certain policies may require an endorsement.A statement on this
corrode does not confer •.tats to thecertificate iiolderin Ilitrof such endorsement(s).
PRODUCER °Mime.Ron Mulfins I
Charles Debetgot49951G219 No.Exii:858-480-3409 1 rktikk ;.;;;.7-90594785 Carmel Mountain Rd Ste 202 APPRWS5:r0111.CdabeigG(tiVagnefSage'DcV.00111
pliksiffesi AFFC'RDINGSanTERAGSNAM* Dlego CA 92130-6857 SUMER A ;Truk Insurance Exchange ,21709INSUREDgosulastB:Farmers Insurance Exchange -21652
CARSLSBAD HOLDING LLC.tegalmENc :Mid Century Insurance CoMparry 21687
550 GRAND AVENUE INSURER°:'
DISURMS R :
CARLSBAD -CA 92008 servitER FCOVERAGESCERTIFICATE NUMBER REVISION NUMBER:
THIS IS TO. CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 'THE PERIOD .INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMpIT WITH RESPECT TO ICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ADDLBUBSI
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iLTRTYPE OF INSURANCE INSR VOID POLICY MUSHIER MIMIGENERAL UABLITY
EACH 8CCURR/34CE $2,000,000DAMAGE TO RENTEDXCOMMERCIAL, GENERAL LIABILITY PREMISESIra accomm.)8 •75,000
CLAMS-MADE ri OCCUR MED Di.(Any ono parson)S 5.000CVN60277936710/15/17 10/15/18 pc it AM mum(s 2,000,000
GENERAL AGGREGATE $4,000,00D _0Bit AGGREGATE
S 4,000,000PERuurrAPPLIF_S PRODUCTS-COMPIOP AGO.3<1 pow(Fl 3a Li Lo..•
AUTOMOBILE LIABILRY =MOLE uurr
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UMBRELLA LIAR —OCCUR EACH OCCURRENCE $EXCESS LeaCLAMS-HAM AOORVIATE S
DIED RETENTION S sWORKERS COMPENSATION X &trim-cum)-EMPLOYERS' UABLITY Y / N
A ANY PROPRIETOWPARTNMEXECUTNE nNIA A09249862 '2/6/2017 2/5/2018 El-Mill Accolair ,S 1,000,000'
(ItundshacY In P.9 EL DSSEASE-EA EMPLOYEE $1,000,000
pCP OPERATIONS;Wow EL 1318iASE -POLICY taxi _s 1,000,000
DESCRIPTION OF °MATIONS /LOCATIONS /VEMOLES (Attach ACORD 101. AddMouel Remarks Sabactule,ITmace spays Is ractufrad)
LOCATION:550 GRAND AVENUE, CARLSBAD, CA 92008
Certificate Holder Is named as Additional Insured. City of Carlsbad, Land Development Engineering, the city its officials employees per attacheC Form93-6840.Primary and Non-Cortibutory Is Included.
"'30 Days Notice of Cancellation /10 Days for Non-Pay"'
CERTIFICATE-HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE CESCRIB POLICIES BE CANCELLED BEFORECITY OF CARLSBAD THE EXPIRATION DATE THEREOF,NOTICE WLL BE DELIVERED IN
LAND DEVELOPMENT ENGINEERING ACCORDANCE WITH THE POLICY PROWSIONS
1635 FARADAY AVE
AUTHORIZED
REPREBENT70
i ....-------
CARLSBAD CA 92008
RON MULUNS
I ----.../
ACORD 25 (2010/05)0 19138-2010 ACORD RATION.AU rights reserved.
The ACORD name and logo are registered marks of ACORD
T is amoasEmoir CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
E4277
Policy Number:60277-93-67 1st Wise
POLICY CHANGES
Effective Date of Change:10/15/17 Expiration Date 1x15/18
Change Endorsement No.:014 Agent 99-51-G2K
Named Insured:CARLSBAD HOLDINGS LLC.
550 GRAND AVENUE
CARLSBAD CA 92008
The following item(s):
X Insurod's Name Insured's Mailing Address
Policy Number Company
Effective /Expiration Date Insured's Legal Status /Business of Insured
Payment Plan Premium Determination
X Additional Interested Parties Coverage Forms and Endorsements
Limits /Exposures Deductibles
Covered Property /Location Description Classification /Class Codes
Rates Underlying Insurance
is (arc) changed to read {See Additional Page(s)}:
The above amendments result in a change in the premium as follows:
No Changes To Be AdjustedAt Audit Additional Premium Return Premium
$
Authorized Representative Signature
aptA FARMERSINSUkANCE
NAM 1ST0:0011 742 Elude Ctivrialtulliissid, huweraSR Offb.Milhp:cilia I 1077101 PEE 1 OF 2Erfl7-31
PAT ilk-lags Wound 5..•...I
CARLSBAD, CA 92008
ADD ADDITIONAL INTEREST
ADDITIONAL INSURED 46840-ED1
SCHEDULED PERSON OR ORGANIZATION
CITY OF CARLSBAD
LAND DEVELOPMENT ENGINEERING
1635 FARADAY AVE
CARLSBAD, CA 92008
LOCATION OF COVERED OPERATION(S):
Removal If Covered Property is removed to a new location that is described on this Policy Change,
Permit you may extend this insurance to include that Covered Property at each location during
the removaL Coverage at each location will apply in the proportion that the value at each
location bears to the value of all Covered Property being removed_ This permit applies up
to 10 days after the effective date of this Policy Change after that, this insurance does not
apply at the previous location.
91-4277 UT HIM 7-02 fraimbx CI:7021M ntrEci,baron Sam eibm,b.,cal:fin.E4:717102 PM 2 01 2HEM]
Policy Changes Endorsement DescriptioN
550 GRAND AVE
CARLSBAD, CA 92008
LOCATION :550 GRAND AVE
CARLSBAD, CA 92008
Removal If Covered Property is removed to a new location that is described on this Policy Change,
Permit you. may extend this insurance to include that Covered Property at each location during
the removal. Coverage at each location will apply in the proportion that the value at each
location bears to the value of all Covered Property being removed. This permit applies up
to 10 days after the effective dare of this Policy Change after that, this insurance does not
apply at the previous location.
9f4277-ED1
14177 1ST ERN 712 ixIslis fuldsited Mori{ burro sodas O hr.,ith Is adsR177102 Pa 2 Of 2
Attach to your policy i the same policy number shown on this rsement
ENDORSEMENT
Effective
Date 10/15/17 60277 -93 -67
Policy Number
of the Company designat d
in the Declarations
ADDITIONAL INSURED -J6 840 -ED1
SCHEDULED PERSON OR ORGANIZATION
CITY OF CARLSBAD
LAND DEVELOPMENT ENGINEERING
THE CITY,ITS OFFICIALS AND EMPLOYEES
This endorsement is part of your policy.It supersedes and controls anything to the contrary.It is otherwise subjectto all other terms of the policy.
COUNTERSIGNED
(Date)
(4:4 .1N
11-0002 (E 0002) 1ST EDITION 3-08 PRINTED IN U.S.*,
,,6
•
THIS ElIDORSUIRtif GANGSTHE POLICY. PLEASE LEAD ffCAREFULLY.
•a% FARMERS:i6840INSURANCE 1st Edition
ADDITIONAL INSURED -SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the followinv
BUSINESS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS•
With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless
modified by the endorsement
SCHEDULE
Name Of Additional Insured.Petion(a)cm OF CARLSBADOrOrganization(s):Sri 10002
Location OfCovered. Operation(s):550 GRAND AVE.
ciatLEIBAD CA 92 0 0 8
Effective Date Of Endorsement 10/15/17
If no entry appears above,information required to complete this endorsement will bie shown in the
Declarations.
— -
The BUSINESSOWNERS LIABILITY COVERAGE FORM is amended as follows:
A. With respect to the additional insured described in paragraph B.of this -ent,the following
exclusions arc added to paragraph 1.Applicable To Business Liability Coverage under Section B.
Exclusions
This insurance does not apply to:
1."Bodily injury" or "property damage"•for which the additional insureds)is obligated to pay damages
by reason 'of the assumption of liability in a contract 'or agreement.This excl
usi;
does not apply to
liability for damages that the additional insured(s)would have in the a of the contract or
agreement
2. "Bodily injury" or "property damage" occurring after:
a.Your ongoing operations at the location of covered operations other
than service
maintenance
repairs performed by you or on your behalf have been completed; or
b. The portion of your ongoing operation •out of which the "bodily injury" or "property damage"arises
has been put to its intended use by any person or organithation.
But in no event shall this insurance apply to-"bodily injury" or "property •.arising out of your
operations that were completed prior to the effective dare of this endorsement.
3. "Bodily injury" or "prperty damage"arising out of any act or omission of the •insured(s)or
any of its "employees",agents or contractors other than you,except for supervision by the
additional insured(s) of your ongoing operations performed for that additional •
4. "Property darn2f7" to:
a.Property owned, used or occupied by or rented to the additional insured(s);
b. Property in the care custody or control of the additional insured(s)or over the additional
insured(s) exercise physical control; or
c.Any work induding materials,parts or equipment furnished in connection such work which is
performed for the additional insured by you.
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••••
•
B.Section C. Who Ii An Insured is amended to include as an insured the pason(s)or organization(s)shown
in the Schedule,but only to the extent that the' additional insured(s)is held liable for "bodily injury" or
"property damage" caused in whole or in part by:
1.Your ongoing operations performed for such person or organization at the location -• re...•above;
2.'The acts or omissions of your subcontractors acting on your behalf on the scheduled project in
performance of your ongoing operations for the additional insureds)which 7 and are completed
within the effective period of this endorsement; or
3.The acts or omissions of such additional insured(s)in connection with its general supervision of such
operations.
C. With respect to this endorsement,wrap up policy means an Owner or Contractor Controlled Insurance
Program providing one or a series of policies designed to cover a specific constructiou project that insures
all of the persons and entities working on such project.1
D. The BUSINESSOWNERS COMMON POLICY CONDITIONS are: amended as follows:
With respect to the additional insured described in paragraph B. of this endorsement,Section Ii Other
Insurance is replaced by the following;
H. Other Insurance
1.Primary and Non Contributory Insurance
The coverage provided to an additional insured under this endorsement ding be primary and non
contributory ONLY to any insurance issued directly to the additional insured if:
a.The Named Insured agreed in a written contract or written agreement to provide the additional
insured coverage on a primary and non contributory basis;
b. Such written contract or written agreement referenced in a.above was executed prior to .
issuance of this endorsement
c.The additional 'insured designated herein has a policy with an. Other]Insurance provision
making this policy execs%and
d. There is no "wrap up policy"in effect for the work performed at the location designated in .
•Schedule of this endorsement.
2.Excess Insurance
If there is other valid and collectable insurance available to the ...""insured(s)as an
additional insured under other policies covering the work performed at the designated and
described in the schedule of this endorsement, this insurance well be access over
•
This endorsement is part of your policy.It supersedes and controls anything to the contrary.It is otherwise
subject to all the terms of the policy.
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