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Home My WebLink AboutCUP 02-21X1; HOFFMAN T-MOBILE RENEWAL OF CINGULAR; Conditional Use Permit (CUP)y 0 41 CITY OF CARLS BAD LAND USE REVIEW APPLiCATION APPLICATIONS APPLIED FOR: tCHECK BOXES; Administ,-ative Permit Planned DeIC opme H Permit I Acrninistrat e Variance P anrecl Inth s ia Pam it Coastal Deve:opment Per mt L Plann Commission Determination Conditional Use Permit CUPOZ-11xi H Precise Development Plan Condominium Permit Redevelopment Permit Environmental Impact Assessment Site Development Plan fl General Plan Amendment Special Use Permit fl Habitat Management Plan Permit H Specific Plan Hillside Development Permit Tent aovfcep otar fom L cori000rrn Deportmerii I Local Coastal Program Amendment i Tentative Tract Map tas em Plan [ Variance Mmor Condibonal Use Permit Zone Change It I Non Residntml °Ni net Dove npn r List other applications not speciced O'NER NAME (Print or, Type) , c?PLCANT NAM (Print or Type) Ii H INC ADDRESS MAILING ADDRESS AL LIP fl LI HUN TY J\[), STATE ZIP TELL PHONE A0EdRESS V IL\DCRE SIGNA-CA LATE 1 VlHJt A FJRE DATE NOT A PROPOSED PROJECT REQUIRING MULTIPL F APPI ICATIONS BE FILED, D, MUST BE SUBMITTED PRIOR TO 3:30 M A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 400 PM 1 14 P 1 OF JEVo2o5 *4/25/2018 - Per G Ruiz, new DEV number (DEV2018-0078) has been created in Energov for CUP 02-21 and CUP 02-21x * ;1 0 BRIEF LEGAL DESCRIPTION 8) LOCATION OF PROJECT: ON THE )NC)RTH. SOUT H, EAST. WES1T BETWEEN I DE OF 5WwE ''F S T L AND T 8) 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. )M/E CONSENT TO ENTRY FOR THIS PURPOSE, 10 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 RESTRICTIO S RUN WITH THE LAND AND BIND ANY SUCCESSORS IN 1NTEREST, FOR CITY USE ONLY RECEIVED J U L 012008 CITY OF CARLSBAD ,Af!1AN NO RECEIVED BY: Form 14 RvO3..•A8 PAGE 2 OF 4 RECENED JUL 012008 €tL2L CITY OF CARLSBAD PLANNING DEPT Citv of Carlsbai DISCLOSURE STATEMENT Applicants 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 providedbeIow; - 1. APPLICANT (Not the applicants agent) Provide the COMPLETE, LEGAL names and addresses of persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names, title, addresses of all individuals awning 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 blicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Corp/Part'1i\ti)\e Title Title Address AddressJ0121—M-07I V`4 2. OWNER (Not the owners 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 1/14 OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) 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.) erson..k1y+ (na 'LfYt )______________________ Title i Title_________________________________ Address J4 -\ NnflD 1?ui1 Address_____________________ 1635 Faraday Avenue • Carlsbad, CA 92008.7314 • (760) 602-4600 • FAX (760) 602-8559 swvwd.carlabadca.us JiL -1 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a (rust, 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/Trust__________________ Non ProfitiTrust______________________ Title Title Address Address 4. Have you had more than $250 worth of business transacted with any member of City staff. Boards, ComPyNoons, Committees and/or Council within the past twelve (12) months? F1 Yes If yes, please indicate person(s):_________________________ NOTE: Attach additional sheets if necessary. 1 certify that all the above information i e and correct to the best of my knowledge. / . -SWiture of owner6te ' Signature of applicant/date , /<Et'ItJ e. 113gc Pnn( or type name of 6wner Print or type name of applicant t > s agent if applicable/date y6adJb6[n )eth Print type name of owner/apptfant s agent K'ADMIN%CCONTERVISCLOSURE STATEMENT 5198 Page 2 of 2 Ll n STORM WATER REQUIREMENTS"APPLICABILITYCHECKUST Project Address Assessors Parcel Number(s): Project # (city use only): 4901 El Camino Real 207-101-27 ~ CAArv -2-IX I Complete Sections 1 and 2 of the following checklist to determine your project's permanent and construction storm water best management practices requirements. This form must be completed and submitted with your permit application. Section 1. Permanent Storm Water BMP Requirements: If any answers to Part A are answered "Yes," your project is subject to the "Priority Project Permanent Storm Water BMP Requirements," and "Standard Permanent Storm Water BMP Requirements" in Section Ill, "Permanent Storm Water BMP Selection Procedure" in the Storm Water Standards manual. If all answers to Part A are 'No," and any answers to Part B are 'Yes," your project is only subject to the 'Standard Permanent Storm Water BMP Requirements". If every question in Part A and B is answered "No," your project is exempt from permanent storm water requirements. Part A: Determine Priority Project Permanent Storm Water BMP Requirements. Does the project meet the definition of one or more of the priority project categories?* Yes No 1. Detached residential development of 10 or more units. 2. Attached residential development of 10 or more units. 1 Ei 3. Commercial development greater than 100,000 square feet. 4. Automotive repair shop. 5. Restaurant. 7 6. Steep hillside development greater than 5,000 square feet. 1111 v/1 7. Project discharging to receiving waters within Environmentally Sensitive Areas. 1-117, 8. Parking lots greater than or equal to 5,000 ft or with at least 15 parking spaces, and F] potentially exposed to urban runoff. 9. Streets, roads, highways, and freeways which would create a new paved surface that is 5,000 feet square or greater * Refer to the definitions section in the Storm Water Standards for expanded definitions of the priority project categories. Limited Exclusion: Trenching and resurfacing work associated with utility projects are not considered priority projects. Parking lots, buildings and other structures associated with utility projects are priority projects if one or more of the criteria in Part A is met. If all answers to Part A are "No", continue to Part B. . . Part B: Determine Standard Permanent Storm Water Requirements. Does the project propose: Yes No 1. New impervious areas, such as rooftops, roads, parking lots, driveways, paths and sidewalks? F] 2. New pervious landscape areas and irrigation systems? jlj !?J 3. Permanent structures within 100 feet of any natural water body? LIII 1Zi 4. Trash storage areas? 1111 77 5. Liquid or solid material loading and unloading areas? 6. Vehicle or equipment fueling, washing, or maintenance areas? I1 7. Require a General NP DES Permit for Storm Water Discharges Associated with Industrial Activities (Except construction )?* 8. Commercial or industrial waste handling or storage, excluding typical office or household waste? 9. Any grading or ground disturbance during con struction? F37 10. Any new storm drains, or alteration to existing storm drains? IJ *To find out if your project is required to obtain an individual General NPDES Permit for StormWater Discharges Associated with Industrial Activities, visit the State Water Resources Control Board web site at, www.swrcb.ca.gov/stormwtr/industrial.htmi --- -- - Section 2. Construction Storm Water BMP Requirements: If the answer to question I of Part C is answered "Yes," your project is subject to Section IV, "Construction Storm Water BMP Performance Standards," and must prepare a Storm Water Pollution Prevention Plan (SWPPP). If the answer to question I is "No," but the answer to any of the remaining questions is "Yes," your project is subject to Section IV, "Construction Storm Water BMP Performance Standards," and must prepare a Water Pollution Control Plan (WPCP). If every question in Part C is answered "No," your project is exempt from any construction storm water BMP requirements. If any of the answers to the questions in Part C are 'Yes," complete the construction site prioritization in Part D, below. Part C: Determine Construction Phase Storm Water Requirements. Would the project meet any of these criteria during construction? [Yes No 1. Is the project subject to California's statewide General NPDES Permit for Storm Water Discharges Associated With Construction Activities? 2. Does the project propose grading or soil disturbance? 3. Would storm water or urban runoff have the potential to contact any portion of the construction area, including washing and staging areas? El I Z 4. Would the project use any construction materials that could negatively affect water quality if discharged from the site (such as, paints, solvents, concrete, and stucco)? 0 . Part D: Determine Construction Site Priority In accordance with the Municipal Permit, each construction site with construction storm water BMP requirements must be designated with a priority: high, medium or (ow. This prioritization must be completed with this form, noted on the plans, and included in the SWPPP or WPCP. Indicate the project's priority in one of the check boxes using the criteria below, and existing and surrounding conditions of the project, the type of activities necessary to complete the construction and any other extenuating circumstances that may pose a threat to water quality. The City reserves the right to adjust the priority of the projects both before and during construction. [Note: The construction priority does NOT change construction BMP requirements that apply to projects; all construction BMP requirements must be identified on a case-by-case basis. The construction priority does affect the frequency of inspections that will be conducted by City staff. See Section LVI for more details on construction BMP requirements.] LA) High Priority 1) Projects where the site is 50 acres or more and grading will occur during the rainy season 2) Projects 1 acre or more. 3) Projects 1 acre or more within or directly adjacent to or discharging directly to a coastal lagoon or other receiving water within an environmentally sensitive area 4) Projects, active or inactive, adjacent or tributary to sensitive water bodies LII B) Medium Priority 5) Capital Improvement Projects where grading occurs, however a Storm Water Pollution Prevention Plan (SWPPP) is not required under the State General Construction Permit (i.e., water and sewer replacement projects, intersection and street re-alignments, widening, comfort stations, etc.) 6) Permit projects in the public right-of-way where grading occurs, such as installation of sidewalk, substantial retaining walls, curb and gutter for an entire street frontage, etc. , however SWPPPs are not required. 7) Permit projects on private property where grading permits are required, however, Notice Of Intents (NOls) and SWPPPs are not required. E?I1 C) Low Priority 8) Capital Projects where minimal to no grading occurs, such as signal light and loop installations, street light installations, etc. 9) Permit projects in the public right-of-way where minimal to no grading occurs, such as pedestrian ramps, driveway additions, small retaining walls, etc. 10) Permit projects on private property where grading permits are not required, such as small retaining walls, single-family homes, small tenant improvements, etc. OwnerlAgentlEngineer Name (Please Print): I Title: Krystat Paftersop,,Agent for T-Mobile Agent Sige: Date: 4L~, ~ / W% 0 4PECEIVED JUL 01 2'3 CITY OF CARLSBAD PLANNING DEPT 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 65962.5,1 have consulted the Hazardous Wastes and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): 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. 0 The development project and any alternatives proposed in this application are contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: Address: I\ iee C±t &vt becp C ç 12t Phone Number: r1t U 11 1/0.3 Address of Site: El Cafy4tqb PROPERTY OWNER Name: kwlLLn Address: -4qL I E t (di-yll vi C cav &aA ) C Cp_c( Phone Number: Local Agency (City and County):______________________________________________________________ Assessor's book, page, and parcel number: -2-0-7 - IC) I 2-7 Specify list(s): Regulatory Identification Number:________________________________________________________________ Date of List: 4~ A--Hcq-~,u Y (t*x?itW( Applic n Signature/Date Property Owner Owner Signature/Date AduuniCounierlHazWasie I o LETTER OF AUTHORIZATION May 5. 2008 City of Carlsbad Planning & Building Departments 2075 Las Palmas Drive Carlsbad, California 92009 Re: Letter of Authorization regarding an Existing Communications Facility at 4901 El Camino Real, Carlsbad. 1, owner/agent of the below-described property, do hereby appoint T-Mobile (TMO') my agent for the purpose of consummating any application necessary to insure their ability to continue to use the property for which TMO is currently operating a communications facility. I understand that this application may he denied, modified or approved with conditions and that such conditions or modifications must be complied with prior toflnal approval. Address: 4901 El Camino Real Carlsbad, California 92008 Assessor's Parcel Nuin her: 207-101-27 By: Title: / Date: ( PlAlvA SDc2o3 4 [I -Mobile L(Jo C) 0 Coverage Levels: Excellent LII Good/Variable Poor LII No Coverage 6203 an Property 4901 El Camino Real Carlsbad, CA 92008 Coverage without site Coverage with site