HomeMy WebLinkAboutCUP 190B; Sudan Interior Mission (SIM USA); Conditional Use Permit (CUP)0
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
Ljpp«- RnYPQ\1) APPLICATIONS APPLIED FOR: (CH
j | Administrative Permit
[ j Administrative Variance
I J Coastal Development Permit
fx$ Conditional Use Permit ( amendme
[ "| Condominium Permit
J I Environmental Impact Assessment
| | General Plan Amendment
| ] Hillside Development Permit
|| Local Coastal Program Amendment
j H Master Plan
| I Minor Conditional Use Permit
| Non-Residential Planned Development
I I Planned Development Permit
ECK BOXES)
(FOR
DEPARTMENT
USE ONLY)
ntCjuup (^J
| [ Planned Industrial Permit
| | Planning Commission Determination
I I Precise Development Plan
. J2>1 Redevelopment Permit
[~| Site Development Plan
I I Special Use Permit
| | Specific Plan
I i Tentative Parcel Msip
Obtain from Engineering Department
| | Tentative Tract Map
| [ Variance
[ [ Zone Change
I I List other applications not specified
(FOR
DEPARTMENT
USE ONLY)
2) ASSESSOR PARCEL NO(S) : 212~040-47~QO '
3) PROJECT NAME: SIM COP
4) BRIEF DESCRIPTION OF PROJECT: An,endment to Cup 19Q
5) OWNER NAME (Print
SIM USA, Inc.
Georae Salloum
MAILING ADDRESS
P.O. Box 7900
CITY AND STATE
Charlotte, NC
or Type)
c/o
ZIP TELEPHONE
704
28241-7900 588-4300
EMAIL ADDRESS:
I CERTIFY jy*T I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMAJJ8N IS TJJ0E AND CORRECT TO THE BEST OF MY
SIGNATURE DATE
6) APPLICANT NAME (Print or Type)
SIM USA, Inc. c/o
George Salloum ;
MAILING ADDRESS
P,0, Box 7900 r:U:
CITY AND STATE ZIP
Charlotte, NC 28241-7900
TELEPHONE704
588-4300
EMAIL ADDRESS: / ;
1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE
OWNER ANQ^flAT ALL THE ABOVE INFORMATION IS TRUE ANC
CORREO^TOTHE BJ^ OF MY KNOWifiDGE 1
STATURE 3$\TE
7)BRIEF LEGAL DESCRIPTION
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M.
A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIORTO 4:00 P M.;
Form M Rev 01/07 PAGE 1 OF 5
8) LOCATION OF PROJECT:1400 Flame Tree Lane, Carlsbad, CA 92011
ON THE
BETWEEN
SIDE
STREET ADDRESS
OF Aviara Parkway
(NORTH, SOUTH, EAST, WEST)(NAME OF STREET)
Laurel Tree Lane AND Flame Tree Lane
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS
13) TYPE OF SUBDIVISION
20
11) NUMBER OF EXISTING
RESIDENTIAL UNITS
16} PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
19) GROSS SITE ACREAGE
22) EXISTING ZONING
14) PROPOSED IND OFFICE
SQUARE FOOTAGE
17) PROPOSED INCREASE
INADT
20) EXISTING GENERAL
PLAN
23) PROPOSED ZONING
(NAME OF STREET)
12) PROPOSED NUMBER
OF RESIDENTIAL UNITS
15) PROPOSED COMM
SQUARE FOOTAGE
18) PROPOSED SEWER
USAGE IN EDU
21) PROPOSED GENERAL
PLAN DESIGNATION
24) HABITAT IMPACTS
IF YES ASSIGN HMP #
25) 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 I/WE CONSENT TO
ENTRY FOR THIS PURPOSE
26) PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION FILED ON THE
PROPERTY TITLE IF CONDITIONED FOR THE APPLICANT CERTAIN APPROVALS (SUCH AS A CONDITIONAL USE
PERMIT) RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST
ROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
RECEIVED
MAR 11 2007
CITY OF CARLSBAD
DATI ON RECEIVED
RECEIVED BY:
TOTAL FEE REQUIRED
Form 14 Rev 01/07 PAGE 2 OF 5
PLEASE NOTE:
Time limits on the processing of discretionary projects established by state law do not start until
a project application is deemed complete by the City. The City has 30 calendar days from the
date of application submittal to determine whether an application is complete or incomplete.
Within 30 days of submittal of this application you will receive a letter stating whether this
application is complete or incomplete. If it is incomplete, the letter will state what is needed to
make this application complete. When the application is complete, the processing period will
start upon the date of ihXpompletion letter. /
Applicant Signature: /.//-/?
Staff Signature: _____
Date:
• To be stapled with receipt to the application
• Copy for file
Form 20
City of Carlsbad
Planning Department
DISCLOSURE STATEMENT
I Applicant's statement or disclosure of certain ownership interests on all applications which wili require]
[ discretionary action on the part of the City Council or any appointed Board, Commission or Cp_mmittee. j
The following information IV1UST be disclosed at the time of application submittal Your project cannot be
reviewed until this infoimation is completed Please punt
Note:
Person is denned as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization,
corporation, estate, trust, receiver, syndicate, in this and any other county, cily 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,
4 APPL.ICAN T (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 publidy-Qwned corporation, include the names, titles, and addresses of the corporate
officers (A separate page may be attached if necessary )
Person s£^ Ite_E_^ b^i°¥ Corp/Part See I_tem ^ Be low
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 __ Corp/Part See Item 3 Below
Title ___________ .......... _ ............. , ________ Title. _______ ..... ________
Address Address . . ___
1535 Faraday Avenue • Carisbad, CA 920087314 • (750) 602-4600 • FAX (760) 603 8559 • wwwci.carlsbad caus
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.
Please seeNon Profit/Trust
Attached List
Non ProWfrust_
Title
Please See Attached List
Address Address
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?
Yes No If yes, please indicate person(s):.
NOTE: Attach additional sheets if necessary
certify that all the above information is true and correct to the best of my knowledge
Ijfgnature of owner/date
SIM USA, Inc c/o
George Salloum
Print or type name of owner
Signature of applicant/date
SIM USA, Inc.
c/o George Salloum
Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
H:ADMIN\COUNTER\DISCl.OSUR£ STATEMENT 12/06 Page 2 of 2
c
City of Carlsbad
Planning Department
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 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 arejipt
contained on the lists compiled pursuant to Section 65962..S of the State Government
Code.
f J 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'
SIM USA, Inc. c/o
Name; George 5_a 13, oun)
Address:^- °- Box
Charlotte, NC 28241-7900
Phone Number:704-588-4300 x!493
PROPERTY OWNER
SIM USA, Inc. c/o
Name: Oeorna Salloum
Address: P0 Box 7 900
Charlotte, NC 28241T-7900
Phone Number: 704 588-4300 xl493
Address o!Site: 1400 Flame Tree Lane^ Carlsbad, CA 92011
Local Agency (City and County): city of Carlsbad - County of San Diego
Assessor's book, page, and parcel number: _..££!!: 21_2-040^47-00
Specify llst(s): ._
Regulatory Identification Number ,.
Date of list: .
Applicant Signature/Date
Admin/Counlar/HazWasta
Property Owner Signature/Date
163S Faraday Avenua • Carlsbad, CA 32003-7314 « (780) 602 4600 • FAX (760) 602-8559 » www..«'.carlsbad ca us
2
Application Event Chronology
Permit #:
Associated Permits:
Planner
?&.£. -
Property Location: 1HOQ
APN#: atS*- OHO-
iVix. \(Vjy>iL
Request for Graphics from GIS Department: H| •'' U
Early Public Notice Sent: S( I lot
Date Application Submitted:
Complete^ncompjeie Letter Sent:
Complete/incomplete: *\ \ n\ o
CEQA
CEQA Determination:
Complete / Incomplete:
Date ,-> >.-,
o oSchedule for Meeting: PC:
County Public Notice Sent: H I »3»\
-Request conditions from other dept's: v\
,,fe
Due by date: S'l<\lo'>>
Contacted Applicant for Exhibits/ Labels/ Etc.:
aff Report Graphics requested from GIS Department:
DCC Letter sent out to applicant: _£
Public Notice Sent:^ Date: L* \ 3 \
PC Briefing Dates: Monday: Cg V (tfe
PUBLIC HEARING(s)
Planning Commission Date tp/
DCC Meeting fe^Date:
Tuesday:
;xo Vote V4 -
Approved / Condition• —•
Appeal Deadline:
Approved / Denied / Continued
City Council Date\
Notice of determination:
Approved /''Conditionally Approv
Appeal Deadline:
AiO ") Filing fee collected from applicant:
fif!M2"a007 TUB 03:45 PH Ci"C 'Carlsbad FAX NO. 760 559 P. 04
Assessors Parcel Numbers):Proiect # (city use only):
CUft \°JQ
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 beconpleted
and submitted witti 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 III, "Permanent Storm Water BMP Selection Procedure" in the Storm
Water Standards manual
If aN answers to Part A are "No," and any answers to Part 5 are "Yes," your project is only subject
to the "Standard Permanent Storm Water BMP Requirements", ff every question in Part A and B
is answered "No,* your project is exempt from permanent storm water requirements.
Part A: Deteraiae Priority Project Permanent Storm Water BMP Requirements.
Does the project meet the definition of one or more of the priority project categories?*
1. Detached residential development of 10 or more units.
2. Attached residential development of 1 0 or more units.
3. Commercial development greater than 100,000 square feet.
4. Automotive repair shop.
5. Restaurant.
6. Steep hillside development greater than 5,000 square feel.
7. Project discharging to receiving waters within Environmentally Sensitive Areas.
z8. Parking lots greater than or equal to 5,000 ft or with at least 1 5 parking spaces, and
potentially exposed to urban runoff.
9. Streets, roads, highways, and freeways which would create a new paved surface that is
5,000 square feet or greater
Yes
3SB1
No
•pars1
wbd
*i.
X
>
*
*
/
i
* 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.
APR-12-2007 THU 03:46 PM CityQCarlsbad FAX NO. 760 6*>8559 P, 05
PartiB; Petepnine Standard Permanent Storm Water Requirements.
uve9 me vmeKt propose;
1. Nevr unperviott&areas, such as rooftops, roads, parking lots, driveways, paths and
sidewalks?
2. N^wperwous landscape areas and irngfttfon systTn"?
3. Permanent structures within 100 feet of any natural water body?
4. Trash storage areas?
5. Liquid or solid material loading and unloading areas?
6. Vehicle or equipment fueling, washing, or maintenance areas?
7. Require a General NPDES Permit for Storm Water Discharges Associated with Industrial
Activities (Except construction)?*
,0. Commercial or industrial waste handling or storage, excluding typical office or household
%aste?
9. Any grading or ground disturbance during construction?
10. Any new storm drains, or alteration to existing storm drains?
iw»
,
D
no
>
X!
Jllfxi
[71
*iil>
A
To find out if your project is required to obtain an individual General NPDES Permit for Storm Water'
Dfecharges Associated with Industrial Activities, visit the State Water Resources Control Board web site
at www.swrd3.ca.gov/stormwtr/tndustrial.htrnl
Section 2. Construction Storm Water BMP Requirements;
If the answer to question 1 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 1 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,1' 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. , i
/L> o c. e>t~-' a~Tr^c-T£rtK*^
Part C: Determine Construction Phase Storm Water Requirements. \»*-\.*^ prooo.yg'b> -
Would the project meet any of these criteria during construction?
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?
4. Would the project use any construction materials that could negatively afreet water quality
if discharged from the site (such as, paints, solvents, concrete, and stucco)?
Yes
1 *n
No
APR-12-2007 THU 03:46 PM City/"**Carlsbad FAX NO. 760 P. 06
PartD: Determine Construction Sfte Priority
to » wiit* the Municipal Permit, each construction site with construction storm water BMP
must be designated with a priority: high, medium or tow. This prioritizafion must be
completed with this form, noted on the plans, and included in the SWPPP or WPCP. Indicate the project's
priority in one «f tie check boxes using the criteria below, arKj existnig arrf surrouoc^ condition <^ ^
project, the type of activities necessary to complete the construction and any other extenuating
*iK*BaBteMces thatraay pose a threat to water quality. The City reserves the right to adjust the priority of
Ite project both before and during constaicfion. [Note: The construction priority does NOT change
consttucfion 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
wil be conducted by City staff. See Section IV.1 for more details on construction BMP requirements.]
U 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
') 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 (l.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 permfe are required, however, NoSce Of Intents
(NOls) and SWPPPs are not required.
Low Priority
) 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.
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
Applicant: SIM USA, INC
Description Amount
CUP0190B 45.63
Not valid unless validated by Cash Register
PLEASE RETAIN RECEIPT FOR REFUNDS OR ADJUSTMENTS
Receipt Number: R0064121 Transaction ID: R0064121
Transaction Date: 04/30/2007
Pay Type Method Description Amount
Payment Check 45.63
Transaction Amount: 45.63
City of Carlsbad
Faraday Center
Faraday Cashiering 001
0712101-1 05/01/2007 32
Tue MayO1,2007 07:36 AH
PERMITS - PERMITS $45.63
Tran Nbr: 071210101 0002 0002
Trans/Rcpt#: R0064121
SET #: CUP0190B
1 ITEM(S): TOTAL: $45,63
Check (Chk# 002124) $45.63
Total Received: $45.63
Have a nice Jay!
Duplicate: 05/01/2007 11:03:02AM
City of Carlsbad
SIM USA Inc
CUP190(B)A Map created by the City of Carlsbad GIS. Portions of
the DERIVED PRODUCT contain geographic information
copyrighted by SanGIS. All Rights Reserved