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Home My WebLink AboutMCUP 07-05; Sprint Nextel SD03x0145; Conditional Use Permit (CUP) (6)fij*a| Cny OF CARLSBAD ^ij&r LAND USE REVIEW APPLICATION 1) APPtlC^TTONS~ATIPnETJFOR- (CHF Q Administrative Permit | [ Administrative Variance | | Coastal Development Permit I I Conditional Use Permit [ [ Condominium Permit [~~| Environmental Impact Assessment r"l General Plan Amendment [~~[ Hillside Devetopment Permit [ [ Local Coastal Program Amendment [ | Master Plan ]s£| Minor Conditional Use Permit [_J Non-Residential Planned Development [ | Planned Development Permit ECK BOXES) (FOR DEPARTMENT USE ONLY) O^-D^ \ \ Planned Industrial Permit | | Planning Commissron Determination j I Precise Development Plan r~j Redevelopment Permit [ I Site Devetopment Plan r~l Special Use Permit [ [ SpecffiePten Ohtain from Engineering Depaitmenl (~~| Tentative Tract Map I j Variance Q Zone Change I I List other applications not specified (FOR DEPARTMENT USE ONLY) 2) ASSESSOR PARCEL NO(S).: 3) PROJECT NAME: 4) BRIEF DESCRIPTION OF PROJECT: EMAIL ADDRESS.EMAIL ADDRESS: \ CERTIFY THAT 1 AM .THE LEGAL OVWB? AND THAT AU. THE AK)VE INFORMATION^ IS WUE AND CORRECT TO THE BEST OF MY 1 CERTIFY THAT J AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT All. THE ABOVE INFORMATION fS TRUE AND SIGNAT/JRE DATE 7) BRIEF LEGAL DESCRIPTION NOTE; A PROPOSKl PROJECT ^CWRtfTO MULTIPLE APPUCATTONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING O«LY ONE APPLICAT5OH BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form PAGE 1 OF 5 8) LOCATION OF PROJECT: ON THE BETWEEN 9) LOCAL FACILITIES W 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT <N OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 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. STREET ADDRESS " ^PWtVV"j SIDE OF (NORTH, SOUTH, EAST, WEST) VMtoMMf f NAGEME LOTS POSED NAME OF STREET) NT ZONE rtk- Wfv *v& a* 1t)NUM R£5 14) PRO SQU 17) PRO INAI 20) EXIS PlAI 23) PRO [ AND Vfc- - BER OF EXISTING >ID£NTIAL UNITS GSHJW& \fi4t $&AJJ (NAME OF STREET) & IPOSEO IND Office! vlj> (ARE FOOTAGE | W iPOSED INCREA^ >T mNG GENERAL M iPOSED ZONING r >&- .M -:w (NAME OF STREETj 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE fa WA 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) HABTTAT IMPACTS W YES. ASSIGN tfitfP# •H/t- rJfc .. Y/N 26) PROPERTY OWNER j PROPERTY PERMIT) Rl ! AND CONSENTS TO A NOTICE OF RESTRICTION FILED ON THE tomONED FOR THE APPLICANT. CERTAIN APPROVALS (SUCH AS A CONDITIONAL USE 4E LAND AMD BIND ANY SUCCESSORS IN INTEREST, ER SIGNATURE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: Form 14 Rev, 01/07 PAGE 2 OF 5 City of Carlsbad_j m'fimtmtmaimmr*m^^^^^^^^fmPlanning Department DISCLOSURE STATEMENT 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 tie 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 dub, 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 lagal 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, title, addresses of all indhriduaJs owning more than 10% of the shares, IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHADES, PLEASE INDICATE NON-APPLICABLE'(N/A) IN THE SPACE BELOW, rf a publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Corp/Part Title 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 aft 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 pubfidv^owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) person Corp/Part_'^ '* t"Ae,i VI f «*• rr£=*ejrvA>e> U-.C Title Title Address Address.. Cwtebwl. 3. NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above te 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 Pfoft/Trust Won ProWTrusf Title Title Address Address. 4. Have you had more than $500 worm of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? I I Yes |Sd No If yes, please indicate person(s): NOTE: Attach additional sheets if necessary. I certify $tat a}\ the above information te true and correct to the best of my knowledge. Signature of owner/date Signature of applicant/date . 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/appHcanfs agent HtADMINICOUNTERCMSCLOSlWe STATEMENT 12(06 Page 2 Of 2 CITY OF CARLSBAD _' LAND USE REVIEW APPLICATION APPLICATIONS APPLIED FOR: (CHECK BOXES)1) I I (FOR DEPARTMENT USEONLY) LJ I I I I [~~| LJ I I 1 I I I LJ Administrative Permit Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environmental Impact Assessment General Plan Amendment Hillside Development Permit Local Coastal Program Amendment Master Plan Minor Conditional Use Permit Non-ResWential Planned Development Planned Development Permit l~] Planned Industrial Permit I I Planning Commission Determination L J Precise Development Plan j_J Redevelopment Permit LJ Site Development Ran 0 Special Use Permit F~| Specific Plan LJ Tentative Parcel Map Obtain from Engineering Department 1 I Tentative Tract Map LJ Variance Zone Change LJ 1st other appBcafons not specified (FOR DEPARTMENT USE ONLY) 2) ASSESSOR PARCEL NO(S).: 3} PROJECT NAME: 4} BRIEF DESCRIPTION OF PROJECT: — C&d ~ 5) OWNER NAME (Print or Type) 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KN SIGNATURE DATE 6) APPLICANT NAME (Print or Type) 1 CERTIFY THAT 1 AW THE IEGAL REPRESENTATIVE OF TH£ OWNER AMD THAT ALL THE ABOVE INFORMATION IS TRUE AND TTOJHEBEST OF MY KNOWLEDGE. 7) BRIEF LEGAL DESCRIPTION NOTE:L i-orm 14 8) LOCATION OF PROJ ECT: ON THE BETWEEN SDEOF {NORTK SOUTH. EAST, WEST) E OF STREET) 9} LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 13} TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE INADT 20} EXISTING GENERAL PLAN 23} PROPOSED ZONING tNAMEO 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 Am ENTER THE PROPERTY THAT IS THE SUBJECT OF TH!S APPLICATION. J/WE COMSEMT TO ENTRX40R THS SURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED RECEIVED APR 18 2007 CITY OF RECEIVED RECEIVED BY: TOTAL FEE REQUIRED Form 14 City of Carlsbad Faraday Center Faraday Cashiering 001 0710501 2 04/16/2007 33 Mon Apr16,2007 10:31 AM PERMITS - PERMITS $630.00 Fran Nbr: 071060102 0024 0025 Trans/Rci;t*: R0063832 SET *: MCUP0705 1 ITEM(S); TOTAL: $630.00 Check (Chk# 1305) $630.00 Total Received: $530.00 Have a nice day! 81 ONER COPY**** City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: NSA WIRELESS Description MCUP0705 Amount 630.00 Receipt Number: R0063832 Transaction Date: 04/16/2007 Transaction ID: R0063832 Pay Type Method Payment Check Description Amount 630.00 Transaction Amount: 630.00 RECE Feb 12 07 10:47p Mickey 02/12/2087 21:45 9253550672 ^6^3 NSAWIRELESS 1114 p.2 City of -Carlsbad Planning DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on all applications which will requirej discretionary action on the part of the City Council or any appointed Board, Commission or Committee.= i The following information MUST be disclosed at the time of application submittaL Your project cannot be reviewed until this information is completed. Please print. Nota: • . Parson Is. defined as "Any Individual, firm, co-partnership, joint venture, association, socfaf club, fraternal organization, corporation, estate, trust, receiver, syndicate, In this and any other county, city and county, city munfclpaly, 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. 2. APPLICANT (Not the applicant's agent) Provide the COMPLETE, LEGAL names and addresses of AUL persons having a financial interest irr.lhe 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 publicly-owned corporation, include the names, titles, and addresses of the corporate officers, (A separate page may be attached if necessary.) Com/Part Title Address Z-TZ7 Address OWNER {Not the owner's agent) Provide the COMPLETE,TLEGAL. names and addresses of ALL persons having any ownership interest in the properly Involved. Also, provide the nature of the legal ownership (I.e. partnership, tenants In common, non-profit., corporation, eta). If the ownership includes a coiporatign or partnership. Include the names, title, addresses of a!! 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 oubfidv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person Title Corp/Part_ Title Address Address teas Faraday Avenue • Carlsbad, CA. 92008-7311 • {760} 602-4600 • FAX (760) 6024559 • www.d.cailsbad.cajjs RECEi Feb 12 07 10:47p Mickey 02/12/2007 21:45 9253558672 Jfe NSAWIRELESS 61^^1114 p.<i 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 organizationorastrusleeorbeneflciaryoftp. . s NonProfit/Trust Miff?*! Htffa^oiltt ^m Profit/Trust Address I S Mo Address 4. Have you had more than S500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? Qves 2J No If yes, please indicate person{s>;_ NOTE: Attach additional sheets if necessary. I certify that all the above infprmatlon is true and correct to the bestof my knowledge Signature of owner/date M Signature of applicant/date Print or type name of owner Print or type name of applicant Signature o! owner/applicant's agent if applicable/dale Prinf or type name of ovmer/applioant's agent H*DM!M\COUNTER\DBCLOSURE5TRTEMENT Page 2 Of 2 STORM WATER REQUIREMENTS APPLICABILITY CHECKLIST Project Address Assessors Parcel Number(s): CAT. - Project # (city use only): Complete Sections 1 arid 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 Hi. "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 8 is answered "No," your project ts 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?* 1, Detached residential development of 10 or more units. 2. Attached residential development of 10 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 feet. 7. Project discharging to receiving waters within Environmentally Sensitive Areas. 2 8. Parking lots greater than or equal to 5,000 ft or with at least 15 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 tfo XI X X Xx Xx Xx * 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. Fart 6: Determine Standard Permanent Storm Water Requirements. Does the project propose: 1. New impervious areas, such as rooftops, roads, parking tots, driveways, paths and sidewalks? 2, New pervious landscape areas and irrigation systems? 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)?* 8. Commercial or industrial waste handling or storage, exduding typical office or household waste? 9. Any grading or ground disturbance during construction? 10. Any new storm drains, or alteration to existing storm drains? Yes I No X X X X X X ^X X X To find out if your project is required to obtain an individual General NPDES Permit for Storm Water Discharges Associated with Industrial Activities, visit the State Water Resources Control Board web site at. www.swrcb ca.gov/stormwtr/industrial.htrni Section 2. Construction Storm Water BMP Requirements: If tie 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 "Ho," 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, ff any of the answers to the questions in Part C are "Yes," complete the construction site prioritjzation in Part D, below. Part C: Determine Construction Phase Storm Water Requirements. Would the project rneetanyjrf 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 affect water quality if discharged from the site (such as, paints, solvents, concrete, and stucco)? Yes No X X X X Part 0: 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 low. 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 ttw 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 tie frequency of inspections that will be conducted by City staff. See Section IV.1 for more details on construction BMP requirements.} ) 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 directty 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 j JBj 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-alignmerrts, 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 (NOIs) and SWPPPs are not required. \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. Owrter/Agent/Engineer Name (Please Print): AA Title: Stature:mk Date: