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Home My WebLink AboutMCUP 10-02B; AT&T SD0039 Grand Pacific Resort; Conditional Use Permit (CUP) (2)LAND USE REVIEW APPLICATION P-1 Planning Division 1635 Faraday Avenue (760) 602-4610 www.carisbadca.gov APPUCATIONS APPLIED FOR: (CHECK BOXES) Development Permits (FOR DEPT, USE ONLY) Leplslative Permits (FOR DEPT. USE ONLY) I [ Coastal Development Permit (*) | |Minor Conditional Use Permit (*) . . ^ [y^Minor [^Extension l\CJiT— I I Day Care (Large) I |General Plan Amendment Environmental Impact Assessment Habitat Management Permit |Mino Hillside Development Permit (*) |Min Nonconforming Construction Permit Planned Development Permit [ |Minor or I |Residential | | Non-Residential Planning Commission Determination Site Development Plan | |Mino I I Special Use Permit I I Tentative Parcel Map (Minor Subdivision) I Tentative Tract Map (Major Subdivision) [ Variance | [Minor I |Local Coastal Program Amendment (*) Amendment Amendment I [Master Plan I [specific Plan Zone Change (*) Zone Code Amendment South Carlsbad Coastal Review Area Permits Review Permit Administrative [ |\/linor [ [Major Villaae Review Area Permits Review Permit Administrative [ [Minor [ [Majc (*) = eligible for 25% discount 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) : 211-022-28 PROJECT NAME: AT&T GRAND PACIFIC RESORT (SD0039) BRIEF DESCRIPTION OF PROJECT AT&T CELL SITE MODIFICATION TO REMOVE 6 (E) ANTENNAS, INSTALL 12 (N) ANTENNAS, ASSOCIATED RADIO EQUIPMENT, AND REPLACE FRP SCREENING ON CUPOLA BRIEF LEGAL DESCRIPTION: LOT 2 OF CARLSBAD RANCH AND TIMESHARE RESORT, IN THE CITY QF CARLSBAD, MAP NO. 13719 LOCATION OF PROJECT 5805 ARMADA DRIVE, CARLSBAD, CA 92008 ON THE: BETWEEN SOUTH STREETADDRESS SIDE OF ARMADA DRIVE (NORTH, SOUTH, EAST, WEST) FLEET STREET (NAME OF STREET) AND (NAME OF STREET) PALOMAR AIRPORT ROAD (NAME OF STREET) p-1 Page 1 of 6 Revised 12/13 OWNER NAME (Print): GRAND PACIFIC PALISADES APPLICANT NAME (Print): AT&T MOBILITY MAILING ADDRESS: 5900 PASTEUR COURT, SUITE 200 MAILING ADDRESS: 7337 TRADE STREET CITY, STATE, ZIP: SAN DIEGO, CA 92121 CITY, STATE, ZIP: SAN DIEGO, CA 92121 TELEPHONE: TELEPHONE: EMAIL ADDRESS: debbie.leung(gmmtelecominc.com EMAIL ADDRESS: (jebbie.leung@mmtelecominc.eom 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE SIGNATURE DATE APPLICANTS REPRESENTATIVE (Print): DEBBIE LEUNG / M&M TELECOM, INC. MAILING ADDRESS: 6886 MIMOSA DRIVE CITY, STATE, ZIP: CARLSBAD, CA 92011 TELEPHONE: (714)299-4838 EMAIL ADDRESS: debbie.leung(gmmtelecominc.com 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TQ-THE BEST OF MY KNOWLEDGE. 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/WE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OR 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. PROPERTY OWNERISIGNATURE FOR CITY USE ONLY RECEIVED BY: "7^ P-1 Page 2 of 6 Revised 12/13 • PROJECT DESCRIPTION P-1(B) . . ii£JLl Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECT NAME: AT&T GRAND PACIFIC RESORT (SD0039) APPLICANT NAME: AT&T MOBILITY C/O M&M TELECOM, INC. Please (describe fully the propose(d 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: AT&T MOBILITY IS APPLYING FOR A MINOR CONDITIONAL USE PERMIT TO MODIFY THEIR EXISTING CELL SITE WITHIN A CUPOLA ATOP THE GRAND PACIFIC RESORT AT 5805 ARMADA DRIVE, CARLSBAD, CA 92008. THE PROPOSED SCOPE OF WORK CONSISTS OF REMOVING 6 (E) ANTENNAS AND INSTALLING 12 (N) ANTENNAS AND ASSOCIATED RADIO EQUIPMENT WITHIN THE EXISTING CUPOLA. THE FRP SCREENING ON THE CUPOLA WILL ALSO BE REPLACED. P-1(B) Page 1 of 1 Revised 07/10 HAZARDOUS WASTE AND SUBSTANCES Planning Division STATEMENT 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov P-1(C) 1635 Faraday Avenue (760) 602-4610 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 Caiifornia Environmental Protection Agency and hereby certify that (check one): [x] The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 ofthe State Government Code. I I 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 PROPERTY OWNER Name: AT&T MOBILITY Name: GRAND PACIFIC PALISADES Address: 7337 TRADE STREET Address: 5900 PASTEUR COURT, SUITE 200 SAN DIEGO, CA 92011 CARLSBAD, CA 92008 Phone Number: (714) 299-4838 Phone Number: Address of Site: 5805 ARMADA DRIVE, CARLSBAD, CA 92008 Local Agency (City and CountvV CITY OF CARLSBAD, SAN DIEGO COUNTY Assessor's book, page, and parcel number: LOT 2, MAP NO. 13719, 211-022-28 Specify list(s): Regulatory Identification Number: Date of List: Applicant Signature/Date X Property Owner Signature/Date 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 lof 2 Revised 02/13 Date: April 11*, 2014 Site Name: Grand Pacific Resort SD0039 (10086228) 5805 Armada Drive Carlsbad, CA 92008 To Whom It May Concern, Re: Letter of Authorization to Renew Existing Telecommunications Use Permit As owner/agent of the below described property, I do hereby appoint AT&T Wireless my agent for the purpose of consummating any application necessary to ensure their ability to use the property for which AT&T Wireless is negotiating a Conditional Use Permit renewal for the wireless telecommunications facility. 1 understand that this application may be denied, modified, or approved with conditions and that such conditions or modifications must be complied with. Property Address: 5805 Armada Drive Carlsbad, CA 92008 APm: 211-022-28 By:_ Sigt>&ture . . Date RECORDING REQUESTED BY: Chicago Title Company WHEN RECORDED, MAIL THIS DEED AND TAX STATEMENTS TO: Grand Pacific Carlsbad, L.P. 5900 Pasteur Court, Ste. 200 Carlsbad, CA 92008 DOCtt 2012-0744824 11 NOV 29, 2012 8:00 AM 0 9 2 3 OFFICIAL RECORDS SAN DIEGQ COUNTY RECORDER'S OFFICE Ernesl J. Dionenburg, Jr., COUNTY RECORDER FEES: 27.00 OC: OC PAGES: 5 SPACE ABOVE THIS LINE FOR RECOfiOEITS USE Title order number: APN No. 211-022-28-00 GRANT DEED Documentary transfer tax is $0.00 - no consideration - computed on full value of property conveyed. Grantor and Grantee hold same proportionate interest The undersigned Grantor declares: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, GRAND PACIFiC PALISADES, L.P., a California limited partnership Hereby GRANT(S) to GRAND PACIFIC CARLSBAD, L.P., a Califomia limited partnership The following described real property in the County of SAN DIEGO, State of CALIFORNIA: SEE COMPLETE DESCRIPTION ATTACHED HERETO AND BEING MADE A PART HEREOF MARKED •SCHEDULE 7 2. 3 y " GRAND PACIFIC PALISADES, L.P. a Califomia limited partnership By: GRAND PACIFIC RESORTS, INC. a California corporation, its general partner Chanssa Hoxie, AutKorized Agent STATE OF CALIFORNIA COUNTY OF SAN DIEGO On ) , before me, Qenild A. ThoiIiaC Notary Public, personally appeared Charissa Hoxie, who proved to me on the basis of satisfactory evidence to be the person(s) whose name<s) Is/are subscribed to the within instrument and acknowledged to me that he/she/they executed ths same in his/her/thetr authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY^Jfider the laws of the'siate of Califomia that the foregoing paragraph is true and con-ect. wrrNESS my hand and official se^ Signature. (Seal) GERALD A. THOMAS f Commission # 1928924 t Notary Public - California . i San Diego County g My Comm Expires Mar 18, 2015 \ SCHEDULE 1 UAL FIXED WEEK/ 2&24 LEGAL DESCRIPTION FOR ANNUAL FIXED WEEK/ FLOATING UNIT VACATION OWNERSHIP One (1) Annual Fixed Week/ Floating Unit Vacation Ownership (time-share estate) comprised of: PARCEL 1: An undivided 1/51sl fee interest as a Tenant-in-common in a Vacation Condominium, such Vacation Condominium itself being comprised of the following: Parcel A: An undivided 1/175th fee title interest in the Common Area delineated as such on that certain Condominium Plan for Vacation and Facilities/Amenities Condominiums in Grand Pacifk; Palisades Resort recorded February 3, 1999. as Document No. 99.0055269, of Official Records of the San Diego County Recorder's Office, San Diego, Califomia, and any and all amendments which may be made thereto (called in this Deed and in the Dedaratkjn referred to in this Deed, the "Condominium Plan"), said Common Area being a portion of that certain real property legally described as: Lot 2 of Carlsbad Ranch Hotel and Timeshare Resort CT. 96-01, according to Map No. 13719, in the City of Carlsbad, County of San Diego, State of Califomia, filed in the office of the County Recorder of San Oiego County. Califomia on February 3,1999 (the "Lot 2 Property") Parcel B: A VaaitJon Unit as delineated on said Condominium Plan. Excepting from said Parcel B the right to use and occupy said Vacation Unit, except as any such right to use and occupy such Vacation Unit, 0' any other Vacatkxi Unit upon the Lot 2 Property, is granted under PARCEL 2 below. Parcel C: Membership in Grand Pacific Palisades Owners /\ssociation, Inc., a California nonprofit mutual benefit corporation, for each Owner of a Vacation Ownership in a Vacatk>n (Condominium and for each Owner of a Fadlities/Amenities Condominium. PARCEL 2: Subject to the tenns and conditions of Ihe Declaration and the Rules and Regulations: (i) the exclusive right to use and occupy a(n) OCEAN VIEW 2BRy2BA FIXED Vacation Unit Type A., and the Common Fumishings in such Vacation Unit, together wilh (ii) Ihe nonexclusive right to access, use for its respective intended purposes, and/or visit, the Lobby and Front Desk Unit (excluding the marketing desk in lobby), the Office Behind Front Desk Unit, the Gym Unit, and the MUH Pool, Spa and Pool Deck Unit (called the "Accessible Fadlities/Amenilies Units"), as delineated on the Condominium Plan, together with (iii) the nonexclusive right to go to. from, over, upon, under, across and through (as may be appltoable) the Association Real Property, as such is delineated on the Condominium Plan, in order to access the foregoing Vacafion Unit and each Accessible Fadlilies/Amentties Unit, for a FIXED Week during WEEK 51 each Use Year, in accordance with the applicable provisions of the Declaration and the Rules and Regulations. Also known as Inventory Control No. GP017451AZ RESERVING FROM SAID PARCELS 1 AND 2 ABOVE, each of the easements and other rights retained by Grantor for the benefit of Grantor and its successors and assigns, and its and ttieir respective agents, employees, contractors, subcontractors, concessionaires, invitees, patrons, guests, and other visitors, to. from, over, under, across and through the Lot 2 Property, as such easements and other rights are spedfically identified and described in: (1) the Declaration referred to in Ihis Deed; and (2) the Hotel Ovmer(s) Use Rights Dedaration referred lo in this Deed. PARCEL 3: Membership for each Grantee hereunder in Grand Padfic Palisades Owners Association. Inc.. a Califomia nonprofit mutual benefit corporation. SCHEDULE <r 2- LEGAL DESCRIPTION FOR ANNUAL FLOAT WEEK/ FLOATING UNIT VACATION OWNERSHIP One (1) Annual Float Week/ Floating Unit Vacation Ownership (time-share estate) comprised of: 7 Q ? 5 PARCEL 1: ^ An undivided 1/51st fee interest as a Tenant-in-common in a Vacation Condominium, such Vacalion Condominium itself being comprised of the following: Parcel A. An undivided 1/I75ih fee title interest in the Common Area delineated as such on that certain Condominium Ran for Vacation and Facilities/Zkmenities Condominiums in Grand Padfic Palisades Resort recorded Febmary 3, 1999, as Documenl No. 99-0065269. of Offidal Records of the San Diego County Recorder's Office, San Diego. Califomia. and any and all amendments whicli may be made thereto (called in this Deed and in the Declaration referred to in this Deed, the "Condominium Plan"), said Common fijes being a portion of that certain real property legally described as: Lot 2 of Cartsbad Ranch Hotel and Timeshare Resort CT. 96-01, according to Map No. 13719, in Ihe City of Carlsbad. County of San Diego, State of Califomia, filed in the office of Ihe County Recorder of San Diego County, Califomia on Febaiary 3, 1999 (the "Lot 2 Property") Parcel B: A Vacation Unit as delineated on said Condominium Plan. Excepting from said Parcel B the right to use and occupy said Vacation Unit, except as any such right to use and occupy such Vacation Unit, or any other Vacation Unit upon the Lot 2 Property, is granted under PARCEL 2 below. Parcel C: Membership in Grand Pacific Palisades Owners /Associatfon, Inc, a Califomia nonprofit mutual benefit corporation, for each Owner of a Vacation Ownership in a Vacation Condominium and for each Owner of a Fadlities/Amenities Condominium. PARCEL 2: Subject to the terms and conditions of the Dedaration and the Rules and Regulations: (i) the exclusive right to use and occupy a(n) OCEAN VIEW 1 BR/1 BA FLOATING Vacation Unit Type B_, and the Common Fumishings in such Vacation Unit, together with (ii) the nonexclusive right lo access, use for its respective Intended purposes, and/or visit, the Lobby and Front Desk Unit (exduding Ihe marketing desk in lobby), the Oflice Behind Front Desk Unit, Ihe Gym Unit, and the Adult Pod, Spa and Pool Deck Unit (called Ihe "Accessiljle Fadfities/Amenities Units'), as delineated on the Condominium Plan, togettiej wnth (iii) the nonexclusive right to go lo, fi'om, over, upon, under, across and through (as may be applicable) the Assodation Real Property, as such is delineated on the Condominium Ran, in order to access the foregoing Vacation Unit and each Accessible Fadlities/Amenities Unit, for a FLOAT Week during FLOAT SEASON each Use Year, in accordance v^th the applicable provisions of the Dedaration and Ihe Rules and Regulalions. Also knovim as Inventory Control No. GPO34703BZ RESERVING FROM SAID PARCELS 1 AND 2 ABOVE, each of the easements and other rights retained by Grantor for the benefit of Grantor and its successors and assigns, and its and ttieir respective agents, employees, contractors, subcontractors, concessionaires, invitees, patrons, guests, and other visitors, to, from, over, under, aaoss and through the Lot 2 Property, as such easements and other rights are spedfically identified and described in: (1) ttie Declaration referred to in this Deed: and (2) ttie Hotel Owner(s) Use Rights Dedaration referred to in ttiis Deed. PARCEL 3: Membership for each Grantee hereunder in Grand Padfic Palisades Owners Association, Inc., a Califomia nonprofit mutual benefit coiporation. SCHEDULE f3 LEGAL DESCRIPTION FOR ANNUAL FLOAT WEEK/ FLOATING UNIT VACATION OWNERSHIP One (1) Annual Float Week/ Floating Unit Vacation Ownership (time-share estate) comprised of: P Q ? 6 PARCEL 1: An undivided 1/51st fee interest as a Tenanl-in-common in a Vacation Condominium, such Vacation Condominium itself being comprised of the following: Parcel A: undivWed 1/175th fee titie interest in ttie Common Area delineated as such on ttiat certain Condominium Plan for Vacation and FadliCesZ/Vnenities Condominiunis in Grand Padfic Palisades Resort recorded February 3, 1999, as Dooment No. 99-0065269, of Offidal Records of ttie San Diego County Recorder's Office, San Diego, Califomia. and any and all amendments which may be made thereto (called in ttiis Deed and in the Dedaration referred to in this Deed, the "Condominium Plan"), said Common Area being a portion of Uiat :ertain real properly legally described as: Lol 2 of Cartsbad Ranch Hotel and Timeshare Resort CT. 96-01, according to Map No. 13719. in ttie City of Cartstjad, County of San Diego. State of Califomia, filed in Uie office of ttie County Recorder of San Diego County, Califomia on February 3,1999 (ttie "Lot 2 Propert/) Parcel B: A VacEtion Unit as delineated on said Condominium Ran. Excepting from said Parcel B Uie right to use and occupy said Vacation UniL except as any such right to use and occupy such Vacation Unit, or any ottier Vacation Unit upon the Lot 2 Property, is granted under PARCEL 2 below. Parcel C: Membership in Grand Pacific Palisades Owners /Association, Inc., a Califomia nonprofit mutual benefit corporation, for each Owner of a Vacation Ownership in a Vacation Condominium and for each Owner of a Fadlities/ Arronities Condominium. PARCEL 2: Subject to ttie tenns and conditions of ttie Dedaration and ttte Rules and Regulations: (i) Uie exduslve right to use and occupy a(n) OCEAN VIEW 2 BR/2 BA FLOATING Vacation Unit Type A_, and ttie Common Fumistiings in such Vacation Unit, together witti (ii) Uie nonexdusive right to access, use for its respective intended purposes, and/or visiL Uie Lobby and Front Desk Unit (excluding Uie mart<eting desk in tobby), ttie Office Behind Front Desk Unit ttie Gym Unit and Uie Adult Pool, Spa and Pool Deck Unit (called ttie "Accessible FacSities/ZViienities Units'!, as delineated on ttie Condominium Plan, togettier wlUi (iii) Uie nonexclusive right lo go to. fi-om, over, upon, under, across and ttirough (as may be applicable) Uie Assodation Real Property, as such is delineated on ttie Condominium Plan, in order to access Uie foregoing Vacation Unit and each Accessible Fadlities/ZAmenities Unit. for a FLOAT We<Jk during FLOAT SEASON each Use Year, in accordance vwUi Uie applicable provisions of Uie Declaration and ttie Rules and Regulations. Nso known as In'/entory Control No. GPO36106/\Z RESERVING FROM SAID PARCELS 1 AND 2 ABOVE, each of ttie easements and ottier rights retained by Grantor for ttie benefit of Grantor and its successors and assigns, and its and tiieir respective agents, employees, contiBCtors, subcontradors, concessionaires, invitees, pattons. guests, and ottier visitors, to. from, over, under, across and ttirough Uie Lot 2 Property, as such easements and oUier rights are specifically identified and described in: (1) Uie Dedaration referred to in ttiis Deed: and (2) ttie Hotel Owner(s) Use Rights Dedaration refened to in Uiis Deed. PARCEL 3: Membership for each Grantee hereunder in Grand Padfic Palisades Owners Assodation, inc., a Califbmia nonprofit mutual benefit corporation. SCHEDULE t 7 LEGAL DESCRIPTION FOR ANNUAL FIXED WEEK/ FLOATING UNIT VACATION OWNERSHIP One (1) Annual Fixed Week/ Floating Unit Vacation Ownership (time-share estate) comprised of: 29^^ PARCEL 1: I • • An undivided 1/51sl fee interest as a Tenant-in-common in a Vacation Condominium, such Vacation Condominium itself being comprised of Bie following: Parcel A: /An undivided 1/175tti fee titie interest in the Common /Area delineated as such or ttiat certain Condominium Plan for Vacation and FadlitiesZ/Amenities Condominiums in Grand Padfic Palisades Resort recorded Febmary 3, 1999, as Document No. 99-0065269, of Offidal Records of ttie San Diego County Recorder's Office, San Diego, Califomia, and any and all amendments which may be made thereto (called in ttils Deed and In ttie Dedaration refened to in Uiis Deed, ttie "Condominium Plan"), said Common Area being a portion of ttiat certain real property legally described as: Lot 2 of Cartsbad Ranch Hotel and Timeshare Resort CT. 96-01, according to Map No. 13719, in Uie City of Cartsbad, County of San Diego, State of Califomia, filed in Uie offlce of Uie County Recorder of San Diego County, Califomia on Febmary 3,1999 (Uie "Lot 2 Property") Parcel B: A VacEtion Unit as delineated on said Condominium Plan. Excepting from said Parcel B ttie right to use and occupy said Vacalion Unit, except as any such right to use and occupy such Vacation Unit, oi- any ottier Vacation Unit upon ttie Lot 2 Property, is granted under PARCEL 2 below. Parcel C: Membership in Grand Pacific Palisades Owners Association, Inc., a Califomia nonprofit muti^al benefit corporation, for each Ovmer of a Vacation Ownership in a Vacation Condominium and for each Owner of a Fadlities/ Amenities Condominium, PARCEL 2: Subject lo Uie terms and conditions of ttie Dedaration and Uie Rules and Regulations: (i) ttie exdusive right to use and occupy a(n) PARK VIEW 2 BR/2 BA FIXED Vacation Unit Type A., and ttie Common Fumishings in such Vacation Unit, togettier witti (ii) ttie nonexdusive right to access, use for its respective intended purposes, and/or visit, Uie Lobby and Front Desk Unit (excluding ttie mari<eting desk in lobby), Uie Office Behind Front Desk Unit Uie Gym Unit and ttie Adult Pool, Spa and Pool Deck Unit (called ttie "Accessible Fadlities/Amenities Units"), as delineated on the Condominium Plan, togettier wiUi (iii) ttie nonexdusive right to go to, ft-om, over, upon, under, across and ttirough (as may be applfcaWe) ttie /Assodation Real Property, as such is delineated on the Condominium Plan, in order to access ttie foregoing Vacation Unit and each Accessible Fadlities/ZAmenities Unit for a FIXED Wee< during WEEK 35 each Use Year, in accordance witti ttie applicable provisions of Bie Declaration and Uie Rules and Regulations. Also known as Inventory Control f>to. GPP19735/AZ RESERVING FROM S/AID P/ARCELS 1 /AND 2 ABOVE, each of the easements and oUier rights retained by Grantor for ttie benefit of Grantor snd its successors and assigns, and its and ttie'ir respective agents, employees, contractors, subcontradors, concessionaires, invitees, pattons, guests, and other visitors, to, from, over, under, across and ttirough ttie Lot 2 Property, as such easements and ottier rights are spedfically identified and described in; (1) ttie Dedaration referred to in ttiis Deed; and (2) Uie Hotel Owner(s) Use Rights Declaration referred to in ttiis Deed. PARCEL 3: Membership for each Grantee hereunder in Grand Padfic Palisades Owners /Association, inc., a Califomia nonprofit mutual benefit corporation. ^ DISCLOSURE Development Services A ^ STATEMENT Planning Division P l/A^ 1635 Faraday Avenue ^ARLSBAD (760)602-4610 x.-.# www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part ofthe City Council or any appointetd Board, Commission or Committee. The foliowing 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 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, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person N/A Corp/Part AT&T MOBILITY Title Title Address Address 7337 TRADE ST., SAN DIEGO, CA 92121 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% ofthe shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-owned corporation, include the names, titles, and addresses ofthe corporate officers. (A separate page may be attached if necessary.) Person N/A Corp/Part GRAND PACIFIC PALISADES, L.P. Title Title LIMITED PARTNERSHIP Address Address 5900 PASTEUR COURT, SUITE 200 CARLSBAD, CA 92008 P-1 (A) Page lof 2 Revised 07/10 3. 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. Non Profit/Trust Non Profit/Trust Title Title 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? I I Yes 2^ No Ifyes, please indicate person(s):. NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of owner/date Signature of applicant/date GRAND PACIFIC PALISADES, L.P. AT&T MOBILITY Print or type name of owner Print or type name of applicant Signature of owner/apgfi6ant's agent if applicable/date M&M TELECOM, INC. / DEBBIE LEUNG Print or type name of owner/applicant's agent p-1 (A) Page 2 of 2 Revised 07/10 STORM WATER Development Services Land Development Engineering STANDARDS Development Services Land Development Engineering CITY OF QUESTIONNAIRE E-34 1635 Faraday Avenue 760-602-2750 CARLSBAD QUESTIONNAIRE E-34 wwv/.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at mw;/-carlsbadca.aov./standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return ofthe development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications forthe same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. Please start by completing Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. STEP 1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? X 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? X If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant information. If you answered "no" to both questions, then go to Step 2. E-34 Pagel of 3 Effective 6/27/13 A. ^ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carisbadca.gov STEP 2 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This Includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. X 2 Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This Includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. X 3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant Is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption. X 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twenty-five percent or greater X 5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the temporary parking or storage of motor vehicles used personalty for business or for commerce. X 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. X 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingles with flows from adjacent lands).* X 8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. X 9. Is your project a new development that supports a retail gasoline outlet (RGO)? This category Includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. X 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? X 11.1s your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? X If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 STORM WATER ^ ^TANDARn^ ^^v^^o^^^^^ Services O MINUMPvlJO Lgi^jj Development Engineering QUESTIONNAIRE 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov CITY OF C3^\R LSB,/\[) STEP 3 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project: YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% ofthe surface area ofthe previously existing development? If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. STEP 4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION • My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. 13 My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box Address: Accessor's Parcel Number(s): 5805 ARMADA DRIVE, CARLSBAD, CA 92008 211-022-28 Applicant Name: Applicant Title: AT&T MOBILITY / DEBBIE LEUNG AGENT Date; This Box for City Use Only City Concurrence: YES NO By: Date; Project ID: * Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their quivalent underthe Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. E-34 Page 3 of 3 Effective 6/27/13 ^ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at v'/ww.carlsbadca.qov./standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction pennits for the project. Please start by completing Step 1 and follow the Instructions. When completed, sign the form at the end and submit this with your application to the city. STEP 1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project, please answer the following questions; YES NO 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria; (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? X 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? X If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant information. If you answered "no" to both questions, then go to Step 2. E-34 Page 1 of 3 Effective 6/27/13 ^ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEP 2 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions; YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. X 2. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. X 3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption. X 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twenty-five percent or greater X 5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility forthe temporary parking or storage of motor vehicles used personally for business or for commerce. X 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. X 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overiand a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (I.e. not commingles with flows from adjacent lands).' X 8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a facility that Is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. X 9. Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. X 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? X 11.1s your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? X If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Stonm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 ^^^^ CiTY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEPS TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project: YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% ofthe surface area ofthe previously existing development? If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. STEP 4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box Addrsss 5805 ARMADA DRIVE, CARLSBAD, CA 92008 Applicant Name: AT&T MOBILITY / DEBBIE LEUNG Accessor's Parcel Number(s): 211-022-28 Applicant Title; ^(3ENT Appljp^nVSi#atu r Date; This Box for City Use Only City Concurrence; YES NO By; Date: Project ID: * Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan forthe San Diego Basin (1994) and amendments); areas designated as preserves or their quivalent underthe Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. E-34 Page 3 of 3 Effective 6/27/13 ^% TIME LIMITS ON Development Services DISCRETIONARY Planning Division IFf^TC 1635 Faraday Avenue CARLSBAD Pl7m (760)602-4610 \» .s.^ K-1(t:) www.carlsbadca.gov 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 appiication complete. When the application is complete, the processing period will start upon the date ofthe completion letter. If you have any questions regarding application submittal requirements (i.e., clarification regarding a specific requirement or whether ali requirements are necessary for your particular application) please call (76^)^60:^-4610. Applicant Signature: Staff Signature: Date: To be stapled with receipt to the application F'-l(E) Page lofl Revised 07/10 EIA INFORMATION FORM Planning Division P-1(D) 1635 FaradayAvenue (760) 602-4610 www.carlsbadca.gov INSTRUCTION SHEET FOR COMPLETING AN ENVIRONMENTAL IMPACT ASSESSMENT INFORMATION FORM This Environmental Information Form will be used to assist staff in determining what type of environmental documentation (i.e., Environmental Impact Report, Mitigated Negative Declaration, Negative Declaration or Exemption) will be required to be prepared for your application, per the California Environmental Quality Act (CEQA) and Title 19 of Carlsbad's Municipal Code. The clarity and accuracy ofthe information you provide is critical for purposes of quickly determining the specific environmental effects of your project. Any environmental studies (i.e., biological, cultural resource, traffic, noise) that are necessary to substantiate a "no impact" or "yes impact" determination should be submitted as an attachment to this Environmental Information Form. This is especially important when a Negative Declaration is being sought. The more information provided in this form, the easier and quicker it will be for staff to complete the Environmental Impact Assessment Form - Initial Study. P-1(D) Page lof 4 Revised 07/10 ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: (To be completed by City) Application Number(s): General Information 1. Name of project: AT&T GRAND PACIFIC RESORT (SD0039) 2. Name of developer or project sponsor: AT&T MOBILITY Address: 7337 TRADE STREET City, State, Zip Code: SAN DIEGO, CA 92121 Phone Number: Name of person to be contacted concerning this project: DEBBIE LEUNG / M&M TELECOM, INC. Address: 6886 MIMOSA DRIVE City, State, Zip Code: CARLSBAD, CA 92011 Phone Number: (714) 299-4838 Address of Project: 5805 ARMADA DRIVE, CARLSBAD, CA 92008 Assessor's Parcel Number: 211-022-28 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: BUILDING PERMIT IN CONCURRENT PROCESS WITH CITY OF CARLSBAD 6. Existing General Plan Land Use Designation: COMMERCIAL 7. Existing zoning district: C-T-Q / C-2-Q 8. Existing land use(s): HOTEL 9. Proposed use of site (Project for which this form is filed): NO CHANGE Project Description 10. Site size: 7.51 ACRES 11. Proposed Building square footage: NONE 12: Number of floors of construction: NONE 13. Amount of off-street parking provided: N/A 14. Associated projects: NONE P-1(D) Page 2 of 4 Revised 07/10 15. If residential, include the number of units and schedule of unit sizes: N/A 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: HOTEL ITSELF IS REGIONALLY ORIENTED, BUT CUPOLA WHERE AT&T ANTENNAS ARE LOCATED WILL BENEFIT THE SURROUNDING NEIGHBORHOOD IN TERMS OF BETTER COVERAGE AND CAPACITY 17. If industrial, indicate type, estimated employment per shift, and loading facilities: N/A If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: N/A 19. If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required: MINOR CONDITIONAL USE PERMIT NEEDED TO MODIFY EXISTING AT&T CELL SITE IN CUPOLA ON HOTEL P-1 (D) Page 3 of 4 Revised 07/10 Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes No 20. Change In existing features of any bays, tidelands, beaches, or hills, or substantial • |X] alteration of ground contours. 21. Change In scenic views or vistas from existing residential areas or public lands or • H roads. 22. Change in pattern, scale or character of general area of project. D Ix] 23. Significant amounts of solid waste or litter. • |X] 24. Change in dust, ash, smoke, fumes or odors in vicinity. • [X] 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or • [X] alteration of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. • [X] 27. Site on filled land or on slope of 10 percent or more. • [X] 28. Use of disposal of potentially hazardous materials, such as toxic substances, • |X] flammables or explosives. 29. Substantial change in demand for municipal services (police, fire, water, sewage, • [X] etc.). 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). • [X] 31. Relationship to a larger project or series of projects. • [X] 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. 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. 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: '^l?''/^'/ Signature: . For: P-1(D) Page 4 of 4 Revised 07/10 \MREi,K..SS( ONSl I l AM S Ocbbic i .cung ~ LamI Use Planner Cellphone: (714)299-4838 Email: debbie.lcung a mnitelccomlne.eoni ENVIRONMENTAL SETTING GRAND PACIFIC RESORT (AT&T SD0039) 5805 Armada Drive, Carlsbad, CA 92008 32. The AT&T project site consists of the cupola on the west side of the entrance and the corresponding equipment area located on the 2"*^ floor of the building. There will be no visual change after the proposed scope of work is completed. (See Photo Survey for photos of the site). 33. The surrounding land uses are low-density commercial, including Legoland to the north of the site, and the Carlsbad Flower Fields to the south of the site. The Karl Strauss Brewing Company is immediately east, adjacent to the hotel, and Armstrong Nursery is to the west. The subject cupola is only visible from ground level looking toward the site from the south, from where it enhances the hotel building itself and surrounding landscape; all other views are screened by landscaping. The equipment area is not visible. (See Photo Survey for photos of the surrounding area). SD0736 KEARNY VILLA RD & CENTURY PARK 4450 Kearny Villa Rd. Electromagnetic Energy ("EME") Measurement and Site Compliance Report at&t Site Information Site FA: US ID: Site ID: Site Name: Ad(iress: Survey Date: 06/25/2013 Survey Time: 12:00 PM Surveyed By: Arash Alizadeh Latitude: 33.1277778 Site Type: RoofTop 10086228 14572 SD0039 GRAND PACIFIC RESO][lT 5805 ARMADA DRIVE, CARLSBAD, CA, 92008 Report Date: 08/06/2013 Report By: Frank Yang Reviewed By: Shafm Mohammed Longitude: -117.325 M-RFSC: Hector Manmano The AT«&T equipment at the site is compliant with FCC guidelines for General Population environments TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM TABLE OF CONTENT 1 GENERAL SUMMARY 3 2 SITE SCALE MAP 4 3 ANTENNA INVENTORY 4 4 PHOTOS OF ANTENNA SITE AREA AND ANTENNAS 6 4.1 AT&T EXISTING SECTORS 6 4.2 SIGNAGE 7 5 ANTENNA SITE AREA MEASUREMENTS 8 5.1 RF MODELING 9 6 STATEMENT OF COMPLIANCE 11 6.1 SITE ACTIONS REQUIRED 11 7 APPENDIXA: 12 FCC LIMITS FOR MPE 12 7.1 (A) LIMITS FOR OCCUPATIONAL/CONTROLLED EXPOSURE 12 7.2 (B) LIMITS FOR GENERAL POPULATION/UNCONTROLLED EXPOSURE 12 7.3 CONTROLLED AND UNCONTROLLED EXPOSURE LIMITS 13 7.4 SAFETY RECOMMENDATIONS 13 ANALYSIS AND COMPUTATION 15 7.5 ANALYSIS 15 MODELING SUMMARY AND ASSUMPTIONS 16 7.5.1 General Model Assumptions 16 7.5.2 Use of Generic Antennas 16 GLOSSARY OF TERMS 17 CERTIFICATE OF CALIBRATION 18 Pg-2 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM 1 General Summary A survey was performed on 06/25/2013 to determine the RF emission levels present at the site. Measurements were performed on the areas considered accessible to the general population. The results of the measurements were the combined energy levels of AT&T antennas. To measure the RF emissions within the vicinity, Telnet, inc, utilized NARDA E Field Probe Model EA5091, Frequency Range 300 KHz - 50 GHz with NARDA Electromagnetic Survey Meter Model NBM-550. Calibration was performed by Narda Safety Test Solutions on January 26, 2012 for a total interval of 24 month. Relevant administrative and compliance-related information about the antenna site area is summarized in the table below: Site Access Access Method Ladder/hatch Access to Keys Yes Door Locked Yes Access Info checked in at resort office and escorted to roof by engineer. Lockbox code 1560 mmiiammmmMy'.i^^ Collocation Status Not Colocated mmmammummmnBi .^..v.v^iS^^'^':.^^::^^,-::-.^^^^^^ Site Area Classification , General Population WMmmaamtHKiSI^.. ..- Ue& .• --^r-.-'v'T' ' - -. v:-- • : iV^-.'l. r • Weather Conditions Sunny Temperature 72 F Table 1 Access and Climate Information Access to antennas locked No RF Sign(s) at Access point(s) Yes RF Sign(s) (@ antennas No Barrier(s) @ sectors No Max simulated EMF level on rooftop 191.3% Max measured cumulative rooftop 2.85% Max simulated EMF level on slanted rooftop 1735.8% FCC & ATT Compliance Compliant Table 2 Survey Summary Pg-3 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM Site Scale Map Sector G Door Existing: Inf o2/Caution Sign Sector A AT&T BTS Existing: lnfo2/Notice Sign Legend 3 AT4T ^rtmv^ Figure 1 Rooftop Drawing 3 Antenna Inventory The Antenna Inventory shows all transmitting antennas on the site (see Table 3). This inventory was verified on site and was used by Telnet to perform software modeling of RF emissions. The inventory coincides with the site diagrams on this report, identifying each antennas location at the site. For other carriers at the site, the use of "Generic" as an antenna model, or" Unknown" for an operator means the information with regard to the carrier, their FCC license and / or antenna information was not available nor could it be secured while on site. Equipment, antenna models and nominal transmit power were used for modeling, based on past experience with radio service providers. TELNET, INC. pg.4 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 I WWW.TELNET-INC.COM Antenna ID Name Antenna Type Frequency (MHz) Technology ERP Gain dBd Model Azimuth Aperture (ft) Transmitter count Pt Dir BWdth X(ft) Y(ft) Z Roof (ft) Z Slanted roof (ft) 1-a-1 AT&T Panel 700 LTE 632.41 12.15 Kathrein 80010764 90 4.60 1 68 93.0 89.2 7 2 l-a-l AT&T Panel 1900 LTE 864.97 15.35 Kathrein 80010764 90 4.60 1 60 93.0 89.2 7 2 l-a-2 AT&T Panel 850 GSM 172.19 12.5 Powenwave 7750 90 4.60 1 69 93.0 87.2 7 2 1-8-2 AT&T Panel 1900 GSM 351.56 15.6 Powenwave 7750 90 4.60 1 65 93.0 87.2 7 2 1-a-3 AT&T Panel 850 UMTS 896.91 12.5 Powenwave 7750 90 4.60 2 69 93.0 85.0 7 2 1-a-3 AT&T Panel 1900 UMTS 1402.91 15.6 Powenwave 7750 90 4.60 2 65 93.0 85.0 7 2 1-b-1 AT&T Panel 700 LTE 632.41 12.15 Kathrein 80010764 200 4.60 1 68 88.5 81.7 7 2 1-b-1 AT&T Panel 1900 LTE 859.01 15.35 Kathrein 80010764 200 4.60 1 60 88.5 81.7 7 2 1-b-2 AT&T Panel 850 GSM 344.37 12.5 Powerwave 7750 200 4.60 2 69 86.0 81.7 7 2 1-b-2 AT&T Panel 1900 GSM 703.12 15.6 Powerwave 7750 200 4.60 2 65 86.0 81.7 7 2 1-b-3 AT&T Panel 850 UMTS 896.91 12.5 Powerwave 7750 200 4.60 2 69 83.5 83.0 7 2 1-b-4 AT&T Panel 1900 UMTS 1422.43 15.6 Powerwave 7750 200 4.60 2 65 81.7 84.8 7 2 1-C-1 AT&T Panel 700 LTE 632.41 12.15 Kathrein 80010764 320 4.60 1 68 85.2 92.9 7 2 1-C-1 AT&T Panel 1900 LTE 851.14 15.35 Kathrein 80010764 320 4.60 1 60 85.2 92.9 7 2 1-C-2 AT&T Panel 850 GSM 344.37 12.5 Powen/vave 7750 320 4.60 2 69 87.2 92.9 7 2 1-C-2 AT&T Panel 1900 GSM 703.12 15.6 Powerwave 7750 320 4.60 2 65 87.2 92.9 7 2 1-C-3 AT&T Panel 850 UMTS 896.91 12.5 Powenwave 7750 320 4.60 2 69 89.4 92.9 7 2 1-0-3 AT&T Panel 1900 UMTS 1402.91 15.6 Powerwave 7750 320 4.60 2 65 89.4 92.9 7 2 Table 3 Antenna Inventory Pg-5 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM 4 Photos of Antenna Site Area and Antennas 4.1 AT&T Existing Sectors tf 1 \* 1 fff mm 9 if AT&T Sector Beta 2 • 0 AT&T Sector Gamma AT&T BTS Pg-6 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWWTELNET-INC.COM 4.2 Signage Access ladder with Info 1 sign lnfo2 Sign at Hatch lnfo2 & Caution Sing at Antenna Access lnfo2 & Notice Sign at AT&T BTS pg-7 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM 5 Antenna Site Area Measurements The site survey crew has provided the sketch of the site location with a visual representation of the RF environ- ment at the site and depict antenna locations and site structures. Figure 2 depict the surveyed measurements in percentage of MPE limits for General Population standards. Percentages greater than 100% exceed the FCC MPE limits. These measurements depict the energy levels that can be encountered by an individual at the site. Maximum value for Occupational Standard based on Spatial Averaging: 0.57% Maximum value for General Population Standard based on Spatial Averaging: 2.85% 0,<.5 I .OS El I -WI 0.»»5 33 Legend 3 AT&T Antama Figure 2 Numbers in Blue are the Percentage (%) of MPE Limits for General Population Standard Pg-8 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM 5.1 RF Modeling The modeling calculations assume that the antennas are operating at 100% capacity; that all antenna channels are transmitting simultaneously and that the radio transmitters are operating at full power. Obstructions (trees, buildings etc) that would normally attenuate the signal are not taken into account. As a result, the predicted signal levels are more conservative (higher) than the actual signal levels will be from the measurement conclusions. Legend 3 AT«T Aruow Ovnwal PopulaUon SlarxlwO 0-100*)^ Omnmiml Popuiatton Staodard 100-900% Oansral Popolaoon Slaridard SOO-SOOO% Oanarai PopuUUon Slandard > SOOO% UpUm«>IOO% a of Anlainnas on -10 Mai ATT lUmulalKm MvW 191 3% Figure 3 Percent of FCC General Population Exposure Limit, Roof level. All carriers Legend a ATAT Anlanna Owiaral Populalioo Standard 0-5% Ganaral Population Standard »S% Upbma-IOOX • of Aniannaa on ' 10 ATT (KnulaOon lavai 191 3% •„ .,1,. I I 0 6on Figure 4 Five Percent of FCC General Population Exposure Limit, Roof level, AT&T only Pg-9 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET.INC.COM Legend 3 AT«T Arla«-«a Oanarai PopuialKxi Standard O-l00% Oaofi PopuiatKxi Standard 100-900% Uuiwftil Population Slandard 500-9000% Ganaral Population Slandard > 9O0O% Uptim«-100% • ot Aniannaa on • 10 Man ATT •intulation Mval 1730.S% Figure 5 Percent of FCC General Population Exposure Limit, Slanted roof level. All carriers Legend 3 AT4T Arlanna Ganaral Popuialioo Slandard 0-5% Gwwral Populamn Starvlard >5% UpUma* 100% # of Anlannas c Man ATT •iniuUttiun lavol 1739.8*/. Figure 6 Five Percent of FCC General Population Exposure Limit, Slanted Roof level, AT&T only TELNET, INC. pg.lO 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 WWW.TELNET-INC.COM 6 Statement of Compliance The AT&T equipment at the site is compliant with FCC guidelines for General Population environments. 6.1 Site Actions Required Site Access Locations No action required Alpha Sector Location Install Caution and information 2 signs at slanted roof level Beta Sector Location No action required Gamma Sector Location Install Caution and Information 2 signs at slanted roof level Pgll TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM 7 Appendix A: FCC Limits for MPE The FCC guidelines for human exposure to RF electromagnetic fields were derived from the recommendations of two expert organizations, the National Council on Radiation Protection and Measurements ("NCRP") and the Institute of Electrical and Electronics Engineers ("IEEE"). The exposure guidelines are based on thresholds for known adverse effects and they incorporate appropriate margin of safety. The federal health and safety agencies such as: the Environmental Protection Agency ("EPA"), the Food and Drug Administration ("FDA"), the National Institute on Occupational Safety and Health ("NIOSH") and the Occupational Safety and Health Administration ("OSHA") have also been actively involved in monitoring and investigating issues related to RF exposure. The FCC's MPE limits are based on exposure limits over a wide range of frequencies recommended by the NCRP and the exposure limits developed by the IEEE and adopted by the American National Standards Institute ("ANSI") to replace the 1982 ANSI guidelines. The limits for localized absorption are based on the recommendations of both the ANSI/IEEE and the NCRP. The potential hazard associated with the RF electromagnetic fields is discussed in OET Bulletin No. 56 "Questions and Answers about the Biological Effects and Potential Hazards of RF Electromagnetic Fields". This document can be obtained on the FCC website at http://www.fcc.qov. Sections 7.1, 7.2 and 7.3 represent the FCC limits for both occupational and general population exposures to different radio frequencies: 7.1 (A) Limits for Occupational/Controlled Exposure Frequency Electric Field Magnetic Field Power Density Averaging Time Range Strength (E) Strength (H) (S) , |E|', jHl'orS (MHz) (V/m) (A/m) (mW/cm^) (minutes) 0.3-3.0 614 1.63 (100)* 6 3.0-30 1842/f 4.89/f (900/f^)* 6 30-300 61.4 0.163 1.0 6 300-1500 — — f/300 6 1500-100,000 ~ ~ 5 6 7.2 (B) Limits for General Population/Uncontrolled Exposure Frequency Electric Field Magnetic Field Power Density Averaging Time Range Strength (E) strength (H) (S) ^ |E|', jHj^orS (MHz) (V/m) (A/m) (mW/cm^) (minutes) 0.3-1.34 614 1.63 (100)* 30 1.34-30 824/f 2.19/f (180/f^)* 30 30-300 27.5 0.073 0.2 30 300-1500 ~ ~ f/1500 30 1500-100,000 ~ ~ 1.0 30 f = frequency in MHz *Plane-wave equivalent power density Pgl2 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM NOTE 1: Occupational/controlled limits apply in situations in which persons are exposed as a consequence of their employment provided those persons are fully aware of the potential for exposure and can exercise control over their exposure. Limits for occupational/controlled exposure also apply in situations when an individual is transient through a location where occupational/controlled limits apply provided he or she is made aware of the potential for exposure. NOTE 2: General population/uncontrolled exposures apply in situations in which the general public may be exposed, or in which persons that are exposed as a consequence of their employment may not be fully aware of the potential for exposure or cannot exercise control over their exposure. 7.3 Controlled and Uncontrolled Exposure Limits 1" I —Occupational/Controlled Exposure (upper limit) --General Population/Uncontrolled Exposure (iovver) 30 |juu? WjOOO 300,000 1500 ' FrsquaniY (MHz) 100,000 Figure 7 7.4 Safety Recommendations 7.4.1 Safety procedures recommendations: The following items are general safety recommendations that should be followed on a site according to the carrier's polices which complies with the FCC and OSHA guidelines 7.4.1.1 General Site Work: Any maintenance workers obliged to work directly in front of antennas and / or in areas indicated as above 100% of the Occupational MPE limits should coordinate with the wireless operators to turn off transmitters during their work period. 7.4.1.2 EME Awareness Training: All persons accessing areas indicated as the limits are above the General Population MPE limits should have a fundamental understanding of EME awareness and RF Safety measures when working around transmitting antennas. Awareness training enhances a workers understanding to potential RF exposure situations. Awareness can be attained in different ways (e.g. videos, fonnai classroom lecture or internet based courses). pg.l3 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM 7.4.1.3 Site Access Control: Restrictions to access transmitting antennas locations is the major element in a site safety plan. Examples of access restrictions are: • Locked / Alarmed door or ladder or gate access • Restrictive Barrier with appropriate RF signage at antenna 7.4.1.4 RF signage: RF signs have an important role in appropriately alerting a worker before entering into a potential RF exposure area. All RF signs should be abided by at all times. 7.4.1.5 Active Antennas and Keeping proper distance: Always assume an antenna is transmitting. Never stand in front of an antenna. If you have to pass by an antenna, move through as promptly and safely as possible thus reducing any exposure to a minimum. But if you have to stand by an antenna, keep a least a distance of 3 feet clearance from the antenna. The relationship between the strength of an EME field and the distance from the transmitting antenna is inversely proportional, the further away from the antenna, the lesser EME exposure. pg. 14 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM Analysis and Computation Based on emission patterns of the antennas at this location most of the energy emitted is spread towards the horizon. This assumes the antennas have a zero downtilt. If a mechanical downtilt other than zero is applied to the antennas then the maximum energy emitted will need to be calculated using the information below. The following formulas can be used for calculating the power density. Power density is calculated by dividing the surface area of the sphere or the unit area normal to the direction of the propagation. This information is usually shown in units of microwatts per square centimeter (uW/cm2), milliwatt per square centimeters (mW/cm2), or watts per square meter (W/m2). 7.5 Analysis ^_(PxKFact) [iTtRh) where S = power density (mW/arf) P = total po»ver inptjt to the anterma (mW) K = antenna corredion lador / numeiic kictor for antenna dtscrintration R = straight Ire distance of the antenna from a 6 ft. human (cm) h = distance [)etween the roof level and the bottom of the antenna (cm) o r the verfcd (fctance fiw) the tip of the antenna to the roof level where a 6 ft. human t)eing is assumed standing tfaedly from ttte antenna (also equal to R at 0) MPE% = Calculated exposure lev^, as a percentage of the FCC MPE litrit for continuous exposure of the general population pg.l5 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM Modeling Summary and Assumptions 7.5.1 General Model Assumptions In this report, it is assumed that all antennas are operating at full power at all times. Software modeling was per- formed for all transmitting antennas located on the site. Telnet, Inc has further assumed a 100% duty cycle and maximum radiated power. The site has been modeled with these assumptions to show the maximum RF energy density. Telnet Inc believes this to be a worst case analysis, based on best available data. If at any time power density measurements were to be made. Telnet Inc believes the real time measurements would indicate levels below those shown in this report. By modeling in this way, we have conservatively shown exclusion areas (areas not to be entered without a personal RF monitor, carriers reducing power or performing real time measurements to show real time exposure levels). 7.5.2 Use of Generic Antennas For the purposes of this report, the use of 'Generic' as an antenna model, or 'Unknown' for a wireless carrier, means that the information about the carrier, their FCC license and/ or antenna infonnation was not provided and could not be obtained while on site. In the event of unknown information. Telnet will use our industry specific knowledge of equipment, antenna models and transmit power to model the site. If more specific information can be obtained for the unknown measurement criteria, remodeling of the site is recommended. If no information is available regarding the transmitting service associated with an unidentified antenna, using the antenna manufac- turer's published data regarding the antenna's physical characteristics makes more conservative assumptions. pg. 16 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM Glossary of Terms 1. Electromagnetic Field (energy density) - the electromagnetic energy contained in an infinitesimal volume divided by that volume. 2. Exposure - Exposure occurs whenever and wherever a person is subjected to electric, magnetic or electromagnetic fields other than those originating from physiological processes in the body and other natural phenomena. 3. General Population / Uncontrolled Exposure - applies to human exposure to RF fields when the general public is exposed or in which persons who are exposed as a consequence of their employment may not be made fully aware of the potential for exposure or cannot exercise control over their exposure. Therefore, members of the general public always fall under this category when exposure is not employment-related. 4. Maximum Permissible Exposure (MPE) - the rms and peak electric and magnetic field strength, their squares, or the plane-wave equivalent power densities associated with these fields to which a person may be exposed without harmful effect and with an acceptable safety factor. 5. Occupational/ Controlled Exposure - applies to human exposure to RF fields when persons are exposed as a consequence of their employment and in which those persons who are exposed have been made fully aware of the potential for exposure and can exercise control over their exposure. Occupational/controlled exposure limits also apply where exposure is of a transient nature as a result of incidental passage through a location where exposure levels may be above general population/controlled limits. 6. Power Density (S) - Pov^er per unit area normal to the direction of propagation, usually expressed in ufiits of watts per square meter (W/m ) or, for convenience, units such as milliwatts per square centimeter (mW/cm ) or microwatts per square centimeter (pW/cm ). 7. Ionization - a process by which electrons are stripped from atoms and molecules. This process can produce molecular changes that can lead to damage in biological tissue, includes effect on DNA, the genetic material. This process requires interaction with high levels of electromagnetic energy. 8. Non-Ionizing radiation - a type of emission that is not great enough to cause ionization of atom and molecules. "RF and Microwave Emissions" are low-level energy which are not capable of ionization. Pgl7 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 | WWW.TELNET-INC.COM Certificate of Calibration Narda Safety Test Solutions 435 Moreland Road, Hauppauge, NY 11788 Phone: 631-231-1700 • Fax: 631-231-1711 E-mail: nardaeast@L-3com.com www. nardamicrowave com ^1 narda Safety Test Solutions an Communications Company Electric Pleld Probo EA5091 Calibration Certificate Narda Safety Test Solutions hereby certifies that the referenced equipment has been calibrated by qualified personnel to Narda's approved procedures. The calibration was carried out within a certified quality management system conforming to ISO 9001:2000. The metrological confirmation system for test equipment complies with ISO 10012-1. Object Part Number (P/N) Serial Number (S/N) Manufacturer Date of Calibration Results of Calibration Confirmation inten/al (recommended) Ambient Conditions Calibration Procedure Probe Definition File Set Results Filed Under Hauppauge, NY 2402/07B Mon 16/Apr/2Q12 13:18:16 Test Results within Specifrcation • 24 Months (23 */-3)X (40...60)% rel. humidity ATE Software 990199 Ver. 1.54 P/N 990199r11 Ver, 1.00 EA5091 01023_16Apr2012.b<t Calibrated by Quality Assurance This certificate may only be published in full, unless permission for the publication of an approved extract has been obtained in writing from the Director of Quality Assurance. Certificate No. 01023_16Apr2012.brt Date of issue: 16/Apr/2012 Page 1 of 6 pg.l8 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 I P:301-840-7110 F:301-840-0162 I WWW.TELNET-INC.COM Narda Safety Test Solutions QmbH Sandwiesenstrasse 7 • 72793 Pfullingen - Germany Phone: +49 7121 9732 0 - Fax: +49 7121 9732 790 • narda Safety Test Solutions* Rn Communtcatiom Company Calibration Certificate Narda Safety Test Solutions hereby certifies that the object referenced to this certificate has been calibrated by qualified personnel using Narda's approved procedures. The calibration was carried out in accordance with a certified quality management system which conformed to ISO 9001. OBJECT MANUFACTURER PART NUMBER (P/N) SERIAL NUMBER (S/N) CUSTOMER CALIBRATION DATE RESULT ASSESSMENT AMBIENT CONDITIONS CALIBRATION PROCEDURE ISSUE DATE; 2012-01-26 BnMMchMHd Field Metsr Narda SaMjrTesi Solufions GmbH 2401/01B E.0306 2012-01-26 witiin spedflSailans - Belattva twmidliy; (20 a^'V, 2401-8700*00A MANAGEMENT SYSTEM srGWHT( CMJ3H/j/tBD BY AUTHORIZECrsrqWSTORY U.Aigner This calibration certificate may not be reproduced other than in full except with the permission of the issuing laboratory. Calibration certificates without signature are not valid. CERTIFICATE: NBM-550-E-0306-120126-2330 Certified by DQS according to ISO 9001:2008 (Reg.-No. 099379 QM08) PAGE 1 OF 3 pg. 19 TELNET, INC. | 7630 STANDISH PLACE, ROCKVILLE, MD 20855 | P:301-840-7110 F:301-840-0162 WWW.TELNET-INC.COM SITE PHOTO SURVEY Grand Pacific Resort SD0039 5805 Armada Drive Carlsbad, CA 92008 9i OOKING NORTHWEST FROM SITE LOOKING NORTH FROM SITE LOOKING SOUTHWEST TOWARD SITE LOOKING SOUTHWEST FROM SITE LOOKING NORTHEAST TOWARD SITE LOOKING WEST FROM SITE at&t SD0G39 GRAND PACIFIC RESORT 5805 ARMADA DRIVE, CARLSBAD, CA 92008 LOOKING NORTHEAST TOWARD SITE FROM ACROSS NEWPORT AVENUE I" i PROPOSED ANTENNAS MOUNTED INSIDE EXISTING FRP SCREENING VICINITY MAI> TELECOH INC City of CarJsCl^d Faraday Center Faraday Cashiering 001 1414301-2 05/23/2014 149 Fri, May 23, 2014 02:01 PM Receipt Ref Nbr: RUl4301-2/0044 PERMITS - PERMITS Tran Ref Nbr: 141430102 0044 0051 Trans/Rcpt#: R0101634 SET #: MCUP1002B Amount: 1 @ $559.37 Item Subtotal: $569.37 Item Total: $569.37 1 ITEM(S) TOTAL: $569.37 Check (Chk# 041546) $569.37 Total Received: $569.37 Have a nice day! City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: AT&T MOBILITY Description iy!CUP1002B 58 05 ARMADA DR CBAD Amount 569.37 Receipt Number: R0101634 Transaction Date: 05/23/2014 Transaction ID: R0101634 Pay Type Method Payment Check Description Amount 569.37 Transaction Amount: 569.37 FILE C0PYc4SK NOTICE OF REQUEST FOR A MINOR CONDITIONAL USE PERMIT AMENDMENT Notice is hereby given that a Minor Conditional Use Permit (MCUP) amendment has been applied for to allow the modification of an existing Wireless Communications Facility (WCF) that includes the removal of six existing panel antennas and the installation of twelve new panel antennas and associated equipment on property located at 5805 Armada Drive Carlsbad, California. If you have any objections to the granting of this MCUP amendment or wish to have an administrative hearing to discuss the requested MCUP, please notify the Planning Division, 1635 Faraday Avenue, Carlsbad, California 92008, in writing within 10 calendar days of the date of this notice. If you have any questions, please call Chris Garcia in the Planning Division at (760) 602-4622. CASE NO.: MCUP 10-02(B) CASE NAME: AT&T SD0039 Grand Pacific Resort DATE: May 28, 2014 CITY OF CARLSBAD PLANNING DIVISION Community & Economic Development Planning Division 1635 Faraday Avenue I Carlsbad, CA 92008 I 760-602-4600 I 760-602-8560 fax NATIONAL ASSN OF MUSIC 5790 ARMADA DR CARLSBAD CA 92008 C B RANCH ENTERPRISES #100 5600 AVENIDA ENCINAS CARLSBAD CA 92008 OFC CARLSBAD LP COLE #1100 2325 E CAMELBACK RD PHOENIX AZ 85016 LISA MARIE MCGIVERN 9334 COLORADO RD BLOOMINGTON MN 55438 CARLSBAD RANCH RESTAURANT CO PO BOX 4068 CARLSBAD CA 92018 PACIFIC PALISADES HOTEL L P #200 5900 PASTEUR CT CARLSBAD CA 92008 MERI PALOMAR PLACE LLC, 12838 STEBICK CT SAN DIEGO CA 92130 COSTCO WHOLESALE CORPORATION 999 U\KE DR ISSAQUAH WA 98027 OCEAN RIDGE OFFICE CORP #900 4747 EXECUTIVE DR SAN DIEGO CA 92121 LOT 15 CARLSBAD RANCH LLC #102 5800 ARMADA DR CARLSBAD CA 92008 LEGOLAND CALIFORNIA LLC PO BOX 543185 DALLAS TX 75354 RANCH MAINTENANCE ASSN #100 5600 AVENIDA ENCINAS CARLSBAD CA 92008 FLEET PACIFIC RIDGE LLC, #150 4350 LA JOLLA VILLAGE DR SAN DIEGO CA 92122 A notice hasbeen mailed to all property owners/occupants llil«dherein. ,i. . Signature:. CITY OF CARLSBAD REVIEW AND COMMENT MEMO DATE: MAY 5. 2014 PROJECT NO(S): MCUP 14-05 PROJECT TITLE: ATSiT SD0039 GRAND PACIFIC RESORT ^ftC^" Y-m REVIEW NO: APPLICANT: M&M TELECOM FOR AT&T MOBILITY/DEBBIE LEUNG TO: Land Development Engineering • Public Works (Storm Drain) - Clayton Dobbs • Police Department-J. Sasway • Public Works (Wastewater) - Don Wasko • Fire Department - Greg Ryan • Public Works (Water) - Eric Sanders iiH Building Division - Will Foss • Water/Sewer District • Parks & Recreation (Parks/Trails) - Liz Ketabian • Landscape Plancheck Consultant - PELA • Parks & Recreation (Trees & Medians) - Morgan • School District Rockdale • Public Works Department (Streets) - Nick Roque • North County Transit District - Planning Dept. • Public Works Department (Traffic) - John Kim • Sempra Energy - Land Management • Public Works Department (Design) - Patrick Vaughan • Caltrans (Send anything adjacent to 1-5) • SANDAG (Any huge/major development) 401 B. Street, Suite 800, San Diego CA 92101-4231 *ALWAYS SEND EXHIBITS FROM: PLANNING DIVISION Please review and submit written comments and/or conditions to theTRACKlNGDESK in LDE at 1635 Faraday Avenue, by^^^^lf you have "No Comments/' please so state. If vmTSeterrnmet^^ are items that need to be'^SEmfflHd to deem the application "complete" for processing, please immediatelv contact the applicant and/or their representatives (via phone or e-mail) to let them know. Thank you COMMENTS: 'J PU\NS ATTACHED Signature Date Review & Comment 4/14 CJd <# *5^%> CITY OF ^CARLSBAD Memorandum May 5, 2014 To: Project Planner From: David Rick, Project Engineer Via: Jason Geldert, Senior Civil Engineer Re: MCUP IMi AT&T SD0039 GRAND PACIFIC RESORT COMPLETE lO'O^B Land Development Engineering has completed its review of the above referenced project for application completeness and has determined that the application and plans submitted for this project are complete. Engineering staff does not have any comments or conditions to add to the project. If you or the applicant has any questions regarding the above, please either see or call me at extension2781 David Rick Associate Engineer - Land Development Engineering Attachment cc: First name. Last name. Title Community & Economic Development 1635 Faraday Ave. I Carlsbad, CA 92008 I 760-602-2710 I 760-602-8560 fax I www.carlsbadca.gov MCUP & CUP ANNUAL REVIEW SHEET FILE COPY INSTRUCTIONS 1. COMPLETE PROJECT INFORMATION BELOW AND PRINT COPY. 2. DOWNLOAD (DMS) RESOLUTIONS AND REVIEW ALL CONDITIONS AND APPROVED PLANS (COORDINATE WITH OTHER DEPARTMENTS). 3. REVIEW CODE COMPLAINT HISTORY (CODE ENFORCEMENT, POLICE, FIRE, ETC.). 4. CONTACT APPLICANT (OR OWNER) AND SCHEDULE AN APPOINTMENT FOR THE REVIEW. 5. COMPLETE REVIEW INFORMATION SECTION DURING REVIEW. 6. HAVE SENIOR PLANNER REVIEW AND SIGN. 7. PLACE COMPLETED REVIEW SHEET IN ADMIN IN-BOX FOR PROJECT FILE (ADMIN WILL FILE). PROJECT INFORMATION CASE NAME: AT&T SD0039 Grand Pacific Resort CASE NUMBER(S): "-"M'-"'C'-'=U'-"-P--"'1"'-0--"'02='-(""'B)L._ _____________ _ APPROVING RESO NO(S). City Planner approval letter dated Tune 12,2014 PLANNER COMPLETING REVIEW: -'=Co=.!hr"'-'i"'-s .:::G"'ar"-'c"'ia"-------------- PROJECT HISTORY Does project have a code complaint history? If yes, check those that apply and explain below. 0 Code Enforcement 0 Police 0 Yes Comments (include corrective actions taken and date compliance obtained): ~No 0 Fire Prevention Q:'\CED'\PLANNING'\ADMIN'\ TEMPLATES'.MCUPANNUALREVIEWSHEET 03/13 REVIEW INFORMATION Has the permit expired? DYes I:8J No Permit expires: Iune 11, 2024 Date of review: Iune 2, 2015 Name: D Applicant D Owner 0 Other If other, state title: *CURRENT APPLICANT INFORMATION: Name: M&M Telecom Inc. Phone: 714-299-4838 Contact name (if different): Debbie Leung Address: 6886 Mimosa Drive Carlsbad CA 92011 Mailing (if different): E-mail: Debbie.leung@mmtelecominc.com (optional) *CURRENT OWNER INFORMATION: Name: Grand Pacific Palisades Phone: 760-431-8500 Contact name (if different): Address: 5900 Pasteur Court, Suite 200, Carlsbad, CA 92008 Mailing (if different): E-mail: (optional) Does project comply with conditions of resolution(s) and approved plans? I:8J Yes 0 No If no, list below the condition(s) and/ or plan aspects the project is not in compliance with per resolution number or exhibit. Corrective action( s) to be taken: Date planner completed follow-up review and confirmed project compliance: ~~ dM~\~~ Planner Signature s€IliJr Planner *Applicant and owner information must be updated for annual review to be complete. Q:"\CED"\PLANNING"\ADMIN"\ TEMPLATES"\MCUPANNUALREVIEWSHEET 03/13 <>CARLSBAD f "-E "PY Community & Economic Development www.carisbadca.gov May 30, 2014 Debbie Leung c/o AT8iT Mobility 7337 Trade Street San Diego, CA 92121 SUBJECT: MCUP 10-02(8) - AT&T SD0039 GRAND PACIFIC RESORT - CALIFORNIA ENVIRONMENTAL QUALITY ACT (CEQA) APPLICABILITY/PROCESS DETERMINATION AND TARGET DECISION DATE CEQA Determination: This is to advise you that after reviewing the application for the project referenced above, the City has determined that the following environmental review process (pursuant to CEQA) will be required for the project: The project is exempt from the provisions of CEQA, pursuant to CEQA Categorical Exemption for Existing Facilities - Section 15301 of the State CEQA Guidelines. No environmental review is required for the project. A Notice of Exemption will be filed after approval ofthe project with the San Diego County Clerk's Office which involves a filing fee. Please submit a check to the project planner in the amount of $50.00 made out to the San Diego County Clerk. The check should be submitted approximately one week prior to the City Planner decision date. Target Decision Date: In the interest of expeditiously processing your application consistent with the State Permit Streamlining Act (California Government Code Section 65950), an administrative decision to approve or deny the project should be determined by July 28, 2014. Therefore, in the interest of achieving that decision date/hearing date, all remaining project issues must be addressed by July 14, 2014. If all project issues are not resolved by the date listed above, you may formally request a one-time 90 day application extension. Otherwise, you will need to withdraw the application. For additional information related to this CEQA applicability/process determination or should you have any questions regarding an application extension or would like to withdraw your application, please contact Chris Garcia at (760) 602-4622 or by email at chris.garcia(S)carlsbadca.gov. Sincerely, QLTL DON NEU, AlCP City Planner DN:CG:fn c: Chris DeCerbo, Principal Planner David Rick, Project Engineer File Copy Data Entry Planning Division 1635 FaradayAvenue, Carlsbad, CA 92008-7314 T 760-602-4600 F 760-602-8559 <^ ° FILE COPY Community & Economic Development www.carlsbadca.gov May 28, 2014 Debbie Leung c/o AT&T Mobility 7337 Trade Street San Diego, CA 92121 SUBJECT: 1ST REVIEW FOR MCUP 10-02(B) - AT&T SD0039 GRAND PACIFIC RESORT Thank you for applying for Land Use Permits in the City of Carlsbad. The Planning Division has reviewed your Minor Conditional Use Permit Amendment to allow the expansion of a Wireless Communication Facility (WCF) consisting of the replacement of six existing panel antennas with twelve new panel antennas and associated equipment within an existing cupola located at 5805 Armada Drive, application no. MCUP 10- 02(B), as to its completeness for processing. The application is complete, as submitted. Although the initial processing of your application may have already begun, the technical acceptance date is acknowledged by the date of this communication. The City may, in the course of processing the application, request that you clarify, amplify, correct, or otherwise supplement the basic information required for the application. In addition, you should also be aware that various design issues may exist. These issues must be addressed before this application can be scheduled for a hearing. The Planning Division will begin processing your application as of the date of this communication. In order to expedite the processing of your application, you are strongly encouraged to contact your Staff Planner, Chris Garcia, at 760-602-4622, to discuss or to schedule a meeting to discuss your application and to completely understand this letter. You may also contact each commenting department individually as follows: • Land Development Engineering Division: David Rick, Associate Engineer, at 760-602-2781. • Fire Department: Greg Ryan, Fire Inspections, at 760-602-4661. Sincerely, ncereiy, i CHRIS DeCERBO Principal Planner CD:CG:fn c: Grand Pacific Palisades, Suite 200, 5900 Pasteur Court, Carlsbad, CA 92008 Don Neu, City Planner David Rick, Project Engineer Chris DeCerbo, Principal Planner File Copy Data Entry Planning Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-4600 F 760-602-8559 ® ATTACHMENT "1" I HEREBY CERTIFY THAT THE PROPERTY OWNERS LIST AND LABELS SUBMITTED TO THE CITY OF CARLSBAD ON THIS DATE REPRESENT THE LATEST AVAILABLE INFORMATION FROM THE EQUALIZED ASSESSOR'S ROLES. APPLICATION NAME AND NUMBER I^C (JP /O -O'xC/h) AT^7 Shoo Cr.ndP^/>^&^orl APRIICANT OR A[?Pt4CANrs REPRESENTATIVE BY: DATE: RECEIVED BY DATE: p-21 Page 3 of 6 Revised 07/10 09 DETAIL "E" - r=100' i 1 S i SAN aCGO COUNTT ASSESSOR'S UAP 211 — 02 SHT 1 OF 2 r = 400' 9/15/2009 JGD ax PHOU APN m mm (Of Oi -103-07 H t002l 02? ii,^&f mi earns 17 rrnzi 97 49 CZ7 05 AIT 22 SS list tlitlitS PORKIQ 38 2 (»7 VSEPAKB. 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Z«57 3 \sif 73 74 S7B SSse r^".* VIS Stn |«-/4l76 3t08 4182 3I&S 735 2ZfZSi 27 Z45S 14-73 >3 \r&.trr I96> ^-?3 (93 ioe,& 30 14 PG 9 97 96 35 36*37 98 1795 37 -050-19 98 1876 salti •XMSBSm « ssn THIS MAP WAS PREPARED fOfi ASSESSMENT PURPOSES ONLY. ND LIAaiTY IS ASSUAtD fOR THE ACCURAa Cff THE DATA SHOWN. ASSESSOR S PARCaS MAY NOT COMPLY WITH LOCAL SUBDIVIStJN Ofi BUIDING ORDNANCES SAH DIE60 COUNTY ASSESSOR'S MAP BK 211 PG 0* MAP 823 - RHO AGUA HEDIONDA - POR LOT H SEC 20 - TI2S-R4V; - POR LOT 3 ROS 9354, 13466