HomeMy WebLinkAboutMCUP 10-21; COLLIERS INTERNATIONAL CA 7410; Administrative Permits (ADMIN),...,
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•LAND USE REVIEW Development Services
Planning Department
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CARLSBAD P-1
APPLICATION 1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
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APPLICATIONS APPLIED FOR:(CHECK BOXES)
Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY)
0 Administrative Permit i 0 General Plan Amendment
El Coastal Development Permit (*)°Minor 0 Local Coastal Program Amendment {*)
[4 Conditional Use Permit (")MCLitl)lb-9-10 Master Plan DAmendmentlb Minor 0 Extension
El Environmental Impact Assessment 0 Specific Plan IDAmendment
El Habitat Management Permit 0 Minor 0 Zone Change (*)
_El Hillside Development Permit (")0 Zone Code Amendment
[3 Planned Development Permit
0 Residential 0 Non-Residential
D Planned Industrial Permit List other applications not specified
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El Planning Commission Determination 0
0 Site Development Plan 0
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El Special Use Permit [3
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El Tentative Tract Map (*) =eligible for 25% discount
0 Variance DAdministrative
-NOTE:A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING
ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M.i.
ASSESSOR PARCEL NO(S).:..,21 -/.249-5-71.-00
PROJECT NAME:e01.)(.i6-R-3 iarefe-anTironfieg-C44
BRIEF DESCRIPTION OF PROJECT:.-.„-x.7
--
/774f.A7 iVF Aietip oa..R7 )6 /
OWNER NAME (Print):56....go effiast6/0 Lte„APPLICANT NAME (Print):Ajb--r‘z 9P eAltiefie44/1--
MAILING ADDRESS:/61.5— CodebovA_dr MAILING ADDRESS:63ty
,r 45W04k/laY:CITY, STATE, ZIP:Z.5 AW&ELC-5 I Crol•9000l-CITY, STATE. ZIP:0j..rejpitfb 1 XS (4257
TELEPHONE:3.23---9-314--(9S7 TELEPHONE:fteto. 357q-.--
7-6#.1 --
EMAIL ADDRESS:EMAIL ADDRESS:
I CERTIFY I AM T E LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFOR ON IS ND CORRECT TO THE E OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KN .,THE BE OF KNOWLEDGE.pm
SIG ATURE AT SIGNA E D
DeN 00011
P-1 Page 1 of5 Revised 04109
BRIEF LEGAL DESCRIPTION:tar73CF CAR1-ggiqb -aer ND,Unur AL .id
//46 (a7Y OC CASTlp
LOCATION OF PROJECT:5V VA-Af A-u_Ed A)A/STREET ADDRESS
ON THE:SIDE OF rfreADA\I -A veAILA 6
(NORTH, SOUTH, EAST, WEST)(NAME OF STREET)
BETWEEN &;1/4-66r 2L-IdD AND yiew hbg‘
(NAME OF STREET)(NAME 0 STREET)
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,PLANNING
COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY
THAT IS THE SUBJECT OF THIS APPLICATION.I/WE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION:PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORD THE T TLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH
THE AN UCCESSORS IN INTEREST.
PER OWNER SIGNATURE
FOR CITY USE ONLY
RECEIVED
SEP 2 0 2010
CITY OF CARLSBAD
DATE STRIANININGIZIMPTIVED
RECEIVED BY:
P-1 Page Page 2 of 5 Revised 04/09
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City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
1111111111111111 D
Applicant:NEXTEL OF CALIFORNIA
Description Amount
MCUP1021 347.78
5806 VAN ALLEN WY CBAD
Receipt Number:R0081116 Transaction ID:R0081116
Transaction Date:09/20/2010
Pay Type Method Description Amount
Payment Check 347.78
City of Carlsbad
.Faraday Center Transaction Amount:347.78
Faraday Cashiering 001
1026301 -2 09/20/2010 32
Mon,Sep 20,2010 08:01 AM
Receipt Ref Nbr:R1026301 -2/0002
PERMITS -PERMITS
Tran Ref Nbr:102630102 0002 0002
Trans/Rcpt#:R0081118
SET #:MCUP1021
Amount:1 U $347.78
Item Subtotal:$347.78
Item Total:$347.78
1 ITEM(S)TOTAL.:$347.78
Check (Chk#11572369)$342.50
Check (Chk#11495169)$5.28
Total Received:$347.78
Have a nice day!
**************CUSTOMER copy*************
*1144i•
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111111111111111111111111
Applicant:NEXTEL OF CALIFORNIA
Description Amount
MCUP1021 347.78
5806 VAN ALLEN WY CBAD
Receipt Number:R0081116 Transaction ID:R0081116
Transaction Date:09/20/2010
Pay Type Method Description Amount
Payment Check 347.78
City of Carlsbad Transaction Amount:347.78
Faraday Center
Faraday Cashiering 001
1026301 -2 09/20/2010 32
Mon,Sep 20,2010 08:01 AM
Receipt Ref Nbr:R1026301 -2/0002
PERMITS -PERMITS
Tran Ref Nbr:102630102 0002 0002
Trans/Rcpt#:R0081116
SET #:MCUP1021
Amount:1 @ $347.78
Item Subtotal:$347.78
Item Total:$347.78
1 ITEM(S)TOTAL:$347.78
Check (Chk#11572369)$342.50
Check (Chk#11495169)$5.28
Total Received:$347.78
Have a nice day!
**************CUSTOMER COpy*************
DISCLOSURE
/0/41 Development Services
°<<t.STATEMENT Planning Department
"1;1'CITY OF P-1(A)1635 Faraday Avenue
CARLSBAD (760) 602-4610
www.carlsbadca.gov
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the City Council or any appointed Board, Commission
or Committee.
The following information MUST be disclosed at 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, fratern61
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 publicly-owned
corporation,include the names,titles,and addresses of the corporate officers.(A
separate page may be attached if necessary.)
Person Corp/Part Ngicri.--eak-iiquiocA-770/is
Title Title
Address Address 6391 6Re-Air 401,DltRIAAf((06Z67
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% of the shares.IF NO INDIVIDUALS OWN MORE
THAN 10%OF THE SHARES,PLEASE INDICATE NON-APPLICABLE (N/A)IN THE
SPACE BELOW.If a publicly-owned corporation,include the names,titles,and
addresses of the corporate officers.(A separate page may be attached if necessary.)
Person Corp/Part 61A-C69D kka
Title Title
Address Address /Pc 604501/A-57
LOS M6teLes 900.9?-
P-1(A)Page 1 of 2 Revised 04/09
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3.NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust,
.
.fist 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 Wet-Non Profit/Trust
Title Title
Address Address
4.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?
ri Yes 5Z1 No If yes, please indicate person(s):
,.
NOTE:Attach additional sheets if necessary.
I certi at all the above information is.true and correct to the best of my knowledge.
fignatu a of owner/date/4/r ..Siatare of applicant/date
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frgnlik--l'ILrratc6e--.VIS0/7 itfk.-.
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
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P-1(A)Page 2 of 2 Revised 04109
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HAZARDOUS WASTE
AND SUBSTANCES
Development Services
Planning DepartmenttitYriFSTATEMENT1635 Faraday Avenue
CARLSBAD (760) 602-4610P-1(C)www.carisbadca.gov
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Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5,I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
The development project and any alternatives proposed in this application are not contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
El 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:Afgerk 014/WA4 -Name:.Ta'20 014-1--5061/01-C.../
Address:6391 (544-140/Address:///6—CoRbovA sr
ovelz/A-A6 ,:kg 66257 of 9000.7-
Phone Number 1606 36."
-q--WA Phone Number 323—4947.57
Address of Site:5:67/4 Y 41•46.1)/y
Local Agency (City and County):OW-1Mb M 7
Assessor's book, page, and parcel number:2-1z-12-0-59 -oo
Specify list(s):
Regulatory Identification Number:
Date of List:
j.17./coffe
•Applica ignature/Date rope er nature/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.
Egl
P-1(C)Page 1 of 2 Revised 04/09
(0.
Sprint ).Sprint Nextel H dl3.Thorne
6391 Sprint Parkway,Zoning & Permitting
Togetherwith NEM M/S KSOPHI0101-22650 (704) 921-7443
Overland Park, KS 66251 lieldi.TherneosprinLeorn
Office:(800) 357-7641 Fax: (913) 523-9735
August 31, 2010
VIA UPS 2nd DAY AIR
Tracking # 1Z 212 67A 02 9461 5721
Ms. Chris Sexton
City of Carlsbad
Planning Department
1635 Faraday Avenue
Carlsbad, CA 92008
RE:Nextel Communication Tower Site —Site ID #: CA7410
Site Address: 5814 Van Allen Way, Carlsbad, CA
Conditional Use Permit #00-27x1
Dear Ms Sexton:
Sprint Nextel would like to request an extension for the above referenced CUP for an additional ten (10) year term.
I am pleased to submit this Minor Conditional Use Permit application package for City Department review.
Please accept the following items:
1.Completed Disclosure Statement (City Form)
2.Land Use Review Application (City Form)
3.Storm Water Standards Questionnaire (City form)
4.Hazardous Waste and Substance Statement (City Form)
5.RF Compliance Report 342.5b
6.Check #11485313 in the amount of $88;49 for the renewal fee
7.Check #11485316 in the amount of $50.00 for the NOE fee for the County of San Diego
8.Check #11495169 in the amount of $5.28 for the postage fee
9.300' Radius Map and ownership labels
Should you require anything further, please don't hesitate to contact me directly at 704-921-7443 or
Heidi.Thorneasprint.com.
Sincerely,
ei J h n
Aut zed Representative for
Spr Nextel
Enclosures
STORM WATER
>STANDARDS Development Services
Engineering Department\T/CITY OF QUESTIONNAIRE 1635 Faraday Avenue
CARLSBAD E-34 760-602-2750
www.carlsbadca.gov
INSTRUCTIONS:
This questionnaire must be completed by applicant in advance of submitting for a development application (subdivision
and land use planning approvals and construction permits). The results of the questionnaire determine the level of
storm water pollution prevention standards applied to a proposed development or redevelopment project.Many
aspects of project site design are dependent upon the storm water pollution protection standards applied to a project.
Applicant 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.
A staff determination that the development application is subject to more stringent storm water standards than initially
assessed by the applicant, will result in the return of the development application as incomplete.
If applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of
the questions, they are advised to seek assistance from Engineering Department Development Services 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, applicants for construction permits must also complete,
sign and submit a Construction Activity Storm Water Standards Questionnaire.
To address pollutants that may be generated from new development,the city requires that new development and
significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs)
into the project design,which are described in Section 2 of the city's Storm Water Standards Manual This
questionnaire should be used to categorize new development and significant redevelopment projects as priority or
non-priority, to determine what level of storm water standards are required or if the project is exempt.
1.Is your project a significant redevelopment?
Definition:
Significant redevelopment is defined as the creation or addition of at least 5,000 square feet of impervious surface
on an already developed site.
Significant redevelopment includes,but is not limited to:the expansion of a building footprint;addition to or
replacement of a structure;structural development including an increase in gross floor area and/or exterior
construction remodeling; replacement of an impervious surface that is not pad of a routine maintenance activity; and
land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces includes
any activity that is not part of a routine maintenance activity where impervious material(s) are removed,exposing
underlying soil during construction.
Note:If the Significant Redevelopment results in an increase of less than fifty percent of the impervious surfaces of a
previously existing development, and the existing development was not subject to SUSMP requirements, the numeric
sizing criteria discussed in Section F.1.b. (2)(c) applies only to the addition, and not to the entire development.
2.Ifyour project IS considered significant redevelopment, then please skip Section 1 and proceed with Section 2.
3.If your project IS NOT considered significant redevelopment, then please proceed to Section 1.
E-34 Page 1 of 3 REV 8/12/09
"I>STORM WATER
X....Engineering Departmentn°*0>STANDARDS Development Services
\\7/CITY OF QUESTIONNAIRE 1635 Faraday Avenue
CARLSBAD E-34 760-602-2750
www.carlsbadca.gov
SECTION 1
NEW DEVELOPMENT
PRIORITY PROJECT TYPE YES NODoes you project meet one or more of the following criteria:
1.Home subdivision of 100 units or more.
Includes SFD, MFD, Condominium and Apartments
2.Residential Residential development of 10 units or more.
Includes SFD, MFD, Condominium and Apartments ›C
3.Commercial and industrial development greater than 100.000 square feet including parking areas.
Any development on private land that is not for heavy industrial or residential uses.Example:Hospitals,
Hotels, Recreational Facilities, Shopping Malls, etc.
4.Heaw Industrial /Industry greater than 1 acre (NEED SIC CODES FOR PERMIT BUSINESS TYPES)
SIC codes 5013, 5014, 5541, 7532-7534, and 7536-7539
5.A tomotive repair shop.
SIC codes 5013, 5014, 5541, 7532-7534, and 7536-7539
6.A New Restaurant where the land area ofdevelopment is 5.000 square feet or more including parking areas.
SIC code 5812
7.Hillside development
(1) greater than 5,000 square feet of impervious surface area and (2) development will grade on any natural Xsslope that is 25% or greater
8.Environmentally Sensitive Area (ESA).
Impervious surface of 2,500 square feet or more located within,"directly adjacent"2 to (within 200 feet),or
"discharging directly to"3 receiving water within the ESA1
9.Parkins lot.
Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban runoff
10.Retail Gasoline Outlets —serving more than 100 vehicles per day.
Serving more than 100 vehicles per day and greater than 5,000 square feet
11.Streets. roads. highways. and freeways.
Project would create a new paved surface that is 5,000 square feet or greater.
12.Coastal Development Zone.
Within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable surface or (2)
increases impermeable surface on property by more than 10%.
i ESA (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 equivalent under the 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 co-permittees.
2 "Directly adjacent" means situated within 200 feet of the environmentally sensitive area.
3 "Discharging directly to" means outflow from a drainage conveyance system that is composed entirely of flows from the subject
development or redevelopment site, and not commingled with flow from adjacent lands.
Section 1 Results:
If you answered YES to ANY of the questions above you have a PRIORITY project and PRIORITY project requirements DO apply.
A Storm Water Management Plan,prepared in accordance with City Storm Water Standards,must be submitted at time of
application. Please check the "MEETS PRIORITY REQUIREMENTS" box in Section 3.
If you answered NO to ALL of the questions above, then you are a NON-PRIORITY project and STANDARD requirements apply.
Please check the "DOES NOT MEET PRIORITY REQUIREMENTS" box in Section 3.
E-34 Page 2 of 3 REV 8/12/09
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I I A)6 STANDARDS STORM
WATER4.Development Service
f
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i 1 EngineeringDepartmentkl,,11*CITY OF QUESTIONNAIRE 1635 Faraday Avenue
CARLSBAD 760-602-275CE-34 www.carisbadca.gov
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;SECTION 2 .:i
I SIGNIFICANT REDEVELOPMENT:YES NO_
1.If the existing development was constructed today, would it qualify as a priority project? (Priority projects are
defined in Section 1)X.
Ifyou answered YES, please proceed to question 2.
I
If you answered NO, then you ARE NOT a significant redevelopment and you ARE NOT subject to PRIORITY project requirements,
only STANDARD requirements.Please check the "DOES NOT MEET PRIORITY REQUIREMENTS' box ir! Section 3 below.
2.Is the project solely limited to one of the following:
a.Trenching and resurfacing associated with utility work?
b.Resurfacing and reconfiguring existing surface parking lots?z
c.New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads?
4..
d.Replacement of existing damaged pavement?
If you answered NO to ALL of the questions, then proceed to Question 3.
-5.If you answered YES to ONE OR MORE of the questions then you ARE NOT a significant redevelopment ar.d you ARE NOT subject to
PRIORITY project requirements, only STANDARD requirements.Please check the "DOES NOT MEET PRIORITY REQUIREMENTS'
box in Section 3 below.,
3.Wilt the development create, replace, or add at least 5,000 square feetofimpervious surfaces on an exiztsig
development, or be located within 200 feet of the Pacific Ocean and (1) create more than 2500 square feet of .impermeable surface or (2) increase impermeable surface on property by more than 10%?,
-•If you answered YES, you ARE a significant redevelopment and you ARE subject to PRIORITY project requirements.Please check
the 'MEETS WITH REQUIREMENTS' box in Section 3 below.
Ifyou answered NO, you ARE NOT a significant redevelopment, and you ARE NOT subject to PRIORITY project requirements, only
STANDARD requirements.Please check the 'DOES NOT MEET PRIORITY REQUIREMENTS' box In Section 3 below.
1
1 (SECTION 3 r 1
IQuestionnaire esults:
!0 MY PROJECT MEETS PRIORITY REQUIREMENTS. MUST COMPLY WITH PRIORITY PROJECT STANDARDS AND MUST
PREPARE A STORM WATER MANAGEMENT PLAN FOR SUBMITTAL AT TIME OF APPLICATION.
9(MY PROJECT DOES NOT MEET PRIORITY REQUIREMENTS AND MUST ONLY COMPLY WITH STANDARD STORM
I WATER REQUIREMENTS.
Applicant lnfoirnation and Signature Box
Address:Assessor's Parcel Number(s):This Box for City Use On/.
(OSCII Sag hrr (?Kw1/4/(0vgdoiz N. KS 147---(2.°'541°kill No `1City Concurrence:Applicant Name:Applicant Title:
I i
66011 -6A4/4--41611-Rex.&iffig .By:
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Applicant Sign re:Date:i i Date:
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1°Project ID:
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E-34 Page 3 of 3 REV 8112/09
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