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Home My WebLink AboutMCUP 16-01A; AVIARA FOUR SEASONS VERIZON; Administrative Permits (ADMIN)0 Artily of LAND USE REVIEW Developmept Services flarsdng sion Carlsbad APPLICATION P4 1635 Faraday Avenue (760) 602-4610 www.carisbadca.gov APPLICATIONS APPLIED FOR:(CHECK BOXES) pevelopment Permits (FOR DEPT. USE ONLY)j stdalathett Permits •(FOR DEPT. USE ONLY) El Coastal Development Permit (1 0 Minor 0 General Plan Amendment IN Conditional Use Permit (1 II Minor 0 Extension 16-al (A)El Local Coastal Program Amendment (1 Day Care (Large)0 Master Plan 0 Amendment O Environmental impact Assessment 0 Specific Plan 0 Amendment O Habitat Management Permit 0 Minor 0 Zone Change (') 0 Hillside Development Permit e)El Minor El Zone Code Amendment O Nonconforming Construction Permit South Carlsbad Coastal Review Arse Permits O Planned Development Permit El Minor 0 Review Permit El Residential 0 Non-Residential ID Administrative El Minor 0 Major 0 Planning Commission Determination El Reasonable Accommodation Rados. Area Permits O Site Development Plan Ei Minor 0 Review Permit El Special Use Permit 0 Administrative 0 Minor 0 Major Ei Tentative Parcel Map (Minor Subdivision) Ei Tentative Tract Map (Major Subdivision) El Variance El Minor (*) =eligible for 25% discount NOTE:A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST SE SUBMITTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUINIETTED PRIOR TOkW P.M. ASSESSOR PARCEL NO(S).:215-750-01-00 PROJECT NAME:Aviara 4 Seasons BRIEF DESCRIPTION OF PROJECT:Modification to an existing wireless telecommunications facility. BRIEF LEGAL DESCRIPTION:Lot 1, Map Ref: 013335 LOCATION OF PROJECT:7100 Aviara Resort Drive SIDE OF Aviara ParkwaysEET 'ADDRESS ON THE:South (NORTH, SOUTH, EAST, WEST)(NAME OF STREET) BETWEEN Aviara Drive AND Aviara Parkway (NAME OF STREET)(NAME OF STREET) P-1 Page 1 at 6 Revisal 07/15 maneese OWNER NAME (Print):Aviary Resort Assodates SPE LLC APPLICANT NAME (Print):Verizon Wireless MAIUNG ADDRESS:248 Homer Avenue MAILING ADDRESS: 1551:* Send Canyon Ave, Bid D, 1st Floor CITY, STATE ZIP Palo Alto, CA 94301 CITY, STATE, ZIP:Irvine, CA 92618 TELEPHONE 760-448-1234 TELEPHONE:949-286-7000 EMAIL ADDRESS:efren.augusto@hyattcom EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO ICNOWLEDGE.I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR S r '7 TORE DATE SIGNATURE DATE APPLICANTS REPRESENTATIVE (Print):Elizabeth Brown at Eukon Group MAILING ADDRESS:65 Post, Suite 1000 CITY, STATE, ZIP:Irvine, CA 92618 TELEPHONE:949-413-9876 EMAIL ADDRESS:elizabetti.brown@eukongroup.corn I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOIMLEDGE. Tp2.770SIGNATUREDA IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CM(STAFF,PLANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION.IPNE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTRICTION:PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEiNG RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH THE CCE S IN INTEREST. PROPERTY OWNER SIGNA FOR CITY USE ONLY RECEIVED SEP 2 0 2016 CITY OF CARLSBAD DAR1-6101414F5PealWtiECEIVED RECEIVED BY: eAri5 P-1 Page 2 of 6 Revised 07115 411 Indemnification and Insurance Requirementfor Village Area Administrative Permit Certification Statement. I Certify that I am the Learnt Business Owner of the subject business and that all of the above information is true and correct to the best of my knowledge.I agree to accept and abide by any conditions placed on the subject project as a result of approval of this application.I agree to indemnify, hold harmless, and defend the City of Carlsbad and its officers and employees from all claims, damage or liability to persons or property arising from or caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or the operation of the subject business on the public sidewalk pursuant to this permit unless the &Mago or liability was caused by the sole active negligence of the City of Carlsbad or its officers or employees.I here submitted a Certificate of insurance to the City of Carlsbad in the amount of one million dollars issued by a company which has a rating in the latest "Best's Rating Guide' of "A-*or better and a finandal size of $504400 (currently class VII) or better which lists the City of Carlsbad as "additional insured" and provides primary coverage to the City. I also agree to notify the City of Carlsbad thirty days prior to any cancellation or expiration of the policy.The notice shall be delivered to: City Planner City of Carlsbad 1635 Faraday Avenue Carlsbad The insurance shall remain in effect for as long as the property is placed on the public sidewalk or the business is operated on the public sidewalk.This agreement is a condition of the issuance of this administudive permit for the subject of this permit on the park sidewalk.I understand that an approved admkdstrative permit shall remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in compliance with the subject approved permit Signature Date: Certification Statement I Certify that I am the Leas!Pr000rtv Owner for the subject business location and that all of the above information is true and correct to the beet of my knowledge.I support the applicant's request for a permit to place the subject property on the public sidewalk.I understand that an approved administrative permit shall remain in effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in plane with the subject approved perm Sig nature Date: 1.P-1 Page 3 of 6 Revised 07/15 • Development Services(City of DISCLOSURE STATEMENT Planning Division Carlsbad P-1(A)1635 Faraday Avenue (760) 602-4610 www.car$sbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications win 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, copartnership, joint venture, association, social club.,Iraternal organization, corporation, estate,trust receiver; syndicate, in.thia:andinienthar county, cry andicounty, city municipality, district or other political-subdivision or any other group 'or combinationacfmg a a unite 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 applicants 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 mEggagjgn.include the names,titles,and addresses of the corporate officers.(A separate page may be attached if necessary.) Person Eiktabeth Bmwn b.hall VedZon"mien Corp/Part Title Site Acquisition Title Address 85 Post, Ste 1000, Irvine, CA 92818 Address 2.OWNER (Not the owner's agent) Provide the COMPLETE.LEGAL names and addresses of isj. 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 Aviara Resort Associates Title Title Address Address 248 Homer Avenue Palo Alto, CA 94301 P-1(A)Page 1 of 2 Revised 07/10 0 40 3.NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit oroanization or a trust, list the names and addresses of An 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 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? ElYes El No If yes, please indicate person(s): NOTE:Attach additional sheets if necessary. I certify that all the above information is true nd correct to the best of my knowledge. Signature of owner/date /0"Frf Signature of applicant/date Pat Lowery Elizabeth Brown 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 P-1(A)Page 2 on Revised 07/10 HAZARDOUS WASTE Development Services(City of AND SUBSTANCES Planning Division Carlsbad STATEMENT 5 P-1(C) 153 FaradaY(760)602Avenue-4610 www.carlsbadal.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 California Environmental Protection Agency and hereby certify that (check one): The development project and any alternatives proposed in this application ere not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. The development project and any alternatives propOsed in this application gig contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT PROPERTY OWNER Name:Elizabeth Brown on behalf of Verizon Wireless Name: Aviary Resort Associates SPE LLC Address:Address:65 Post, Suite 1000 248 Homer Avenue Irvine, CA 92618 Palo-Alto, CA 94301 Phone Number:949-413-9876 Phone Number.760-448-1234 7100 Aviara Resort DriveAddress of Site: Local Agency (City and Count):City of Carlsbad, County of San Diego Assessor's book, page, and parcel number 215-750-01 -00 Specify list(s):N/A ii Regulatory Identification Number. Date of List:N/A • 77apco!Applicant Signature/Date roperty Owner Signatu 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 1 of 2 Revised 02/13 ................ 6 p City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 '111111111111111111111111H Applicant:BROWN ELIZABETH Description Amount MCUP1601A 592.78 7100 FOUR SEASONS PT CBAD Receipt Number:R0120311 Transaction ID:R0120311 Transaction Date:09/20/2016 Pay Type Method Description Amount Payment Check 592.78 City of Carlsbad Transaction Amount:592.78 Faraday Center Faraday Cashiering 001 1626401 -2 09/20/2016 149 Tue,Sep 20,2016 11:59 AM Receipt Ref Nbr:R1626401 -2/0019 PERMITS -PERMITS Tran Ref Nbr:162640102 0019 0028 Trans/Rcpt#:R0120311 SET #:MCUP1601t. Amount:1 @ $592.78 Item Subtotal:$592.78 Item Total:$592.78 1 ITEM(S)TOTAL:$592.78 Check (Chk#022415)$592.78 Total Received:$592.78 Have a nice day! **************CUSTOMER copv************* 0 0 (0.11/#40A r • City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 MIIHNIIIIIHM11 Applicant:BROWN ELIZABETH Description Amount MCUP1601A 592.78 7100 FOUR SEASONS PT CBAD Receipt Number:R0120311 Transaction ID:R0120311 Transaction Date:09/20/2016 Pay Type Method Description Amount Payment Check 592.78 City of Carlsbad Transaction Amount:592.78 Faraday Center Faraday Cashiering 001 1626401 -2 09/20/2016 149 Tue,Sep 20,2016 11:59 AM Receipt He!'Nbr:R1626401 -2/0019 PERMITS -PERMITS Tran Ref Nbr:162640102 0019 0028Trans/Rcpt#:R0120311 SET #:MCUP1601A Amount:1 @ $592.78ItemSubtotal:$592.78 • Item Total:$592.78 1 ITEM(S)TOTAL:$592.78 Check (Chk#022415)$592.78TotalReceived:$592.78 Have a nice day! **************CUSTOMER copy*************