Loading...
HomeMy WebLinkAboutRP 15-01; Indulgence; Redevelopment Permits (RP) (2)C^.arlshad LAND USE REVIEW APPLICATION P-1 D r- V f' * () f! i 1M • I r' Sei'i'Ji.e't Planning Dlwiilsn 1635 Faradav Avenue (760) 602-4610 www carlsbadca.gov APPLICATIONS APPLIEO FOR: (CHECK BOXES) • CouulDavclopmtntPMinltn QMlnof ironotFT •jacoKLYi Lmil*laO<nFrnmHf Q General Plan Ain«ndm«nt • CondWonal u»c Permit {•) • Mmor n .] Entensen O tocal Coastal Pn>anra Amendment (') Ci Matter Plan tZl Amendment CJ Specific Plan Q Amendment • ZoneCftanoen CJ Zone Code Amendment • Review Porm« j L.l Admtnistrativo Li Minor Q Major i • Dey Care (Large) Ci EnvlfonmentalMpactAaaesament D Hetwtat Management Permit • Mmor • HHIaWeDevelopmeM Permit (•) Qwrnof Cl Nonconformlna Construction Permit C] Planned Devetopment Permit Q Minor Cl Re.<iaenti(il Cl Noo-R«sidenii«l O Planning Commlatton Oetennlnatjon • SHe Development Plan • Minor U Special Uaa Permit [J Tentative Parcel Mep (Minor SuMMelon) • Tentative Trect Map (MaJorSubdlvlston) • Variance • Minor ^ NOTE: A pnoPoaCD paojecT REOuaiMa MULTDU «PPUC*TKW> MUSI BE SUBIMTIED moe TO yM P W. « ntoroeco PHOJCCT Keoumeia ONLY one AmjcATlOw mtier et funmro PHMO TO itt P.M. Review Permit Cl Adnimntialnm I J Minor [j Msiof (')« eligible for 2m dleeount ASSESSOR PARCEL NO(S) : PROJECTNAME: '^ZrV'W^rrc TfiUUUS^^AJoF BRIEF OESCRIPTION OF PROJECT Caj^£^-l:JA\^LL\as.^cf" si - BRIEF LEGAL DESCRIPTION: ^ STREET AOCRESS. I] LOOAl ION OH PROJECT- __________ ONTHE: hJor H') SIDEOF J^J±UiM^ii'''xii^<'';t«L Jx'r'/ " (NAME OF fTREET) " (NORTH. SOUTH. EAST, WESfr BzvmtH ^DDi>^:-v'e'-li~" (NAME OF STREET) ANO TNAMF."0F STREET)" Pago 1 .-ys (Onnt) MAILING CITY, STATE EMAIL ADDRESS: APPtlCANT NAME (Pnni) JLING ADDRESS CiTY.STATE.ZIP TELEPHONE 31^-3^7" 32-O Q EMAIL ADDRESS :?^^^yn(2^ I 1 VtL . C^TT) / ! CERTIFY THAT I AM Tut IfcGAI. OAINFR AND THA' AU THS ABOVE INFORMATIO-M IS tRIJt AND CORRECT TO IHf. BEST OK MY OTWATURE ~ OATE I r;F:^?TIFY -t-lAV ! AM THE if QAl SEPSESENIAIiVR OF TH€ OA'NEf> AND THAT ALL THE ABOVE iNFORMATION :S 'RliF. AND ".ORRECT TO THE BEST OF ttY KNOWLELCE, INATUfiE APPLICANTS REPRESENTATIVE (Prinl): MAILING ADDRESS: CITV, STATE. ZIP- TELEPHONE EMAIL ADDRESS: ; CERTIFY THAT I AM THE LEGAI- H6PR6S(-NTAi'Vfe Ol-^ IHf-^PPIJCAMT ANO IHAT AI.I THE ABO'>T INFORMATION IS Ti^LE AW) CORRECT TO THE BE.ST OF MY KNOA'l EDGE S-ONATLiRE DAIS 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 OF RESTRICTION: RECORDED ON THE TITLE THE LAND ANO BtK»«^r^l OWfNER^i'l^fflCoWLEDGES AND CONSENTS TO A NOTIOt Of RESTRICTION BEING pROPeRrr,'m><S5NDrTiONeD FOR THE APPLICANT NOTICE OF RESTRICTIONS RUN WITH lll(IChEST FOR CITY USE ONLY N 2 8 2015 DATE STAMP APPLICATION RECEIVED RtCEIVLD BY: Page 2 I/i Indamniflcation and hiaurance Raqtiiram«iitfor yillag« Araa Admlnwtratlye Pennit CertlScalian StaiemmH. I Ceitify that I am ttis ^u»in<^ pwiwr of the subject business and tttat all of the above information is true and con«ct to the best of my knowledge. I agree to accept and abide by any conditions placed on the subject . project as a result of ^roval of this appiication. I agree to indemnify, hold harmless, and defend the City of I Carlsbad and its officers and employees from aH claims, damage or KabiNty to persons or property arising from or i caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or I the operation of the subject business on the public sidewalk pursuant to this permil unless the damage or liability j j was caused by the sole active negligence of the City of Carlsbad or Ifs officers or employees I have submitted a | j Certificate of Insurance to the City of Carlsbad in the amount of one maiion dollars issued by a company which ; \ has a rating In the latest 'Best's Rating Ouide' of "A-" or better and a financial size of $50-$100 (currently class ! : VII) or better which lists the City of Carlstsad as "addittonal insured" and provkies primary coverage to ths City. I I also agree to notify the City of Cartsbad thirty days prnr to any cancellation or expiration of the policy. The I notice shall be delivered to: City Planner i City of Carlsbad ! 1635 Faraday Avenue I Carlsbad t i \ The Insurance shall remain in effect for as k>ng as the property is plac«j on the public sktewalk or the business I ' is operated on the public sidewaHc. This agreement is a condition of the issuance of this administrative permit for I the subject of this permit on the public skiewalk. I understand that an approved administrative permit shaU i ! remain in effect for as temg as outdoor displays are pennitted wHhin the Village F^eview Area and the pennittee i i remains in compN^rtce w^ the subject apMOved petmit Signature y -^^'-l l/\U yy/tV ^ -> Dale: ^^"-<-C^-• .''^ CerHfication Statement I Certify that I am the Ireoal Prooertv Owner for the subject business location and that all of the above information is true and correct to the best of my^nowledge, I support the applicant's request fbr a permit to place the subject propeity on the publk: sUeMfflt. I understand that an approved administrative permit shall remain in effect for a* tona as outdoor displ^ are pennittedj^hin the Village Review Araa and the penriittee remains in cornpHanoe vfifn tne^subject appiOvib permit. Signature ,/^^^.<'^>e==9'-^^^^ Date ^//C Pages 0*6 CERTIFICATE OF LIABILITY INSURANCE NLS R054 DATE (MM/DD/YVYY) 1/23/2015 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORIMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions ofthe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER USAA INSURANCE AGENCY INC/PHS 812846 P: (888) 242-1430 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 7 82 65 CONTACT NAME: PRODUCER USAA INSURANCE AGENCY INC/PHS 812846 P: (888) 242-1430 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 7 82 65 wS%.Em. (888) 242-1430 m.m. (888) 443-6112 PRODUCER USAA INSURANCE AGENCY INC/PHS 812846 P: (888) 242-1430 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 7 82 65 E-MAIL ADDRESS: PRODUCER USAA INSURANCE AGENCY INC/PHS 812846 P: (888) 242-1430 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 7 82 65 INSURERIS) AFFORDING COVERAGE NAIC# PRODUCER USAA INSURANCE AGENCY INC/PHS 812846 P: (888) 242-1430 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 7 82 65 INSURERA: Sentinel Ins Co LTD 11000 INSURED DARLENE MORRIS 57 8 CARLSBAD VILLAGE DR CARLSBAD CA 92008 INSURER B : INSURED DARLENE MORRIS 57 8 CARLSBAD VILLAGE DR CARLSBAD CA 92008 INSURER C : INSURED DARLENE MORRIS 57 8 CARLSBAD VILLAGE DR CARLSBAD CA 92008 INSURER D INSURED DARLENE MORRIS 57 8 CARLSBAD VILLAGE DR CARLSBAD CA 92008 INSURER E : INSURED DARLENE MORRIS 57 8 CARLSBAD VILLAGE DR CARLSBAD CA 92008 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED- NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSK I.TR TYPE OF mSURAnCE ADDL Jim. SUBR POLICr IWIUBER POLICYEFF (MM/DD/yrry) POLICYEXP IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY CLAIMS-MADE EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) General Liab 65 SBA TI8352 05/19/2014 05/19/2015 MED EXP (Any one person) PERSONAL & ADV INJURY GENL AGGREGATE LIMIT APPLIES PER: PRO- JECT OTHER: POLICY GENERAL AGGREGATE X LOC PRODUCTS - COMP/OP AGG 1,000,000 1,000,000 10,000 1,000,000 2,000,000 :2, 000, 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accidenl) BODILY INJURY (Per person) ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE RETENTION $ WORKERS COmPE^SATIOK Am EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below PER STATUTE • E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERA TIONS /LOCA TIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Those usual to the Insureid's Operations. CERTIFICATE HOLDER CANCELLATION City of Carlsbad 1635 FARADAY AVE CARLSBAD, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Carlsbad 1635 FARADAY AVE CARLSBAD, CA 92008 AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 11" IV^ ml' I—— — • •, •V.