HomeMy WebLinkAboutRP 92-10A; Bluewater Grill; Redevelopment Permits (RP)( Cltyof
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
Development Permits
v'tt ~ Coas\al D~ment Permit(*) ' ~Minor
Conditional Use Permit (*)
Minor D Extension
D Day Care (Large)
D Environmental Impact Assessment
D Habitat Management Permit D Minor
D Hillside Development Permit(*) D Minor
D Nonconforming Construction Permit
D Planned Development Permit D Minor
D Residential D Non-Residential
' I
Planning Commission Determination
D Site Development Plan D Minor
D Special Use Permit
D Tentative Parcel Map (Minor Subdivision)
D Tentative Tract Map (Major Subdivision)
D Variance D Minor
(FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY)
D General Plan Amendment
D Local Coastal Program AmendmEmt (*)
D Master Plan D Amendment
D Specific Plan D Amendment
D Zone Change (*)
D Zone Code Amendment
South Carlsbad Coastal Review Area Permits
D Review Permit
D Administrative D Minor [] Major
Village Review Area Permits
pReview Permit
D Administrative [jMinor ~(Major
(*) = eligible for 25% discount
I~P <:f:J.-IoA
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M.
ASSESSOR PARCEL NO(S).: 1_D 3 -2g.(0 -0]-QQ
PROJECT NAME: l;UAe=WATC:f..2.. qJZ.U 1
BRIEF DEscRIPTioN oF PROJEcT: geN ovA ,1 otJ j; E:><p~l o.J
BRIEF LEGAL DESCRIPTION:
_______ ---.:N.....:..=..o~J......LZ.....~~.I....:::..O__,ff:--Co-=· ..Lfl..!..;:t-J;_,!_"f'1-~:-~0=-C...~5:.:....:~::....::...........~..:'D~I~~o':./-J_:.::..OeC.. [ ~ l q .
LOCATION OF PROJECT: k\] CA\2J,);BAD
STREET ADDRESS
ON THE:
(NORTH, SOUTH, EAST, WEST)
SIDE OF t/M:kt;f>Af) (N~~~~~T=-)b~~..;.__:_• -----
BETWEEN
(NAME OF STREET)
AND \Nf\ Slli~e.rrvN ST.
(NAME OF STREET)
P-1 Page 1 of 6
j_X?Af \:X)ct '::?
Reviserut13
OWNER NAME
(Print):
MAILING ADDRESS:
--~~~.~~~~~~~~~~,.~.
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS
SET FORTH HE N IS Y AUT. RIZED REPRESENTATIVE FOR
PURPOSE E S APB AT
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
APPLICANT NAME (Print):
MAILING ADDRESS:
~~~~~~~·~~~~~--~
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THAT ALL E ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BEST 0 KN EDGE.
IN ;ljt;R6CESS 'OF REVIEIJ)II~G THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF C:ITY STAFF, PLANNING
COMMISSIONERS OR CITY .2'0UNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. INVE CONSti!NT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: P OPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE IS PROPERTY C NDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND AN U CES IN I :?'~'177~:.._:)
FOR CITY USE ONLY
P-1 P1jge 2 of 6
OF CARLSBAD
NING DIVISION
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
Revised 04/15
City of
Carlsbad
PROJECT DESCRIPTION
P-1(8)
PROJEcT NAME: BLJA 13 w Are/2. a/2-Ju .~
APPLICANT NAME: f21 C1tA-g..D STltUNTOJ
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Please describe fully the proposed project by application type. Include any detaills 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:
/2-&N o 1./ Prr1 ot.J /110 D t5XPAN Sl otJ o P 13 Xt ..sn rJq 'P-13~TttlA rut-tJ T fl)
lttwMMDDAW A t>A(l1 ~ Drf\JJN6, PI SH MA1L143 T-J2.e77+11-
COMPo"'t:fN I ltNO Cov~ PAllo DttJ/f.Jq ~
P-1 (B) Page 1 of 1 Revised 07/10
Indemnification and Insurance Requirement for Village Area Administrative Permit
CeJtification Statement:
1 Certify that I am the Legal 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 damage or liability
was caused by the sole active negligence of the City of Carlsbad or its officers or employees. I have 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 financial size of $50-$100 (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 side1walk or the business
is operated on the public sidewalk. This agreement is a condition of the issuance of this administrative permit for
the subject of this permit on t public · ewalk. I understand that an approved administrative permit shall
remain in effect for as long utdoor · pla~s are permitted within the Village Review Ar,ea and the permittee
remains in compliance wit h subje ed permit. ...
Date: I, )~6 /1~ ----7--I
Certification Statement:
I Certify that I am the Legal Property Owner for the subject business location and that all of the above
information is true and correct to the best 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 utdoo displays are ermitted within the Village Review Area and the permittee
remains in complianc · t sub' t approv n 't.
I }, l I ~
Date: ---J-1-1:1t..,l-f--/-t1L.;G;z-----
P-1 Page 3 of6 Revised 04/15
DISCLOSURE STATEMENT
p .. 1(A)
nf
Planning Division
1635 Faraday Avenue
(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, 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 actiing 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 SHAHES, PLEASE
INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a t;1ublicly-owned
corporation, include the names, titles, and addresses of the corporate officers. (A
separate page may be attached if necessary.)
Person {Z\C'-\AI?C> S-(P.v,vrC>IJ Corp/Part (lLvtSWAll"S-1( CAitSL..€AO 1-.P.
Title ___ ..::..,P_/?~'==S:.....:f:...:;.)"::>_,;,:IS:;._AI";,.._-..:...t _ Title _____________ _
Address _________ _ Address ____________ _
2. OWNER (Not the owner's agent)
P-1(A)
Provide the COMPLETE. LEGAL names and addresses of Ab.b 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 name~s. titles, and
addresses of the corporate officers. (A separate page may be attached if necessary.)
Person fl., '4 !Jvd{.r Corp/Part IJ ~d}.u fr'{•;-/)d j L/L-
Title f0-J ~ Title /rr., )~ j=
Address. _________ _ Address ________ ··-----
Page 1 of 2 Revised 07/10
3. NONaPROFIT 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 ProfitfTrust Non Profitrrrust. __ ~--·-----
Title --~--~---------Title _______ ~------
Address ___ ~------Address ____________ _
4. Have you had more than $500 worth of business transacted with any mtember of City
staff, Boards, Commissions, Committees and/or Council within the past twelve ( 12)
months?
DYes ~No If yes, please indicate person(s): ___ ~---·-----
NOTE: Attach additional sheets if necessary.
Print or type name of owner
t< \ c too\~ R. \"'::::> S\ l~ .. v JV T 01\1
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 of 2 Revised 07/1 0
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
Pm1(C)
Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pit
Planning Division
1635 Faraday Avenue
(760) 602-4610
www .ca rlsba de a .gov
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}:
IS2J 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.
0 The development project and any alternatives proposed in this application i!fQ contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT PROPERTY OWNER
Assessor's book, page, and parcel number: ":)t ~:''\ ·~ :2,;''7{,:-' ·~· ( ·· 1 • rx::;
Specify list(s): __________________________ . ___ _
Regulatory Identification Number: ________________________ _
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 mquirements
in providing information about the location of hazardous materials release sites.
P-1(C) Page 1 of2 Revised 02/13
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed: (a -30-~5 (To be completed by City)
Application Number(s): :J< P l :r OCf I Q.._Q P lO-5 CJ
General Information
1. Name of project: _ ..... B£J.L"""IA ..... G ....... -W"'-'<!.'A_._D'-'f::f2.. ..... "-"'-_.._6 ....... e.J~l"""'L.,....---------____ _
2. Name of developer or project sponsor: ------------------
Address: 411 CAgLGf>AD \I\\ I A\f:Jt.?' D\2 .
City, State, Zip Code: _ .... Cd\1ll.o:::..!!.4l"""""-iS~fA~DI>o£..-;-1 ~C,4-A-~..-____,4'-"2-"""'o"""'O::....ol2"""-----------
PhoneNumber: ----------------------------------------
3. Name of person to be contacted concerning this project: Ei,~t:;; l?-b .... ·W.....-.':V+-----
Address: 2!404-W\Ls:\:t\t"2 .. .e: &:JD. ~11:? # -1.~
City, State, Zip Code: L.-OS AN evet 3 c. I fA g 00 Sl
Phone Number: 2-\ '3 3'30 9?4::; S
4. Address of Project: 4\1 CA:f:2J .blOAD VI\ 1 N4e=;, DJ2..
Assessor's Parcel Number: Z..OO-2A la-D 1-00
5. 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:
6. Existing General Plan Land Use Designation: ------------------
7. Existingzoningdistrict: \1\u.Atll~ \U7\l\G\N -\)-.g. tD\SU?\LT "1.
8. Existing land use(s): ----'Q.e=-:lloo"--"-'S+Th-=-UP-M~-"-"'=-T-------------____ _
9. Proposed use of site (Project for which this form is filed): V' E~ 1?-Mj ~,-____ _
Project Description
10. Site size: 9. \LfD S·E·
11. Proposed Building square footage: 5, <5qs ~.F.
12: Number of floors of construction: 1..
13. Amount of off-street parking provided: 2/p
14. Associated projects:
P-1(0) Page 2 of 4 Revised 07/10
15. If residential, include the number of units and schedule of unit sizes: ________ _
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities:
~ta.t1\t<ootz..\1oOD ~A~:C -( o9:Jfa BE BM'~ -7() ?_ ~F
b11J11'J tt P.trn o -1, e£ r s:::. ·f"· f?lta~OK tkus/;7 -1,:k o s .t=.
l?e'77+1l -Z..Ci ~ 0 ·f.
17. If industrial, indicate type, estimated employment per shift, and loading facilities:
18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project: ---------
19. If the project involves a variance, conditional use or rezoning applications, state this and indicate
clearly why the application is required: pl!aJf:i:!tT ,tJ(U UQI.J Zt;a~ ltJ-Ll@
PAt21VtN6 ]b Pt.M Vtl)er (?!$;)< )J f2-t;7) PAf2./?1 NQ 01~ A-Q) &JaJr (..,CT
P-1(0) Page 3 of4 Revised 07/10
Are the following items applicable to t11e project or its effects? Discuss all items checl<ecl yes (attach
aclclitional sheets as necessary).
Yes
20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial 0
alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or D
roads.
22. Change in pattern, scale or character of general area of project. 0
23. Significant amounts of solid waste or litter. D
24. Change in dust, ash, smoke, fumes or odors in vicinity. 0
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or D
alteration of existing drainage patterns.
26. Substantial change in existing noise or vibration levels in the vicinity. D
27. Site on filled land or on slope of 10 percent or more. D
28. Use of disposal of potentially hazardous materials, such as toxic substances, 0
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage, D
etc.).
30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). 0
31. Relationship to a larger project or series of projects. 0
Environmental Setting
Attach sheets that include a response to tlJe following questions:
No 0
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. Descriibe 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 pre nt the data and
information required for this initial evaluation to the best of my ability, and the f t , statements, and
information presented are true and correct to the best of my knowledge a elief. ·"
Date: r I
For:
P-1(0) Page 4 of 4 Revised 07/10
TIME LIMITS ON
DISCRETIONARY
PROJECTS
P~1 (E)
PLEASE NOTE:
r
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
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 appllication complete.
When the application is complete, the processing period will start upon the date of the completion letter.
If you have any questions regarding a licatio submittal requirements (iii.e., clarification
regarding a specific requirement or wh r all irements are necessary for your particular
application) please call (760) 602-461 .
Applicant Signature:
Staff Signature:
Date: r I
To be stapled with receipt to the application
P-1(E) Page 1 of 1 Revised 07/10
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1526501-2 09/22/2015 149
Tue, Sep 22, 2015 10:24 AM
Receipt Ref Nbr: R1526501-2/0020
PERMITS -PERMITS
Tran Ref Nbr: 152650102 0020 0024
Trans/Rcpt#: R0111739
SET #: CDP9208A
Amount:
Item Subtota ·1 :
Item Total:
PERMITS -PERMITS
1@ $491.85
$491.85
$491 '85
Tran Ref Nbr: 152650102 0020 0025
Trans/Rcpt#: R0111738
SET #: RP92010A
Amount:
Item Subtota 1 :
Item Total:
2 ITEM(S) TOTAL:
1 @ $1,476.00
$1,476.00
$1,476.00
$1,967.85
· ·,; ( Auth# 05773C) $1 , 967.85
ved: $1,967.85
~ day!
' :****CUSTOMER COPY*************
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111111111111111111111111111111111111111111111111111111
Applicant: STAUNTON RICHARD
Description Amount
CDP9208A 491.85
417 CARLSBAD VILLAGE DR CBAD
Receipt Number: R0111739 Transaction ID: R0111739
Transaction Date: 09/22/2015
Pay Type Method Description Amount
Payment Credit Crd VISA 491.85
Transaction Amount: 491.85
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111111111111111111111111111111111111111111111111111111
Applicant: STAUNTON RICHARD
Description Amount
RP92010A 1,476.00
417 CARLSBAD VILLAGE DR CBAD
Receipt Number: R0111738 Transaction ID: R0111738
Transaction Date: 09/22/2015
Pay Type Method Description Amount
Payment Credit Crd VISA 1,476.00
Transaction Amount: 1,476.00
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1533801-1 12/04/2015 149
Fri, Dec 04, 2015 04:18PM
Receipt Ref Nbr: R1533801-1/0047
PERMITS -PERMITS
Tran Ref Nbr: 153380101 0047 0058
Trans/Rcpt#: R0113568
SET #: RP15002A
Amount:
Item Subtotal:
Item Total:
PERMITS -PERMITS
1 @ $201.50
$201 .50
$201 .50
Tran Ref Nbr: 153380101 0047 0059
Trans/Rcpt#: R0113569
SET #: CDP1502A
Amount:
Item Subtota 1:
Item Tot a 1:
2 ITEM(S) TOTAL:
Check (Chk# 5060)
Total Received:
Have a nice day!
1 @ $337.50
$337.50
$337.50
$539.00
$539.00
$539.00
**************CUSTOMER COPY*************
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111111111111111111111111111111111111111111111111111111
Applicant: ZIER ALEC
Description Amount
CDP1502A 337.50
2947 STATE ST CBAD
Receipt Number: R0113569 Transaction ID: R0113569
Transaction Date: 12/04/2015
Pay Type Method Description Amount
Payment Check 337.50
Transaction Amount: 337.50
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
11111111111111111111111111111111111111111111111111111111111111111
Applicant: ZIER ALEC
Description Amount
RP15002A 201.50
2947 STATE ST CBAD
Receipt Number: R0113568 Transaction ID: R0113568
Transaction Date: 12/04/2015
Pay Type Method Description Amount
Payment Check 201.50
Transaction Amount: 201.50