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Home My WebLink AboutSDP 15-23; NORTH COAST MEDICAL PLAZA - 2ND EXTENSION; Site Development Plan (SDP)(.Citv of 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 Ii] Coastal Development Permit O Minor D Conditional Use Permit D Minor D Extension 0 Day Care (Large) D Environmental Impact Assessment D Habitat Management Permit D Hillside Development Permit D Minor D Minor 0 Nonconforming Construction Permit D Planned Development Permit D Minor 0 Residential O Non-Residential 0 Planning Commission Determination D Reasonable Accommodation Ii} Site Development Plan D Special Use Permit 0Minor D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision I D Variance D Minor (FOR JEPT USE ONL V) Legislative Permits COP/~~ ~3 SDP-1':fJ~ D General Plan Amendment D Local Coastal Program Amendment D Master Plan D Specific Plan D Zone Change □Amendment □Amendment 0 Zone Code Amendment South C.rlsbad Coa§tal Review Al'N fmD!JI 0 Review Permit D Administrative D Minor D Major VfU«a, Rnifw Am Ptrmlll 0 Review Permit 0 Administrative O Minor D Major (FOR DEPT USE OI\IL Y) a NOTE: A PROPOSED PROJECT REQUIRING APPUCA TION SUBMITTAL MUST BE SUBMITT1!D SY APPOINTMEN"r. Pt.EASE CONTACT THE APPOINTIIENT SPECIALIST AT (7IO) 502-2723 TO SCHEDULE AN APPOIN'TlleNT. "SAME DAY APP0tN111ENTS ARE NOT AVAILABLE ASSESSOR PARCEL NO(S): 212-040-67; 212-040-69 LOCATION OF PROJECT: 6020 Hidden Valley Road --------------------------------- NAME OF PROJECT: BRIEF DESCRIPTION OF PROJECT: PROJECT VALUE (SITE IMPROVEMENTS) (STREET ADDRESS) North Coast Medical Plaza 2nd Extension of SOP 15-23/CDP 15-43 -Medical Use ESTIMATED COMPLETION DATE FOR CITY USE ONL y l s Development No. DEV rso Lead Case No. ---------- P-1 Page 1 ofS JUN .2 ~ 2020 Rellised 03/17 OWNER NA.ME 1,PLEASE PRIN-) INDIVIDUAL NAME ·1f applicablei Tim Hoag COMPANY NAME (if appiicabie) JT-Bressi. LLC MAILING ADDRESS 5553 Willowmere Lane CITY. STATE. ZIP: San Diego, CA 92130 TELEPHONE (858) 688 -1333 EMAIL ADDRESS tirn@timhoag.net i CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMA'ION :s TRUE AND CORRECT TO TliE BEST OF MY KNOWLEDGE I CERTIFY AS LEGAL OWN THAT THE APPLICANT AS SET FORTH HEREIN IS MY AU I D REPRESENTATIVE FOR PURPOSES OF THIS APPLIC SIGNATURE APPLICANT NA.ME (PLEASE PRINT) INDIVIDUAL NAME (if applicable) Tim Hoag COMPANY NAME (If applicable; JT-Bressi, LLC MAILING ADDRESS 5553 Willowmere Lane CITY. STATE, ZIP San Diego, CA 92130 TELEPHONE. (858) 688 -1333 EMAIL ADDRESS tirn@tirnhoag.net I CERTIFY THAT I AM THE LEGAL REPRESENTAT:VE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE (, /; /z. I) 2-() OAfE , APPLICANT'S REPRESENTATIVE (Print): BILL HOFMAN -HOFMAN PLANNING AND ENGINEERING MAILING ADDRESS 3152 LIONSHEAD AVENUE CARLSBAD, CA 92010 760-692-4012 CITY, STATE ZIP TELEPHONE EMAiL ADDRESS: BHOFMAN@HOFMANPLANNING.COM / CC: AKOOIENGA@HOFMANPLANNING,COM I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT AL!.. THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. r 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: 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 SUC~t8J!le1~ INTEREST ~~~~-+9"'7'n./-- DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of 6 Revised 03i1? ( City of Carlsbad DISCLOSURE STATEMENT P-1(A) Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which wifl require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information M!l§I 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 (NIA) 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 Tim Hoag Corp/Part_S_S_G_T_H_, _L_L_C ______ _ Title Co-Managing Member Title --------------Address 5553 Willowmere Lane. San Diego, CA 92130 Address ------------ 2. OWNER (Not the owner's agent) P-1(Al Provide the COMPLETE, LEGAL names and addresses of ab!: 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 (NIA} 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 Tim Hoag Title Co-Managing Member Address 5553 WHlowmere Lane San Diego, CA 92130 Corp/Part SSG TH, LLC Title -------------- Address ___________ _ Page 1 of 2 Revised 0111 O 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 __________ _ TI t I e _____________ _ 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? 0 Yes l ✓I No If yes, please indicate person(s) __________ _ NOTE: Attach additional sheets if necessary ve information is true and correct to the best of y nowledge. t>2.o -;;,;,/ ~ /1 z "2" ----+__,,. ___ ...,,...-+-----"'-.-'-1---"- ignature bf date Print or type name of owner Print or type name of applicant r/applicant's agent if applicable/date BILL HOFMAN, HOFMAN PLANNING AND ENGINEERING Print or type name of owner/applicant's agent Page 2 of 2 ~ev,sed 07110 Ccityof Carlsbad PROJECT DESCRIPTION P-1(8) PROJECT NAME: North Coast Medical Plaza APPLICANT NAME: Tim Hoag; JT-Bressi, LLC Development Services Planning Division 1635 Faraday Avenue (760} 602-4610 www.carlsbadca.gov Please describe fully the proposed 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: P-1(B) Page 1 of 1 Revised 07/10 ( City of Carlsbad HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C} Development Services Planning Division 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 California Environmental Protection Agency and hereby certify that (check one}: Ii] 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. D 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 Name: Tim Hoag Address: 5553 Willowmere Lane San Diego, CA 92130 Phone Number: (858) 688 -1333 Address of Site: 6020 Hidden Valley Road PROPERTY OWNER Name: Tim Hoag Address: 5553 Willowmere Lane San Diego, CA 92130 Phone Number: (858) 688 -1333 Local Agency (City and County): City of Carlsbad, County of San Diego Assessor's book, page, and parcel number: 212-040-67; 212-040-69 Specify list(s):_N_/_A _________________________ _ Regulatory Identification Number:_N_/_A ____________________ _ Date of List: N/ A ----------------------------- Appli re/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 1 of 2 Revised 02/13 ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: :ftAQe,, 2,4,, '2,Q:l,o (To be completed by City} Application Number(s): 'SJ£ \5-2'2;;> ( c;t;>'? \$"-'-t~ General Information 1. Name ot project: North Coast Medical Plaza 2. Name of developer or project sponsor: _T_i_m_H_o_a_g ____________ _ 3. 4. 5. 6. 7. 8. 9. Address: 5553 Willowmere Lane City, State, Zip Code: San Diego, CA 92130 Phone Number: (858) 688 -1333 Name of person to be contacted concerning this project: _B_I_L_L_H_O_F_M_A_N _____ _ Address: 3152 LIONSHEAD AVE City, State, Zip Code: CARLSBAD, CA 92010 Phone Number: 760-692-4012 Address of Project: 6020 Hidden Valley Road Assessor's Parcel Number: 212-040-67; 212-040-69 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: 2nd Time Extension for SOP 15-23/CDP 15-43 Existing General Plan Land Use Designation: _O_-_O_ff_ic_e __________ _ Existing zoning district: _O_-_O_ff_ic_e __________________ _ Existing land use(s): _E_m_p_ty_L_o_t _________________ _ Proposed use of site (Project for which this form is filed): Medical Office Project Description 10. Site size: _.7_5_a_c _______________________ _ 11. Proposed Building square footage: __________________ _ 12: Number of floors of construction: ___________________ _ 13. Amount of off-street parking provided: _________________ _ 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: _____________________ _ 2nd time extension for SOP 15-23/CDP 15-43 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: ____________________ _ 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 □ 0 alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public lands or □ 0 roads. 22. Change in pattern, scale or character of general area of project. □ 0 23. Significant amounts of solid waste or litter. □ 0 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 □ 0 alteration of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. □ 0 27. Site on filled land or on slope of 10 percent or more. □ 0 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, □ 0 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 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 belie Date: ~ /1 /'2,-() -i (J For: P-1(0) Page 4 of 4 Revised 07 /1 O ( City of Carlsbad TIME LIMITS ON DISCRETIONARY PROJECTS P-1(E) PLEASE NOTE: Development Services 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 application complete. When the application is complete, the processing period will start upon the date of the completion letter. If you have any questions regarding application submittal requirements (I.e., clarification regarding a specific requirement or whether all requirements are necessary for your particular application) please call (760) 602-4610. Applicant Signature: /#/ Staff Signature: Date: To be stapled with receipt to the application P-1(E} Page 1 of 1 Revised 07/10