HomeMy WebLinkAboutCUP 2021-0015; VILLAGE KITCHEN AND PIE SHOPPE WCF; Conditional Use Permit (CUP)_____________ ,,_ ________________ -....,_ _____________ ..
Ccicyof
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
0 Coastal Development Permit O Minor
Iii Conditional Use Permit
[XI Minor O Extension
0 Day Care (Large)
0 Environmental Impact Assessment
0 Habitat Management Permit 0 Minor
0 Hillside Development Permit O Minor
0 Nonconforming Construction Permit
□ Planned Development Permit 0 Minor
D Residential 0 Non-Residential
□ Planning Commission Determination
□ Reasonable Accommodation
□ Site Development Plan 0 Minor
□ Special Use Permit
□ Tentative Parcel Map (Minor Subdivision)
□ Tentative Tract Map (Major Subdivision)
□ Variance 0 Minor
(FOR DEPT. USE ONLY) Legislative Permits
c.,<,A V' t,01,1--W\ 5
0 General Plan Amendment
0 Local Coastal Program Amendment
0 Master Plan
0 Specific Plan
0 Zone Change
□Amendment
□Amendment
0 Zone Code Amendment
South Carlsbad Coastal Review Area
Permits
0 Review Permit
0 Administrative O Minor O Major
Village Review Area Permits
0 Review Permit
0 Administrative D Minor O Major
(FOR DEPT. USE ONLY)
NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT". PLEASE CONTACT THE APPOINTMENT SPECIALIST
AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT.
ASSESSOR PARCEL NO(S):
LOCATION OF PROJECT:
NAME OF PROJECT:
BRIEF DESCRIPTION OF
PROJECT:
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
205-270-36-00
3890 Pio Pico Drive, Carlsbad, CA. 92008
(STREET ADDRESS)
Crown Castle -Minor CUP (Renewal fo MCUP 10-03)
Crown Castle is requesting a new Minor CUP for the renewal of MCUP 10-03 for the
continued use and operation of the existing Cell Site in the Parking Lot.
PROJECT VALUE • • • ESTIMATED COMPLETION DATE (SITE IMPROVEMENTS) None Proposed-Existing Site NIA
FOR CITY USE ONLY Text
Development No. D'BJ O I O 3, 2 Lead Case No.
P-1 Page 1 of 6 Revised 03/17
OWNER NAME
INDIVIDUAL NAME
(if applicable):
COMPANY NAME
(if applicable):
(PLEASE PRINT)
Forest Fisher
MAILING ADDRESS: 13305 Penn Street, Suite 200 ----------'-------CITY, STATE, ZIP: Whittier, CA. 90602
TELEPHONE:
EMAIL ADDRESS: N/A
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 HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR ;~£ZT:-~-
SIGNATURE DATE
APPLICANT NAME (PLEASE PRINT)
INDIVIDUAL NAME
(if applicable): Justin Robinson
COMPANY NAME
(if applicable): MMI Titan Inc., for T-Mobile & Crown Castle
MAILING ADDRESS: 6500 W Mansfield Ave., Villa 51
CITY, STATE, ZIP: Denver, co. 80235
TELEPHONE: (..a.7 ..... 1 ..... 4,_} 8 ..... 6 ..... 3 __ -4_3 __ 6 ..... 6 _________ _
EMAIL ADDRESS: justin.robinson@mmi-titan.com
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
AND THA ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BES LEDGE.
APPLICANT'S REPRESENTATIVE (Print): Justin Robinson -MMI Titan Inc. -----------------------------MA I LING ADDRESS: 6500 W Mansfield Ave., Villa 51
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
SIG
Denver, CO. 80235
(714) 863-4366
justin.robinson@mmi-titan.com
RESENTATIVE OF THE APPLICANT FOR
TION AND THAT ALL THE ABOVE
CORRECT TO THE BEST OF MY
IN THE P
COMMISSI
APPLICATI
IEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
SO Y COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
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 SUCCESSORS IN INTEREST.
x <'f.rf:~
PROPERTY OWNER SIGNATURE
FOR CITY USE ONLY
P-1 Page 2 of 6
F f-D
OCT 2 8 2021
CITY OF CARLSBAD
DA NRECEIVED
RECEIVED BY:
Revised 03/17
Ccicyof
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 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 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 Justin Robinson -MMI Titan Inc. Corp/Part ____________ _
Title Project Manager Title _____________ _
Address 6500 W Mansfield Ave., #51 Address ____________ _
Denver, CO. 80235
2. OWNER (Not the owner's agent}
P-1(A)
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 Forest Fisher
Title Owner
Add 13305 Penn Street #200 ress _________ _
Whittier, CA. 90602
Corp/Part'---------------
Title _____________ _
Address ____________ _
Page 1 of 2 Revised 07/10
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 ~ 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?
D Yes I.ti No If yes, please indicate person(s): ___________ _
NOTE: Attach additional sheets if necessary.
I certify that all the above information is true and correct t
Signature of owner/date
Print or type name of applicant
licant's agent if applicable/date
Justin Robins
Print or type name of owner/applicant's agent
P-1(A) Page 2 of 2 Revised 07/10
Ccityof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
PROJECT NAME: Crown Castle• MCUP • Renewal of MCUP 10-03
APPLICANT NAME: MMI Titan Inc. for Crown Castle
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:
Crown Castle, hereafter referred to as "Crown Castle" or "applicant", Is requesting a Minor
Condltlonal Use Approval to permit the continued use and operation of a Wireless Communication
Faclllty (towers/ llghtpoles) In the C-T; Commercial • Tourist zoned district In the City of Carlsbad.
This existing communication facility Is currently supporting T-Moblle In this area and Is designed to
provide for their current and future tachnologles, modifications and 5G upgrades. The existing site
was orlglnally permitted and Installed In 2010 by the City and constructed shortly thereafter. It has
bean In continuous operation since Its construction. The permit Is due for renewal and prompted
this Minor Conditional Use Permit application for the on-going use and re-permitting of the existing
site. Thia facility Is an Important part of the existing T-Moblle network and has bean one of the
foundation sites that the surrounding network has been designed and bullt from.
P-1(8) Page 1 of 1 Revised 07/10
Ccityof
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):
Iii 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 !!'.! contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT
Name: __ C __ r:..;:o __ w""'"n._C=-a=s=t=le'"'"----J~u=s=ti"-'-n-'-R=o=b __ in=s=o..:...;n __ _
Address: 6500 W Mansfield Ave., #51
Denver. CO. 80235
Phone Number: (714) 863-4366
PROPERTY OWNER
Name: Forest Fisher
Address: 13305 Penn Street Ste. 200
Whittier, CA. 90602
Phone Number: __________ _
Address of Site: 3890 Pio Pico Drive (a/k/a 950 Tamarack), Carlsbad, CA 92008
Local Agency (City and County): City of Carlsbad, County of San Diego
Assessor's book, page, and parcel number: __ 2-05.._-...,2 ..... Z-0...,.-3...,6'-'-0...,0"---____________ _
Specify list(s): Not Applicable
Regulatory Identification Number: Not Applicable ------'---------------------
Date of List: Not Applicable
A te Pro~rty Owner Signature/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 of2 Revised 02/13
C Cicyof
Carlsbad
EIA INFORMATION
FORM
P-1(0)
INSTRUCTION SHEET FOR COMPLETING AN
ENVIRONMENTAL IMPACT ASSESSMENT
INFORMATION FORM
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
This Environmental Information Form will be used to assist staff in determining what type of
environmental documentation (i.e., Environmental Impact Report, Mitigated Negative
Declaration, Negative Declaration or Exemption) will be required to be prepared for your
application, per the California Environmental Quality Act (CEQA) and Title 19 of Carlsbad's
Municipal Code. The clarity and accuracy of the information you provide is critical for purposes
of quickly determining the specific environmental effects of your project.
Any environmental studies (i.e., biological, cultural resource, traffic, noise) that are
necessary to substantiate a "no impact" or "yes impact" determination should be
submitted as an attachment to this Environmental Information Form. This is especially
important when a Negative Declaration is being sought. The more information provided in this
form, the easier and quicker it will be for staff to complete the Environmental Impact
Assessment Form -Initial Study.
P-1(0) Page 1 of4 Revised 07/10
r
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed: ___________ (To be completed by City)
Application Number(s): ________________________ _
General Information
Crown Castle -MCUP-Renewal of MCUP 10-03 1. Name of project: _______________________ _
MMI litan Inc. for Crown Castle 2. Name of developer or project sponsor: _________________ _
6500 W Mansfield Ave., Villa 51 Address: __________________________ _
Denver, CO. 80235 City, State, Zip Code: ______________________ _
(714) 863-4366 Phone Number: ________________________ _
Justin Robinson 3. Name of person to be contacted concerning this project: ___________ _
6500 W. Mansfield Ave., VIiia 51 Address: __________________________ _
Denver, CO. 80235 City, State, Zip Code: ______________________ _
(714) 863-4366 Phone Number: ________________________ _
3890 Pio Pico Drive, Carlsbad, CA. 92008 4. Address of Project: _______________________ _
205-270-36-00 Assessor's Parcel Number: ____________________ _
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.
7.
8.
9.
Expired MCUP 10-03
Commercial Existing General Plan Land Use Designation: _______________ _
C-T; Commercial -Tourist Existing zoning district: _____________________ _
Retail Center Existing land use(s): ______________________ _
Existing Cell Site
Proposed use of site (Project for which this form is filed): ___________ _
Project Description
284 Square Feet 10. Site size: __________________________ _
N/A
11. Proposed Building square footage: __________________ _
NIA 12: Number of floors of construction: ___________________ _
NIA 13. Amount of off-street parking provided: _________________ _
NIA 14. Associated projects: ______________________ _
P-1(0) Page2 of4 Revised 07/10
15. If residential, include the number of units and schedule of unit sizes: _N_IA _______ _
16. If commercial, Indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities: ___________________ _
N/A
17. If industrial, indicate type, estimated employment per shift, and loading facilities: _____ _
NIA
18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project: _______ _
NIA
19. If the project Involves a variance, conditional use or rezoning applications, state this and Indicate
clearly why the application is required: __________________ _
Application for a new MCUP to renew the expire MCUP 10-03
P-1(0) Page3of4 Revlaed 07/10
r
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 polarold 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 k e nd belief.
Date: mrii\:UtlJ:
For:
P-1(D) Page4of4 Revised 07/10
('cicyof
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 requi "!nt or ether all requirements are necessary for your particular
application) please call (76 \ q~ . --
Applicant Signature:
Staff Signature:
Date:
To be stapled with receipt to the application
P-1(E) Page 1 of 1 Revised 07/10
Development Services
Planning Division
1635 Faraday Avenue
760-602-4610
www.carlsbadca.gov
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
P-30
("Cityof
Carlsbad
In September 2015, the City of Carlsbad adopted a Climate Action Plan (CAP) that outlines actions that
the city will undertake to achieve its proportional share of state greenhouse gas (GHG) emissions
reductions. This checklist contains measures that are required to be implemented on a project-by-project
basis to ensure that the specified emissions targets identified in the Climate Action Plan (CAP) are
achieved. Implementation of these measures will ensure that new development is consistent with the
CAP's assumption for relevant CAP strategies toward achieving the identified greenhouse gas (GHG)
reduction targets. In this manner, a project's incremental contribution to a cumulative GHG emissions
effect may be determined not to be cumulatively considerable if it complies with the requirements of the
CAP, in accordance with CEQA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b).*
*City staff are currently not assessing the greenhouse gas impacts of California Environmental Quality Act
projects by using the Climate Action Plan as a qualified GHG reduction plan under CEQA section
15183.S(b). Please consult with the Planning Department for further guidance. Additional information
may be found on the Climate Action Plan Update and Vehicle Miles Traveled calculations staff report.
This checklist is intended to assist project applicants in identifying CAP ordinance requirements and
demonstrate how their project fulfills those requirements. This checklist is to be completed and included
in applications for new development projects that are subject to discretionary review or require a building
permit.
APPLICATION SUBMITTAL REQUIREMENTS
• The completed checklist must be included in the project submittal package or building permit
application. Application submittal procedures can be found on the City of Carlsbad website. This
checklist is designed to assist the applicant in identifying the minimum CAP-related requirements
specific to their project. However, it may be necessary to supplement the completed checklist with
supporting materials, calculations or certifications, to demonstrate full compliance with CAP
requirements. For example, projects that propose or require a performance approach to comply
with energy-related measures will need to attach to this checklist separate calculations and
documentation as specified by the ordinances.
• If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum
required by ordinance, an explanation must be provided to the satisfaction of the Planning Division
or building official.
• The requirements in the checklist will be included in the project's conditions of approval or issuance
of building permit.
• Details on CAP ordinance requirements are available on the city's website.
P-30 Page 1 of7 Revised 07/21
City of Carlsbad Climate Action Ian Consistency Checklist
STEP 1: LAND USE CONSISTENCY
The first step in determining CAP consistency for discretionary development is to assess the project's consistency
with the growth projections used in the development of the CAP. This section allows the city to determine a
project's consistency with the land use assumptions used in the CAP. Projects found not to be consistent with the
CAP's land use assumptions and that are projected to emit at or above the CAP screening threshold of 900 metric
tons of CO2 equivalent (MTC02e) GHG will be subject to a project-specific analysis of GHG emissions' impact on the
environment in accordance with the requirements of the California Environmental Quality Act (CEQA). This may
result in GHG-reducing mitigation measures applied as a condition of project approval in addition to compliance
with the CAP ordinance requirements identified in Step 2 of this checklist.
Checklist Item
(Check the appropriate box and provide an explanation and supporting documentation for your answer)
A. Is the proposed project consistent with the existing General Plan land use and specific/master plan or zoning designations?
OR,
tfthe proposed project is not consistent with the existing land use plan and zoning designations, does the project include a
land use plan and/or specific plan, master plan or zoning designation amendment that would result in an equivalent or less
GHG-intensive project when compared to the existing designations?
Yes No
□
If "Ye~', proceed to Step 2 of the checklist. For the second option under Question A above, provide estimated project-related GHG emissions under both existing and
proposed designation(s) for comparison. GHG emissions must be estimated in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the
Climate Action Plan.
If ''No", proceed to Question B.
B. The CAP established a screening threshold of 900 MTCOze/year for new development projects to assist in determining
consistency with the CAP. The types and sizes of typical projects listed below have been determined to correspond to the CAP
screening threshold. Will the proposed land use change result in the construction of less than any one of the following?
• Single-Family Housing: 50 dwelling units
• Multi-Family Housing: 70 dwelling units
• Office: 35,000 square feet
• Retail Store: 11,000 square feet
• Grocery Store: 6,300 square feet
• Other: If the proposed project is not one of the above types, provide a project-specific GHG emissions analysis to
determine whether it is below the 900 MTCOze/year screening threshold.
If "Ves", proceed to Step 2 of the checklist.
□ !Thxt
If ''No", the project's GHG impact is potentially significant and must be analyzed in accordance with CEQA. Applicant must prepare a Self-developed GHG emissions
reduction program in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan to demonstrate how it would offset
the increase in emissions over the existing designations. The project must incorporate each of the applicable measures identified in Step 2 to mitigate cumulative
G HG emissions impacts unless the decision maker finds that a measure is infeasible in accordance with California Environmental Quality Act Guidelines Section
15091. Mitigation in lieu of or in addition to the measures in Step 2 may be required, depending on the results of the project-specific GHG impact analysis, Proceed
and complete a project-specific Self-developed GHG emissions reduction program and Step 2 of the Checklist.
P-30 Page 2 of 7 Revised 07/21
City of Carlsbad Climate Action an Consistency Checklist
STEP 2: CAP ORDINANCE COMPLIANCE REQUIREMENTS
Completion of this checklist will document a project's compliance with CAP ordinances, and in turn, demonstrate
consistency with the applicable measures and actions of the CAP . The compliance requirements in this Step 2 apply
to development projects that require a building permit. All other development projects shall implement all
emissions-related mitigation measures from the General Plan Update EIR.
Project No./Name: Crown Castle -Pie Shop -CUP Renewal
Property
Address/APN :
Applicant Name/Co.:
3890 Pio Pico Drive (a/k/a 950 Tamarack). APN: 205-270-36-00
Crown Castle -Justin Robinson
Applicant Address: 6500 w Mansfield Ave, #51 Denver co 60235
Contact Phone: (714) 863-4366 Contact Email: justin.robinson@mmi-titan.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
MMI Titan Inc. -Justin Robinson
MMI Titan Inc.
5225 Marina Pacifica Dr. N
Long Beach, CA 90803
Contact Phone: (714) 863-4366
Contact Email: justin. robinson@mmi-titan.com
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. If
your project includes alterations or additions to an existing building, please contact the Carlsbad Building Division for
assistance in estimating building permit valuation, by phone at 760-602-2719 or by email at building@carlsbadca.gov.
Estimated Building Permit Valuation (BPV): $ $0 -No Improvements Proposed
D Alterations:
□ BPV < $60,000
D BPV ~ $60,000
D Electrical service panel upgrade
D BPV ~ $200,000
D New construction
D Alterations:
P-30
N/A
lA and 4A
4A
lA and 4A
Page 3 of 7
All residential alterations
1-2 family dwellings and townhouses with attached
garages only
Multi-family dwellings only where interior finishes are
removed and significant site work and upgrades to
structural and mechanical, electrical, and/or plumbing
systems are proposed
Revised 07/21
City of Carlsbad Climate Action an Consistency Checklist
D BPV <!: $200,000 or additions ~ 18, 5 1,000 square feet
D BPV <!: $1,000,000 18, 28 and 5 Building alterations of~ 75% existing gross floor area
D ~ 2,000 sq. ft. new roof addition 28 and 5 18 also applies if BPV ~ $200,000
Please refer to Carlsbad Ordinance No. CS-347 and the California Green Building Standards Code (CALGreen) for more information when completing this section.
A. D Residential addition or alteration:!: $60,000 building permit valuation.
See Ord. CS-347, Section 8.
Year Built Single-family Requirements
□ Before 1978 Select one:
□ Duct sealing □ Attic insulation □ Cool roof
□ 1978 and later Select one:
□ Lighting package □ Water heating package
□ Between 1978 and 1990
□ 1991 and later
B. Ix] Nonresidential* new construction or alterations:!: $200,000 building permit valuation,
or additions:!: 1,000 square feet.
See CALGreen Appendix AS, Discussion AS.2, as amended in CS-347, Section 3.
A5.203.1.1.1
□ Outdoor lighting: .90 Allowed Outdoor Lighting Power
AS.203.1.1.2
□ Restaurant service water heating (comply with California Energy Code Section 140.5, as amended}
AS.203.1.2.1
Choose one as applicable: □ ,95 Energy budget □ . 90 Energy budget
AS.211.1. **
□ On-site renewable energy
A5.211.3**
□ Green power (if offered by local utility provider, 50% minimum renewable sources)
A5,212.1
□ Elevators and escalators
A5.213.1
□ Steel framin
P-30 Page 4 of 7
□ N/A _________ _
□ Exception: Home energy score~ 7
(attach certification)
Mult~family Requirements
□ Attic insulation
Select one:
□ Attic insulation □ Duct Sealing □ Cool roof
Select one:
□ Lighting package □ Water heating package
No New Construction or Alterations
l:il N/A proposed as part of this project
l:il N/A
lxl N/A
lxl N/A
lxl N/A
l:il N/A
Cii'l N/A
Revised 07/21
City of Carlsbad Climate Action Pan Consistency Checklist
ti:) N/A
* Includes hotels/motels and high-rise residential buildings
** For alterations~ $1,000,000 BPV and affecting> 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with California
Energy Code section 120.10 instead.
A. D Residential new construction (for building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.l(c) 14 for
requirements. Note: if project includes installation of an electric heat pump water heater pursuant to Carlsbad ordinance CS.348, increase system size by
.3kWdc if PV offset option is selected.
Floor Plan ID (use additional CFA #d.u. Calculated kWdc*
sheets if necessary)
Total System Size:
kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.)
*Formula calculation where CFA = conditional floor area, #du= number of dwellings per plan type
If proposed system size is less than calculated size, please explain.
Exception
□
□
□
□
kWdc
B. [x] Nonresidential new construction or alterations ~$1,000,000 BPV and affecting ~75% existing floor area, or addition that increases roof area by ~2,000
square feet. Please refer to Carlsbad Ordinance CS.347, Section 6 when completing this section.
Choose one of the following methods:
D Gross Floor Area (GFA) Method
GFA:
□ If< 10,CXJOs.f. Enter: 5 kWdc
Not Applicable
Min. System Size: ___ kWdc
□If~ 10,CXJOs.f. calculate: 15 kWdc x (GFA/10,CXJO) ••
**Round building size factor to nearest tenth, and round system size to nearest whole number.
D Time-Dependent Valuation Method
Annual TDV Energy use:**• x .80= Min. system size: ____ kWdc
•••Attach calculation documentation using modeling software approved by the California Energy Commission.
P-30 Page 5 of 7 Revised 07/21
City of Carlsbad Climate Action Ian Consistency Checklist
A. D Residential and hotel/motel new construction
Please refer to Carlsbad Ordinance CS-347 and CS-348 when completing this section.
□ For systems serving individual dwelling units choose one:
□ Heat pump water heater AND compact hot water distribution AND drain water heat recovery (low-rise residential
only)
□ Heat pump water heater AND PV system .3 kWdc larger than required in CA Energy Code Section 120.10 (for high rise
residential hotel/motel) or 150.l(c) 14 (for low-rise residential)
D Heat pump water heater meeting Tier 3 or higher NEEA Advanced Water Heating Specification
□ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
□ Exception:
□ For systems serving multiple dwelling units, install a central water-heating system with all of the following:
□ Gas or propane water heating system
□ Recirculation system per CS-347 (high-rise residential, hotel/motel) or CS-348 (low-rise residential)
□ Solar water heating system that is either:
□ .60 solar savings fraction or 40 s.f. solar collectors
□ .40 solar savings fraction, plus drain water heat recovery
D Exception:
B. Ix] Nonresidential new construction
Please refer to Carlsbad Ordinance CS-347 when completing this section.
□ Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal □ Photovoltaics D Recovered energy
D Water heating system is (choose one):
□ Heat pump water heater
□ Electric resistance water heater(s)
□ Solar water heating system with .40 solar savings fraction
Ciil Exception: Not Applicable
A. D Residential New construction and major alterations*
Please refer to Carlsbad Ordinance CS-349 when completing this section.
□ One and two-family residential dwelling or townhouse with attached garage:
□ One EVSE ready parking space required □ Exception :
D Multi-family residential· □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable Ready
Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number)
EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capablet "Ready'' or "Installed.")
Installed I
I
Total
P-30 Page 6 of 7 Revised 07/21
City of Carlsbad Climate Action Ian Consistency Checklist
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation~ $60,000 or
include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
valuation~ $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems
are proposed.
B. [x] Nonresidential new construction (includes hotels/motels) [X] Exception · Not Aoolicable
Total Parking Spaces EVSE Spaces
Proposed Capable Ready Installed Total
Calculation : Refer to the table below:
Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces
□ 0-9 1 1
□ 10-25 2 1
□ 26-50 4 2
□ 51-75 6 3
□ 76-100 9 5
□ 101-150 12 6
□ 151-200 17 9
□ 201 and over 10 percent of total 50 percent of Required EV Spaces
A. List each proposed nonresidential use and gross floor area (GFA) allocated to each use.
B. Employee ADT /1,000 square feet is selected from the City of Carlsbad Employee ADT Table.
Use GFA Employee ADT /1,000 S. F. Total Employee ADT
Total
If total employee ADT is greater than or equal to 110 employee ADT, a TDM plan is required.
*NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.11 requires new development that adds vehicle traffic
to vehicle LOS-exempt street facilities to implement TDM and transportation system management strategies. Please consult with City of Carlsbad Land Development
Engineering (LDE) staff to determine whether this policy applies to your project.
TDM plan required: Yes D No D
LDE Staff Verification: D _____ (staff initials)
P-30 Page 7 of 7 Revised 07/21
Property Owner Letter of Authorization
City of Carlsbad
Planning Department
1635 Faraday Ave
Carlsbad, CA 92008
Re: Zoning/ Permitting -Plan / Design Review Process
I hereby represent that I am the legal owner of the property referenced below, and I hereby give my
authorization to T-MOBILE and/or its Agent(s), to act as our Agent(s) in processing and obtaining
approval for Building and/or Zoning permits through the CITY OF CARLSBAD. CA for the modification of
the facility located at the existing wireless communications site described as:
Site Name: Pie Shop
Site Number: 826639
Site Address: 3890 Pio Pico Drive, Carlsbad, CA 92008
Property Owner: Forest Fisher
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Signature: --~-"---...c.....;'--~--'--------'--
Print Name: F="oco s+-\==",'~ h-e.v-
Dote: __ \\---'l,.....\_~_,__j-z_o ____ _
SEE ATTACHED
NOTARIAL CERTIFICATE
OC T 2 S 202l
Cl-.J _,t 1 ,.__0JAD ., C"-l PLAI i\J,, G DIVIS\
Th<-parhway to possihlE'.
CrownCastle.com
ACKNOWLEDG ENT
no ary public or other o 1cer completing this
certificate ve · es only the identity of the individual
who signed the documen o which this cerf cate is
a ached, and not the truthfulness, accuracy, or
validi of that document.
state of California O ,,,,.
County of , a11? e-
On /ti O V 191 a:-0 a-,0 be ore me, T--;I-eJ· {)0t yyat, ,..v ... T cxY-'/ pu '-I, C-
(insert name and title of Ute o rcer)
personally appeared __ F_o_r_e_S_1 _____ r-_____ , ' ..... s_tz_e_r ________ _,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) lslare
subscribed to e Within instrument and acknoWledged o me that he/she ey e ecuted the same in
his/her/therr authorized capacity(ies), and that by his/her/their signature(s) on the instrument he
person(s}, or the entity upon behalf of which the person(s) acted, execu ed the irn;trument
I certify under PENAL TY OF PE URY under the la s of the State of car omia that the foregoing
paragraph is true and correct
WITNESS my hand and o cial seal.
s~nawe~~
eooeoeeol
TYLER DAYYAT
Notary Public • California z
Orange County l
Commission # 2317772 -
y Comm. Expires Jan 6, 2024
The pathway to possible.
CrownCastle.com
September 22, 2021
City of Carlsbad
Planning Division
1635 Faraday Avenue
Carlsbad, CA. 92008
MMI Titan Inc. OCT 2 8 2021
Cl~-y u.= f-\K:...SBAD
p.__t .. 11: G =· /!S.~. l
Re Application for the continued operation and issuance of a Mi:nor Conditional Use Permit
for the existing Wireless Telecommunication Facilities located at 3890 Pio Pico Drive
(aka 950 Tamarack Avenue).
Existing/Previous Entitlement -MCUP 10-03
APN: 205-270-36-00
Crown Castle -826639 -Pie Shop
INTRODUCTION I OVER VIEW
Crown Castle, hereafter referred to as "Crown Castle" or "applicant' , is requesting a
new/renewed Minor CondiUional Use Approval to permit the continued use and operation of the
existing Wireless Communication Facilities in the CT zoned district within the City of Carlsbad.
This existing communication facility currently supports I-Mobile in this heavily travelled area
and is designed to provide for their current and ffuture technologies, modifications and 5G
upgrades. The existing site was originally permitted and installed in 2010 and has been in
continuous operation since its construction. This application is for a Minor Conditional Use
permit for the renewal and on-going use and re-permitting of the existing site. This facility is an
extremely important part of I-Mobile's network and has been one of the foundation sites that
their surrounding network have been designed and built from.
In addiition to traditional wireless telephone serv-ices, other benefits of this installation willl
include wireless internet connections and wireless data transmission. This facility will also
support emergency services by providing wireless communications to paramedics, firefighters
and law enforcement agencies. These needs have become established and accepted as an integral
part ofthe communications.infrastructure, as these services promote public health, safety,
comfort, and general welfaire.
Some examples of the benefits of wireless to community services are:
• Wireless networks are the primary communication source for numerous federal , state, and
local emergency sewice organizations. It is critical that these groups have the ooverage
and capacity in their wireless network · to meet their E911 and other needs. Wireless
service acts as a backup for radio systems, connectivity for in~vehicle computers, and real-
time cameras.
6500 W Mansfield Ave., Villa 51, Denver, CO 80235
(714) 863-4366
. • mo
,,~~ ii,.··•
MMI Titan Inc.
• These sites generally have battery bacltup at many of the facilities. This is a critical
element to keeping a site operating during a natural disaster or other emergency.
• 80% of 911 calls originate from a personal cell phone. (National Emergency Number
Association, Enhancing 9-1-1 Operations with Automated Abandoned Callback &
Location Accuracy (Motorola Solutions)(August 23, 2018)
• 240 million 911 caUs are made annually from wireless phones. (Answers, March 2015)
• 74% of wireless suhscribers have used devices in an emergency. (Pew Research)
• 55% of American homes are wireless only. , CDC's 2018 Wi11eless Substitution: Early
Release of Estimates from the National Health Interview Survey, January-July, 2018)
• There have been 360 Amber Alert notification children recovered since 2005.
(www.wirelessamberalerts.org)
In order to continue to meet the above listed needs, Crown Castle is nequesting approval for the
continued use and operation of this existing facility. Like traditional cellular phone systems,
these facilities operate on a grid type system, whereby overlapping cells mesh to form a seamless
wireless network. The techmical criteria for establishing cell sites are very exacting as to both the
height and location of the facility. Based on this information, as well as local population density,
traffic patterns, future development and topography, this site is integral to the existing netJW'ork.
Crown Castle is one of the largest providers of shared communications infrastructure in tle
United States, with roughly 40,000 cell towers comprising approximately 91,000 installations.
Together with its small cell networks and approximately 60,000 miles of fiber optic cable,
Crown Castle's extensive infrastructure serves at, the backbone of the nation's largest
communications networks. This project will continue to serve the residents and extended
community throughout this portion of the county.
PROJECT DESCRIPTION
The existing facility consists of T-Mobile having an equipment Lease Area of approximately
9'x 35'6". In this Lease Area are radio cabinets, a transformer and other inter connection
equipment. This Lease Area is completely enclosed with a CMU Wall Enclosure. T-Mobile has
utilized two parking lot light poles to place antennas on to. Each lightpole is located about 32'6"
from the exterior wall of the Equipment enclosure and the western lightpole has one antenna and
the eastern lightpole has two antennas. Each antenna is 4' in height and are mounted with a
centerline of 28' above ground level (AGL) and an overall top height of 30' for each pole. This
applicl}:tion is only for the U§e, consolidation and continued operation of the existing facilities
and does not include any alterations, modificatigns or intensification to the facility as it operates
today.
6500 W Mansfield Ave., Villa 51, Denver, CO 80235
(714) 863-4366
,. ED ,,···~ it•
MMI Titan Inc.
CONCLUSION
Crown Castle and their partner carriers endeavor to provide the most reliable communication
networks in the nation. Crown Castle and T-Mobile's existing location in this area will continue
to reinforce a tremendous public safety and emergency benefit to this community by using the
least intrusive means to fill the need for coverage in this area. The facility will continue to serve
the area by providing high speed data connectivity to meet the demands of residents, visitors,
businesses and emergency responders alike.
We look forward to working closely with the City's Planning Staff in the processing of this
application. If there are any questions that we may address or information that is needed, please
do not hesitate to contact us.
Sincerely,
J ~"' \ 1
'~\
Just~~
(714) 863-4366
Justin.robinson@mmi-titan.com
6500 W Mansfield Ave., Villa 51, Denver, CO 80235
(714) 863-4366
I INSTRUCTIONS:
STORM WATER STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www .ca rlsbadca .gov
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
stonn water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY
DEVELOPMENT PROJECT' (PDP) requirements.
Your 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. If staff
detennines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than
•initially assessed by you , this will result in the return of the development application as incomplete. In this case, please
make the changes to the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with each development project application. Only one
completed and signed questionnaire is required when multiple development applications for the same project are
submitted concurrently.
PROJECT INFORMATION
PROJECT NAME: Crown Castle -MCUP Pie Shop PROJECT ID:
ADDRESS: 3890 Pio Pico Drive, Carlsbad, CA. 92008 APN : 205-270-36-00
The project is (check one): D New Development D Redeve lopment
The total proposed disturbed area is: 284 ft2 ( ) acres Existing
The total proposed newly created and/or replaced impervious area is: NIA ft2 ( ) acres
If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the
SWQMP # of the larger development project:
Project ID SWQMP#:
Then, go to Step 1 and follow the instructions. When completed , sign the form at the end and submit this with your
application to the city.
E-34 Page 1 of 4 REV02/16
STEP1
TO BE COMPLETED FOR ALL PROJECTS
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building [XI □ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my
project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant
information.
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
This new MCUP is for the Use and Operation of the Existing Wireless Telecommunications -Cell Site
in the parking lot of the Retail Center. There is no modification or additional equipment proposed as
part of this project. Existing Site -New Permit
If you answered "no" to the above question, the project is a 'development project', go to Step 2.
STEP2
TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; □ □ b) Designed and constructed to be hydraulically disconnected from paved streets or roads;
c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA
Green Streets guidance?
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ □ accordance with the USEPA Green Streets guidance?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ □
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark
the second box stating "my project is EXEMPT from PDP ... " and complete applicant information.
Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
If vou answered "no" to the above auestions, vour project is not exempt from PDP, go to Step 3.
E-34 Page 2 of 4 REV04/17
' STEP3
TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS
'
To determine if your project is a PDP, please answerthe following questions (MS4 Permit Provision E.3.b.(1)):
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces
collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ □ and public development projects on public or private land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ □ more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ □ refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification (SIC) code 5812).
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious
surface collectively over the entire project site and supports a hillside development project? A hillside □ □ development project includes development on any natural slope that is twenty-five percent or greater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ □ a land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious street, road , highway, freeway or driveway surface collectively over the entire project □ □ site? A street, road, highway, freeway or driveway is any paved impervious surface used for the
transportation of automobiles, trucks, motorcycles and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of □ □ 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).*
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ □ shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 5013 5014 5541 7532-7534 or 7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ □ RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
Traffic (ADn of 100 or more vehicles per day.
10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ □ and are expected to generate pollutants post construction?
11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC □ □ 21 .203.040)
If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment
project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ... "
and complete applicant information.
If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the
second box stating "My project is a 'STANDARD PROJECT' ... " and comolete aoolicant information.
E-34 Page 3 of 4 REV04/17
STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount
of less than 50% of the surface area of the previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A) = sq. ft . □ □
Total proposed newly created or replaced impervious area (B) = sq. ft.
Percent impervious area created or replaced (B/A)*100 = %
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious
surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and complete
applicant infonnation.
If you answered "no ," the structural BM P's required for PDP apply to the entire development. Go to step 5, check the
check the first box stating "Mv oroiect is a PDP ... "and complete aoolicant information .
STEP&
CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION
D My project is a PDP and must comply with PDP stonnwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application.
□ My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
stonnwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project
Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project.
Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
[i] My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Name: Justin Robinson -MMI Titan Inc. Applicant Title: Project Manager
'--nc~ ~ \~ l~-,, ~.1~ 1-a Applicant Signature: ~, Date:
~ ~
• Environmentally Sens1tive Areas includ:~ 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 urces Control Board (Water Quality Control Plan for the San Diego Basin (1 994) and amendments); water bodies
designated Vvith 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 Vvithin the Cities and County of San Diego; Habitat
Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City.
Th " B ~ c ·t U O I /S ox or HV se mv
YES NO
City Concurrence: □ □
By:
Date:
Project ID:
E-34 Page 4 of 4 REV 04/17