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RA 2024-0001; 1768 FOREST AVE REMODEL & ADU; Administrative Permits (ADMIN)
Ctuyof Carlsbad w' ·1 USE REVIEW _,~•j PLICATION P-1 Developmen " ·vices Pia,: 'Division 1635 Faraday Avenue 442-339-2600 www.carlsbadca.gov ~ SUBMITTAL INFORMATION-ALL APPLICATIONS NAME OF PROJECT: __ [ '1~tp~g_·nR&c~~tl~~M~t1...,._/ __ ~R~E::~M~b~P~t;;""~k~!F:~A_1)_U.~ BRIEF SUMMARY OF PROJECT: Remove,.-2. ~ ~. ceMode-\ 4 60 u~e tJ.lli-ftDfl APPLICATIONS APPLIED FOR: Check the appropriate boxes for the application types for which you are applying. (CHECK ALL APPLICABLE BOXES) Development Permits (FOR DEPT. usE oNL YJ Legislative Permits (FOR DEPT. USE ONLY) D Coastal Development Pennit D Major D Minor D Conditional Use Pennit D Major D Minor D Amend/Ext. D Day Care (Large) D New D Amend/Ext. D Environmental Impact Assessment D Habitat Management Pennit D Major D Minor D Hillside Development Pennit D Major D Minor D Amend/Ext. D Nonconfonning Construction Pennit D Planned Development Permit D Residential D Non-Residential D Major D Minor D Amend D Precise Development Plan D Site Development Plan D Major D Minor D Special Use Permit D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance OMajor OMinor NOTE: A PROPOSEO PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE MADE BY APPOINTMENT OR THROUGH THE CSS ONLINE PORTAL. P-1 1'--.. Page 1 of5 D General Plan Amendment OMap OText D Local Coastal Program Amendment OMap OText D Master Plan ONewPlan D Specific Plan □Amend D New Plan D Amend D Zoning Change OMap OText Misc. Permits (FOR DEPT. usE oNL YJ D Planning Deterinination D City Planner D PC Appeal D Historic Preservation D Register D Mills Act [8 Reasonable Accommodation RA -1.b.2.'-\ ~ Oot> I FOR CITY USE ONLY: ~ A / C DEV CASE NO.: REC. BY: S'c, JI Y IV , DATE ©'~W '®fi:1@#1.~IBEdslOmi OCT O'Z 2024 PLANNING DIVISION Revised 07 /23 City of Carlsbad Planning Division Disclosure Statement For Application for Request for Reasonable Accommodation 1768 Forest Avenue, Carlsbad CITY OF CARLSBAD OCT U-2 2024 PLANNING DIVIS/01\l As property owner and applicant I am requesting this disclosure statement and my physician's comment submitted with the application be designated as confidential information that shall not be made available for public inspection. Application is for additional 294 square foot coverage for a patio root integrated into the architecture and design of the remodel. At 70yo I am building my "age-in-place" home. Cancer precludes sitting in the sun. To make the most of a small outdoor space and enjoy the weather we are so blessed to have here in Carlsbad the outdoor space must be without sun exposure. This additional roof coverage will keep with the quality and design of the remodel. Sitting under a patio umbrella trying to avoid the moving sunlight is not an option. Having owned the property since 2002 the extent of sun exposure to the West side of the property, where the new patio roof would be, is familiar. I want to spend daytimes outdoors and a covered patio is the way to make that possible. Christine Lakeland Cale 1768 Forest Avenue Carlsbad, CA 92008 clakeland@mac.com (760)685-1400 ..... APPLICATION FOR REQUEST FOR REASONABLE ACCOMMODATION NOTE: If you need help in completing this request form, the Planning Division will assist you. For assistance, please visit the Planning Division front counter at 1635 Faraday Avenue, Carlsbad, CA 92008 or call 760-602- 4610. Print Name of Applicant: __ c___~_r_i s_t_J f'lv_· ______ µJiJ __ w __ Ca, __ le ______ _ 1. Explain the reasonable accommodations being requested and the specific regulations, policy, or procedure (zoning, land use or building code provision) from which modification or exception for reasonable accommodation is being requested. P:e •. t--lM.e,. 1.,, 1. (? 4-1 o ee \ , to\)1.\d '½ Vo'\IQ./\ti~ / Ii, fX½) ~J I/! <,, i?j ,.",:;'.'}'°,> ~1.: ~? &:,,::,;;::;__ · k:b-,_ 2. Identify the zoning, land l:JSe or building code provision, regulation, policy or practice from vyhich modification or exception for reasonable accommodation is being reque~ted. :; ;,;;:~ / R:~ B3h0 ,· ·3.· Explain how application of the existing zoning, land use or building code provision, regulation, policy or practice would preclude the provision of reasonable accommodation. -tw-, IC r 1 ~~-., I ~~~---~-~ e;Sf ~-cJ).~ (leqUL-5~ 4. Give the reason that the reasodlble accommodation may b~ necessary fo'r you or.the individual(s) with disabilities seeking the specific housing, to use and enjoy the housing. You do not need to tell us the name or extent of your disability or that of the individual(s) seeking the housing. ~~ ~e;1U~,,.-f i;.,,,. 6:M. CIW'nulf-::lo be..-Ux:B..1- 5. If we have questions about your request for reasonable accommodation and you would like us to contact someone assisting you with this request, instead of you, please give us that person's name, address and telephone number. I CERTIFY THAT (1) ALL THE ABOVE INFORMATION IS TRUE AND CORRECTTO THE BEST OF MY KNOWLEDGE AND (2) THE HOUSING, WHICH IS THE SUBJECT OF THIS REQUEST FOR CITY (R,~$~t,!~~~E-~CCOMMODATION, WILL BE OCCUPIED BY AN INDIVIDUAL(S) WITH A DISABILITY PROTECTED UNDER FAl~H::G ~4.D HEREIN. ~ NQMg~JtJWluApplicanc?:z:~ Date /{) • /, :L:r. PLANNING n1\/'-::-10 , P~29 ~ ' • "·'' 1 \ Page 3 of 3 Prepared 3/22 c·cicyof Carlsbad Development Services AUTHORIZATION, CONSENT, A~ OF CARLSB~Danning Division DISCLOSURE STATEMENTC f6"35 Faraday Avenue . , 442-339-2600 P-1 (A) OCT O Z 2024 www.carlsbadca.gov • ~ APPLICATION AND ACKNOWLEDGEMENT INFORMATION This submittal form (Part A through Part F) must be completed as part of your application with the City of Carlsbad. Your project cannot be reviewed until this information is completed. PART A. Owner Authorization and Consent NOTE: This Consent and Disclosure Form must list the name of the principal owners {10% or greater) and attach a copy of the current corporate articles, partnership agreement, or trust document, as applicable. Provide name(s) of the person(s) authorized to sign on behalf of the organization. (A separate page may be attached if necessary.) IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE IND/CA TE NOT-APPLICABLE (N/A) IN THE SPACE BELOW. This is to certify under penalty of perjury that the undersigned is/are the record owner(s) of the property known as: Assessor's Map Book, Page and Parcel (APN/ APNs): __ _,_[ _5-'/e"----------"-..,_2 __ ~ _,_1'_,()""-_ _..._Lr-'--Lf--'--_-_OO-=-- ----------------'-----------------;and Street Address (if applicable): / 7 W Z f£R €.ST ~(Jf; that I/we (full legal name of all record owners) consent to the filing of the Land Use Review Application on our property for processing by the City of Carlsbad Planning Division. I/We declare under penalty of perjury that I/we have reviewed this Affidavit and the information is true and correct. 1. Name: CcJ-€-j 4risfJn e,,,L Signature:----------- ~ 0'2.. 2'8 02.. _ . / /? ,/'7 Signature: ~ c:z:<-c ~ Phone Number: (!&,O) /pg5, 1+co Email: c.,.lo.-Ke /ctnd @Mac. C!CfY1_ ContactAddress: ?.O. Tu~ 42-3s; C.Cds~ 2. Name: Cci,~1.J>b.tJW F1.ztm.ftJff tignature: ~ Phone Number: rJ/cO) &/~€-(4-(D Email: ckke:-fmd @,, rf'rlaC_ ,C!Un.. Contact Address: Pa. To¥ t-?35; (¼--{ sb-aJ, CA: q 2-DIZ NOTE: For additional names, please use a separate sheet of paper. Page 1 of 6 • P-1(A) Form Rev 4/2024 IMPORTANT: A Grant Deed is required if the ownership does not match city records. Ownership on the deed must correspond exactly with the ownership listed. If the owner noted on the Grant Deed does not match the person signing as Property Owner, provide paperwork documenting the person signing is authorized to sign as a Property Owner. Whenever any excavation, fill, or other project-related improvement requires entry onto adjacent property for any reason, the Land Use Review Application shall include the written consent or legal easements or other property rights of the adjacent property owner or their authorized representative, and shall include such consent with the application package. The application will not be deemed complete unless and until all necessary consent documents are so filed. The consent shall be in a form acceptable to the City Planner. If the proposed improvements on the adjacent property change the nature of the property's development rights (or implied bundle of rights}, the city might require recordation of a Covenant and Agreement for Offsite Improvements and Release of Liability as a condition of project approval. Does the project's limits of disturbance encroach on property not owned by the Property Owner? □ Yes ■ No If yes, attach adjacent owner authorization. PART B. Owner Declarations (to be signed by Property Owner) I/We hereby certify that I/we have read the information below and that: 1. I/We understand that it is the responsibility of the Applicant to substantiate the request through the requirements of the application. 2. I/We understand that if there is a zoning violation on the property, application review may be delayed. Any unpermitted structures or uses must either be removed or legalized at part of this application. 3. I/We understand that if this application is approved, I/we may be required to record a covenant with the County Recorder's Office, the form and content that is satisfactory to the City and its City Attorney, to notify future owners of the project approval and restrictions. 4. If this Land Use Review Application is approved or conditionally approved, I/we hereby certify that I/we will comply with all conditions attached to the approval action. I/We understand that the failure to comply with any conditions shall constitute grounds for the revocation or modification of the approval, permit, or other authorizations provided. 5. Prior to any use of the project site pursuant to the permit issued, all conditions of approval (if any) will be completed or secured in the manner as stated or re~uired. Property Qwner Signature(s): -~=~Z:::...1a=::::,,.~2~:Z'.~~~~=='.l;:...,.------l.::=--~:::::B--==:::::::::: Name(s): 0 h.ti s:-b'nv /a ,Wta,hci Ca_,/e., -+n.t,Sf..et, ~ S::"<X~ ---h-u5/ie, Date: IO ,. / , 2-i=: Page 2 of 6 P-1(A) f;!)~ ~ev 4/2024 '.• PART C. Project Team Information (complete all applicable fields) Applicant: Ill Same as Owner □ Different from Owner Name (if different from Owner): ________________________ _ Company or Firm: _____________________________ _ Phone Number: Email: ---------------------------- Contact Address: ___________ City: ______ State: __ Zip Cod.e: ___ _ Agent or Representative: Ill Same as Applicant □ Different from Applicant □N/A Name (if different from Applicant): _______________________ _ Company or Firm: _____________________________ _ Phone Number: ___________ Email: ________________ _ Contact Address: ___________ City: ______ State: __ Zip Code: ___ _ Other (specify Architect, Engineer, CEQA Consultant, etc.): ______________ _ Name:--------------------------------- Company or Firm: _____________________________ _ Phone Number: ___________ Email: ________________ _ Contact Address: ___________ City: ______ State: __ Zip Code: ___ _ NOTE: A Letter of Authorization (LOA) from the Property Owner empowering a person or persons to act on the behalf of the Property, is required if anyone other than the Property Owner signs the Land Use Review Application as the Applicant or Agent. The authorized person (Applicant or Agent) on the LOA must correspond with the name and signature, above. PART D. Single "Point of Contact" Designation A single "point of contact" is an individual that handles all communications with the city arJd its review team for the purposes of sending and receiving application materials, information, reports, etc. The point of contact is to be the single individual elected on the Land Use Review Application form for all communications and to remain as the primary contact for all status updates relating to the Land Use Review Application. Single Point of Contact: □ Applicant ■ Property Owner □ Agent □ Other ________ _ Page 3 of 6 P-1(A) Form Rev 4/2024 PART E. Contribution Disclosure Has the Property Owner, Applicant, or Agent had more than $900 worth of business transacted with any member of city staff, Boards, Commissions, Committees and/or Council within the past 12 months? □ Yes W No If yes, indicate person(s): -------------------- NOTE: Attach additional sheets if necessary. PART F. Applicant Declarations (to be signed by Applicant) I hereby certify that I have read the information below and that: 1. I have carefully reviewed and prepared the application and plans in accordance with the instructions. 2. I understand that the specific information needed to initiate planning case processing corresponds to those items listed in the application form's "Minimum Submittal Intake Requirements Checklist." I also understand that even if the application is duly filed and accepted for intake processing, each application submitted to the Planning Division is required to have specified information included in the application packet before it is determined to be complete. The specific information to determine completeness is in "Completeness Determination Requirements Checklist." 3. The Planning Division has developed policies to help ensure that discretionary permit applications are timely processed. The Permit Streamlining Act shot clock starts on the intake date the Planning staff accepts a duly filed application. 4. I understand that once an application is determined to be complete, project or design changes that will increase the number of units, add uses that were not previously listed, substantially change the site plan, or other changes that trigger the need for additional discretionary approvals will require a new application, or the filing of other application permit types, which would restart the review "clock" and extend processing timelines. 5. I understand that upon city review, additional information, documents, reports, entitlements and fees might be required, including any referral fees. I understand that all fees and deposits submitted with this application will be refunded only as provided for by the ordinances, regulations, or policies in effect at the time of the application submittal. 6. I certify that the description of the development and all the plans and supporting documentation are accurate in all material respects as of the date when made. I understand that it is my responsibility to ensure that statements and representations are not misleading. Furthermore, I agree to promptly remove, correct, or add information as needed to correct any misleading or materially inaccurate information. I understand that any misstatement or omission of the requested information or of any information subsequently requested might be Page 4 of 6 P-1(A) Form Rev 4/2024 grounds for rejecting the application, deeming the application incomplete, denying the application, suspending or revoking a permit issued on the basis of these or subsequent representations, or for the seeking of such other and further relief as deemed appropriate by the City of Carlsbad. 7. If discrepancies exist between the architectural plans and the structural plans, the architectural plans shall take precedence. Ultimately, the scope of work, as described on the permit that authorizes construction, takes precedence over the plans. If there is a discrepancy between the plans and the description on the permit, the permit governs. 8. I understand that all materials submitted in connection with this application might become public record subject to inspection and copying by the public. I acknowledge and understand that the public might inspect and copy these materials and that some or all of the materials might be posted on the city website or elsewhere online, outside of the city's control. 9. I understand there are no assurances at any time, implicitly or otherwise, whether provided to me in writing or by oral communications regarding final staff recommendations to the decision- making body about this application or the determination of any decision-making body. 10. I understand that the overall design process consists of several steps, each with increasingly more detail. The planning phase is one of the first steps in the design process. A Land Use Review Application (or "planning application") consists only of a schematic design package. If the project is approved or conditionally approved, the schematic design phase is immediately followed by a design development phase (with construction drawings). Construction drawings, such grading and drainage plans, are much more comprehensive and provide additional detail, specificity, and instructions on how to build and implement the project. Review comments, statements, o_r approvals from the City of Carlsbad concerning a Land Use Review Application are based on the representations of the intent of design and construction. City comments and statements are believed to be accurate; however, such accuracy is not guaranteed when implementing the intended design solution. I understand that the approval or conditional approval of a Land Use Review Application does not replace the more thorough review of the construction drawings by the city or another agency during the design development phase; or services or recommendations provided by design professionals, such as architects, engineers, code professionals, etc. Furthermore, the approval or conditional approval of a Land Use Review Application does not relieve the Applicant of the obligation from complying with all applicable regulations, standards, policies, and guidelines applicable to the design development phase. Therefore, the ultimate design solutions required in construction drawings may differ from the project's initial schematic design. The approved plan set of project drawings, civil plans/grading, sections, site plans, floor plans, architectural elevations, and landscape plans shall not be altered without express authorization by the City Planner. Once a permit has been issued, the Applicant may request permit modifications. "Minor" modifications might be granted if found by the City Planner to be in substantial conformity with the approved plan set, including all exhibits and permit conditions. Page 5 of6 P-1(A) Form Rev 4/2024 . . Modifications beyond the scope described in the approved plan set might require submittal of an amendment to the permit and approval by the authorized review body. 11. Should any proponent of the project fail to file a timely and valid appeal of the permit within the applicable appeal period, such inaction shall be deemed to constitute acceptance of the permit by the Applicant; and agreement by the Applicant to be bound by, to comply with, and to do all things required of or by the Applicant pursuant to all of the terms, provisions, and conditions of the issued permit or other approval. 12. As part of this application, the Applicant hereby agrees to defend, indemnify, and hold harmless the City of Carlsbad, its Council, boards and commissions, officers, employees, volunteers, and agents from any claim, action, or proceeding against the City of Carlsbad, its Council, boards and commissions, officers, employees, volunteers and agents, to attack, set aside, void or annul an approval of the application or related decision, including environmental documents, or to challenge a denial of the application or related decisions. This indemnification shall include, but not be limited to, damages awarded against the city, if any, costs of suit, attorneys' fees, and other expenses incurred in connection with such claim, action, causes of action, suit or proceeding whether incurred by Applicant, city, and/or the parties initiating or bringing such proceeding. The Applicant shall indemnify the city for all of the city's costs, attorneys' fees, and damages that the city incurs in enforcing the indemnification provisions set forth herein. The Applicant shall pay to the city upon demand any amount owed to the city pursuant to the indemnification requirements prescribed. By signing below, I acknowledge that I have completely read, understand, and agree to the declarations above and accept all terms set forth ~•rein. -~ ~ ~ Applicant Signature: ~ w Name: chri.s±,av We-lMJ CAie-Date: /O, f • -:f4 This form must be stapled/attached to the application and shall be effective until replaced or revoked in writing. Page 6 of 6 P-1(A) Form Rev 4/2024