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HomeMy WebLinkAboutHMP 09-08; ENERGY EFFICIENCY MANAGEMENT; Habitat Management Permit (HMP)«t ~ CITY OF CARLSBAD LAND USE REVIEW APPLICATION P-1 Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits (FOR DEPT. USE ONLY) Legislative Permits (FOR DEPT. USE ONLY) D Administrative Permit D General Plan Amendment D Coastal Development Permit(*) OMinor D Conditional Use Permit (*) D Local Coastal Program Amendment(*) 0 Minor O Extension D Environmental Impact Assessment [kt" Habitat Management Permit VMinor D Hillside Development Permit(*) D Planned Development Permit 0 Residential O Non-Residential D Planned Industrial Permit D Planning Commission Determination D Site Development Plan D Special Use Permit D Tentative Tract Map D Variance D Administrative \-\-Mp CC\ --b~ ~ D Master Plan D Amendment D Specific Plan D Amendment D Zone Change (*) D Zone Code Amendment List other applications not specified □ □ □ (*) = eligible for 25% discount NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBIWTTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED MUST BE SUBMITTED PRIOR TO 4:00 P.M. ASSESSOR PARCEL NO(S).: 215 -4::) QQ.... Ob PROJECT NAME: t::-Ne.R.GY eFFtc JEN:t'J' MA tw4GE Me:N, BRIEF DESCRIPTION OF PROJECT: GRADS A PAD ON AIJ 6'J,(:SJ ING j/.Jl=ILL WT 1 COIJSTR.Ucl"" A SJNGl£ FAMJLi R'e:.SI DeNCE OWNER NAME (Print): f!J{fi.fl(;''\/ S.Fl=lCl~ MNGMT- MAILING ADDREss: P.O. -go~ lbl L CITY, STATE, ZIP: O __ N_/O_N ___ e. __ 1 ----, Y ........... --CA----QJ-4_5_&_,7_ TELEPHONE: 6 lO-7~4 -3{,3 7 EMAIL ADDRESS: APPLICANT NAME (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: OWNER ANO THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER CO R T TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE ANO CORRECT TO THE B ST OF MY KNOWL DGE. P-1 Page 1 of5 Revised 04109 • • BRIEF LEGAL DESCRIPTION: LOCATION OF PROJECT: STREET ADDRESS oN THE: No &.I\-\ . smE oF CAeA OERD bR.\\/E. (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) BETWEEN Co R. l N 11 A AND ALGA (NAME OF STREET) (NAME OF STREET) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS 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 RECORl)ED ON TIT T ROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AN I ~V~~j~O S I INTEREST . • I' PROPERTY OWNER SIGNATURE FOR CITY USE ONLY P·1 Page 2 of5 RE SEP 2 4 2009 CITY OF CARLSBAD PLANNING DEPT. DATE STAMP APPLICATION RECEIVED RECEIVED BY: Revised 04/09 .. • City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 11111111111111!1111111111111111111111111111111111111111111111111 Applicant: SUKUP ROBERT Description Amount HMP09008 256.50 2732 CAZADERO DR CBAD Receipt Number: R0076358 Transaction Date: 09/24/2009 Transaction ID: R0076358 Pay Type Method Description Amount Payment Check 8190 256.50 Transaction Amount: 256.50 000 0 00 Li") LO LO L.O L.O L.O CD CD CD CD coco r--LO L.O LD L.'") LO LO ("'.) "<l"" NNN N NN -st" 0 ----Ee--Ee--ee- 0 = 0 @ -cry N v = I 0 a.. = 0 ~co(") r--N ,-.. ocnLD co 0 0 0 c--J ~= en cnN en OLO 00 C) r--(") co 0)0 0:::: coco .. 0 CNOJ Cl:l N r-----' = -0 ~r---C) 1-cno <>: c:, '° L ""<I° C:, L 1----iOOCO 1----C) .. >, ..D L ©NN ..0 = 0:::0 C) C)-0 co (/) a) •r-......_ = 0::: .. C) I-= a) -0 ~.........,_c::O) LU '-··= '° > 1-C (/) 0 v 4-a.. .0 ~ = +-' .. ..-----. ~ -~ a) '° Q) '° N a) =+-'a.. o~ (/J .:L Q) u Ll (.) (.) N 0:: 0. ::E +-' '° .._,, ..c u I 0. 4-u ::c ..D +-' = u Q) C 4-:'.>"I >,-r--a., +-' (/J a) a::: .. ::J 0 LU ~-o:::: 0 '° '° 0 (/J 0.. I-a:: -• -+-' (/J I-I-'° "O -0 r--~ ,, ..... -"-J--. ...... .::,:;_~ >, co <O CD a., E u co Ql +-' 1-LN :::; u i,_ ,I a., a.,+-' > '° '° = .c a., +-' .c 0 '° (.) LL. LL. c:, I-a::: ...... UI-:c * * * * * * * * * * * " * * * * * * * -l(- * * ,'IE- «' ~ CITY OF CARLSBAD PROJECT DESCRIPTION P-1(8) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECTNAME: e:Ne:R'>Y e..s=,c1eNT MANAGe:.MEN, , LLc • APPLICANT NAME: RoP£&,T SuKuf 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: GRADE: A. 'PAO ON AN E'Xl~TING JN~IL.l LOT AND COfJS1RUcT A S/t\lGLE FAMILY ~eS\0\=l'-lCie P-1(8) Page 1 of 1 Revised 04/09 «,, ~ CITY OF DISCLOSURE STATEMENT P-1{A) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov CARLSBAD 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 ]:)A\/10 CL.AA.I<. Corp/Part E.l~R.GY EA;IClt;luT MNGMO'i Lt..G Title MANAGE\?. c:-Title. __________ _ Address eo. 'B())( lblL ~ Address. _________ _ Ut.>iO!ll en·'(, cA ~458? 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 \)/NID Cµ\RK Corp/Part EJJeru;y B-Ff'.-!Clt!"1T MN6M1, L.L<:.. Titte MANAGee. b-' Title. __________ _ Address f,O,wx lbl-Z. c-Address. _________ _ UNION C,1y J CA ~4Sf>7 Page 1 of2 Revised 04109 • • 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 __________ _ 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? Oves If yes, please indicate person{s):, __________ _ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge. Signature of applicant/date Print or type name of owner Print or type name of applicant gent if applicable/date \\Q'l!;e:.R,I 'Su¥.\Jf> ('P,w:re;c.T C '" 1L EN 1;;) Print or type name of owner/applicant's agent P-1(A) Page 2of2 Revised 04/09 <<~ ~ CITY OF CARLSBAD HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Department 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): IEf" 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: R'.6BE-R.T :Su KU p Address: 43Z.'"L SEA --gRlGt\t --PLAc.e. CARLsJM:.DJ CA "zoo~ Phone Number: Jtoo-Jz0-O0°.JS PROPERTY OWNER Name: ~ERG'( trr-lCl~NI f'll>.1GM1, LLL Address: EO. Box I bl C. DJJ1otJ CnY J CA OJ455? Phone Number: 510--]5<-J -3f,~/l Address of Site:____,2:,:...'.r_;3;c...;2,;;;;...__,;;c;...:..· A_,__Z;-'-'A:....,...,:,re.=-;....;.g_o.::..._...:.::bc_;R'-"-'l"-'-V-=E.'--_______ _ Local Agency (City and County):_-..:C=-A=e.=L=S:;_E,=z...A....,D=-+J ____,:S....,A'--"N~□,;::,:.:..;;1e~G.=6-=--...;::G:>=o.:...:.AJ=--....:...I y.L-_ Assessor's book, page, and parcel number:._-'2,_.f-=5=----~_.__O--'Q==----...,Q._6=----------- Specify list(s): N.A.-E.~l:SJ//IJ(; :SJNG.LE ):AMlt...Y LoT svRR.oOtuDe-.0 B'/ HdOoeS JN A Regulatory Identification Number: N,A. De\/ELorE:\'.J Nl:flf.lt ~oRHooD 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 04/09 HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Per the California Environmental Protection Agency's website, 'While Government Code Section 65962.5 [referred to as the Cortese List] makes reference to the preparation of a "list," many changes have occurred related to web-based information access since [the amended statute's effective date in] 1992 and this information is now largely available on the Internet sites of the responsible organizations. Those requesting a copy of the Cortese "list" are now referred directly to the appropriate information resources contained on the Internet web sites of the boards or departments that are referenced in the statute." Below is a list of agencies that maintain information regarding hazardous waste and substances sites. Department of Toxic Substances Control www .calepa.ca.gov/sitecleanup/CorteseList/default. htm www.calepa.ca.gov/database/calsites www .envirostor.dtsc.ca.qov/public Envirostor Help Desk (916) 323-3400 State Water Resources Control Board http://qeotracker.waterboards.ca.gov/ County of San Diego Department of Environmental Health Services www .co.san-dieqo.ca. us/deh Hazardous Materials Division www.sdcounty.ca.gov/deh/hazmat/hazmat permits.html Mailing Address: County of San Diego Department of Environmental Health P.O. Box 129261 San Diego, CA 92112-9261 Call Duty Specialist for technical questions at (619) 338-2231, fax (619) 338-2377 Environmental Protection Agency National Priorities Sites f'Superfund" or "CERCLIS") www.epa.gov/superfund/sites/cursites (800) 424-9346 or (702) 284-8214 National Priorities List Sites in the United states www .epa.qov/superfund/sites/npl/npl .htm P-1(C) Page 2of2 Revised 03/09 • • ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: __________ (To be completed by City) Application Number(s): _____________________ _ General Information 1. Name of project F. NeR G. :Y E FPl CI €Ah fv\AN A GC5 M E:A.[T J L. L..C 2. Name of developer or project sponsor: DAY'=. CLAR(, MANA GER, OE ABO\/€, l..LG Address: BO· ]3o)< J 6 l Z City,State,ZipCode: UN(oN CITY) cA 17J452i7 Phone Number: 510-754-3~3 7 3. Name of person to be contacted concerning this project: i3o1>, Soj(<.JP 4. 5. 6. Address: 43L°L 'S~A 'j6Rl 6HT PLAc..8- City, State, Zip Code: CARLS BAD t CA • J<oO-]Zo-OO<?J2) OJZOOo ( v1.1' ~ 760,. 301 • '8 OC1J6\ '- Phone Number: Address of Project: __ z_1~·~~z._c_A~z:_A___._D~e.~R ...... O--""'--~[J=-,....R ..... \ \/_,_l:;. _____ _ Assessor's Parcel Number: _ ____,2=----f S....._-_4_.__QO .......... _~_Q=-b _________ _ 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: GRAOIN0 PER.Mr,· ½ l3UILDJNG Pe~M \T Existing General Plan Land Use Designation: Res) D\:::N Tl fiL 7. Existing zoning district: _____ -_! _________________ _ 8. Existing land use(s): YA CANT RE:::S 1 08N Tl AL l-OT. 9. Proposed use of site (Project for which this form is filed): GRA0€ S IJ E. T () C.ONSTRUvl A SJNGL£. FAMILY K:'2.SI DeN.CE Project Description 10. 11. 12: 13. Site size: I) s~ AcR.t-S Proposed Building square footage: __ ~__.3...-.=000--=-:......._Q) __________ _ Number of floors of construction: Z, ----------------- Amount of off-street parking provided: :Z CAR GARAGE::. 14. Associated projects: __ .....:.Nc_.__N ___ t. ___ -_______________ _ P-1 (D) Page 2 of 4 Revised 04/09 • • 15. If residential, include the number of units and schedule of unit sizes: _________ _ l4c}t)se oNL\.J ~ 3000 t> 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: _____ _ N-A- 18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: _______ _ N-A- 19. If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required: ___________________ _ N.A. P-1(O) Page 3of4 Revised 04/09 • • Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes 20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial D alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public lands or D roads. 22. Change in pattern, scale or character of general area of project. D 23. Significant amounts of solid waste or litter. D 24. Change in dust, ash, smoke, fumes or odors in vicinity. D 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or D alteration of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. D 27. Site on filled land or on slope of 10 percent or more. ~ 28. Use of disposal of potentially hazardous materials, such as toxic substances, D flammables or explosives. 29. Substantial change in demand for municipal services (police, fire, water, sewage, D etc.). 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). D 31. Relationship to a larger project or series of projects. D 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 t the facts, atements, and information presented are true and correct to the best of my knowledge ti eli Date: ~, Z4 ( O'? f7R~PARt.D ~'Y •. 1(aM~ 1<0Sc..R:T SuKLJf" P-1(0) t7R.o:i"-CIVIL iatJf> For: Page 4of4 Revised 04/09 r' ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: ___________ (To be completed by City) Application Number(s): ______________________ _ General Information I. Name of project: e.l--\E'R.G Y Et=-l=-l C\ Et-.lT MAN&,GE: ME }JT 2. Name of developer or project sponsor: 6:NER G '/ E EE I C..-1 E.t)T MA I...J ,4 GEM e}'\"T 3. 4. 5. 6. 7. 8. 9. Address: f. 0, ]ox Uc l Z... City,State,ZipCode: ONtO~ CrrYJ CA. OJ4537 Phone Number: 5\ 0 -1'::)1-3 be 7 Name of person to be contacted concerning this project: ~~ SoK.v{> Address: 4 °3G0 SE.A 13R\(;\~-( ?L.AC>E:. City,State,ZipCode: CARLS ~AO . CA 1zoo5 Phone Number. ] fo (J -nr:g-~6'7J 8 t 14\" 1 i:JJ ~ 001-~ 0°7 £,) Address of Project: :Z..13 -z.., -A _ A oe-e.o -~\Vt. Assessor's Parcel Number: Z( 5-L.j OO-O'=. 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: G. RAO t N fu PE.R~1 \T ~ "E>U \ '-01 /.JG f>EKM lT Existing General Plan Land Use Designation: :RES l D E.JJ TI AL. Existing zoning district: ..,._,_-__._ __________________ _ Existing land use(s): \/ACAIJt' RES\ OtNTlAL L,..6T Proposed use of site (Project for which this form is filed): ----'c;;;;.......;....R;:...A....!,;O::....~=--s---'-, T..:.......c;_~_ • ......,___;;:();__ __ _ COtJSiRUG-< A ~INGLS t=AMH>I NOJl~f;. Project Description 10. 11. 12: 13. Site size: ----=•-5-=--~-A-'--c.._flJ....;;:E=S ________________ _ Proposed Building square footage: ___;_~_:3=-=0::....0=..,,,,Q"--rp------------- Number of floors of construction: ---=~~---------------- Amount of off-street parking provided: _ _,2=--c=-=--A"-'R.c.:::..._G_.:c_B_,_R__,t::.........::(£:;___ ________ _ 2 02/22/06 - 14. Associated projects: __ .... N.....:i..::,6"-'b\'--'-"E'------------------------ 15. If residential, include the number of units and schedule of unit sizes: ------------- j_ 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: ___________________________ _ 17. If industrial, indicate type, estimated employment per shift, and loading facilities: ________ _ N-A· 18. If institutional, indicate the major function, estimated employment per sqift!stimated occupancy, loading facilities, and community benefits to be derived from the project: __ __,}J"",\µ, ,..i~..::o..·· _________ _ 19. If the project involves a variance, conditional use 3r rezoning applications, state this and indicate clearly why the application is required: -----NI--L•::..tlJ=--· __________________ _ Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes ~ 20. Change in existing features of any bays, tidelands, beaches, or hills, or □ substantial alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public □ ~ lands or roads. 22. Change in pattern, scale or character of general area of project. □ ~ 23. Significant amounts of solid waste or litter. □ ~ 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 □ ~ alteratio•n of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. □ ~I 3 02/22/06 , • • -~ No 26. Site on filled land or on slope of IO percent or more. □ 28. Use of disposal of potentially hazardous materials, such as toxic □ ~ substances, flammables or explosives. 29. Substantial change in demand for municipal services (police, fire, water, □ ~ sewage, etc.). 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, □ QJ/ etc.). 31. Relationship to a larger project or series of projects. □ ~ 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 belief. Date: 6) Ji4/CJ>"J For: 4 02/22/06