HomeMy WebLinkAboutPUD 09-04; 4563/4565 COVE DRIVE; Planned Unit Development - Residential (PUD)• 3 .
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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, Com~s, Committees and/or Council within the past twelve (12) months?
D Yes 0 No 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 .
• Sig~
2 -o'j Signature of applicant/date
(:A ~]6 Rt), y 'i ~ 2 -(J=j
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
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H:ADMIN\COUNTER\DISCLOSURE STATEMENT 12/06 Page 2 of 2
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ENVIRONMENTAL INFORMATION FORM
(Io be Completed by Applicant)
Date Filed: Y -@_-9 (To be completed by City)
ApplicationNumber(s): p Lill 09-· 0 y
General Information
I. Name of project: Ci 8.E;'t Cl!2NOO C..(!)N\l'S~~ \Ql4,
2. Name of developer or project sponsor: ___,tJ......,_f.._~..,,__ ______________ _
\ ,
Address: 4:':>4?~ y:l:5ie5 c.ove:. QB.,.\\JE
City, State, Zip Code: C..AR.L~f,AD ( P.. . q~cc, l!:J
Phone Number: 7 lPD • S 4 5 · 90 \ 0
3. Name of person to be contacted concerning this project: &'{&\ K \1 e'IE1'-
Address: '!.~% "l\~(.()y\R:t: t>K,\\/e:.
City, State, Zip Code: '5.fi.J.1 0 \ €. cp \ CA . 91.\ '7.. ~
Phone Number: EJS<!, 1.11 -~ 41:\le
' 4. Address of Project: _4_,_.5'""-u=--?>O&.-tf-L\-'-=5.....,CD=--5,e__ ______________ _
Assessor's Parcel Number: _'l.._o_7'"""-· ~159~_·_'1~0 ______________ _
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:
Gor\.5TA L Qe'.'lt::\.-cyV\gN fe.ts\1'.C W~1\[Efs ::\;Gr-Q:$-ll'5-W
6. Existing General Plan Land Use Designation: ________________ _
7. Existing zoning district: ...... R-'-w~--------------------
8. Existing land use(s): is,~~\ QG: NT\ ~L
9. Proposed use of site (Project for which this form is filed): Co tJ V «a.·$S ( 0 N (!) f' E-Xl ";::>T l ~
Ouf?\ ~ 1:b <.o tJ Cb M\ Ht u. M
Project Description
10. Site size: 0, \ (Q 5 /l..C:..RE:
.l'I qoo• 11. Proposed Building square footage: --'. '-=----1_u _______________ _
12: Numberoffloorsofconstruction: _T..:..W..:....,...0=-----------------
13. Amount of off-street parking provided: _4...::._ ________________ _
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14. Associated projects: --------N~(/)..c:::..... _________________ _
15. If residential, include the number of units and schedule of unit sizes: ____________ _
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales
area, and loading facilities: _________________________ _
17. If industrial, indicate type, estimated employment per shift, and loading facilities: _______ _
18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading
facilities, and community benefits to be derived from the project: ____________ _
W\~
19. If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly
why the application is required: ________________________ _
Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional
sheets as necessary).
Yes rz( 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 □ ¥J lands or roads.
22 Change in pattern, scale or character of general area of project □ er
23. Significant amounts of solid waste or litter. □ gr
24. Change in dust, ash, smoke, fumes or odors in vicinity. □ IZ1
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or
alteration of existing dnrinage patterns. □ 0
26. Substantial change in existing noise or vibration levels in the vicinity. □ rz{
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Yes No
26. Site on filled land or on slope of IO percent or more. □ tzf
28. Use or 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 consl.llllption (electricity, oil, natural gas, □ ;zr etc.).
31. Relationship to a larger project or series of projects. □ 0
Environmental Setting
Attach sheets that include a response to the fallowing 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 fmnished 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: ----''3=-·--=~::-=-·_;;::cA:'-----'----Signature:
For:
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The Hazardous Waste and Substances Sites (Cortese List) is a planning document •
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. Government Code· section 65962.5 requires the
California Environmental Protection Agency to develop at least annually an updated •
Cortese List. Below is a list of .agencies that maintain information regarding Hazardous
Waste and Substances Sites. •
Department of Toxic Substances Control
www.dtsc.ca.gov/database/calsites
Calsites Hotline (916) 323-3400
State Water Resources Control Board
www.swrcb.ca.gov/cwphome/lustis
County of San Diego
Certified Unified Program Agency (CUPA)
Mike Dorsey
Chief, Hazardous Materials Division
Department of Environmental Health Services
Hazardous Materials Management Division
Mailing address:
P.O. Box 129261
San Diego, CA 92112-9261
(619) 338-2395
Call Duty Specialist for General Questions at (619) 338-2231 fax: (619).338-2315
www.co.san-diego.ca.us •
Integrated Waste Management Board
www.ciwmb.ca.gov
916-255-4021
Environmental Protection Agency _
National Priorities Sites ("Superfund" or "CERCLIS")
www.epa.gov/superfund/sites/cursites
(800) 424-9346
National Priorities List Sites in the United States
www.epa.gov/superfund/sites/npl/npl.htm
5/19/03
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Order No. 500-1080199-40
SCHEDULE "B"
At the date hereof exceptions to coverage in addition to tbe printed exceptions and exclusions contained in said policy form
would be as follows:
1.
2.
3.
4.
General and Special taxes for the fiscal year 2009-2010, including any assessments collected with taxes. A lien
not yet payable.
Second installment General and Special taxes for the fiscal year 2008-2009, including any assessments collected
with taxes.
I st installment
2nd installment
Penalty
Code area
Parcel No.
Exemption
$6,024.41 paid
$6,024.41 open
$612.44 (after 4-10)
09000
207-150-20-00
$0
The Lien of supplemental taxes if any, assessed pursuant to the provisions of section 75,et seq of the revenue
and taxation code of the state of California
Water rights, claims or title to water, whether or not disclosed by the Public Records.
A) Covenants, Conditions and Restrictions, if any, appearing in the Public Records, deleting therefrom any
restrictions indicating any preference, limitation or discrimination based on race, color, religion, sex, handicap,
familial status or national origin.
B) Easements or servitudes appearing in the Public Records.
C) Leases, grants, exceptions or reservations of minerals or mineral rights appearing in the Public Records.
D) Loss or damage by reason of any violation, variation, encroachment or adverse circumstances affecting the
title that would have been disclosed by an accurate survey.
E) Homeowner Association assessments.
5. "NOTE: Please be advised that our search did not disclose any open Deeds of Trust of record. If you should
have knowledge of any outstanding obligation, please contact your title officer immediately for further review".
6. The effect of documents, proceedings, liens, decrees or other matters which do not specifically describe said
land, but which, if any do exist, may affect the title or impose liens or encumbrances thereon. The name search
necessary to ascertain the existence of such matters has not been completed and will require a statement of
infonnation from vestees in order to complete this report.
End Schedule B
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ADVANTAGE TITLE. INC
8880 Rio San Diego, Suite 380 • San Diego, CA 92108 • 877-365-9365
Equity Max Mortgage & Realty
l 011 Camino Del Mar #236
Del Mar, CA 92014
Attention:
Borrower:
Rich Bonora
Gray
Lenders supplemental report
Order No. 500-1060199-40
The above numbered report (including any supplements or amendments thereto) is hereby modified and/or supplemented in order to
reflect the following additional items relating to the issuance of an American Land Title Association loan policy form as follows:
A. This report is preparatory to this issuance of an American Land Title Association loan policy of title
insurance. This report discloses nothing, which would prelude the issuance of said American land title
association loan policy of title insurance with endorsement no. 100 attached thereto.
B. The improvements on said land are designated as:
a single family dwelling
4563-65 Cove Drive, in the City of Carlsbad, County of San Diego, State of California.
C. The only conveyance(s) affecting said land recorded within 24 months of the date of this report are as
follows:
Grantor:
Grantee:
Recorded:
Pages
Randell Ricketts, a married man as his sole and seprate property
Carol J. Gray, an unmarried woman as her sole and separate property
04/27/2007 as Instrument No. 2007-0288249, Official Records.
Order No. 500-1060199-40
• Attention
Please note that this preliminary report now has an extra copy of the legal description on a separate sheet of paper. There are no
markings on the page. The idea is to provide you with a legal description that can be attached to other documents as needed.
Thank you for your support of Advantage Title, Inc.. We hope that this makes your job a little easier.
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