HomeMy WebLinkAboutCDP 2025-0041; GOTZ RESIDENCE ADU; Coastal Development Permit (CDP)C cicyof
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
442-339-2600
www.carlsbadca.gov
(§ SUBMITTAL INFORMATION -ALL APPLICATIONS
NAME OF PROJECT: __ G_ot_z_R_es_id_e_nc_e_A_D_u __________________________ _
Add 2nd Story ADU 667 sf to CDP 2025-0021 (N) Construction Two Story Home Footprint
BRIEF SUMMARY OF PROJECT: ________________________ _
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 Y) Legislative Permits (FOR DEPT. USE ONLY)
[Kl Coastal Development Permit
D Major 0 Minor
D Conditional Use Permit
D Major D Minor D Amend/Ext.
D Day Care (Large)
D New D Amend/Ext.
D Environmental Impact Assessment
D Habitat Management Permit
D Major D Minor
D Hillside Development Permit
D Major D Minor D Amend/Ext.
D Nonconforming Construction Permit
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
D Major D Minor
CDP 2025-0041
NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE
MADE BY APPOINTMENT OR THROUGH THE CSS ONLINE PORTAL.
P-1 Paqe 1 of 5
D General Plan Amendment
D Map D Text
D Local Coastal Program Amendment
D Map D Text
□ Master Plan
D New Plan □Amend
□ Specific Plan
D New Plan □Amend
D Zoning Change
□Map □Text
Misc. Permits (FO_R DEPT. USE ONLY)
D Planning Determination
D City Planner D PC Appeal
D Historic Preservation
D Register D Mills Act
D Reasonable Accommodation
FOR CITY USE ONLY: t}, t
DEV CASE NO.: DEV2025-0051 REC. BY: Jason Goff n
DATE STAMP APPLICATION RECEIVED
Form P-1 was updated on
December 29, 2025.
Original submittal date is
October 31, 2025
Revised 07/23
WHAT IS A PROJECT APPLICATION?
A Land Use Review Application is the primary means by which the Planning Division collects information
necessary to initiate plan review for a proposed development project and to schedule a development
project for discretionary review. Discretionary review is necessary to evaluate conformance with
regulations, standards, policies, and guidelines before a permit can be issued.
To help ensure a complete and accurate submittal, the Planning Division has developed submittal
requirements and corresponding checklists. Please review the following information to learn more about
the city's intake and review procedures. Many projects that require a permit from the Planning Division
might also require an engineering or building permit to implement the project. Consult with planning
staff before submitting a development permit application.
WHAT IS THE PROCESS?
P-1
The application permit type, review, and approval process vary from one development project to
another; however, there are similar steps involved with each discretionary project. The city's
Discretionary Permit and Service Guide provides a high-level overview of that process, which is also
briefly summarized below. If you are unfamiliar with the planning application process, we recommend
that you speak with Planning staff before attempting to prepare an application submittal. Planning
staff can explain supplemental materials that must be submitted with an application and confirm the
required fees for successful intake.
1. Application Intake. Project review will not begin unless a duly filed application has been accepted by
the Planning Division. Each application submitted to the Planning Division is required to have the
Minimum Submittal Intake Requirements (i.e., requested forms and information in the application
packet) and all processing fees paid before it will be accepted (called "duly filed").
2. Application Review. After your application has been accepted for processing, a planning case
number will be assigned and the application will be routed to the appropriate city departments and
referral agencies for review. The status of the permit application and progression of the city's review
can be tracked through the CSS Online Portal.
3. Starting the "Clock:" The Planning Division has developed policies to help ensure that discretionary
permit applications are timely processed in accordance with the Permit Streamlining Act. The Act's
shot clock starts on the intake date the Planning staff accepts a duly filed application.
4. Staff Response. Division policy requires the case planner to compile department comments and
complete city review by notifying the Applicant, Property Owner, or Agent within 30 days of whether
the application is complete. (There might be circumstances that dictate a different processing
timeline.) The city review letter will include written notice of the status of your application as
"incomplete" or "complete."
• Incomplete -If the application is determined to be incomplete, staff will detail the missing
information in a city review letter. A city review letter might also identify specific outstanding
review issues with the project, and any other required materials or applications to address
conformance with regulations, standards, policies, and guidelines.
• Complete -If the application is determined to be complete then the next steps of the
planning process will begin, and the permit application will be scheduled to be reviewed for
approval, conditional approval, or denial.
5. Cycle Reviews. After you provide a response to city comments the Planning Division will re-examine
the permit application. Each time you resubmit plans or missing application materials, the cycle of
30-day review will continue until the application is determined to be complete.
6. Environmental Clearance. When Planning staff determines the application is determined to be
complete, and the project has a stable project description, then the city has an additional 30 days to
determine the level of environmental review required. The time needed to complete the
environmental study is determined by the type of environmental review required.
Page 2 of 5 Revised 07/23
7. Decision-Making Process and Action. After the environmental documentation has been prepared,
the project will be scheduled to go before the decision-making body, which either approves or denies
the application, or more commonly approves the application subject to conditions of approval. Most
planning actions require a public notice of a hearing. The method of advertising might vary.
WHAT IS NEEDED FOR FORMAL APPLICATION SUBMITTAL?
P-1
Use the following information in this section to assist you in preparing your Land Use Review Application
for intake processing.
Application intake and project review will not begin unless a "duly filed" application package has been
submitted and all required elements are accepted by the Planning Division. For the Planning Division to
consider a project application "duly filed," the application must be accompanied by all items specified in
the Minimum Submittal Intake Requirements Checklist(s) (e.g., plan sets, letters of authorization, etc.).
The application must be accompanied by all required supporting materials (architectural plan sets,
photographs, etc.). Please also review the city's Master Fee Schedule in addition to any required
applications or forms listed. If you are missing documents or required information, including payment
of fees, the city will not accept your application.
What do I need to bring to my intake appointment to have the application accepted?
1. Land Use Review Application -Form P-1. Complete the cover page of this document.
2. Download and Complete Required and Supplemental Forms. Download all required forms
(refer to Submittal Forms Referral Matrix at the end of this document). The required forms
for each application permit type list the documents or required information needed for
Planning staff to accept the application for intake processing. Each required and
supplemental form is accessible online through the following link:
https://www.carlsbadca.gov/departments/community-development/permits-applications
forms.
3. Assemble Project Plans and Drawings. The application must be accompanied by plans,
accurately showing existing and proposed structures on both the subject property and on
immediately adjoining properties, showing the minimum requirements per Info Bulletin (lli.:
201), unless a different requirement is specified on the application form . Certain application
types might require additional information to be submitted with the application package.
The project plans and drawings must include the exhibits or technical drawings to convey the
project scope, existing conditions, design or other site parameters as specified.
4. Designate a Single Point of Contact for the Application. A single point of contact should be
designated to handle all city communications and to track the progress of your application.
An "Applicant" generally is a person with a lasting interest in the completed project such as
the Property Owner or a lessee/user of the subject property. An "Agent" can be the person
filing the application on behalf of the Applicant and Property Owner.
5. Pay all Applicable Fees. Projects are NOT considered to be submitted until all intake invoices
are paid and proof of payment for the required intake fee amount is received for each
application permit type. Should the actual cost of staff time exceed the initial fee paid, an
additional fee for time and materials may be billed upon completion of the intake review,
hearing process or permit approval, as necessary.
Page 3 of 5 Revised 07/23
6. Submission Standards. All required plans that are submitted by hardcopy must be printed
on 24" x 36" sheets and collated into complete sets, stapled, then folded to 9" x 12" or the
smallest scale possible when submitted (with lower right-hand corner of plan visible).
7. Digital Submittals. Applicants, Property Owners, or Agents must submit digital files with the
application at initial submittal and at approval. All digital submittals, CAD files, and PDF files,
must be made via OneDrive (cloud storage service), email, or by using a flash drive and meet
certain electronic submission standards set by the Planning Division. Plans and documents
submitted via CD will not be accepted. If you prefer to submit via OneDrive, email
planning@carlsbadca.gov to coordinate digital submittal.
Planning staff may reject submittal of a Land Use Review Application if the submittal fails to include all
the appropriate items listed above. All Planning applications must be submitted in person at the
Planning Division or through the CSS online portal. Applications submitted by mail or email will not
be accepted.
If you have any questions regarding application submittal requirements (i.e., clarification regarding a
specific requirement or whether all requirements are necessary for your particular application) please
contact the Planning Division at (442) 339-2600 or email planning@carlsbadca.gov.
NOTE: SOME PERMIT APPLICATION TYPES MAY BE SUBMITTED THROUGH THE CSS ONLINE PORTAL OTHER.
OTHER APPLICATIONS MUST BE SUBMITTED BY APPOINTMENT THROUGH AN ONLINE SCHEDULING
SYSTEM*. PLEASE VISIT THE PLANNIG DIVISION'S PERMITTING SERVICES WEBSITE TO LEARN MORE ABOUT
THE SUBMISSION PROCESS.
*SAME DAV APPOINTMENTS ARE NOT AVAILABLE.
WHAT MAKES AN APPLICATION COMPLETE?
P-1
The section above discusses the minimum information needed to file an application and have it accepted
for intake processing. This section discusses how to complete the application and city review before a
permit can be issued.
During the city review period, the case planner ensures that the application is complete and technically
accurate and reviews the project against city policies and regulations. To complete city review, the
application that you submit must include adequate information necessary for project analysis to
demonstrate compliance with all applicable ordinances and codes.
A detailed set of requirements for each permit type is listed in each form/application. For the Planning
Division to determine that a Land Use Review Application is complete, it must contain all of the required
information listed on the Completeness Determination Requirements Checklist(s).
Download all information that is listed as required in the applicabie form checklist(s). This might
include detailed information about what to provide on plans or declare within the application forms,
depending on the type of project you are proposing. Initial submittals that are complete and accurate
help streamline the city's review processes, allows the city to issue permits more quickly, and save you
time and money. After submittal and following initial review of the permit application, additional
information and/or corrections may be requested by city staff to complete review and approve the
application.
Page 4 of 5 Revised 07/23
SUBMITTAL FORMS REFERAL MATRIX
.--1 r:,i 00 0 c.. <:t a.. N I g N'l C: w c.. a.. V) I ..... .Q e5 O"l R = Required item for submittal requirements :!::! a.. C: :!::! N C:
E w ..... re .Q <x: V) re -....J E I
checklist. .... ;!::! j u re r--. -a.. ..... ~ w E ..... c.. :!::! r--. 00 .... C: re w a.. I C: '( .--1 ~ w .Q 2: ·s: .... w V) E I a.. ..... w <:t w E ..... .... a.. a.. ..... w w C: a.. c.. C: w E C: re V) 0 = Optional or alternative application type. w > L.f) w j .... .... .Q ~ -0 w a:: E w w c.. a.. g w a.. 0 0 .... .... w .=::: V) 0 0 E w C: ·-0 ..... .0 0 a.. a w re ...... u E V) ..... u V) u w .... ~ C: :::s re u :::) _Q ~ C: w :!::! .... :::s .... re ~ 0 .... C: E ·.::: w V) re :E E 0 Vl :::s u u ..... 0 0 "O a.. a.. V) V) 0 C: > -~ ·.::: .!!! .... C: ~I a.. a > ~ ~ C: C: re u ..... w -0 0 .!!! re re ·-w ~ w re 0 w u
....J 0 ....J > ::r: a.. u a:: 0 ::r: ::r: z u a:: <x: ::r:
Development Permit Types
Coasta l Development Permit Minor R R ---------R ---------------------
Coasta l Development Permit Major R R ---------R R ------------ ------
Condit iona l Use Permit R R ------------ --------------- ------
Day Care (Large) R ------------------R ---------------
Environmental Impact Assessment R --------- --------------------- ------
Habitat Management Plan Minor R ---------------------R ------ ------
Habitat Management Plan Major R ------------------------R ---------
Hillside Development Permit R ---------R ------------------------
Nonconforming Construction Permit R ------0 ------ ------------R ------
Planned Development Permit R R ------------------ --- ------------
Precise Development Plan R R ---------------------------------
Site Development Plan R R ------------ ---------------------
Special Use Permit R R ------ ------------ --- ------------
Tentative Parcel M ap R R ---------------------------------
Tentative Tract Map R R ------------------ ---------------
Variance R R ---R ------------------0 ------
Legislative Permit Types
GPAs, LCPAs, Master Plans, etc. R ---R ------------------------------
Misc. Permit Types
Determination - City Planner/ PC R ------------------------------------
Historic Preservation Permit R --------- ------------------------R
Reasonable Accommodation R ------0 ------------------0 R ---
P-1 Page 5 of 5 Revised 7/23
. . .•
Ccityof
Carlsbad
LAND USE REVIEW
APPLICATION
Development Services
Planning Di •
1635 Faraday
P-1 442-3
APPLICATIONS APPLIED FOR: Check the appropriate boxes for the application
(CHECK ALL APPLICABLE BOXES)
Coastal Development P~it
D Major [M Minor
D Conditional Use Permit
D Major D Minor D Amend/Ext.
D Day Care (Large)
D New D Amend/Ext.
D Environmental Impact Assessment
D Habitat Management Permit
D Major D Minor
D Hillside Development Permit
D Major D Minor D Amend/Ex
D Nonconfonning Construction Permit
D Planned Development Permit
D Residential D Non-Resid
D Major D Minor D A
D Precise Development Plan
D Site Development Plan
□
□
□
□
D Major
D Minor
(FOR DEPT. USE ONLY)
PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE
MADE BY APPOINTMENT OR THROUGH THE CSS ONLINE PORTAL.
P-1 Page 1 of 5
(FOR DEPT. USE ONLY)
□
□ oastal Program Amendment
Map D Text
D Specific Plan
D New Plan
D Zoning Change
OMap
□Amend
□Amend
OText
Misc. Permits (FOR DEPT. usE oNL Yl
D Planning Detennination
D City Planner D PC Appeal
D Historic Preservation
D Register D Mills Act
D Reasonable Accommodation
FOR CITY USE ONLY: Df v' .(]__
DEV CASE NO.: '-o}S'~oQS/ REC. BY:~ Tw}Y!-i
DATE STAMP APPLICATION RECEIVED
CITY OF CARLSBAD
OCT 3 1 2025
PLANNING DIVISION
Revised 07/23
(_ City of
Carlsbad
AUTHORIZATION, CONSENT, AND
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
1635 Faraday Avenue
442-339-2600
www.carlsbadca.gov
li] 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 INDICATE
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): ____ 204-_234-04--0 __ 0 __________ _
_________________________________ ;and
Street Address (if applicable): __ 345_1 G_a_rrie_k1_s_1 _ca_r1s_1>a_d_CA_9_2000 _______________ _
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.
2.
Namec "'~""" tA7
Signature: :25 Signature: ____________ _
Phone Number: _7_14-_309-6564 _________ Email: bQotz7@me.com
Contact Address: __ ,_5_eo_u_lebru_sh_, _,rv1_ne_ca_-_e= ______ _,_----l'------
Signature:~ Name: Julie Gotz
Phone Number: 949-322-5922 Email: julie.gotz@advantlsins.com -----------
Contact Address: ___ 1_s Bo_tt1e_b_rus_h_, IM_·_ne_c_a 9_2_soo ______________ _
NOTE: For additional names, please use a separate sheet of paper.
Page 1 of 6
P-1 (A) Fonn 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 ~o 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· t~e ~ as stated or
Property Owner Signature(s): ~ .__~
Name(s): __ B_na_n_a_nd_J_u1_ie_Go_tz _______________ _ 10/27/25
Page 2 of 6
P-1(A) Fann Rev 4/2024
PARTC. Project Team Information {complete all applicable fields)
Applicant: □ Same as Owner ✓clifferent from Owner
Name (if different from Owner): _______ M_a,_sh_a1_1 s_o_oih _______________ _
Remodel Solutions DBA Spaces Renewed Company or Firm: --------------------------------
Phone Number: ______ 7_60_-_70_3-_79_9_6 ____ Email: -mbooth@spacesrenewed.com
CA 92054
Contact Address: ______ 11_o7_s_c_o_a_st_H_wy __ City: -Oceanside State: Zip Code: -
Agent or Representative: .'same as Applicant □ Different from Applicant ON/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 and 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: ipplicant □ Property Owner J Agent □ Other ________ _
Page 3 of 6
P-1(A) Form Rev4/2024
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?
D Yes r/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.
S. 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
suhmittPd with this ::,pplic::it io n u,ill b,. r,.fu ndod o nly ::ic provldod f or by the ordinance:,,
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
Page4 of6
P-1 (A) Fonn Rev 412024
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 on line, 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, or 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 suidelines :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 of 6
P-1(A) Fonn Rev4/2024
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?~~
Applicant Signature: __ £-{ ___________________________ _
Name: __ M_ars_h_a,_1 Bo_o,_h __________________ Date: 1012112s
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) Fonn Rev 4/2024
C cityof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
[§] APPLICATION INFORMATION
Development Services
Planning Division
1635 Faraday Avenue
442-339-2600
www.carlsbadca.gov
This submittal form (Part A and Part BJ is to be completed as part of your application with the City of Carlsbad.
Your project cannot be reviewed until this information is completed. Submittal of a detailed project description is
important to ensure the timely review of your Land Use Review Application and to reduce repetitive review cycles.
The following instructions detail the types of information to include in your written project description. These
instructions are not exhaustive. More complex entitlement requests typically require more comprehensive
information while less complex requests might require less information. The intent of this form is to provide
guidance on what type of information to include in the written project description. Prior to submitting an
entitlement application, review the entitlement-specific filing instructions for each application type, as well as
instructions for preparing a complete site plan or tentative map, etc.
A complete project description should include the following elements:
✓ Project name: Fill in the field with the name of the project, such as "Red Oak Homes" or "Benson
Commercial." If no name is proposed, write the last name of the Applicant or Property Owner, plus a brief
description such as "Jones Condo Conversion" or "Smith Residential Subdivision."
✓ Applications applied for: List the various application types for which you are applying. Consult with the
Planning Division to determine required application types needed to process your specific project.
✓ Assessor parcel no(s).: Include all assessor parcel numbers included that are within the project boundary.
Planning staff can assist you in determining the appropriate assessor parcel number(s).
✓ Describe the complete project scope: Provide a narrative description of the proposed project including, but
not limited to: project area by square footage or acreage, proposed land use(s), number of developable lots
or units proposed, number of common area or open space lots, open space acreage, site access and proposed
roadway and circulation improvements, parking location, design and number of spaces, existing utilities by
type and location, proposed utilities by type and location, project grading with estimated quantities for cuts
and fills, proposed drainage and storm water treatment improvements, project phasing, proposed square
footage of amenities buildings such as recreation centers and clubhouses, proposed square footage of
commercial or industrial buildings, noise barriers, proposed parks and trails, landscaping improvements and
other relevant information. Project descriptions for commercial land uses should also include days and hours
of operation, number patrons or customers, number of employees, typical daily traffic, proposed outdoor
uses or use areas, food or alcohol sales, descriptions of promotional events including uses with outdoor
amplified speech or music.
Page 1 of4
P-l(B) Form Rev 4/2024
PART A. Project Summary Information
NAME OF PROJECT: ___ G_otz_R_es_id_e_nc_e_A_D_u ____________________________ _
APPLICATION PERMIT TYPES REQUESTED: __ M_in_o_r _co_a_st_a1_D_e_ve_1o_p_m_en_t_Pe_r_m_it ________________ _
204-234-04-00 ACCE~SOR PARCEL NUMBERS: __________________________ _
PROPERTY ADDRESS: __ 3_4_51_G_a_r1_ie_1d_S_t_, c_a_r1_sb_a_d_c_a_92_o_o_a _________________________ _
CONTACT: 0 Applicant □ P~wner
Signature: ~ L
~ Agent
Marshall Booth 10/27/25 Name: __________________________ Date: __________ _
Fully describe 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.
Adding 667 sf 2nd story ADU to existing CDP 2025-0021 New Construction Two story home with attached garage. The architecture, footprint, landscape,
hardscape, or lot coverage of the existing CDP 2025-0021 Gatz Project will not change. The new revised living sf with the ADU is 4,045 sf, the ADU will be 667 sf of
that. The ADU replaces on of the bedrooms on the second story and comes out over the garage space, and it will be accessed through stairs on the south side of
the garage.
Page 2 of 4
P- I (B) Fom1 Rev 4/2024
PART B. Supplemental Information
Denote whether the following items are applicable to the project or if any portion of the property located within any of the
following? Use an addendum sheet to further describe all items marked "yes" in this list (attach additional sheets as
necessary).
1. A very high fire hazard severity zone, as determined by the Department of Forestry
and Fire Protection pursuant to Government Code§ 51178 for State Responsibility
Areas; or any official local maps published pursuant to Government Code§ 51178
for Local Responsibility Areas.
2. Wetlands, as defined in the United States Fish and Wi ldlife Service Ma nual, Part
660 FW 2 (June 21, 1993).
3. A hazardous waste site that is listed pursuant to Government Code§ 65962.5 or a
hazardous waste site designated by the Department of Toxic Substances Control
pursuant to Health and Safety Code§ 25356 ofthe Health and Safety Code.
NOTE: Certification of compliance required on Form P-1 (CJ.
4. A special flood hazard area subject to inundation by the 1 percent annual chance
flood (100-year flood) as determined by t he Federal Emergency Management
Agency in any official maps published by the Federal Emergency Management
Agency.
5. A delineated earthquake fau lt zone as determined by the State Geologist in any
official maps published by the State Geologist.
6. Any historic or cultural resources known to exist on the property.
7. The project requ ires any approvals under the Subdivision Map Act, such as a parcel
map, a tentative map, or a condominium map.
NOTE: If "yes," you may need to complete Form P-l(E) and Form P-l(F).
8. Any existing residential use on the site (units or structures)?
NOTE: If "yes," you must complete Form P-38.
9. The project require a Density Bonus Approval.
NOTE: If "yes," you must complete Forms P-l{H).
Yes
□
□
□
□
□
□
□
□
□
No
0
0
0
0
0
0
0
0
0
Page 3 of 4
P-l(B) Form Rev 4/2024
10. The project site located within the Coastal Zone.
NOTE: If "yes, 11 you may need to complete Form P-6 and/or Form P-7.
a. If "yes," does any portion of the property contain wetlands, as defined in Title
14 of the California Code of Regulations§ 13577.
b. If "yes," does any portion of the property contain environmentally sensitive
habitat areas, as defined in Public Resources Code§ 30240.
NOTE: If "yes, 11 you may need to complete Form P-17 or Form P-18.
c. If "yes," does any portion of the property contain a tsunami run-up zone or
mapped inundation area .
d. If "yes," does any portion of the property contain any public access to or along
the coast.
11. The project impacts a stream or other resource that may be subject to a
stream bed alteration agreement pursuant to Chapter 6 (commencing with Fish
and Game Code§ 1600.
12. Any portion of the property is subject to any recorded public easement, such
as easements for storm drains, water lines, and other public rights of way.
El □
□
□
□ 0
□
□
□
I/We declare under penalty of perjury that I/we have reviewed this Affidavit and the information furnished is true
and correct.
Name: Marshall Booth
Signature: t& L ~
This form must be stapled/attached to the application and shall be effective until replaced or revoked in writing.
NOTE: The Applicant, Property Owner, or Agent should use this form when submitting project revisions to update
the information provided in response to issues raised by during the course of the city's review.
Page 4 of 4
P-1 (B) Form Rev 4/2024
C cityof
Carlsbad
EIA INFORMATION
FORM
P-1(D)
[fil APPLICATION INFORMATION
Development Services
Planning Division
1635 Faraday Avenue
442-339-2600
www.carlsbadca.gov
This submittal form is to be completed as part of your application with the City of Carlsbad. Your
project cannot be reviewed until Part A is completed. Part B is to be completed ONLY if further
environmental review and documentation is required ((i.e., Environmental Impact
Report,Mitigated Negative Declaration, or Negative Declaration).
State law requires that environmental review be conducted and information be made available before
decisions are made and before actions are taken. Implementation of this law, called the California
Environmental Quality Act, Public Resources Code §§ 21000 et seq. (CEQA), requires the city to perform
an environmental assessment of every project by way of a multi-step decision tree. First, the city must
determine whether the proposed activity is subject to CEQA. Second, assuming CEQA applies, the city
must decide whether the activity qualifies for one of the exemptions that excuse otherwise covered
activities from CEQA review. Finally, assuming no applicable exemption, the city must undertake full
review and prepare an environmental document. To successfully navigate through the three tiers, the
Applicant/Property Owner/Agent must work with the city to document the environmental assessment.
BY SIGNING BLEOW, I/We that this form must be completed as part of the application and will be utilized
by the city to expedite the project application process. I/We hereby certify that the statements furnished
in the attached information and any exhibits attached hereto 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.
NAME OF PROJECT: _____ G_o_t_z_R_e_s_id_e_n_c_e_A_o_u _____________ _
BRIEF SUM MARY OF PROJECT: ___ A_DD_2_n_d _St_ory~6_6_7 _SF_A_D_U_to_C_D_P _20_25_·0_0_21_fo_o~tpr_in_t o_f t_he_N_e_w_C_on_st_ru_cti_on_P_ro~je_ct __
LOCATION: __________ 3_45_1_G_a_rti_eld_S_t_Ca_rs_lb_ad_C_A_9_2o_os _____________ _
CONTACT: ~pplicant D Property Owner ~gent
Signature: ~ L ~
Name: Marshall Booth Date: 10127/27 ---------------------
NOTE: Except where circumstances dictate a different processing timeline pursuant to state law, the city
will formally begin the formal evaluation of the project after deeming the Land Use Review Application as
complete and determining the project is subject to CEQA.
Page 1 of 5
P-1 (D) Form Rev 6/2023
,
PART A. Requested Environmental Clearance (All Projects)
□ DON'T KNOW/ UNKOWN. It is unknown how CEQA applies to this project.
□ CEQA APPLICABILITY -NOT A PROJECT. The requested activity associated with the application
package is NOT a "project" as defined by CEQA (Public Resources Code§ 21065; CEQA Guidelines
§ 15378.
Applicable Public Resource Code or CEQA Guidelines Sec.: _____________ _
EXEMPT FROM ENVIRONMENTAL REVIEW. An Applicant, Property Owner, or Agent
contemplating using a CEQA exemption should carefully review both the Public Resources Code
and the State CEQA Guidelines to determine whether specific criteria apply that may or may not
be applicable to their proposed project. To assist the city in assessing whether the proposed
project is exempt from further review, the Applicant, Property Owner, or Agent may be asked to
provide written explanation and substantiate the requested exemption (see below).
D Ministerial. The requested activity is exempt from further CEQA review because
it is specifically excluded from CEQA consideration as defined by the State
Legislature. These exemptions are delineated in Public Resource Code §§ 21080
et seq. and CEQA Guidelines.
✓
Applicable section: _____________________ _
Categorical. The requested activity is exempt from further CEQA review because
it belongs to a list of classes of projects that generally are considered not to have
potential impacts on the environment. Categorical exemptions are identified by
the State Resources Agency and are defined in the CEQA Guidelines §§ 15300-
15333. ADDITIONAL DOCUMENTATION MUST BE ATTACHED. Written evidence
must include why the quested exemption is not negated by some sort of an
exception to the exemption, pursuant to CEQA Guidelines §15300.2 and Chapter
19.04 of the Carlsbad Municipal Code.
□ Other type of exemption, such as Agricultural Housing, Affordable Housing, and
exemption for residential projects in a specific plan, etc. (Article 12.5 of the CEQA
Guidelines;§ 15182; § 15183; Public Resources Code§ 21155.1; etc.) ADDITIONAL
DOCUMENTATION AND/OR CHECKLIST MUST BE ATTACHED.
□ ENVIRONMENTAL DOCUMENTATION REQUIRED. Environmental review is required under CEQA
because the project does not qualify for an exemption. 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, or Negative Declaration) will be
required to be prepared, per CEQA and Chapter 19.04 of Carlsbad's Municipal Code. The city will
typically complete its initial environmental study thirty days after an application is determined
complete, consistent with Public Resources Code§ 21080.2; CEQA Guidelines§ 15102, unless the
timeframe is extended.
Page 2 of 5
P-1(0) Form Rev 6/2023
PART B. Property and Project Screening Information (If Applicable)
This section is to be completed only if further environmental review and documentation is required (such
as an Environmental Impact Report, Mitigated Negative Declaration, or Negative Declaration. After your
Land Use Review Application is complete, the City Planner will request the preparation of an Initial Study,
which will rely, in part, on the information provided in this form. If you believe that a previously completed
CEQA document adequately addresses the environmental impacts of the proposed project, a Petition for
Use of Prior CEQA Document or tiering checklist (as required by CEQA) may be filed which will be reviewed
and considered. It is important to note that the details of the request must be carefully evaluated and
Planning staff's recommendation or decision for environmental review may change.
NOTE: If you have any questions regarding what constitutes an environmental resource of concern,
Planning staff may be contacted for further information. The clarity and accuracy of the information you
provide is critical for purposes of quickly determining the specific environmental effects of your project.
1. Describe each item as it relates to the PROJECT SITE:
a. Existing land uses/ structures: _s_ing_1e_F_a_m_i1y_R_es_id_en_it_ia1 ________________ _
b. Topography/ slope: _____ F_la_t ____________________ _
C. Vegetation: ______ M_in_im_u_m ______________________ _
No d. Wildlife: ___________________________ _
No e. Surface waters: ____________________________ _
None f. Cultural/ historical resources: ------------------------
g. Other:---------------------------------
2. Describe each item as it relates to the SURROUNDING AREA:
. . Single Family Residential a. Existing land uses/ structures: ------------------------
Flat b. Topography/ slope: ________________________ _
Minimum c. Vegetation: ______________________________ _
d. Wildlife: _____ N_o _________________________ _
e. Surface waters: ____ N_0 ________________________ _
f. Cultural/ historical resources: __ N_o_n_e ___________________ _
g. Other:---------------------------------
Page 3 of 5
P-l(D) Form Rev 6/2023
3. Describe the whole action involved, including but not limited to later phases of the project, and any
secondary, support, or off-site features necessary for its implementation.
Nothing Besides the ADU add to the CDP 2025·0021
4. What steps can be taken to mitigate any adverse effects that may result from this project? List the
adverse effect first, then the mitigation measure(s) to reduce that effect.
No adverse effects will happen.
Are the following items applicable to the project or its effects? Discuss all items checked "yes" (attach
additional sheets as necessary).
5. Change in existing features of any bays, tidelands, beaches, or hills, or substantial
alteration of ground contours.
6. Change in scenic views or vistas from existing residential areas or public lands or
roads .
7. Change in pattern, scale or character of general area of project.
8. Significant amounts of solid waste or litter.
9. Change in dust, ash, smoke, fumes or odors in vicinity.
10. Change in ocean, bay, lake, stream or ground water quality or quantity, or
alteration of existing drainage patterns.
10. Substantial change in existing noise or vibration levels in the vicinity.
11. Site on filled land or on slope of 10 percent or more.
12. Use of disposal of potentially hazardous materials, such as toxic substances,
flammables or explosives.
13. Substantial change in demand for municipal services (police, fire, water, sewage,
etc.).
14. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.).
15. Relationship to a larger project or series of projects of the same type in the same
general area.
Yes No
□
□
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□
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□
□
rd
d
Page 4 of 5
P-l(D) Form Rev 6/2023
Yes No
16. Site with tree groves, rock outcroppings, or similar resources.
17. Site with sensitive plant or animal habitats, defined by the California Endangered
Special Act (Fish and Game Code §§ 2050 et. seq.) or the Federal Endangered
Species Act (16 U.S.C. §§ et. seq.); or sensitive, rare, candidate species of special
concern; endangered or threatened biological specials or their habitat (specifically
including sage scrub habitat for the California Gnatcatcher); or the site is
immediately adjacent to a corridor or larger area which has wildlife movement.
18. Site has known archaeological or cultural resources from either historic or
prehistoric periods.
19. Site has buildings or structures, including houses, garages, barns, commercial
structures, etc. with extant architecture that are usually more than 45 years old.
□
□
□
□ r/J
NOTE: The city requires completion of this form for informational purposes. An affirmative response to any
of the items does not necessarily trigger special or additional CEQA review. 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 to help
expedite the city's environmental review but IS NOT required to complete your application. Formal
environmental review does not begin the Land Use Review Application is determined to be complete.
A few statutes or ordinances require agencies to make decisions on permits within time limits that are so
short that review of the project under CEQA time limits would be difficult. To enable the city to comply
with the Permit Streamlining Act and CEQA, the case planner will deem an application for a project not
received for filing under the statute or ordinance until such time that progress toward completing the
environmental documentation required by CEQA is sufficient to enable the city to finish the CEQA process
within the shorter permit time limit.
This form must be stapled/attached to the application and shall be effective until replaced or revoked
in writing.
Page 5 of 5
P-1 (D) Form Rev 6/2023
C cityof
Carlsbad
FINANCIALLY
RESPONSIBLE PARTY
STATEMENT P-1(J)
Development Services
Planning Division
1635 Faraday Avenue
(442-339-2600
www.carlsbadca.gov
[fil APPLICATION INFORMATION
This submittal form is to be completed as part of your application with the City of Carlsbad. Your project
cannot be reviewed until Part A is completed. Part 8 is to be completed only when there is a change in
assignment and there is a new Financially Responsible Party.
PART A. Assignment
It is the policy of the City of Carlsbad to recover the actual cost of processing Land Use Review
Applications, including all time spent by city staff to review, refer, and coordinate land development
applications. The fee amounts are set by ordinance or resolution to cover the estimated costs of
processing the application package. Actual costs may vary substantially due to project location,
environmental issues, planning constraints, appeals or code/ordinance compliance.
The Property Owner, Applicant, or Agent is required to submit proof of payment for the required intake
fee amount for each application permit type. The amount due and to be received by the city must be
based on the Master Fee Schedule in effect at the time of payment, regardless of the original estimate
or costs paid to process prior projects. The person named as Financially Responsible Party in this
document is person or persons responsible for depositing, transferring, or has previously sent funds to
process the following application.
PROJECT NAME: Gatz Residence ADU -------------------------------
BRIEF PROJECT SUMMARY: ADD 2nd story 667sf ADU to CDP 2025-0021 that will not change footprint, architecture or lot coverage of CDP
PROJECT LOCATION: __ 3_45_1_G_arf_ie_1d_s_t c_a_r1s_ba_d_c_a_s2_oo_a ___________________ _
Said fees or deposits and any subsequent fees or deposits are made on behalf of the person, corporation
or partnership named below as the "Financially Responsible Party." With reference to said application
and fees or deposits, the Financially Responsible Party hereby acknowledges and agrees as follows:
1. Said initial payment, deposit, and any subsequent payments or deposits shall be held by the city
in an account under the name of the project and/or Financially Responsible Party, and the funds
remaining in said account at the completion of work or withdrawal of the application shall be
refunded to the Financially Responsible Party at the address below. In the case that the
Financially Responsible Party transfers ownership of the subject property and wishes to transfer
responsibility of the Deposit Account to the new owner, a Change of Financial Responsibility
Form must be completed to authorize transfer of ownership of funds in said account (Section 3
of this document). The Financially Responsible Party may contact the assigned planner to
request a new form.
Page 1 of 3
P-1(J) Form Rev 7/2023
2. All costs incurred by the city in processing said application, including overhead, whether within
or over the is the Financially Responsible Party's personal obligation and shall not be affected by
sale or transfer of the property subject to the application, changes in Financially Responsible
Party's business organization, or any other reason. "Costs incurred by the city" as identified in
this paragraph may include costs for the services of an outside contractor for third party review,
including environmental evaluation. Where the City Planner determines it is necessary to
engage the services of an outside contractor to assist with application processing, costs for such
services are to be paid by the Financially Responsible Party in the same manner identified
above.
3. If the Financially Responsible Party withdraws an application, the City Planner will cease
processing of the application within one day and will proceed with the case closure process. The
Financially Responsible Party is responsible for all case closure costs. Case closure costs will be
minimized to the maximum extent practicable.
The Financially Responsible Party is a (check one):
JApplicant □ Property Owner igent □Other: _____________ _
Financially Responsible Party's Legal Name: __ R_em_o_de_1_s0_1u_tio_n_s_lnc_o_BA_s_p_ac_es_R_e_ne_w_ed ____ _
Address: __ 1_1o_?_s_c_oa_s_tH_ig_hw_a_y _______________________ _
City: __ oc_e_an_s_ide ____________ State: _c_a __ Zip Code: __ s2_05_4 ___ _
Phone:--------------Cell Phone: ___ 7_6_o-_7o_3_-7_ss_6 ______ _
Email: ___ m_bo_o_th_®_sp_a_ce_s,_en_e_we_d_.c_om _____________________ _
By signing below, I/We have read this form and agree to all terms and limitations provided for
application intake and processing. I understand and agree that as the Financially Responsible Party, I/We
are responsible for payment of all fees associated with this project including all hourly or other fees
which might accrue during the review and/or post-issuance whether the permit issued or whether the
application is canceled or denied before the permit is issuedC f;._
Financially Responsible Party Signature:---~---------Date: __ 1_01_27_12_5 __
Print Name: ___ M_a_,s_ha_11_s_oo_th _______________________ _
The information about the Financially Responsible Party provided above must be 100% accurate. If there
is a refund, the check will be mailed to the name and address stated below. If the information stated on
this form is inconsistent with our system, the Financially Responsible Party must clarify and correct
before the application can be deemed complete. Also, a Letter of Authorization (LOA) is required if the
Financially Responsible Party is a "company", stating that the Agent has the authority to complete and
sign this form.
Page 2 of 3
P-1 (J) Form Rev 7/2023
PART B. Change in Assignment (New Responsible Party)
This portion of the submittal form is to be completed when the Financially Responsible Person changes
during the course of processing the application with the City of Carlsbad.
Transferring from (to be completed by current Financially Responsible Party):
I, __________________ _, hereby assign and transfer all rights and financial
responsibilities for the following application:
PROJECT NAME: _________________________ _
BRIEF PROJECT SUMMARY: ______________________ _
PROJECT LOCATION: _______________________ _
PLANNING CASE NOS.: _______________________ _
Current Financially Responsible Party Signature: ________________ _
Print Name: ___________________ Date: _______ _
Acceptance of Transfer (to be completed by the new Financial Responsible Party):
I, ____________ _, hereby accept financial responsibility for the above-mentioned
project from ___________ (FRP, Part A.), effective date _____ _
New Financially Responsible Party's Legal Name: ________________ _
Address: ______________________________ _
City: _______________ State: ____ Zip Code: _______ _
Phone: ______________ Cell Phone: ____________ _
Email:--------------------------------
New Financially Responsible Party Signature: _________________ _
To be stapled/attached with receipt to the application and shall be effective until replaced or revoked in
writing.
Page 3 of 3
P-1 (J) Form Rev 7/2023
{'city of
Carlsbad
MINOR
COASTAL DEVELOPMENT PERMIT/
SINGLE FAMILY RESIDENCE
APPLICATION
Development Services
Planning Division
1635 Faraday Avenue
(442) 339-2610
www.carlsbadca.gov P-6
A proposed project requiring application submittal must be submitted by appointment*.
Please call 442-339-2600 to make an appointment.
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
All joint application exhibits, i.e. Tentative Map and Planned Development Site Plan should be prepared
at the same scale. (Use a scale no smaller than 1" = 40'.)
I. GENERAL BACKGROUND
A. Estimated Cost of Development:
Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit.
The City Planner shall make the final determination regarding a project's cost of development.
The primary basis for determining cost of development will be the application of dollar costs per
square foot for different types of residential construction. These costs are set by the
International Conference of Building Officials (ICBO) and are applied throughout San Diego
County.
Please complete the following information to assist in the determination of this project's cost of
development (Contractor proposals may also be submitted for consideration by the City
Planner). Please refer to the current fee schedule for the appropriate $/square foot fee rate.
⇒ New Residential Square Footage:
ss?st square feet x $ $458 /sq. ft.= $ __ $_3o_s,_4a_s _____ _
⇒ Residential Addition Square Footage:
______ squarefeetx$ ____ /sq.ft. =$ _________ _
⇒ Any Garage Square Footage:
______ square feet x $ ____ /sq. ft.=$ _________ _
⇒ Residential Conversion Square Footage:
______ square feet x $ ____ /sq. ft.=$ _________ _
⇒ Please contact the City of Carlsbad Building Division for current fee rate for Non
Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse
uses.)
______ square feet x $ __ /sq. ft. = $ ___________ _
COST OF DEVELOPMENT ESTIMATE:$ ___________ _
B. Do you wish to apply for:
1. A Minor Coastal Development Permit (Under $60,000 cost estimate) D
2. A Coastal Development Permit ($60,000 or more cost estimate) D
C. Street address of proposed development
P-6 Page 1 of 7 Revised 9/24
D. Assessor's Parcel Number of proposed development
204-2 4-04-0
E. Development Description: Adding 667 sf ADU to CDP 2025-0021 New Single Family Two Story 3,378 sf home with
attached 627sf garage, with covered porch 337sf. ADU, is to be 1 bed, 1 bath, with small Briefly describe pro ject: __ .;_ki.;.;;tc;.;;he;.;_n;..;;/la;;..;;u;.;;nd;;...ry"-. ..;..A.;;;;D_;;_U..;.;isc.;;a;;;;;tta;;;..;cc..;.he;;.;d;..;to;;_t.;;..;h;;_e ;.;;ho;.;;;u..;;.;se;_:., ..;;;;an.;.;;d...cfa;;;;ll;;_s .;;_wi..;..th..;;.en..;..t;;..;he;;_f..;;.o.;;..;ot"-'pr"'in.;_;t m.;.;.;a;;;;in.;_;r_;;_es;.;_id;;.;;e.;;_nc;;.;;e.;_. -
F. Describe the present land uses (i.e. vacant land, single family homes, apartments, offices,
etc.) that surround the proposed development to the:
North: single Family
South: Single Family mostly, some small mutli unit ------------------------------------East: __ s_i n_g _1 e _F_a m_i_l Y _______________________________ _
West:_s_in_gl_e_Fa_m_il_Y _______________________________ _
G. Is project located within a 100-year flood plain? OYes ~ No
II. PRESENT USE OF PROPERTY
A. Are there existing structures on the property? ~Yes D No
If yes, please describe.
Existing Single Family 1,422 sf home with detached 447 sf garage
B. Will any existing structure be removed/demolished? ~ Yes D No
If yes to either question, describe the extent of the demolition or removal, including the relocation
site, if applicable (also show on plans). The Demo of the Existing Single Family 1,422 sf home with
detached 447 sf garage
Ill. LOT COVERAGE
P-6
A. Existing and Proposed
Existing Proposed
Building Coverage sq. ft. sq. ft.
Landscaped Area sq. ft. sq. ft.
Hardscape Area sq. ft. sq. ft.
Area (Left Natural) sq. ft. sq. ft.
Under CDP 2025-0021 Existing 1,422 sf home with detached garage of 447 sf is being replaced with 4,045 sf which
includes in its footprint 667 sf of a ADU. The garage is 627 sf under the Main CDP Permit. No additional landscape,
hardscape, or unimproved land is affect with the ADU, nor the building Coverage.
Page 2 of7
Total
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Revised 9/24
%
%
%
%
P-6
8. Parking: Number of existing spaces 2 garage, 2 driveway
Number of new spaces proposed 2 garage, 3 driveway
Existing/Proposed TOTAL: __ 4_vs_5 ____ _
Number of total spaces required ___ 2 ____ _
Number of covered spaces 2
Number of uncovered spaces ____ 3 ____ _
Number of standard spaces
Number of compact spaces
Is tandem parking existing?
Is tandem parking proposed?
5
0
OYes# __ r;dNo
OYes# __ ~No
C. Grade Alteration:
~No Is any grading proposed? D Yes
If yes, please complete the following:
1. Amount of cut ___________________ cu. yds.
2. Amount of fill cu . yds.
3. Maximum height of fill slope feet
Maximum height of cut slope ______________ feet 4.
5. Amount of import or export cu. yds.
6. Location of borrow or disposal site _________________ _
Very Minor Grading for Footprint of main house under CDP 2025-0021. ADU is in the footprint of the main house.
Page 3 of 7 Revised 9/24
The following materials shall be submitted for each single family residence/minor coastal development
permit application.
If you have any questions regarding application submittal requirements (i.e., clarification regarding
a specific requirement or whether all requirements are necessary for your particular application)
please call (760) 602-4610.
I. REQUIRED PLANS (All required plans shall be collated into complete sets, stapled together,
then folded to 9" x 12" with lower right-hand corner of plan visible.)
P-6
A. SITE PLAN -Four (4) copies for a Minor Coastal Development Permit, four (4) copies for a
Single Family Coastal Development Permit on 24" x 36" sheet(s). Five (5) copies if landscape
review is required. Each site plan shall contain the following information:
1. GENERAL INFORMATION ri.. Name, address, and phone number of registered civil engineer, licensed surveyor,
b. Location, size and use of all easements. ~ landscape architect or land planner who prepared the maps/plans.
c. Dimensions and locations of: access, both pedestrian and vehicular, showing service
areas and points on ingress and egress, off-street parking and loading areas showing
location, number and typical dimension of spaces, and wheel stops.
d. Distance between buildings and/or structures.
e. Building setbacks (front, rear and sides).
f. Location, height and materials of walls and fences.
g. Dimensions/location of ground-mounted signs.
h. Indicate location and layout of Photovoltaic (PV) systems as required per Ordinance No.
CS-34 7. Show locations for roof mounted and ground mounted systems and include power
(KWdc) of each separate PV system.
~i. Indicate location and layout of Electric Vehicle parking spaces/charging stations. Callout
EV Charging Stations, EV Ready, EV Capable as required per CMC Title 18.21.120-150.
~j. Indicate method (PV-heat pump, solar) that satisfies hot water heating requirements per
Ordinance No. CS-347.
~k. A ummary table of the following (if applicable to the application):
(1) Street address and assessor's parcel number.
2) Site acreage.
3) Existing Land Use Designation and Zoning.
(4) Proposed land use.
(5) Total building coverage (in square feet and as a percent).
(6) Percent of site to be landscaped.
(7) Number of parking spaces required/provided.
8) Square Footage of open or recreational space (if applicable).
(9) Cubic footage of storage space (if applicable).
(10) Climate Action Plan (CAP) Compliance (results from Section I1.D ~w)
(a) Consistent with existing General Plan Land Use and Zoning c:t::710
i. GHG Study required? -yeslio'I
(b) Energy Efficiency requirement -yesfno
(c) Photov:;aic requirement -yes/no
i. KW-de roof mounted
ii. ___ KW-de ground mounted
iii. ___ KW-de total project
(d) Electric Vehicle Charging requirement yes/no
i. ____ # EV Chargers
ii. Depicted on Plans # EV Ready
iii. ____ # EV Capable
(e) Hot Water Heating requirement ye~
(f) Traffic Demand Management Req~~ yee
Page 4 of7 Revised 9/24
~I. All applicable Fire Suppression Zones as required by the City's Landscape Manual.
B. GRADING AND DRAINAGE PLANS: Grading and drainage plans must be included with this
application. In certain areas, an engineering geology report must also be included. Please
consult the Planning Division and Land Development Engineering Division representatives for
a determination on any grading plan geotechnical requirements if the project is in an overlay
zone. The following information shall be submitted at a minimum: 01 . Approximate contours at 1' intervals for slopes less than 5%; 2' intervals for slopes
between 5% and 10%; and 5' intervals for slopes over 10% (both existing and proposed).
Existing and proposed topographic contours within a 100-foot perimeter of the boundaries
of the site. Extend contours sufficiently out from the site to adequately show the adjacent
~ floodplain (if applicable).
2. Earthwork volumes: cut, fill, import and export.
3. Spot elevations at the corners of each pad.
4. Method of draining each lot. Include a typical cross section taken parallel to the frontage
_J for lots with less than standard frontage.
~5. Location, width and/or size of all watercourses and drainage facilities within and adjacent
to the proposed subdivision; show location and approximate size of any proposed
/ detention/retention basins.
~6. Clearly show and label the 100 year flood line for the before and after conditions for any
project which is within or adjacent to a FEMA flood plain.
C. BUILDING ELEVATIONS AND FLOOR PLANS -Four (4) copies for a Minor Coastal
Development Permit and four (4) copies a Single Family Coastal Development Permit prepared
on 24" x 36" sheet(s). Each building elevation and floor plan shall include the following
l~mr~~~~ion and size of storage areas.
2. All buildings, structures, wall and/or fences, signs and exterior lights.
3. Existing and proposed construction.
4. Provide documentation demonstrating compliance with City Council Policy 44 -
Neighborhood Architectural Design Guidelines (if applicable).
~5. Building Heights of all structures (top of roof and top of roof projections)
D. CONCEPTUAL LANDSCAPE PLANS -Five (5) copies of the site plan shall be submitted if
applicable. To determine if a landscape plan is required, consult Chapter 1-Applicability in the
Landscape Manual.
COLORED SITE PLAN AND ELEVATION PLAN -Not required with first submittal. It is the Applicant's
responsibility to bring one ( 1) copy of a colored site plan and one ( 1) set of colored elevations to the
Planning Division by 12:00 noon, eight (8) days prior to the Planning Commission meeting. Do
not mount exhibits.
II. REQUIRED DOCUMENTS AND SUBMITTAL ITEMS
DA A completed Land Use Review Application Form.
OB. Completed Coastal Development Permit Application .
DC. Environmental Impact Assessment Part 1 with Coastal Development Permits. Check with
Planning staff regarding Minor Coastal Development Permits and Single Family Coastal
Development Permits for any environmental review requirements.
DD. Climate Action Plan (CAP) Checklist -See form P-30 -Complete form to demonstrate project
compliance with the CAP. Applicable measures identified in checklist must be incorporated into
project design features and data incorporated into the Summary Table .
DE. Disclosure Statement.
OF. Two (2) copies of the Preliminary Title Report (current within the last six (6) months).
OG. Completed "Project Description/Explanation" sheet.
P-6 Page 5 of 7 Revised 9/24
OH. Two copies of a completed and signed "Storm Water an ar Q estionnaire" (form E-34).
This form can be found on the City's website. (Distribute copy to Land Development
Engineering).
01. If, when completing the Storm Water Standards Questionnaire, the project is subject to
"Standard Project," requirements, submit a completed and signed "Standard Project
Requirement Checklist" (form E-36) in accordance with the City BMP Design Manual per the
City of Carlsbad Engineering Standards, latest version.
OJ. If, when completing the Storm Water Standards Questionnaire, the project is defined as a
"Priority Development Project," submit a preliminary Storm Water Quality Management Plan
(SWQMP) prepared in accordance with the City BMP Design Manual per the City of Carlsbad
Engineering Standards, latest version. Refer to the city's SWQMP template (form E-35).
OK. Property Owner's List and Aaifi.iiiiiiJ Labels:
Minor Coastal Development Permit -required with application submittal
1. A typewritten list of the names and addresses of all property owners within a 100' radius of the
subject property (including the applicant and/or owner), all occupants within a 100' radius of the
subject property, and any applicable Homeowners/Property Owners Association (HOA/POA). The
list shall include the San Diego County Assessor's parcel number from the latest assessment rolls.
2. Two (2) separate sets of mailing labels of the property owners within a 100' radius of the subject
property, all occupants within a 100' radius and the applicable HOA/POA. The list must be typed
in all CAPITAL LETTERS, left justified, void of punctuation. For any address other than single
family residence, an apartment, suite or building number must be included on a separate line -DO
NOT include it on the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON
LABELS. DO NOT provide addressed envelopes -PROVIDE LABELS ONLY.
Sample labels are as follows :
UNACCEPTABLE
Occupant
123 Magnolia Ave., Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave., Apt. #3
Carlsbad.CA 92008
UNACCEPTABLE
Occupant
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
ACCEPTABLE
OCCUPANT
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
ACCEPTABLE
MRS. JANE SMITH
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
3. 100' Radius Map: A map to scale not less than 1"=200' showing each lot within 100' of exterior
boundaries of the subject property. Each of these lots shall be consecutively numbered and
correspond with the property owners list. The scale of the map may be reduced to a scale
acceptable to the City Planner if the required scale is impractical.
P-6 Page 6 of? Revised 9/24
•
Coastal Development Permit -Single-Family Residence/Appealable Area -When the application
is tentatively scheduled to be heard by the decision-making body, the project planner will contact the
applicant and advise him to submit the radius map, two sets of the property owners list and labels.
The applicant shall be required to sign a statement certifying that the information provided
represents the latest equalized assessment rolls from the San Diego County Assessor's Office.
The project will not go forward until this information is received.
1. A typewritten list of the names and addresses of all property owners within a 600' radius of the
subject property (including the applicant and/or owner), all occupants within a 100' radius of the
subject property, and the applicable Homeowners Association (HOA). The list shall include the San
Diego County Assessor's parcel number from the latest assessment rolls .
2. Two (2) separate sets of mailing labels of the property owners within a 600' radius of the subject
property, all occupants within a 100' radius and the applicable HOA. The list must be typed in all
CAPITAL LETTERS, left justified, void of punctuation. For any address other than single-family
residence, an apartment, suite or building number must be included on a separate line. DO NOT
include it on the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON
LABELS. DO NOT provide addressed envelopes -PROVIDE LABELS ONLY. Acceptable fonts
are:
Arial 10, Enterprise TM or Courier NEW (TT) no larger than 11 pt. Sample labels are as follows:
UNACCEPTABLE
Occupant
123 Magnolia Ave., Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave., Apt. #3
Carlsbad,CA 92008
UNACCEPTABLE
Occupant
123 Magnolia Ave.
Apt. #3
Carlsbad,CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
ACCEPTABLE
OCCUPANT
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
ACCEPTABLE
MRS. JANE SMITH
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
3. 600' Radius Map: A map to scale not less than 1 "=200' showing each lot within 600' of exterior
boundaries of the subject property. Each of these lots shall be consecutively numbered and
correspond with the property owners list. The scale of the map may be reduced to a scale
acceptable to the City Planner if the required scale is impractical.
P-6 Page 7 of ? Revised 9/24
Development Services
Planning Division
1635 Faraday Avenue
(442) 339-2610
www.carlsbadca.gov
PURPOSE
CLIMATE ACTION PLAN
UPDATE CONSISTENCY
CHECKLIST P-30
{'Cityof
Carlsbad
In November 2024, the City of Carlsbad adopted a Climate Action Plan (CAP) Update 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 CAP Update are achieved.
Implementation of these measures will ensure that new development is consistent with the CAP Update's
assumption for relevant CAP Update 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 Update, in accordance with CEQA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b).
This checklist is intended to assist project applicants in identifying CAP Update ordinance and consistency
requirements and demonstrate how their project fulfills those requirements. This checklist is to be
completed and included in applications for new development projects that require discretionary review.
The specific applicable requirements outlined in the checklist shall be required as conditions of project
approval for CAP Update compliant projects with streamlined GHG emissions assessments. This checklist
(i.e. Form P-30) is complementary to the checklist provided in Form B-50, which is specific to building
permits and required for building permit applications.
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 Update-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 Update 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 Update ordinance requirements are available on the city's website.
P-30 Page 1 of 8 Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
STEP 1: LAND USE CONSISTENCY
The first step in determining CAP Update consistency for discretionary development is to assess the project's
consistency with the growth projections used in the development of the CAP Update. This section allows the city
to determine a project's consistency with the land use assumptions used in the CAP Update. Projects found not to
be consistent with the CAP Update's land use assumptions 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 Update ordinance and consistency requirements identified in Step 2 of this
checklist.
k • 9 ·• ~, 0 ,, , 0 ,,. • 0 • > , • ' , >
. ' ·• , . ~
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/or Housing Element, and specific/master plan
or zoning designations? OR,
If the 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 "Yes", 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 Climate Action Plan Update.
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 Update 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 GHG 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 8 Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
STEP 2: CAP UPDATE ORDINANCE COMPLIANCE REQUIREMENTS
Completion of this checklist will document a project's compliance with CAP Update ordinances, and in turn,
demonstrate consistency with the applicable measures and actions of the CAP Update. 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 and the
Housing Element Update EIR.
,, . • ~ ~ ) -" .. ' . . .. . . ., . .
J.:~~~~V :;;' •: • ,:.(~,., • _..', • • •. ! l • ., ';
Project No./Name: Golz Residence ADU
Property
Address/APN : 3451 Garfield St, Carlsbad CA 92008/204-234-04-00
Applicant Name/Co.: Remodel Solutions Inc OBA Spaces Renewed
Applicant Address: 1107 S Coast Hwy Oceanside Ca 92054
Contact Phone: 760-703-7996 Contact Email: mbooth@spacesrenewed.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
Contact Phone:
Contact Email:
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.
Alterations:
□ BPV < $60,000
BPV;::: $60,000 ~ Electrical service panel upgrade
□ BPV ~ $200,000
□ BPV ~ $1,000,000
□ New construction (pre-January 1, 2026)
P-30
N/A
1Aand4A
4A
lA and 4A
28
Page 3 of 8
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
Multi-family dwellings only where ~$1,000,000 BPV AND
affecting ~75% existing floor area
Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
□ New construction (post January 1,
2026)
□ Alterations:
□ BPV ~ $200,000 or additions~
1,000 square feet
1B, 1D,2B,3B,4B,5
and6A
18,5
□ BPV ~ $1,000,000 1B, 2B and 5 Building alterations of~ 75% existing gross fl oor area
□ ~ 2,000 sq. ft. new roof addition 2B and 5 1B also applies if BPV ~ $200,000
Please refer Carlsbad Ordinance No. CS-437 for more information when completing this section.
A. Residential addition or alteration ~ $60,000 building permit valuation.
See Ord. CS-437.
Year Built Single-family Requirements
~Before 1978 Select one:
/Attic insulation □ Duct sealing D Cool roof
□ 1978 and later Select one:
□ Lighting package □ Water heating package
□ Between 1978 and 1990
□ 1991 and later
B. D Nonresidential* new construction or alterations 2'. $200,000 building permit valuation,
or additions~ 1,000 square feet.
See CALGreen Appendix AS, as amended in CS-437.
P-30 Page 4 of 8
□ N/A _________ _
□ Exception: Home energy score 2'. 7
(attach certification)
Multi-family Requirements
□ Attic insulation
Select one:
□ Attic insulation □ Duct Sealing
Select one:
□ Cool roof
□ Lighting package □ Water heating package
□ N/A _________ _
Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
AS.)03.1.1.1
!ifoutdoor lighting: .90 Allowed Outdoor Lighting Power □ N/A
AS.203.1.1.2
D Restaurant service water heating (comply with California Energy Code Section 140.5, as amended)
AS.203.1.2.1
Choose one as applicable: D .95 Energy budget D .90 Energy budget
AS.211.1. **
.lcin-site renewable energy □ N/A
AS.211.3**
D Green power (if offered by local utility provider, 50% minimum renewable sources) JN/A
AS.212.1
D Elevators and escalators J N/A
AS.213.1
D Steel framing ' N/A ________ _
* Includes hotels/motels and high-rise residential buildings
** For alterations ~ $1,000,000 BPVand 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.
D Residential new construction. Refer to Carlsbad Ordinance No. CS-437 for requirements, which amends Section 150.l(c) of the CEC for single-family residential; and Section
-;i • • T. •• ' t • ' • . .
.\.. • 4 ' -'
170.2(d) of the CEC for multi-family requirements. Note: if project includes installation of an electric heat pump water heater pursuant to Carlsbad ordinance CS-447, increase
system size by .3kWdc if PVoffset option is selected.
Floor Plan 10 (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
D
D
D
D
kWdc
A. D Nonresidential and hotel/motel new construction; or major alterations to nonresidential, hotel/motels, and multi-family residential ~$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-437 when completing
this section.*
Choose one of the following methods:
D Gross Floor Area (GFA) Method
GFA:
□If< 10,000s.f. Enter: 5 kWdc
P-30
Min. System Size: ___ kWdc
Page 5 of 8 Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
□ If 2: 10,000s.f. calculate: 15 kWdc x (GFA/10,000) **
**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.
* New CEC standards also require battery storage systems meeting the requirements if Reference Joint Appendix JA12 of the CEC.
Please refer to Carlsbad Ordinance CS-437 when completing this section.
□ For systems serving individual dwelling units and achieving 60% of energy needed from on-site solar or recovered energy,
choose <j"e:
~ingle 240-volt heat pump water heater AND compact hot water distribution AND Drain water heat recovery (low-
rise residential only)
□ Single 240-volt heat pump water heater AND PV system .3 kWdc larger than required.
□ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher.
□ Solar water heating system with electric backup that is either .60 solar savings fraction of 40 s.f. solar collectors.
□ Gas or propane system with a solar water heating system and recirculation system
□ Exception:
□ For systems serving multiple dwelling units and achieving 60% of energy needed from on-site solar or recovered energy,
install a central water-heating system with all of the following:
□ Recirculation system
□ Solar water heating system that is either:
□ .20 solar savings fraction
□ .15 solar savings fraction, plus drain water heat recovery
□ Exception:
8. D Nonresidential new construction
Please refer to Carlsbad Ordinance CS-437 when completing this section.
D Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal □ Photovoltaics
□ Water heating system is (choose one):
□ Heat pump water heater
□ Electric resistance water heater(s)
□ Solar water heating system with .40 solar savings fraction
□ Exception:
P-30 Page 6 of 8
□ Recovered energy
Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
A. Residential -New construction and major alterations*
Please refer to Carlsbad Ordinance CS-437 when completing this section.
□~ne and two-family residential dwelling alterations with no electrical panel upgrade (No EV space required)
~ ADU (no EV space required when no additional parking faciliti es are added)
□ 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 for New Capable Ready
Construction (10% of proposed) (25% of proposed)
Total Proposed or Altered Capable ---
Spaces (Major (10% of proposed)
Alterations)**
Calculations: Total EVSE spaces= .10 xTotal parking (rounded up to nearest whole number)
EVSE Installed= Total EVSE Spaces x .SO (rounded up to nearest whole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capable," "Ready'' or "Installed.")
Installed Total
(5% of proposed)
---Total
*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.
**When new parking facilities are added, or electrical systems or lighting to existing parking facilities are added or altered and the work requires a building
permit, 10% of the total number of parking spaces or altered shall be EV Capable. This is NOT a CAP Update checklist requirement, but is included to coordinate
CEC compliance early in the planning process
B D Nonresidential new construction (includes hotels/motels) D Exception·
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 (Capable) Number of required EVSE Installed Spaces
□ 0-9 1 1
□ 10-25 4 1
□ 26-50 8 2
□ 51-75 13 3
□ 76-100 17 5
□ 101-150 25 6
□ 151-200 35 9
□ 201 and over 20 percent of total 25 percent of EV Capable
P-30 Page 7 of 8 Revised November 2024
Carlsbad Climate Action Plan Update Consistency Checklist
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 ADTTable.
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.ll 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 □ No □
LDE Staff Verification: □ ______ (staff initials)
Will the project reduce 50% of emissions from project
construction activities through use of electric-powered
or alternatively-fueled construction equipment, if
requirements are adopted and effective?
Check N/A only if the project does not include any construction activities and/or the alternative-fuel construction equipment ordinance has not been adopted yet (estimated
adoption year 2035). A preliminary plan must be submitted to city staff showing anticipated construction equipment use and a quantified roadmap to reduce emissions.
P-30 Page 8 of 8 Revised November 2024
~ Cicyof
Carlsbad
Certificate of Accuracy
P-37
Development Services
Planning Division
1635 Faraday Avenue
(442) 339-2610
www.carlsbadca.gov
Golz Residence ADU Project Name _________ _
Type of perm it(s) applying for Minor Coastal Development Permit
P-37
CITY OF CARLSBAD -PLANNING DIVISION
CERTIFICATE OF ACCURACY
I certify all documents and plans clearly and accurately show all existing and
all proposed buildings, structures, access roads, and utilities/utility
easements. All proposed land use activities, improvements to land, and/or
building modifications or additions are clearly labeled on the site plan of the
approved plan set. I understand that any potentially existing detail within
these plans inconsistent with the site plan are not approved and may be
required to be altered or removed. The submitted documents and plans show
the correct dimensions of the property, the buildings, and structures and their
setbacks from property lines and from one another, access roads/easements,
and utilities. The existing and proposed use of land and of each building as
stated is true and correct. Further, all improvements existing on the property
were completed in accordance with all regulations in existence at the time of
their construction, unless otherwise noted. All easements and other
encumbrances to development have been accurately shown and labeled as
well as all on-site grading/site preparation.
Applicant: jt L ~ Date: _ _.1..._.0,2....._z,2 ..... s __ _
Page 1 of 1 Rev. 2/2022
C_cityof
Carlsbad
HOUSING DECLARATIONS
P-38
[§ APPLICATION INFORMATION
Development Services
Planning Division
1635 Faraday Avenue
442-339-2600
www.carlsbadca.gov
This submittal form (Part A and Part B) is to be completed as part of your application with the City of Carlsbad.
Part A and Part B form must be completed in conjunction with all development project applications that demolish
existing residential units. Your project cannot be reviewed until this information is completed. Part C of this form
is to be completed only if required based on the responses to Part A.
The Housing Crisis Act (Government Code § 66300) among other relevant state housing laws, requires housing
projects that will demolish an existing residential unit to construct at least the same number of units. If the project
demolishes a "protected" unit, as specified below, additional provisions apply. See Government Code§ 66300 for
replacement and relocation provisions and refer to the city's Informational Bulletin (IB-199) for more information.
Housing projects that demolish existing residential units or build on a site that has had units demolished in the
last five years are required to replace them with a project that will "include at least as many residential dwelling
units as the greatest number of residential dwelling units that existed on the project site within the last five years."
New projects are also required to include deed-restricted, affordable units if there are, or have been any
"protected units" on the project site, by which the replacement units may also be used to concurrently satisfy
affordable units required by State Density Bonus Law and/or the city's lnclusionary Housing Ordinance. "Protected
units" are defined below. In addition, existing residents shall be allowed to remain until 6 months before
construction begins, and displaced residents shall be provided relocation benefits that are equivalent to the
relocation benefits required to be paid by public entities and a right of first refusal for a comparable unit in the
new housing project or in any required replacement units associated with nonresidential development at an
affordable rent for a minimum term of 55 years.
"Protected Units" include:
• Any units that had a low-income deed-restriction for any ofthe previous five years
• Any units that were subject to local rent control for any of the previous five years
• Any units that were rented by a tenant who was low income for any ofthe previous five years
• Any units that were removed from the market per the Ellis Act (Section 7060) in the previous ten years
To verify income and/or occupancy of tenants within the five years prior to submittal of the application, please
complete a Tenant Income Certification (Form P-38(B)) for each existing unit. Prior to the approval of a new
housing project, or issuance of a demolition permit that is related to a new housing project, for any number of
units, the Property Owner, Applicant, or Agent must complete an income verification form to determine whether
the units proposed for demolition are considered "protected" under the law. If not known, it's assumed that the
existing tenants are low-income.
The required replacement housing for a nonresidential development project may be located on a site other than
the project site but must be located within the city limits and the Applicant may contract with another entity to
develop the required replacement housing. However, this must be considered as part of the same application and
Page 1 of 4
P-38 Form Rev 12/2024
the "whole of the action," and other otherwise processed concurrently. Contact arrangements for off-site
replacement housing does NOT mean dividing a project into two or more pieces and evaluating each piece
separately.
NAME OF PROJECT: ___________ G_o_tz_R_e_s_id_e_n_c_e_A_o_u ____________ _
BRIEF SUMMARY OF PROJECT: _a...A_D_D_6_6_7_A_D_U_t_o_C_D_P_2_0_2_1-_0_0_2_1 _d_oe_s_n_o_t_a_ff_ec_t_fo_o_t_p_ri_nt_o_r_l_ot_c_o_v_e_ra_g_e.__ __ _
LOCATION: _____ 3_45_1_G_a_rfi_1e_ld_S_t_re_e_,_t,_C_;a_rl_s-'--ba'-d_C_A_9_2_00_8 ________________ _
CONTACT: IX! Applicant D Property Owner D Agent
I/We declare under penalty of perjury that I/we have reviewed this affidavit and the information furnished is true
and correct.
Signature: ___ >/J--r-='-'---"l'_...tr'-..c..------------------------------
Name: ---'""M'""a=r-=cs-'--'-h=al"--I-=B-=co-=co=th"----------------Date: --+'10~/..,.2'+7+./2eS1-------
To be stapled/attached with receipt to the application and shall be effective until replaced or revoked in writing.
Part A. Pre-Existing Site Conditions
Yes No
1. Is the proposed project located on a site where an existing residential use, □ Ix]
which is subject to a recorded covenant and agreement restricting rents to
levels a affordable to moderate, lower, or very low-income households,
would be demolished as a result of the proposed development?
2. Is the project located on a site where an existing residential use, which has □
been occupied by tenants during the 10-year period prior to your application
submittal, would be demolished as a result of the proposed development?
3. Is the project located on a site where there is an existing mobile home park, □ IR]
recreational trailer park, or travel trailer park?
4. Are there any units on the site that were withdrawn from rent or lease in □ [x]
accordance with the Ellis Act (Government Code Section7060-7060.7) within
the past 10 years?
NOTE: If any of the first three questions are marked as "yes," the Applicant, Property Owner, or Agent must
complete Part C.
Page 2 of 4
P-38 Form Rev 12/2024
Part B. Demolition Information
1. Does the project have a number of proposed units that meets or exceeds the
greatest number of units on the site in the last 5 years?
Yes
□
No N/A
[x] □
NOTE: Pursuant to state law, a housing development project cannot be approved if it requires demolition that
results in a reduction of the total residential units on the site currently or in the last 5 years. Project revisions may
be necessary to show that the project is creating at least as many units as demolished. Non-residential
development projects are not subject to this requirement and may be approved, disapproved, or subject to
conditions of approval in accordance with local requirements.
2. Does the project demolish a single-family home, and does the existing single
family home contain three bedrooms or less, is/are the replacement unit(s)
providing the same number of bedrooms? If the existing single-family home
contained four bedrooms or more, is/are the replacement units providing at
least three bedrooms?
[x] □ □
NOTE: Pursuant to state law, if a "protected unit" is a single-family home, and the proposed housing project is to
replace the single-unit with no more than another one-unit, single-family home, then there is no requirement to
keep the new unit affordable.
Bedroom Count Number of Existing Units Number of Proposed Units
1-bedroom (including studios)
2-bedrooms
3-bedrooms
4-bedrooms
All protected units must be replaced with units of equivalent size as the units demolished, with some exceptions
for single-family homes. Equivalent size means a unit containing the same number of bedrooms as the tenant's
existing apartment, or if the unit being demolished is a single-family home that has at least four bedrooms,
equivalent size means at least a three-bedroom unit. There is no square footage minimum requirement for the
replacement unit.
Page 3 of 4
P-38 Form Rev 12/2024
Part C. Protected Units and Replacement Requirements
NOTE: Part C of this form is required if a "yes" response was provided in Part A. The following questions will help
determine project compliance with the Housing Crisis Act and certain provisions may be incorporated as
requirements applicable to an approved or conditionally approved project. Please complete a Tenant Income
Certification (Form P-38(8)) for each existing unit to complete this portion of the form .
Existing tenants have some limited rights when their home is set to be demolished by a developer. All tenants,
regardless of income level, have a right to stay in their unit until 6 months prior to construction, with proper
notice.
Only low-income tenants are required to be offered relocation assistance and a right of first refusal for the new
unit. Displaced lower-income residents shall be provided relocation benefits that are equivalent to the relocation
benefits required to be paid by public entities and a right offirst refusal for a comparable unit in the new housing
project or in any required replacement units associated with nonresidential development at an affordable rent
for a minimum term of 55 years. If a tenant is required to leave, but then the project does not move forward and
the old units are rented out again, the tenants who were asked to leave are required to be offered a chance to
return and to be allowed to resume paying rent at their previous rent level.
1. Regulatory Covenants: Are there any unit(s) that currently are or were within
the past 5 years subject to a recorded covenant, ordinance, or law that
restricts rents to levels affordable to persons and families of lower income?
This may include inclusionary units under the lnclusionary Housing Program,
units restricted under former conditions of approval, or units otherwise deed
restricted.
2. Rent/Price Control: Are there any unit(s) that currently are or were within the
past 5 years subject to any form of rent or price control through a
jurisdiction's police power?
3. Occupancy: Are there any units being demolished that are currently or were
within the last five years occupied by lower income households?
4. Relocation Benefits: If proposing demolition and replacement of protected
unit(s) that were rented to lower income tenants, have relocation benefits
been offered to existing renters?
5. Right of First Refusal: If proposing demolition and replacement of protected
units that were rented to lower-income tenants, has the tenant been offered
a right of first refusal? Please note that a project that consists of a single-
family home located on a site where a protected single-family home is being
demolished is exempt from this requirement.
Yes
□
□
□
□
□
No N/A
□ □
□ □
□ □
□ □
□ □
Page 4 of 4
P-38 Form Rev 12/2024