HomeMy WebLinkAboutCD 2017-0009; RANCHO CARRILLO REC CENTER; Administrative Permits (ADMIN)•
L11461/
CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITY USE ONLY
C.DOriginal Project Number:6)p civ-io Consistency Determination Number:20 t; co 9
PROJECT NAME:Rancho Carrillo Clubhouse Remodel/Addition
Assessor's Parcel Number(s):2226010700
Description of proposal (add attachment if necessary):264 SF addition to existing clubhouse building; match
existing exterior finishes; modify kitchen layout (no addtional fixtures); new cabinets.
Would you like to orally present your proposal to your assigned staff planner/engineer?Yes ID No
Please list the staff members you have previously spoken to regarding this project.If none, please so state.
Shay Evan
OWNER NAME (Print):Rancho Carrillo HOA APPLICANT NAME (Print): JWC Construction and Consulting
MAILING ADDRESS:6250 Flying Leo Carrillo Lane MAILING ADDRESS:2580 Fortune Way
CITY, STATE, ZIP:Carlsbad, CA 92009 CITY, STATE, ZIP:Vista, CA 92081
TELEPHONE:760.804.5969 TELEPHONE:760.727.2494
EMAIL ADDRESS:jojeda@waltersmanagement.com EMAIL ADDRESS:rhoffman@jwcconstruction.com
*Owner's signature indicates permission to conduct a preliminary
review for a development proposal.
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND OWNER AND THAT ALL THE ABOVE INFpRMATION IS TRUE
ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS AND CORRECT TO THE BEST OF MY KNOWLE.
APPLICATION.I/WE CONSENT TO ENTRY FOR THIS PURPOSE.I
CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KN /LEDGE.lif-71 TelataxaVAr----
3/28/2017
DATE IGNATURE
1146V/M 4 •5pa SIGNATUREDATEvyril
APPLICANT'S REPRESENTATIVE (Print):Russ Hoffman, C/O JWC Construction and Consulting
MAILING ADDRESS:2580 Fortune Way
CITY, STATE, ZIP:Vista,CA 92081
TELEPHONE:949.244.3147 m
EMAIL ADDRESS:rhoffman@jwcconstruction.com
I RTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
O RECT TO H OF MY KNOWLEDGE.
3/28/2017
SIGNATURE DATE
FEE REQUIRED/DATE FEE PAID:-15b
RECEIVED BY:
••.
APR 1 8 2ni7P-16 ••.Page 2 of 2 Revised 08/16
whYM.1....1001.1 111.11111.11111.111
INVOICE (00006824)
BILLING CONTACT (RANCHO CARRILLO MASTER ASSOCIATION City of Carlsbad City of9665 Chesapeake Dr, 300 1635 Faraday Avenue
San Diego, Ca 92123 Carlsbad, CA 92008-7314 Carlsbad
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
00006824 04/18/2017 04/18/2017 Due NONE•
REFERENCE NUMBER FEE NAME TOTAL
CD2017-0009 CONSISTENCY DETERMINATION (PLN)$733.00
SUB TOTAL $733.00
TOTAL $733.00
1111111 I(III III 11111111111 0111111111111111111111111
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1710801 -1 04/18/2017 32
Tue,Apr 18,2017 08:31 AM
Receipt Ref Nbr:R1710801 -1/0008
ENERGOV -ENERGOV
Tran Ref Nbr:171080101 0008 0009
Trans/Rcpt#:00006824
SET #:00006824
Amount:1 1 $733.00
Item Subtotal:$733.00
Item Total:$733.00
1 ITEM(S)TOTAL:$733.00
Credit Card (Auth#046658)$733.00
Total Received:$733.00
Have a nice day!
**************CUSTOMER COPY*************April 18, 2017 8:29 am
•.