HomeMy WebLinkAboutCDP 12-16A; GIBBS ADDITION; Coastal Development Permit (CDP)fty o LAND USE REVIEW Development Services
Planning Division
Carlsbad APPLICATION 1635 Faraday Avenue
P-1 (760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR:(CHECK BOXES)
Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY)
Coastal Development Permit 7 Minor `a_/6 /1T
0 General Plan Amendment
El Conditional Use Permit
Minor 0 Extension 0 Local Coastal Program Amendment
lD Day Care (Large) Master Plan El Amendment
Environmental Impact Assessment 0 Specific Plan 0 Amendment
GI Habitat Management Permit El Minor ID Zone Change
0 Hillside Development Permit El Minor Zone Code Amendment
0 Nonconforming Construction Permit South Carlsbad Coastal Review Area Permits
El Planned Development Permit El Minor El Review Permit
1=I Residential 0 Non-Residential 0 Administrative Minor 0 Major
0 Planning Commission Determination
0 Reasonable Accommodation Village Review Area Permits
0 Site Development Plan El Minor 0 Review Permit
0 Special Use Permit 0 Administrative 0 Minor Major
GI Tentative Parcel Map (Minor Subdivision)
E]Tentative Tract Map (Major Subdivision)
0 Variance ID Minor
NOTE:A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M.
ASSESSOR PARCEL NO(S).:at /0 /0 —00
PROJECT NAME:9;bi).T Ado6-jobr)
BRIEF DESCRIPTION OF PROJECT:Iticlied.of S).-/.•„.‘ex-{
BRIEF LEGAL DESCRIPTION:
LOCATION OF PROJECT:On STREET ADDRESS
ON THE:SIDE OF
(NORTH, SOUTH, EAST, WEST)(NAME OF STREET)
BETWEEN AND
(NAME OF STREET)(NAME OF STREET)
P-1 Page 1 of 6 Revised 03/16
•••••••••••
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OWNER NAME
,c.A pi(Print):ilribbt F.4"11./T APPLICANT NAME (Print):-i-
MAILING ADDRESS:__677c .c4..„re_hn MAILING ADDRESS:
CITY,STATE,ZIP:Cry. is/„di_CA ci ..2.00 7 CITY, STATE, ZIP:
..)TELEPHONE 9‘0 -I/U.-97'19 TELEPHONE:
EMAIL ADDRESS:,4 ivy;a fb.b,CL.-9 /•C e4'11 EMAIL ADDRESS:
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE.I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE.
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
P
c
SE HIS P !CATION.
3Y ti 41 (4( ‘SIG URE D E SIGNATURE DATE
•
APPLICANTS REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
•
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
SIGNATURE DATE
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION.I/WE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION:PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH
THE L 'i 9 AND =1 9 'NY SUCCESSORS IN INTEREST.
.
1
•--'"--"--OWNER SIGNATURE
FOR CITY USE ONLY
RECEIVED
AUG 16 2016
CITY OF CARLSBAD
DA-FELADINIWPIDIINABOI\REcEivED
RECEIVED BY:
6f.s carcie.....
P-1 .Page 2 of 6 Revised 03/16
Development Services
City of DISCLOSURE STATEMENT Planning Division
Carlsbad P-1(A)1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the City Council or any appointed Board, Commission
or Committee.
The following information MUST be disclosed at the time of application submittal.Your project
cannot be reviewed until this information is completed. Please print.
Note:
Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal
organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county,
city municipality, district or other political subdivision or any other group or combination acting as a unit'
Agents may sign this document; however, the legal name and entity of the applicant and property owner
must be provided below.
1.APPLICANT (Not the applicant's agent)
Provide the COMPLETE.LEGAL names and addresses of ALL persons having a
financial interest in the application. If the applicant includes a corporation or partnership,
include the names,titles,addresses of all individuals owning more than 10%of the
shares.IF NO INDIVIDUALS OWN MORE THAN 10%OF THE SHARES,PLEASE
INDICATE NON-APPLICABLE (N/A)IN THE SPACE BELOW.If a publicly-owned
corporation,include the names,titles,and addresses of the corporate officers.(A
separate page may be attached if necessary.)
Person Atilie'e (A)6 g GI'SCorp/Part
Title 7-
441-11-rC Title
Address 6(ctr SthriLS Mit/La AddressCokylaRA-0, 44,12-064'
2.OWNER (Not the owner's agent)
Provide the COMPLETE.LEGAL names and addresses of ALL persons having any
ownership interest in the property involved.Also,provide the nature of the legal
ownership (i.e.,partnership,tenants in common,non-profit,corporation,etc.).If the
ownership includes a corporation or partnership, include the names, titles, addresses of
all individuals owning more than 10% of the shares.IF NO INDIVIDUALS OWN MORE
THAN 10%OF THE SHARES,PLEASE INDICATE NON-APPLICABLE (N/A)IN THE
SPACE BELOW.If a publicly-owned corporation,include the names,titles,and
addresses of the corporate officers.(A separate page may be attached if necessary.)Cat)ca t 6 GS
Person C t 4 9SFAsm Li TPA+Vr Corp/Part M /
Title OW 4 14.Title
Address SIRSStivAS 11435 Address
Cs4b4A-.56A-01 Cole ,et Rood'
P-1(A)Page 1 of 2 Revised 07/10
,..1111116101illielo
3.NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust,
list the names and addresses of ANY person serving as an officer or director of the non-
profit organization or as trustee or beneficiary of the.
Non Profit/Trust c•blys Fikrut.1.4 le"r Non Profit/Trust
Title BOVOE)‘b6S •Oi•oweit—irfUrecTitle
Address S16 C Sidettc Deco a Address
c.0.4t s 446 eis,etzear
4.Have you had more than $500 worth of business transacted with any member of City
staff,Boards,Commissions,Committees and/or Council within the past twelve (12)
months?
nYes MI No If yes, please indicate person(s):
NOTE:Attach additional sheets if necessary.
I certify that all the above information is true and correct to the best of my knowledge.
(GI I (0
Signature of owner/date Signature of applicant/date
Bcu w•a (1.,14
Print or type name of owner Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
P-1(A)Page 2 of 2 Revised 07/10
4._City of PROJECT DESCRIPTION Development Services
Carlsbad P-1(B)Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PROJECT NAME:Gc 6(41 QeStOeKee iitl"Cf44.34 beck Arcicet-ne.ta (12evcsccrt4S)
APPLICANT NAME:Gras +S Fc14.44 t 1y TPA) ser,g RAAte a (Io6.7-4.0.1.TEE
Please describe fully the proposed project by application type.Include any details necessary to
adequately explain the scope and/or operation of the proposed project.You may also include
any background information and supporting statements regarding the reasons for,or
appropriateness of, the application.Use an addendum sheet if necessary.
Description/Explanation:
b This /Lev /01-vv•ov.ott..4^44....4 kt.GDP-12 -1&
"Ne 2oui.1 tow.LAJ ttl b-e COP-12.-14.CA)
Aryv..-0-01w.4...A 144-1516..0 12-3 s sl•er oF "Je.t4)OIL P.eita44.1....7
exccrrusi 4(••C due ro (Ai a-rot 401444aie /-6A7 ay."
rOgRe cs AN 4150frio-norc.o -F z d ro As 434e47 6:X nom.
•ri46.wiAlTra /35-0447zrvs-.fig)ter.14-
/Wt.beaeS A-ag 8 sw ev.7710 S 'rat "7 /pue.
2 nit host P•ri.SI 40.4•Al Pt.%s 4.9eS dy FL.Thx.
Cv y rem Ly A.--#11e4 ao-s-te.overt A Part-T7 vvi 0-F rpti.0 -)4147.teed
At (L.
Th t s 12-crs -f A-ekra.)-6m-11%e elaSTPfral /1-e-1/49-1.
A0-44 SDI-van/we rp 6e C1 tyrfit e o-Fte,The /1€77.1 44 to coat
be e-oVortel wim Ce-pp•eit.112.):A"o-rv40 te"..4'34147 /2-07)F.
3 774 s Aft ei Ay%«AA frtiours rim.43.
3 STaill C y..g Gk at er
-Ftrie p4xce->pi(oe ..scyj:avi4.ifvt.e
re-tolacect by A A itepy vex F t Re (4-e.1".
Emse-h4 Giv4",At.a.A-r!gays y-744 fidept4-0-trai-e
04-p Chcw.K4s-si +I*Sr'44 efev.t-hr -s. 71t o'Na /e-"dreie..
doe 734 five F itecT V F
44.4 P74114 t v y /2-07r04 C 114)'lege sy-b1 4 pAdv$0-14.5 /24. (Aster) -rub f nAt.
A-s p ornA or COP-11 -14)
P-1(B)Page 1 of 1 Revised 07/10
HAZARDOUS WASTE Development Services(City of AND SUBSTANCES Planning Division
Carlsbad STATEMENT 1635 Faraday Avenue
(760) 602-4610
P-1(C)www.carisbadca.gov
Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5,I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
1:23 The development project and any alternatives proposed in this application are not contained on the
lists compiled pursuant to Section 65962.5 of the State Government Code.
The development project and any alternatives proposed in this application are contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT PROPERTY OWNER
Name:at (9 kts Faw.tLi Te.i) ST Name:15114;c6i 6f b bs,Marie -el
Address: S1 gt 5.514v"Delve Address:‘erv'llr:
CAILLS A.Ce 42-0 (7
Phone Number640)476.-4/74'7 Phone Number:E19".."
Address of Site:S t S swpsze.otive
Local Agency (City and County):01014‘tag1/4.6 co()A-rn(DC "rift-)61E3.
Assessor's book, page, and parcel number:A P 2 I --I P
C-rr /luvl OF LoT 1+1124e.MI..61074 if volvAd.e.fte ps.4 Asa er 2.5
Specify list(s):
Regulatory Identification Number:
Date of List:
SAM 0
Pro FS101110Applicant Signature/Date Pro erty Owner Signature/Date
The Hazardous Waste and Substances Sites List (Cortese List)is used by the State,local
agencies and developers to comply with the California Environmental Quality Act requirements
in providing information about the location of hazardous materials release sites.
P-1(C)Page 1 of 2 Revised 02/13
MINOR.00.„Development Services
41..City of COASTAL DEVELOPMENT PERMIT/
SINGLE FAMILY RESIDENCE Planning Division
Carlsbad APPLICATION 1635 Faraday Avenue
(760) 602-4610
P-6 www.carlsbadca.gov
A proposed project requiring multiple applications must be submitted prior to 3:30 p.m.A
proposed project requiring only one application must be submitted prior to 4:00 p.m.
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 Vsquare foot fee rate.
New Residential Square Footage:
square feet x $/sq. ft. =$
Residential Addition Square Footage:
square feet x $/sq. ft. =$
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)Crieut$11''‘
(COP 12-1G ("k)
2.A Coastal Development Permit ($60,000 or more cost estimate)
C.Street address of proposed development
5140 StIote ogivar Cpro2tS4 410 Goa €12-ooe
D.Assessor's Parcel Number of proposed development 210 -O I -ID -CO
P-6 Page 1 of 6 Revised 01/16
E.Development Description:
Briefly describe project:P40 -Pr OF *Dt11Pcrvi 13.-O e cv-mi fr Q .Si
merrivw“.2044 Sot-CT
F.Describe the present land uses (i.e. vacant land, single family homes, apartments, offices,
etc.) that surround the proposed development to the:
North:Sift.'If ly ittr.sot-e
South:St ft.)•-r'as-.1 fly krw.e.
East:STA.ET s FA-rin y Hvo1&'5
West:Poe ( F1 t ° CEA')
G.Is project located within a 100-year flood plain? Yes 21 No
II.PRESENT USE OF PROPERTY
A.Are there existing structures on the property?gi Yes ID No
If yes, please describe.,,eXWTI1 t c /2es/bevies
B.Will any existing structure be removed/demolished?I1 Yes No
If yes to either question, describe the extent of the demolition or removal, including the relocation
site, if applicable (also show on plans).
genatrut CUT Aerk Wr mow.&WM 3 S a/m..1 s
2 sysz..4.1III.LOT COVERAGE
A.Existing and Proposed
Existing Proposed Total
Building Coverage 25A t sq. ft.2 Sea sq. ft.2-S9/sq. ft.Zal•7°P %
Landscaped Area 340 sq. ft.3/ 20 sq. ft.3120 sq. ft.34r.%
Hardscape Area /OD sq. ft.2.goo sq. ft.vivo sq. ft.33. 3°%
Unimproved Area (Left Natural)sq. ft.—sq. ft.—sq. ft.—
B.Parking:Number of existing spaces -4 -2 Jr .lore /2.a atuewcui
Number of new spaces proposed
Existing/Proposed TOTAL:
Number of total spaces required
Number of covered spaces
Number of uncovered spaces 2
Number of standard spaces 2
Number of compact spaces
P-R Pann 2 of R RAVinAd 01 /1R
stile by Stbe frt".
Is tandem parking existing?Eg Yes # No extST.pa%ye cAiaii
Is tandem parking proposed?Ei Yes #LX No
C.Grade Alteration:
Is any grading proposed?El Yes 21 No
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
4.Maximum height of cut slope feet
5.Amount of import or export cu. yds.
6.Location of borrow or disposal site
P-A Pane 3 ofR RP.ViCA.41 01/iR
CS-
City of Carlsbad
1635 Faraday Avenue Carlsbad CA 92008
•
Applicant:GIBBS FAMILY TRUST
Description Amount
CDP1216A 443.52
5195 SHORE DR CBAD
Receipt Number:R0119501 Transaction ID:R0119501
Transaction Date:08/16/2016
Pay Type Method Description Amount
Payment Check 443.52
Transaction Amount:443.52
1
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1622901 -1 08/16/2016 32
Tue,Aug 16,2016 02:24 PM
Receipt Ref Nbr:R1622901 -1/0022
PERMITS -PERMITS
Tran Ref Nbr:162290101 0022 0023
Trans/Rcpt#:R0119501
SET #:CDP1216A
Amount:1 @ $443.52
Item Subtotal:$443.52
Item Total:$443.52
1 ITEM(S)TOTAL:$443.52
Check (Chk#2983)$443.52
Total Received:$443.52
Have a nice day!
*************CUSTOMER COPY*************