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Home My WebLink AboutCDP 99-32A; Jensen Residence Basement; Coastal Development Permit (CDP) (5)1 u CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1 6 APPLICATIONS APPLIED FOR: (CHECK BOXES) \ (FOR DEPARTMENT USE ONLY) _ Administrative Permit - 2nd Dwelling Unit _ Administrative Variance 0 Coastal Development PermitSGL cbP nM'33- Conditional Use Permit [ I Condominium Permit E : : _| Environmental Impact Assessment _| General Plan Amendment _J Hillside Development Permit | | Local Coastal Plan Amendment ; Master Plan Non-Residential Planned Development Planned Development Permit r t tft-Sz^/ Planned Industrial Permit Planning Commission Determination | I Precise Development Plan | | Redevelopment Permit | I Site Development Plan | I Special Use Permit Specific Plan | I Tontotivc Porccl Mop Obtain' from Engineering Department Tentative Tract Map Variance | I Zone Change List other applications not specified (FOR DEPARTMENT USE ONLY) 2) 3) 4) ASSESSOR PARCEL NO(S).: PROJECT NAME: ±s a. M>PKg&s :cfrfcisftrvft BRIEF DESCRIPTION OF PROJECT:ftU.OSA-RL-g S(S 5) OWNER NAME (Print or Type)6) APPLICANT NAME (Print or Type) Jo JO J<2AAS<SlU MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION ISk TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWN.ER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. -fr^v (b BRIEF LEGAL DESCRIPTION NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. Form 16 PAGE 1 OF 2 8) LOCATION OF PROJECT: ON THE BETWEEN STREET ADDRESS SIDE OF (NORTH, SOUTH, EAST, WEST) AND (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 13) TYPE OF SUBDIVISION 1 6) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING &UD (NAME OF STREET) (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24)IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS TO .INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT TO,ENTRY FjfflR THIS PURPOSE SljZi (/ SIATUR FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED FEE REQUIRED RECEIVED * ' • APR 1 7 2001 CITY OF CARLSBAD RECEIVED RECEIVED BY: DATE FEE PAID / 1 RECEIPT NO. Form 16 PAGE 2 OF 2 City of Carlsbad 1635 Faraday Avenue Carlsbad CA Receipt 92008 Applicant: JENSEN JON A TR&JENSEN CAROL L TR Description CDP9932A Amount 407.50 Not valid unless validated by Cash Register PLEASE RETAIN RECEIPT FOR REFUNDS OR ADJUSTMENTS Receipt Number: R0019719 Transaction Date: 04/17/2001 Pay Type Payment Method Check Description Amount 1878 407.50 Transaction Amount: 407.50 6822 04/17/01 02 407.50 * SUPPLEMENTAL APPLICATION FORM FOR ALL COASTAL DEVELOPMENT PERMITS * APPLICATION CHECKLIST FOR SINGLE FAMILY REGULAR & MINOR COASTAL DEVELOPMENT PERMITS (Application checklist for Non-Single Family Regular Coastal Development Permits covered under separate handout) This supplemental application is to be filed for any development requiring a Coastal Development Permit issued by the City of Carlsbad.. I. GENERAL BACKGROUND A. Estimated Cost of Development: Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit. The Planning Director 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 Planning Director). => New Residential Square Footage: square feet x $78.00/sq. ft. = $ Residential Addition Square Footage: _ square feet x $94.00/sq. ft. = $ Any Garage Square Footage: _ square feet x $22.00/sq. ft. = $ Residential Conversion Square Footage: %57 _ square feet x $26.00/sq. ft. = $' TO => For Non-Residential Uses, use the following figures for calculations: Retail/Store @ $38.00/sq. ft.; Restaurant @ $69.007 sq. ft.; Office @ $55.007 sq. ft.; Manufacturing/Warehouse @ $24.00/sq. ft.: _ 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) _ 2. A Regular Coastal Development Permit ($60,000 or more) C. Street address of proposed development Form 15 1/01 Page 1 of 8 D. Assessor's Parcel Number of proposed development E.Development Description: Briefly describe project: CftP 79-3JL (JOfo-S >r Tke APf>£o(jet{7 P/LA-JUS.y ^. . OP)escribe the present land uses (i.e. Vacant land, single family apartments, offices, etc.) that surround the proposed development to the: North: \J U South: V L East: 5P// West: Is project located within a 100 year flood plain? PRESENT USE OF PROPERTY Yes Y| No A.Are there existing structures on the property? If yes, please describe. UfJh&fc. rriiJSTZUeY/OfJ (J&JU Yes D No B.Yes NoWill any existing structure be removed/demolished? If yes to either question, describe the extent of the demolition or removal, including the relocation site, if applicable (also show on plans). LOT COVERAGE A. Existing and Proposed ft-S Landscaped Area Hardscape Area Unimproved Area (Left Natural) _ Existing sq.ft. sq.ft. sq.ft. sq. ft. New Proposed sq. ft. sq.ft. sq.ft. sq.ft. Total sq.ft. sq.ft. sq.ft. sq.ft. Form 15 1/01 Page 2 of 8 B. Parking:Number of existing spaces Number of new spaces proposed Existing/Proposed TOTAL: Number of total spaces required Number of covered spaces Number of uncovered spaces Number of standard spaces Number of compact spaces Is tandem parking existing? Is tandem parking proposed? Grade Alteration: Is any grading proposed? If yes, please complete the following: 1. Amount of cut Amount of fill2. 3. 4. 5. 6. Maximum height of fill slope _ Maximum height of cut slope Amount of import or export Location of borrow or disposal site TO (ft- Yes Yes No No No cu. yds. cu. yds. feet feet cu. yds. il Form 15 1/01 Page 3 of 8 City of Carlsbad Planning Department DISCLOSURE STATEMENT 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 . 2. 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, title, 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 J ^JOS^O FfeMKjlf Tfcl&T~ Corp/Part _ Title Address HSl Address 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, title, 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 £AM € Title Corp/Part_ Title Address Address 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 NON-PROFI GANIZATION 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. Title Non Profit/Trust, Title Address Address 4. Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? Yes No If yes, please indicate person(s):. NOTE: Attach additional sheets if necessary. I certify that aJJ the above information is true and correct to,m"e\best of mj knowledge. Siemfature of owner/date 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 H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: JgUSgO APPLICANT NAME:Jfl'/O 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: ^O)^^ ^.e<s<^M^ of V(5"7 £ cor /5or M-SO rk<z. B^KKvee, o/^w^. e /A) /5 To TMi Project Description 10/96 Page 1 of 1