HomeMy WebLinkAboutCT 98-16; Worthing Subdivision; Tentative Map (CT) (10)CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1) APPLICATIONS APPLIED FOR: (C
I | Administrative Permit - 2nd
Dwelling Unit
Q Administrative Variance
I | Coastal Development Permit
n Conditional Use Permit
Q Condominium Permit
[] Environmental Impact
Assessment
| | General Plan Amendment
I | Hillside Development Permit
I | Local Coastal Plan Amendment
n Master Plan
I | Non-Residential Planned
Development
Q Planned Development Permit
HECK BOXES)
(FOR DEPARTMENT
USE ONLY)
F | Planned Industrial Permit
O Planning Commission
Determination
I | Precise Development Plan
O Redevelopment Permit
Q Site Development Plan
O Special Use Permit
I | Specific Plan
CD Tentative Parcel Map
Obtain from Engineering Department
(%| Tentative Tract Map
[~] Variance
[~] Zone Change
Q] List other applications not
specified
(FOR DEPARTMENT
USE ONLY)
6T <>VS-|<o
2)
3)
4)
156-142-31ASSESSOR PARCEL NO(S).:
PROJECT NAME:
BRIEF DESCRIPTION OF PROJECT: 5 LOTS RESIDENTIAL SUBDIVISION
Car±5trad Tract — No. u> r, RTH- i K &
5) OWNER NAME (Print or Type)
B.A. WORTHING
MAILING ADDRESS
690 Carlsbad Village Drive,
CITY AND STATE ZIP
Carlsbad, CA 92008 (760)
1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT
INFORMATION IS TRUE AND CORRECT TO THE
KNOWLEDGE. /O
SIGNATURE f \ DA
Ste. 201
TELEPHONE
729-3965
ALL THE ABOVE
BEST OF MY
^0 \\R>
FE
6) APPLICANT NAME (Print or Type)
SAME
MAILING ADDRESS
SAME
CITY AND STATE ZIP TELEPHONE
SAME
1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
CORRECT TO THE BEST OF MY KNOWLEDGE.
THE
AND
SIGNATURE DATE
7) BRIEF LEG>ASCRIPTION Portion 'bf Lots 3 & 4, MAP #2169
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
.Buena Vista Way & James Drive
Northeast
(NORTH, SOUTH, EAST, WEST)
STREET ADDRESS
SIDE OF
(NAME OF STREET)
BETWEEN I Buena Vista Way
(NAME OF STREET)
AND | James Way
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUMBER OF LOTS
13) TYPE OF SUBDIVISION
16) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
1 9) 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
12) PROPOSED NUMBER OF
RESIDENTIAL UNITS
1 5) 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 MEMEBERS OR CITY COUNCIL MEMBERS
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
TO EN5RY FOR THIS PURPOSE
URE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
TO
DA
C.T
ffp
TAL FEE REQUIRED
TE FEE PAID
vj. <\o 0
CTD
4,*lSo
lo-V-1?
RECEIVED
OCT 0 1 1998
CITY OF GAKL^BAD
PLANNING DEPT
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
ep%v\ M-ck—i
RECEIPT NO.
Form 16 PAGE 2 OF 2
A
VIL1200 CARLSBAD VLLAGE DRIVE
434-2867
Q N ^r '.;.$CJClFORNIA 92008
REC'DFROM.
j
H ' I jt tfrttL-t.DATE
UNT NO.DESCRIPTION AMOUNT
fpf-
1724 10/01/98 OOOi 01 02
RiQWr III' S8013 NOT VALID UNLESS V*MB*TO BYCASH REGISTER TOTAL
City of Carlsbad
1200 Carlsbad Village Drive Carlsbad CA 92008
Applicant: WORTHING, B A
Description
CT980016
9607 05/12/99 0001 01
Amount C-PRHT
25.08
02
Receipt Number: R0003281
Transaction Date: 05/12/1999
Pay Type Method
Payment Check
Description Amount
2954 25.08
Transaction Amount: 25.08
u
PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME:
APPLICANT NAME: Brooks Worthing
Please describe fully the proposed project. 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.
The proposed project consists of subdividing 1.51 acres of land into five residential lots.
The project was previously approved by Planning Commission Resolution No. 3012 as
Case No. CT. 89-32, which has expired. This is a standard development project as per
zoning ordinance R-l (7,500).
R«v. 4/91 ProjDwc.frm
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. 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 Brooks Worthing
Title Owner
Address P-0- BOX 1041
Carlsbad, CA 92018
Corp/Part_
Title
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 Brooks & Pamela Worthing Corp/Part
Title Owners Title
Address P-°- Box
Carlsbad,CA 92018
Address
2075 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (76O) 438-1161 • FAX (760) 438-0894
NON-PROFIT ORGANIZATION OR TRUST ^
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the
names and addresses of ANY person serving as an officer or director of the non-profit
organization or as trustee or beneficiary of the.
Non Profit/Trust _ Non Profit/Trust _
Title Title
Address Address
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 all the above information is true and correct to the best of my knowledge.
Signature of oymeV/date
Brooks A. Worthing
Signature of applicant/date
Brooks A. Worthing
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
CITY OF CARLSBAD
REQUIREMENTS FOR:
TENTATIVE TRACT MAPS (AND REVISIONS)
CONDOMINIUM PERMITS
PLANNED DEVELOPMENT PERMITS (FOR RESIDENTIAL PROJECTS ONLY)
A proposed project requiring that multiple applications be filed must be submitted prior to 3:30 p.m. A
proposed project requiring that only one application be filed 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). In addition all plans shall be fully dimensioned
(i.e.. setbacks, height, road widths, parking spaces, planters, yards, etc.) The following materials shall be
submitted for each application except as noted in "HI. OTHER REQUIREMENTS" Item K,
Property Owner's List and address labels.
I. REQUIRED PLANS (folded and delivered in complete sets)
/
V. SITE PLAN - Ten (10) copies on 24" x 36" sheet(s) folded to 8 1/2" x 11" size. Fifteen (15)
copies of the site plan shall be submitted by the applicant upon request of the project planner
prior to approval of the project. Each site plan shall contain the following information:
1. GENERAL INFORMATION
a. Name and address of owner whose property is proposed to be subdivided and the name
and address of the subdivider.
b. Name and address of registered civil engineer, licensed surveyor, landscape architect or
land planner who prepared the maps.
c. North arrow and scale.
d. Residential, commercial industrial or other uses.
/ e. Tentative Map number in upper right hand corner (City to provide number at time of
application).
Number of units to be constructed when a condominium or community apartment project
is involved. Total number of lots proposed.
g. Name of sewer and water district providing service to the project.
h. Average Daily Traffic generated by the project, broken down by separate uses.
4-
i. Name of School District providing service to the project.
~-7\ j. Proposed density in lots or dwelling units per acre.
Form 3 Revised 3/98 Page 1 of 8
Jd
k. Existing Zone and General Plan Designation.
1. Site acreage.
2. SITE INFORMATION
a. General
(1) Approximate location of existing and proposed building and permanent
structures.
(2) Location of all major vegetation, showing size and type.
(3) Location of railroads.
(4) Legal description of the exterior boundaries of the subdivision (approximate
bearings, distances and curve data).
(5) Lot lines and approximate dimensions and number of each lot.
(6) Lot area for each proposed lot.
— (7) Setback dimensions for the required front, rear and side yard setbacks for all
structures.
(8) Indicate top and bottom elevations for all fences, walls, and retaining walls.
Show these elevations at each end of the wall and in the middle. Also show the
worst condition elevation.
(9) ,Show site details for all recreation lots or areas (when applicable).
(10) Total building coverage for lots with proposed structures.
Street and Utilities
(1) The location, width and proposed name of all streets within and adjacent to the
proposed subdivision, show proposed street grades and centerline radii. Provide
separate profile for all streets with grades in excess of 7%. Street should be
conformance with City Standards and Engineering Department Policies.
(2) Name, location and width of existing adjacent streets and alleys.
(3) Typical street section for all adjacent streets and streets within the project.
(4) Width and location of all existing and/or proposed public or private easements.
(5) Public and private streets and utilities clearly identified.
Form 3 Revised 3/98 Page 2 of 8
(6) ShcW^distance between all intersections and meSmm and high use driveways.
(7) Clearly show parking stall and aisle dimensions and truck turning radii for all
parking areas.
(8) Show access points to adjacent undeveloped lands.
(9) Show all existing and proposed street lights and utilities (sewer, water, major gas
and fuel lines, major electric and telephone facilities) within and adjacent to the
project.
(10) Show location of all fire hydrants within 300 feet of site.
c. Grading and Drainage
(1) 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. Existing onsite trees: those to be
removed and those to be saved.
(2) Earthwork volumes: cut, fill, import and export.
(3) Spot elevations at the comers of each pad.
(4) Method of draining each lot. Include a typical cross section taken parallel to the
frontage 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.
tANDSCAPE PLAN - For all condominium and planned development projects, ten (10) copies
(four (4) copies for projects with four or fewer units) on 24" x 36" sheet(s) folded to 8W* x 11"
size. Fifteen (15) copies of the landscape plans shall be submitted by the applicant upon request
of the project planner prior to approval of the project. The scale should be consistent with all
other exhibits. Each landscape plan shall include the following information:
1. Landscape zones per the City of Carlsbad Landscape Manual.
2. Typical plant species, quantity of each species and their size for each planting zone in a
legend. (Use symbols).
3. An estimate of the yearly amount of irrigation (supplemental) water required to maintain
each zone.
«•«•««««»««•*««««••«««•«»«»««««««««««««
Form 3 Revised 3/98 Page 3 of 8
rLandscape rWmtenance responsibility (private or comrriiSn) for all areas.
Percent of site used for landscaping.»* *•
6. Water Conservation Plan.
C. /BUILDING ELEVATIONS AND FLOOR PLANS - For all condominium and planned
development projects, ten (10) copies prepared on 24" x 36" sheet(s) folded to 8 1/2" x 11".
Fifteen (15) copies of the building elevations and floor plans shall be submitted by the applicant
upon request of the project planner prior to project approval. Each building elevation and floor
plan shall include the following information:
Floor plans with square footage included.
Location and size of storage areas.
All buildings, structures, walls and/or fences, signs and exterior lights.
4. Include a scale on all floor plans and building elevations.
5. Indicate on all building elevations, compliance with Carlsbad Height Ordinance
21.04.065.
.CONSTRAINTS MAP - At the same scale as other exhibit, i.e.. Tentative Maps. Site Plan. etc.
one (1) 24" x 36" sheet folded to 8 1/2" x 11" shall include the following information: (NOTE:
This information is not required for previously graded sites and the conversion of existing
structures.) If the constraint does not apply to the property, list it on the map as not applicable.
1. Major ridge lines.
2. Distant views.
3. Internal views.
4. Riparian or woodlands.
5. Intermittent drainage course.
6. 25 - 40% slopes.
7. Greater than 40% slopes.
8. Major rock outcroppings.
Q. Easements.
10. Floodplains.
4*4
Form 3 Revised 3/98 . Page 4 of 8
ArchaeolopeSl sites. ^**
Special Planning Areas - Type of special planning area.
Biological Habitats. Indicate the location of Coastal Sage Scrub and chaparral plain
communities existing on the project site.
Beaches.
Permanent bodies of water.
Wetlands.
Land subject to major power transmission easements.
18. Railroad track beds.
E. COLORED SITE PLAN AND ELEVATION PLAN - Not required with first submittal and not
required for tentative parcel maps. It is the Applicant's responsibility to bring one (1) copy of a
colored site plan and one (1) copy of a colored elevation to the Planning Department by 12:00
noon, eight (8) days prior to the Planning Commission meeting. Do not mount exhibits.
F. REDUCED SITE PLAN - One (1) copy of 8 1/2" x 11". These plans must be of quality that is
photographically reproducible. These are not required with first submittal but will be
requested at a later time by your project planner.
a LOCATION MAP - One (1) copy of 8 1/2" x 11" (suggested scale 200" - vicinity maps on the
site plan are not acceptable).
II.REQUIRED DOCUMENTS (IN ADDITION TO A COMPLETED LAND USE REVIEW
APPLICATION)
V]A. Environmental Impact Assessment Form (Fee not required with initial submittal. Fee to be
determined after review of project and environmental impact assessment form.) Required for
tentative parcel maps only where significant grading is proposed. Check with Planning staff to
determine if required for your application.
B. Public Facility Agreement - Two (2) copies: One (1) notarized original and one (1) reproduced
copy. (Separate fee required.)
C. Disclosure Statement. (Not required for tentative parcel maps).
D. Three (3) copies of the Preliminary Title Report (current within the last six (6) months).
2_E. Proof of availability of sewer if located in the Leucadia County Water District or the Vallecitos
Water District.
School District letter indicating that school facilities will be available to the project.
Form 3
• « • « •
Revised 3/98 Page 5 of 8
G. Statement of agreement to waive tentative parcel map time limits. Required for tentative parcel
only when project requires concurrent processing of planning application or environmental
review.
H. All projects must evaluate their potential impacts on the regional transportation system.
including the costs of mitigating the associated impacts, as required by the SANDAG Congestion
Management Program (CMP).
For projects with an average daily traffic (ADT) generation rate greater than 500 vehicles per
day or 200 or more peak-hour vehicle trips.
Submit two (2) copies of a Circulation Impact Analysis for the project. The analysis must be
prepared by a Registered Traffic Engineer or Registered Civil Engineer. The analysis must
show project impacts to all intersections and road segments identified as impacted within the
included Local Facilities Management Plan or as otherwise determined in discussions with staff.
The following minimum information should be included with the study:
1. 8 1/2" x 11" or 8 1/2" x 14" plats showing zone impacted roads, background and project
AM and PM peak hour impacts and traffic distribution.
2. Project traffic generation rates and traffic assignment.
3. Necessary calculations and/or analysis to determine intersection and road segment levels
of service.
4. Any proposed mitigation requirements to maintain the public facility standards.
5. On Collector streets and above, an analysis of the need for a traffic signal will be
required.
"Large" projects: Any project which, upon its completion will be expected to generate either an
equivalent of 2,400 or more average daily vehicle trips or 200 or more peak-hour vehicle trips,
including large projects that may have already been reviewed under CEQA but require additional
local discretionary actions, is defined as a "large project" under the SANDAG Congestion
Management Program (CMP) and will be subject to enhanced CEQA review as specified in the
CMP.
Depending upon the complexity of the project, the City of Carlsbad reserves the right to require a
traffic study on any project.
1. Noise study consistent with City of Carlsbad Noise Guidelines Manual.
J. Two copies of preliminary soils/geologic report for all project with cut or fill depths exceeding 5
feet.
JK. For all condominium conversions, a signed statement by the owner stating Section 66427.1 of
the State Map Act will be complied with.
L. For all condominium conversions, a letter from San Diego Gas and Electric company stating that
plans to convert the gas and electric system to separate systems have been submitted and are
acceptable.
Form 3 Revised 3/98 Page 6 of 8
HI. OTHER REQUIREMENTS
V J^-bCyPrelirninary Hydrology map and calculations for lots exceeding one acre. Show before and after\ *ji .fT^^ * _ <^f
w_ jju discharges to each including drainage basin.
^ ^ v ^-—J. For all condominium conversions, one copy of a compliance inspection performed b\ the
Building Department. (Separate Fee Required).
C. Submit architectural guideline compliance summary if applicable. (See Council Policy No. 44
for the development of small lots, as attached).
„ Photographs of the property taken from the north, south, east and west.
. Construction materials board and color samples, i.e., roofing, exterior walls, pavement, glass,
wood, etc.
*ursuant to Section 21.45.040(6) of Title 21 applications for planed developments on properties
designated or zoned for single family development shall be accompanied by a preliminary
tentative map. This map shall illustrate how many standard lots conforming to applicable zoning
and subdivision standards served by public streets could fit on the site. The design of this
preliminary tentative map shall comply with all applicable City Ordinances and Standards except
for the design standards of the Planned Development Ordinance. The applicant shall also submit
maps, diagrams, plans and a report showing that the proposed planned development will result in
superior residential development consistent with the purpose and intent of the Planned
Development Ordinance. The density on the developed portion of the planned development site
shall be similar to and compatible with surrounding development.
rarf'
G. Signed "Notice of Time Limits on Discretionary Applications."
Completed "Project Description/Explanation'' sheet.
—If-your project will include signage at some time in the future, you must submit a proposed sign
program as part of this application. The program shall be provided as separate exhibits and
should include the following information: Proposed sign location, dimensions, area, materials,
sign copy and colors.
]j. Property Owners List and Addressed Labels.
NOTE: 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.
Form 3 Revised 3/98 Page 7 of 8
A typewritten list of the names and addresses of all property owners within a 600 foot
radius of subject property (including the applicant and/or owner). The list shall include
the San Diego County Assessor's parcel number from the latest assessment rolls.
Two (2) separate sets of mailing labels of the property owners within a 600 foot radius of
the subject property. The list must be typed in all CAPITAL LETTERS, left justified,
void of any punctuation. For any address other than a single family residence, an
apartment or suite number must be included but Apt., Suite, and Bldg. £ must NOT
appear in the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER
ON LABELS. DO NOT provide addressed envelopes -PROVIDE LABELS ONLY.
Acceptable fonts are: Swiss 721. Enterprise TM. Courier New (TT) no larger than 11 pt.
Sample labels are as follows:
UNACCEPTABLE . UNACCEPTABLE ACCEPTABLE
Mrs. Jane Smith Mrs. Jane Smith MRS JANE SMITH
123 Magnolia Ave.. Apt #3 123 Magnolia Ave. APT #3
Carlsbad. CA 92008 Apt. #3 123 MAGNOLIA AVE
Carlsbad, CA 92008 CARLSBAD CA 92008
600 Foot Radius Map
A map to scale not less than 1" = 200' showing each lot within 600 feet 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 tc me Planning Director if the required scale is impractical. For
tentative parcel maps, a map to scale on an 81/;'' x 11" sheet, showing each lot within 300
feet of the exterior boundaries of the subject project.
Form 3 Revised 3/98 Page 8 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 . 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 publiclv-owned corporation, include the
names, titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
Person
Title
Corp/Part
Title
Address 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 publiclv-
owned corporation, include the names, titles, and addresses of the corporate officers. (A separate
page may be attached if necessary.)
Person
Title
Corp/Part
Title
Address Address
2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 • (76O) 438-1161 - FAX (760) 438-O894
NON-PROFIT ORWNIZATION OR TRUST **»"
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the
names and addresses of ANY person serving as an officer or director of the non-profit
organization or as trustee or beneficiary of the.
Non Profit/Trust__ Non Profit/Trust
Title Title
Address Address ..
4. Have you had more than $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.
1 certify that all the above information is true and correct to the best of my knowledge.
Signature of owner/date Signature of applicant/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\COUNTEH\DISCLOSURE STATEMENT 5/98 Page 2 of 2
PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME:
APPLICANT NAME:
Please describe fully the proposed project. Include any details necessary to adequately
explain the scope and/or operation of the proposed project. You may also mctuae any
background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation.
. 4/91 ProjD««c.<rTn
Land Space Engineering^^.
201 E. Grand Ave., Ste&-F
Escondido, CA 92025
TRANSMITTAL
TO: City of Carlsbad
Planning Department
2075 Las Palmas Dr.
Carlsbad, Ca. 92009
ATTN:
Please fend the following transmitted herewith:
Descriptions
Reference Dwgs
Check Prints
Letter
Other
RECEIVED
OCT 0 1 1998
CITY OF CARtSBAO
(760) 741-2689 pkone
(760) 741-2616 fax
DATE: 09/30/98
PROJECT: Carlsbad Tract#_
SUBJECT: T.M.#_Submittal
Originals
T.O.'s
Prints
Estimates
Fees
—
J_
J
Requested By: B.W.
For:
Submittal
Review/Approval
Signature
Information
Please Return
- TEN (I O) BL. COPIES OF THE TENTATIVE MAP.
- ONE (I) COPY OF LOCATION MAP.
- E I A FORM.
- PUBLIC FACILITY AGREEMENT.
- DISCLOSURE STATEMENT.
- THREE (3) COPIES OF PRELIMINARY TITLE REPORT.
- STATEMENT OF AGREEMENT TO WAIVE TM TIME LIMITS.-
- PHOTOGRAPHS OF THE PROPERTY.
- SIGNED "NOTICE OF OF TIME LIMITS ON DISCRETIONARY APPLICATIONS".
- COMPLETED "PROJECT DESCRIPTION/EXPLANATION" SHEET.
- CITY FEES. CHECK NO./0/44 $
cc: B.Worthing
LSE JoL # 9802
Received By Aleksandar Pantich
Oan-2O-99 O3 : 26P DP
f"~
L/oud Space Enguieering'^o.
201 E. GiW Ave., Ste 2-F
E«c<mdiJo, CA 92025
(760) 741-261G P . 01
(760) 741-2689 phone
(760) 7-11-2616
TRANSMITTAL
TO: CjTY op"
ATTN:
Please find iho (oilowiiig transmitted herewitil:
DATE: 08/11/98
PROJECT: 07.
SUBJECT:
Requested By:
For:
Originals
T.O.'e
Prinls
Estimates
Descriptions
Reference Dwgs
Cliecfc Prints
Letter
Other
SuDinittal
Review/ Approval
Signature
Information
PlL-asu Rc'tiim
—
1 L iTT
LSH Jot
Received By AluKSctntlar Panticn
Oan-20-99 O3-.26P DP
11:O3A
PROJECT FACILITY AVAILABILITY FORM
{760) 741-2616 J^P. 02
P .03
SCHOOL
(760)Brooke Worthing
Ownv'tNamo" ~
690 corlsbad village pr., sto 201
OHfmft Mtttrtg Adorn*
Carlsbad
SVMl
CA"" 4S»sr 92008
ACCT.
TASK..
DATE.
HIGH SCHOOL.
UNIFIED
DtoTfHGT CASHIER'S uSS OM, Y
36CTION1. PROJECT DESCRIPTION
A, LGOlSLATtVE ACT
TO BE CQMPtETED BY APPUCANT
B. DtveiOPMINtPKOVeCT
g Minor Subd*wi>«n(TPM)
M«l<KU**Pofmtt(MUf>),
.. CM* WP,_ err -.«•/•» a ^
c HQ RtoKfenUl
M ComnweiM GTOM door «M
M Inducinai Gros* door turn.
LJ Otnar GfW floor «»o*
, P«gqJj-06_Rrirt P-
Carlsbad 92009
wiiw oefwoJ dlrttot to ootnpttt»»poOof» a bttow}
TO 86 COMPLiTtD BY OtSTHtCTFACtUTY AVAIUBltmr
n not n • UWIM aiowot wMeli olimonif ryl MM flM e« •
Carlsbad, Csidonua
3-junior/middleproject wtTresult In the overcrowding of the. (chec* aiHhat ipply)
'Si Feet wiN be levied either in aocofdance with Government Code Section 53080 or Section 65970 prior to the_f Itsuanceolbuiiding permit*.5r Project to located entirely within the district and Is eligible for service.D The project fe not located entirety within the district end a potential boundary Issue may exist with theechooi district.
FOR URQI9LATIVE ACTS (Reionee, General Plan Amendments, Specific Plena) ONLY:G Pursuant to County Onimamce and (he Public Facility Element of the General Plan, facilities to serve the projecthave been committed through a binding agreement Batiataciory 10 the school diltrJet,
G A binding agreement hee not yet been eigned, but one w(U be required prior to legislative approval.U No binding agreement is necesevy. A ^^
^- i Print nmrrm- -ViPK" M. f*iW» s~s/Print litla:
Basinets Sertdcej
On completion Ot Section e by \ho dWinct, «ppite«ni M to «uor*it Oil* f«rm with application to
me zoning Countor at ihe D»p«fTm»« o» Punning and Und U»e, 8201 Hotfln Rw*. 8«n Dlogo, OA »2l«3
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ASSESSOR'S MAP •
BOOK J56... PAGE INDEX
156-INDEX
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