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Home My WebLink AboutDC 09-01; ARMS MONTESSORI ACADEMY; Day Care (DC)• • CITY OF CARLSBAD LAND USE REVIEW APPLICATION . 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Environmental Impact Assessment D Administrative Permit D Coastal Development Permit (d) D Minor D Conditional Use Permit (d) D Minor D Extension D Condominium Permit D Habitat Management Permit o Minor D Hillside Development Permit (d) D Planned Development Permrt D Non-Residential D Planned Industrial Permit D Planning Commission Determination D Site Development Plan D Special Use Permit D Tentative Tract Map 2) ASSESSOR PARCEL NO(S).: 3) 4) PROJECT NAME: BRIEF DESCRIPTION OF PROJECT: SIGNATURE (FOR DEPT. USE ONLy) (FOR DEPT. USE ONLY) D Variance D Administrative Legislative D General Plan Amendment D Zone Change (d) D Local Coastal Program Amendment (d) D Zone Code Amendment D Master Plan 0 Amendment 0 Specrfic Plan 0 Amendment List other applications not specified rzl \,.J<~h{ rAt'll ,,-t"OA "lit~ f~ll' Pc. i)q -0 I D D 0 MAILING ADDRESS ~C; 4 _ i¥tLf-771 3Y87 PleclSGrrt o.le cL-771\ TELEPHONE CITY AND STATE ZIP TELEPHONE CC,t~ISbc Q2QIO EMAIL ADDRESS: Q '10 fYlU\ \ ~I PI 1m DATE NOTE: A PROPOSED PROJECT REQUIRING MULTIPlE APPUCATIONS 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. Cd) = eligible for 25"10 di5count Form 14 Rev. 01/09 PAGE 1 OF 4 -7) 8) • BRIEF LEGAL DESCRIPTION LOCATION OF PROJECT: ONTHE~I __ ~~==~~==~I (NORTH, SOUTH, EAST, WEST) BETWEEN IL-_--,:-:~=-==-==,..___-----I (NAME OF STREET) SIDE OF 1-1 ___ ---:~=====:_------' (NAME OF STREET) AND ,'---____ ==-==== __ ---' (NAME OF STREET) 9} IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECE$SARY 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. IflNE CONSENT TO ENTRY FOR THIS PURPOSE. 10) 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 F RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. ~~,-/_'------..;:---./~c: PROPERTY OWNER SIGNATURE FOR CITY USE ONLY Fonn 14 Rev. 01/09 K!::\;!::IVED FEB 1 2 2009 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: PAGE 2 OF 4 • • CITY OF CARLSBAD APPLICATION REQUIREMENTS FOR: LARGE FAMILY DAY CARE PE~fiT 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 med must be submitted prior to 4:00 p.m. All joint application exhibits, i.e. TentatiYe Map and Planned Development Site Plan should be prepared at the same scale. (Use a scale no smaller than 1" = 40' .) The follo"",ing materials shall be submitted for each application or for combined applications on a single project. I. REQlJIRED PLA.~S A .. '\"1> DOCl.l1\IENTS (All required plans shall be collated into complete sets. stapled together, then folded to 9" x 12" with lower right hand corner of plan ,isibJe.) COMPLETED LAl'\"D USE REVIEW APPLICATION FOR.'l\f SITE PLAN -Two (2) copies o~· x 9heet{s). Each site plan shall contain the follov.ing information: 1. GEl\"'ERAL D;FOR.1\fA TION Existing house and distance to property lines. Drop off and pick up locations. Play area with dimensions. Adjacent buildings with detail of room use (see sample attached). LOCATION :MAP -Show subject property and the location of any large family (14 or fewer children) day care centers closer than 1,200 lineal feet on the same street. lfthere are no large family day care centers within 1, 200 feet on the same street, a written statement must be submitted in lieu of a map. n. LARGE FAMILY DAY CARE REQIJIREl\fE:NTS ¢ Large family day care homes are permitted in the following zones with a Large Family Day Care ~ when the facility is located on a lot occupied by a detached, single family dwelling on a lot of / ~uare feet or more: RA, RE, EA, R-l, R-2, R-3. RD-M, R-P, RT, RW, RMHP. -t62. ~. The applicant has all required State licenses and permits necessary to operate the large family day care home. Applicants who reside on rented or leased property must proyide proof of ,,'Titten notice to the landlord or owner of the property that they intend to operate a Large Family Day Care Home on the rented or leased subject site. ~ The facility must comply with all zoning regulations applicable to single-family dwellings. ~ The facility must comply with all fire and life safety requirements applicable to single-family residences per Title 24 of the California Code of Regulations. 6· The proposed site shall not be located closer than 1,200 lineal feet from any other Large Family Day Care Home on the same street. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Form 8 Revised 04/04 Page 1 of2 ilfio. ~. ri2. • • An outdoor play area must be provided in the rear yard that meets the requirements of the State of California, Community Care Licensing Dhision. The area must be enclosed by a natural barrier, wall, solid fence, or other solid structure a minimum of five feet in height. The prO\ider shall ensure that outdoor play times do not begin until after 9:00 a.m. and end before 5:00 p.m. The prO\ider shall stagger the number of children playing outdoors at anyone time to reduce noise impacts on surrounding residences. All outdoor play areas shall be adequately separated from vehicular circulation and parking areas by a strong fence such as chain link, wood or masonry. Required garages shall be prohibited for use as a Large Family Day Care Home and shall be utilized for parking two of the applicant's onsite vehicles during the daily operation of the day care home rather than parking the vehicles on the street or in the driveway. The applicant shall designate the onsite driveway as the official drop-off and pick'Up area for children and shall notify parents of this requirement. Strid driveway shall remain free and clear of parked cars. The applicant shall require employees to park in locations which v.rill not inconvenience nearby residents. To disrupt the neighborhood as little as possible, best effort shall be made by the applicant to require employees to park as close as possible to the Family Day Care Home. Large Fanrily Day Care Home providers shall make written application to the Director and shall include all materials deemed necessary by the Director to show that the requirements of this section are met. The Director shall grant the permit without hearing if all the requirements are met. The decision of the Director shall be made within 15 working days of the receipt of a complete application and prO\ided to the applicant in writing. The decision of the Director may be appealed to the Planning Commission v;ithin 10 calendar days of the date of the \>,Titten decision of the Director. The appellant shall pay the cost of the appeal at the fee applicable to single family dwellings. AS THE PROPOSED LARGE F AMll.. Y DAY CARE PROVIDER, I AGREE TO COMPLY WITH ALL THE REQUlREMENTS.~ERS 1·12) USTED ABOVE. ffi Soda + ArsQLan Signature I 2-3 Printed Name Date I • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Fonn 8 Revised 04/04 Page 2 of2 ity of Carlsbad lraday Center lraday Cashiering 001 104202-1 02/11/2009 32 d, Feb 11, 2009 03:28 PM ceipt Ref Nbr: R0904202-1/0053 ~Mrrs -PERMITS ~n Ref Nbr: 090420201 0053 0060 ms/Rcpt#: R0073621 -#: De090001 )unt: ',m Subtotal: m Total: . ITEM(S) TOTAL: ~k (Chk# 1220) 11 Received: ,. ! ani ce day! 1 @ $195.00 $185.00 $195.00 $195.00 $195.00 $195.00 **********CUSTOMER COPY************* • ~. City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 '.1111111111111 Applicant: ARSALON SADAF Description Amount DC090001 195.00 3487 PLEASANT VALE DR CBAD Receipt Number: R0073621 Transaction ID: R0073621 Transaction Date: 02/11/2009 Pay Type Method Description Amount Payment Check 195.00 Transaction Amount: 195.00 • • -f) City of Carlsbad 'iIIih,i,ii.t.i.ij·F·,·"i4h ' DISCLOSURE STATEMENT Applicanfs 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 Boardf Commission or Committee. The following information MUST be disclosed at the time of appli.cation submittal. Your project cannot be reviewed until this information is completed. Please print. Note:; .~', -.. :~.: -'. ,-" __ :0"", " '. ,:., .,.',-'" '-. -., ", ~ :3-: ..... "".-' P8rsqn .i~. d~fineda~: MAny, indlvfd.ual,~~n:n, ~g-p~rtne~hlp{lolntv~"t4r~, ~ssqciatiori; ~ocial club" fraternal organization; coipOratioi(~state: tnis~ receiver, syndicate; in, this and any other: cOiJnty~ 'citY-and county, city municipality, district or otherp9~~~L~y!>div~~i<?n .. gr ~ny ~thef group. ~r comblriaUo.l1ac~riga(~u.nlt~· ::.,:.-::' -'. . " A;e~b:·~~~c·~:iJ~-:ihi~: d~~~m~n~' ~we~~:'ih~~i~~a~ na~'~' ~~t~--ci~ ~h~' appn~nt and property owner must be provided be/ow.~ . .:. '.'''' ',:,.: ._ .' .~. -,-, .. ,",' . 1. 2. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL names and addresses of Abb 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% ofthe 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 papay be attached if necessary.) Person So.c\"f ~Qlc\t) Corp/Part:.-.. ________ _ Title 0 LUoey--Title~ ___________ _ Address34B'] pteosuoiuule ~ Address __________ _ G:.,-ls~ Cv. '1 z.o L 0 OWNER (Not the owners 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 SQJCt£ &ScJ..c&tJ Corp/Part'--__________ _ Titre OLUne r Titlec-____________ _ Address ~Y~7 PteOSY@l{/eAddress, _________ _ d.,i \\i~ ~ rl'sby.eI 92Q(0 ___________ _ 1635 Faraday Avenue. Carlsbad. CA 92008-7314. (760, 602-4600· FAX (760) 602-8559· www.ci.carlsbad.ca.us * • • 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 At£! person serving as an officer or director of the non-profit organization or as trustee or beneficiary of the. Non ProfiVTrust Non ProfrtlTrust. _________ _ Title Title ____________ _ Address. _________ _ Address, ___________ _ 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? o 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. L~. 211/1o~ ~"z/lIlo<t "Signature of owner/date Signature of applicant/date SOda-P Arsa.LQrJ SQdcJ A-rskla.(] Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applfcabfe/date Print or type name of owner/applicant's agent H:ADMIMCOUNTER\o/SCLOSURE STATEMENT 12106 Page 2 of2 • • PROJECT DESCRIPTION/EXPLANATION PRWE~~ME:~~A~Y~~~S~~M~lo~n~a~e~s~s~o~r~;~~~~~~~=~1~ APPLICANT NAME: ----lI3~Gt".I-d.o.=o ........ f ___ fk..-..:..-s""'-'JWJ==-----.!..--___ _ 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: C)lds - Project Description 1 0/96 Page 1 of 1 • • HAZARDOUS WASTE AND SUBSTANCES STATEMENT 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 Wastes and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): d 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. D The development project and any alternatives proposed in this application m contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT PRO~ERTY OWNER Name: SCtdQf fuSCtlC.0 Name: SCAduf fh5~lQ 11 Address:3Ll8J Ple6scotV4.te ,tAddress: 3Y8'] Q leQSQ-rrtucJe ~ CQy='sbc~ CiA Q20 to CorlSbCtd Co. Q20l0 PhoneNumber: 7f::,O -wqy -711 \ PhoneNumber: __________ _ Address of Site: 3Y 8 J Pl eD.SGrl-t--uy..\e dr'v=-e.. CQy-'~W ~201 ~ Local Agency (City and County): So, iC\ ~) e~ () Assessor's book, page, nnd parcel number:. ____________________ _ SpecifY list(s):, _____________________________ _ Regulatory Identification Number: _______________________ _ Date of List:. _____________________________ _ Appl~t SignaturelDnte Property Owner Signature/Dale AdminiCounlerlHazWaslc • Arms Montessori Academy 3487 Pleasant vale drive, Carlsbad,Ca 92010 To whom it may concern, • This is to inform you that I have made all necessary investigation ,to collect information about any running day care centers in the 1200 feet radius of our house. To my knowledge there were no centers found. I should be granted my permit to open my center. Please feel free to contact me if you have any questions at 858-204-8332. Thank you Sadaf Arsalan