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Home My WebLink AboutRP 04-26; SALMEN INSURANCE BUILDING; Redevelopment Permits (RP)CARLSBAD REDEVELOPMENT AGENCY PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: Q ADMINISTRATIVE PERMIT I I New construction of building(s) or addition(s) to the building footprint which have a building pennit valuation which is equal to or less than $60,000. I I Interior or exterior improvements to existing structures which result in an intensity of use. I I Provisional land uses, where a minor or major redevelopment permit is not required. I I Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. I I Signs for existing businesses or facilities. I I Repair or maintenance activities which are not exempt from obtaining a permit • COASTAL DEVELOPMENT PERMIT MAJOR REDEVELOPMENT PERMIT ^ New construction of building(s) or addition(s) to the building footprint which have a building pennit valuation which is greaterthan $150,000. I I Variances for projects within this category. • MINOR REDEVELOPMENT PERMIT I I New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $60,000 but less than $150,000. Variances for projects within this category Variances for projects which would otherwise be exempt or be eligible for an administrative permit. • • • MISCELLANEOUS REDEVELOPMENT PERMIT I I A-Frame Sign I I Sign Permit I I Sign Program I I Sidewalk Tables/Chairs I I Outdoor Displays • Other PROJECT TITLE: S^L^MEJSI iKiSUI^H^ ^iLMfia Brief description of project: Property Location: APN(s): T.O'^- 'S'LO " O 2,-o Q .StreetAddress ^SS 6»T^At^fc> AVJE-NIUE, Owner's Name f ^ \ L^ S AU.V A ^ IO Address ^ S S 6yfi^Mt> Telephone Number (ICo 1 - Applicant's Name. Address Telephone Number (l&Ci) IS^ * 'ZH-C^' FEES FOR APPLICATION PROCESSING: (List type of fee and amount) RECEIPT OF APPLICATION Date Application Received \ \ J\ c^t)^ Application Received bv Ci%. V^yaS Permit Number Assigned P^P O^-c^io CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT USE ONLY) (FOR DEPARTMENT USE ONLY) • Administrative Permit - 2ncl Dwelling Unit • Planned Industrial Permit • Administrative Variance • Planning Commission Determination • Coastal Development Permit • Precise Development Plan • Conditional Use Permit • Redevelopment Permit • Condominium Permit • Site Development Plan • Environmental Impact Assessment • Special Use Permit • General Plan Amendment • Specific Plan • Hillside Development Permit • Tentativo Parcel Map Obtain from Engineering Department • Local Coastal Plan Amendment • Tentative Tract Map • Master Plan • Variance • Non-Residential Planned Development • Zone Change • Planned Development Permit • List other applications not specified 2) ASSESSOR PARCEL NO(S).: 3) 4) PROJECT NAME: BRIEF DESCRIPTION OF PROJECT: tW O STORV dP^^piog. RtJlL^plis/^ 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP ^ TELEPHONE CITY AND STATE ZIP TELEPHONE I CERTlPi' THAT I AM THE LEGAL OWNER AND THAT ALL7THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGI SIGN I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER ANDAHAT ALferTRtS^OVE INFORMATION IS TRUE AND CORRECTTQl HE BflST OF MYJKNOWLEDGE. DATE SIGNATURE DATE 7) BRIE/LEGAL DESCRIPTION LoT 2.^. P^KTlto^J TcT Mt ^:ARL>^B>AP LAHP^^ MAp NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY QNE APPLICATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. 8) LOCATION OF PROJECT: ^6S 6^PvA)4D ^VE^ ^^^^L^l^^P Form 16 PAGE 1 OF 2 ON THE BETWEEN So orr\ STREET Al SIDE OF ,^^ESS (NORTH, SOUTH, EAST, WEST) HOPE AND (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS I 13) TYPE OF SUBDIVISION 16) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE 19) GROSS SITE ACREAGE 22) EXISTING ZONING M/A 11) NUMBER OF EXISTING RESIDENTIAL UNITS 14) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE IN ADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING (oO sl (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 0 u 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. l/WE CONSENT/fejENJCjY FOR THIS PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED FEE REQUIRED DATE STAMP APPLICATION RECEIVED RECEIVED BY: DATE FEE PAID RECEIPT NO. Form 16 PAGE 2 OF 2 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: '^AUKBri I KI^ u P>/>tA^E: •g>u> 1 L.pi M APPLICANT NAME: £>A12rT H> CtV|lTH .AP^lTtcT /fHIt, SAU^/AGTIO . Oi^ihlSf. 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. S'Tp-o<i.To |t^(^ Se'iNci LiSEP AS AKJ (=>ppic^. THE: $ \"Te IS Lx)^/6Te-j? EAST OP Mope_ AV/E?^^^ c=fp-A\4^ Avs-t^o^, TUOO IS f^^TBtz.STATE 5. Mcip-th: ANt> u/esT TH6 <^T€. o^XE-5rt>^2.T l2.eS-lC:>Er4^^ . SOOTH THE ^\TE l5 4 VAC^tTt ^.Q-T PE-STiMf^ l=^oR. A <=:-oM.Msrv^iAL. USE. tMe- S'\T& IS A Pu^ UT'^ITK >^«^ ^>LiS-c^Nc K-^T/^^W»Nk THE E<sSTE,r^^J So^t^v>A)-^-X ^ SfA)l^r^r^C, TH e srVTE ^P^r^ THC Ko^E^ ^> • TH^l w^ui- IS 4]pocrr g« U/ITM woop F^c^ ^'P^' ^9^>/E THe V,\^ , TME ff^T^SE-P •f=*R^iEcrt A TvM o STOfiT C>Ff=^l<l^ v/iu,^^ < THAT A M^Je>t?. l2-ED^vyEU2)prv^E.JT ^E^Lrv^^T. THE THE, "^EST THE PL.601?. Cor^^\t^5 A SfA<^ ,^T ^^^iJ-Ap'E. TAp4'^in/^ LOT. T^'^r'-^ /4p-^ TiA/o 5T^i r*-i^ATS" At4p ^W^\JA~X^<I^ TO. /4<^<_^^ T/i-e, S'E<L.(it^D pt-oof_ . THB S'E-^rJp Ptoo^i^ er6»>iTA> 5 ONE: L^p^e* oppi<_>g^ ^^Aii-e:. -^NJt?^ poUjA- iS"M^L-i^;i_^ * <5»F/=/<^E, S-O'/TIE:^. TH^ S'^CQM£> P^^O(7/L c>ppic£^ A)i^ S^v^ A THE ^ppicE. UTf^.^e^ A ^N^T^^OI^^ srruc THAT U^ES |MV;L.T\V'ME M/6T^^^L.$ /4f4IP CDU-OjL,s . /T Au^o R.V. 4/91 ProjOeicfrm Citv of Carlsbad lartmenf DISCLOSURE STATEMENT APOUICANTT-S STATc.ME.KTT OF CISCLCSURE OP CEffTAIN OWNgPSHIP INTE.=5ESTS ON ALL APPLICATIONS WHICH WILL PEQUlf CiSCnETiCNAPY ACTION CN THE PART OF THE C.TY COUNCIL. OR ANY APPClNfTED BOAflO, COMMISSION CB COMMnTEE. (Please Print) The following information must be disclosed: 1 Applicant List the names and addresses of all persons having a financial interest in the application. ^A^T M' <r'^lTH . ^&cg^P ^T Owner List the names and addresses of all persons having any ownership interest in the property involved. i>HI<^ ^ALVAO t> If any person identified pursuant to (1) or (2) above is a corporation or partnership, list the names and addresses of all individuals owning more than 10% of the shares in the corporation or owning any partnership interest in the partnership. M/A \ — • If any person Identified pursuant to (1) or (2) above is a non-profit organization or a trust, list the names and addresses of any person sen/ing as officer or director of the non-profit organization or as trustee or beneficiary of the trusL si/A ^ FRM00013 8/90 2075 Las Palmas Drive • Carlsbad. California 92009-4859 • (619) 438-1161 Disclosure Statemerrt (Over) Page 2 ). Have you had more than S250 worth of business- transacted with any member of City staff. Scares Commissions. Committees and Council within the past twelve months? Yes No s/ If yes, please indicate person(s) Person la defined aa: 'Any individual, firm, copartnership, jointventure. association, social club, fraternal organization, corporation, estate. :rus;. receiver, syndicate, thia and any other county, crty and county, crty municipality, district or other political subdivision, or any other group or combination acting as a unit* (NOTE: Anach additional pages as necessary.) U/}2./^t Signature of Own/ef/dat Print or type name of owner Signature of appiicant/date ^Aizrr M • ^M]T4 Print or type name of applicant FRM00013 8/90