The URL can be used to link to this page

Home My WebLink AboutRP 06-03; Roosevelt Center; Redevelopment Permits (RP)CITY OF CARLSBAD -LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPARTMENT USE ONLY) (FOR DEPARTMENT USEONLY) • Administrative Permit - 2nd Dweiling Unit • Planned Industrial Permit • Administrative Variance • Planning Commission Determination • Coastal Deveiopment 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 • Tontativo Parcol 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).: . l-T 4 It) 3) PROJECT NAIVIE: 4) BRIEF DESCRIPTION OF PROJECT: ZS.fcXr^i^r MiK VJSe <C^=A3T^ W ^/Le^r4<>/ww 5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type) MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP TELEPHONE CITYJKND STATE TELEPHONE I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I AM THE LEGAL REPRESENTATIVE OF THE ABOVE INFORMATION IS TRUE AND OF MY KNOWLEDGE. DATE DATE BRIEF LEGy«L DESCRIPTION ^<jrO^ s4 Mi%P IV^O ^UcL&U)^ VVl/H^i \ Ut 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 Rey.-©5/03 PAGE 1 OF 2 8) LOCATION OF PROJECT: ON THE BETWEEN NORTH- (NORTH, SOUTH. EAST, WEST) STREET ADDRESS SIDE OF (NAME OF STREET) (NAME OF STREET) AND (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 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 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION sm WAZ 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 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 Rev. 05/03 PAGE 2 OF 2 0^ LSBAD REDEVELOPMENT AGENC i PERMIT APPLICATfoN PLEASE CHECK ALL THAT APPLY: n ADMINISTRATIVE PERMIT New construction of building(s) or addition (s) to the^ building footprint which have a building permit valuation which is equal to or less than $60,000. Interior or exterior improvements to existing structures which result in an intensity of use. Provisional land uses, where a minor or major redevelopment permit is not required. Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. Signs for existing businesses or facilities. • • • • 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 permit valuation which is greaterthan $150,000. Variances for projects within this category. • MINOR REDEVELOPMENT PERMIT • • New construction of building(s) or addltion(s) to the building footprint which have a building permit valuation which is greater than $60,000 but less than $150,000. Variances for projects within this category. Variances for projects which would otherwise be exempt or be eligible for an administrative permit. MISCELLANEOUS REDEVELOPMENT PERMIT A-Frame Sign Sign Permit Sign Program Sidewalk Tables/Chairs Outdoor Displays Other PROJECTTITLE: Foo^g-vygA^ Brief description of project: --f ffiie^ ^0^4 M\K. <Ceaor^ ^ ^keexi4iL, Z5<aa)sr. <JL)ODO/ crt^se^^ t^^'W-AHtSTD, cOvti^ -STJcLCo /v^o \}^>ooo Tux^ PiNit<;H-, Fii2^ pt-^jru. C^^iwT of Property Location: APN(s): Oo-h ' UYL^ \C I i ^ n ^ Street Address '5<oO'-5GgQ (2A^LS€AQ 5(^0 <^VJP>/ i-LC^ Owner's Name, Address lOl^ <:>H^Tt^\JiT AvjOoO^ Telephone Number TZ^- 43^3?4- THE AREA'BELOW IS TO BE Applicant's Name ^>C4M(2X> j^^vcJ^Vfa^Q^ CONSK Address I^A V^IN^TUIZ^ STe- ICQ Telephone Number 76jQ "fe^- ^22^ COMRBETED B^^^ITY STAFF FEES FOR APPLICATION PROCESSING: (List type of fee and amount) RECEIPT OF APPLICATION Date Application Received, "^Z' loL Application Received bv C/^^ji ^^eS Permit Number Assioned f^P Oip-rZ^ CD p ^fc^-ff} City of Carlsbad Housing & Redovolopmonl Department DISCLOSURE STAfElVIENT Applicant's statement or dijcloswe of cemin ownarship interest on «11 applications which will require discretionwy action on the part of the Cty CowicU cr tay appointed Board, CommiMion Of Comnuttcg. The following infornatlon MUST be disclosed at the time of appKcadon submittal. Your project cannot be reviewed until this Infonoation if completed. Please piint Not«: Ftltos is defined as **AD7 indivii^ial, fins, csypmacndip^ jciai vtniarf, a$«:icUtio&. SOOAI club, frstenu! organization, corporation, estate, tnm, Teceiver« lyrtdicase, to this and any other coaiuy« dty wd county, aty ntiauripadi^. district or o^r politicAl subdivitiOR or my other grovp or coflabistUoR aoOng M A unit** A;tnt5 a»y sign this doeumeat: however, tte tegai lume add entity of the it|ip!icaiit aAd property owiacr must be provided helow. 1. APPLICANT (Not the applicanfi a^ent) Provide the CQMyi^gTE^ L^i^L names aod addresses of 41^^^ persoas faftvifij^ a fkiatidal interest in the appHcation. If the applicant inclades a corpq^tio^ qr fttitnefshiT?. include the names, title, addreaaes of all Indi^duaU owuJog more than 10% of the ihares. IF NO INDIVIDUALS OWN MORE THAN 10^ OF THE SHARES. PLEASE INDICATE NON- APPLICABLE (N/A> IN THE SPACE BELOW If a pu>lic|v*Qwnpd qorporatioa. inciade the rarces, titles, and addnesSM of thc coiporate officcn. (A jcparatc page may be atuched if ^eccssa£>^). y ^ Per^n_iX^^^^,. LU<J2J^^ Coipa>art \ Title MZT^f. Title„ . ., AddreaaI ^ C:X^r?U.//4<^//^drc^s CaizlShazf ^j2jOO^ OWNER (Not the owocr** a^eoO Provide thc CQMPLETE^ LEG AL names and addresses of ALL persona having any ownership interest in the property Iftvolved. Also, provide the Jiature of the legal ownership (Le, partnership, tenants in common, tion-profii, corporation, etc). Jf thc ownerslup incliidaa a corppraticnt or partifryhip. includo the names, title, addresses of all individual! owning tnoce than 10% of the shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES. jPUSASE INDICATE NON-APPUCABLE (N/A) IN THE SPACE BELOW. If a fiiMdfc wn^ ^otpor^^on, inclttde the nanacs, tities, and addrcs$ea of the corporate officer*. (A separata ag« may be attached If nec«s«ary.) n^AjMflZ Mzz9t^^ Coipn>an T.tlS5 AyTZJtF'^^ , Title. Z96fi Rooseveit St.. Ste. B - OarUbad. CA 92008-2389 • (760) 434-28i0/28t1 • FAX (760) 780^037 ® £0 39yd 3. NON-PROFITORGANIZATIONOKTRUOT * JF fi^y j^^f^i^ iAs.T^fifi»A ^^^nt fft f\)t* n\ mhove « nonprofit oreanlzatico or a trtlgt. list the camas and addi«$$es of AJJX P«sori serving as an officer or director of the jion-jarofit oi^trdzatioflof astnwt«eorbencfid«yo^ ^ Nnn Profit/Tfuir Non Profit/Trust ,—>— Tide • Tide : _ , — Address Address, 4. Have you lud more thajj $250 worth of huiiacM transacted with any mendser of City aufi. Boards. Comnissions, Committees aad/or Couocil within the past twelve (12) months? d CXljjo If ye*i pIcMe indicate pmooCt):. NOTE: Attach additional sheets if neccs«ary. I certify that all thc above inlbitnadon ia true and coirect to tbe bear of my toowledgc. tm^ ^^^^^^^ ^ Signature of applicant/date Z::^^Z"'^'iy Signature of owncr/applicant'a agent if appUcaWc/date Print or type nainc of owncr/appUcani's agent 20 39yd 60£t^.62iL09/L ^2i:0I 9002/Z2/20 PROJECT DESCRIPTION/EXPLANATION PROJECTNAME: Paas<sveuT CjE>JTei2_ APPLICANT NAME: T2.VC-*VAI2JIP fP-ioHAttO Casdsr. 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: _ Aff^x. (a,(^oo^ ^ous.^T of a4oojp oe ^AiZ AAJO -!>a^^ <yr t^esT'*^<J^A*J^^ -SPk^ce, t-M-er fHtij^ cS(«,. 2-ad/vt-6•.*.^^ AMO I C^XA^ vx..^ Seco Of omc^ ^ Project Description 10/96 Pagel of X ENVIRONMENTAL IMPACT ASSESSMENT FORM - PART I (TCTBE COMPLETED BY THE APPLICANT) CASE NO:. DATE: BACKGROUND 1. CASE NAME: j^^O^gUQ^ ^Ij^WTfeR- 2. LEAD AGENCY NAME AND ADDRESS: C^PeQAJ^^M^ '^:0O^x=:^jse^\^^,^ A^S^Y 3. CONTACT PERSON AND PHONE NUMBER: lf»^ ' ^^^^^HUQ - "Ito -Z.Zx^ 4. PROJECT LOCATION: 5*^2. 6-At2JLSfe>f^ 5. PROJECT SPONSOR'S NAME AND ADDRESS: 6. GENERAL PLAN DESIGNATION: 7. ZONING: C^UCik- 8. OTHER PUBLIC AGENCIES WHOSE APPROVAL IS REQUIRED (i.e., permits, financing approval or participation agreements): PROJECT DESCRIPTION/ ENVIRONMENTAL SETTING AND SURROUNDING LAND USES: ^ MX) <Vy^C> ^C3Z^ t2,^A<.L^/^WWK<5tUC4^(^ l%J<S>.AjgSS , Urf 1Z> -jtyH^ r2^^Q^. A^(^i^a- r<s> Cj2^pc ^H^A P^:>U n n^)-r [fJ6<^^5rV^ SlorLwv U)/^e"/L fZje^'iO <Df^^ RxiJLiTto/0 ^ P(=Tye/H-T 1 Rev. 07/26/02 mm DOCUMieNT HAS A TRUE DEV. .SA** WATERMARK AND VtSIBLE FIBERS L ^ERNIBLE FROM BOTH SIDES SUS. NUMBER 1214365 DATE ISSUED 09/07/2004 SIC CODE 15 OWNHR FiRM OR CORPORATION NAME BUSINESS NAME MAILING ADDRESS CITY AND STATE CITY OF CARLSBAD BUSINESS REGISTRATION CERTIFICATE TfM fvxti fim df wrpofKiOfl naintd Bxiow » -par^ld (Mi lw*n»sf w*rtific*t» pu-»imn lo Ifm pra*i«iorui trf lh» City Busirwas *.c*riai OnJinano* to •r^sg* m, csry Ort Of conflucf tne husif^wa, IrwM, caWng. prc/«9sior\ *jcNoi!loo o» acciip«Mctn ci«acr*«l twloi* Isjuanca s»f 1/T» ortificaJ* i» r><K *ndon»in«nt, nor e^i'Tjeai'on of eatfipiance mlh «her orilinanciis tsrirtn. Thu lc«ns< buuod wthou^ »«nfic»(ion lhat ihe ii«r«*« -i «ubj»c1 to or n»rnp« frgrn Sorting b<]^ ih« BUSINESS LOCATION 234 VENTURE ST #100 SIC DESCRIPTfON Building Cksnstruction-General Building Contrac EXPIRATION DATE 08/31/2005 WOOLSEY. RICHARD RICHARD & RICHARD CONSTRUCTION 234 VEI^TURE ST # 100 SANMARCOS/CA 92078-4375 THrS DOCUMENT IS ALTERATION PROTECTED AND REFLECTS FLUORESCEMT FIBERS UNOER UV UGHT to O 'zL -^(^ 2^8 ^ P4II P.O. BOX 807, SAN FRANC!SCO,CA 94142-0807 FUND CERTiFICATE OF WORKERS' COMPENSATiON INSURANCE ISSUE DATE: 01-01-2005 HOLDER COPY COMPBNSATION I N S t-f n ANCS CONTRACTORS STATE LICENSE BOARD P.O. BOX 26000 SACRAMENTO CA. 95826 SD GROUP: POLICY NUMSeR: 181S11S-2005 CERTIFICATE ID: 5 CERTIFICATE EXPIRES: 01-01-2006 01-01-2005/01-01-2006 LXCEi^E MMBER: LICENSE #646033 INCEPTION OATI: 01-01-2005 O.O.: SD This is to certify that w« have issued a valid Workers' Compensation insuraice policy in a form approved by the California Insirafwe Commissioner- to the employer named below for the policy period indicated. This poticy is rwt s^ject to eanoeliation by the Fund except upon 30 days' adv«ice vvritten notice to the empioyer. We wiii also give you 30 days' advance notice should this policy be cancelled prior to its normal expiratioa This cwtificate of in$»*ance is not «i insiwance policy and does not amend, extwd or alter the coverage afforded by the policies listed herein. Notwiftstanding aiy requirement, term, or condition of any contract or other document with respect to which tints certificate of fr^surance may be issued or may pertain, the insurance afforded by the policies described herein is subjeet to all tlw terrrss. exchisions and cor«fitions of such policies. AUTHORIZED REPRESENTATIVE PRESiDENT EMPLOYER'S LIABILITY LIMIT II«:LU0XN6 DEFENSE COSTS. $1,000,000.00 PER OCOJRRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2005 IS ATTACHED TO AND FORMS A PART OF THXS POLICY. EMPLOYER LEGAL NAME RICHARD £ RICHARD CONSTRUCTION COMPANY 23^* VENTURE ST STE 100 SAN MARCOS CA 92078 RICHARD & RICHARD CONSTRUCTION CO. INC. PRINTED: ^2/17/2004 ^^