HomeMy WebLinkAboutCDP 2020-0013; PATEL RESIDENCE; Coastal Development Permit (CDP){"·city of
Carlsbad
ment Permits
Coastal Development Permit
D Conditional Use Permit
D Minor D Extension
D Day Care (Large)
D Environmental Impact Assessment
D Habitat Management Permit
D Hillside Development Permit
D Minor
D Minor
D Nonconforming Construction Permit
D Planned Development Permit D Minor
D Residential D Non-Residential
D Planning Commission Determination
D Reasonable Accommodation
D Site Development Plan
D Special Use Permit
D Minor
D Tentative Parcel Map (Minor Subdivision)
D Tentative Tract Map (Major Subdivision)
D Variance D Minor
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
1----------l
General Plan Amendment
D Local Coastal Program Amendment
D Master Plan
D Specific Plan
D Zone Change
□Amendment
□Amendment
D Zone Code Amendment
South Carlsbad Coastal Review Area
Permits
D Review Permit
D Administrative D Minor D Major
Village Review Area Permits
D Review Permit
D Administrative D Minor D Major
(FOR DEPT. USE ONLY)
E
NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMENT'. PLEASE CONTACT THE APPOINTMENT SPECIALIST
AT (760) 602-2723 TO SCHEDULE AN APPOINTMENT.
ASSESSOR PARCEL NO(S):
LOCATION OF PROJECT:
NAME OF PROJECT:
BRIEF DESCRIPTION OF
PROJECT:
PROJECT VALUE
(SITE IMPROVEMENTS)
FOR CITY USE ONLY
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
~ OD
(STREET ADD~S)
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ESTIMATED COMPLETION DATE
Development No. b t \/ 7AJ I 9 -0 \ ~ 2---Lead Case No. . C 'DP 20 :io .-000 \
P-1 Page 1 of6 Revised 03/17
OWNER NAME (PLEASE PRINT) APPLICANT NAME (PLEASE PRINT)
INDIVIDUAL NAME 1Z.~~~~ ~o_
INDIVIDUAL NAME \Ae,i,1 L,W-\\J (if applicable): (if applicable):
COMPANY NAME COMPANY NAME
~\bN ~u~,()~ (if applicable): ~~VrA. "Ot.\lt'.l~ LLL (if applicable):
MAILING ADDRESS: "":,\7t> '1\Sfbs ~ MAILING ADDRESS: \".?,G:,O""\ ~~
CITY, STATE, ZIP: l'Y~\tf: 0.. '\'2.-os\.. CITY, STATE, ZIP: f>o~'1 CA ~4
TELEPHONE: ~ ~~ O~-s'!b TELEPHONE: fJ9'> 774 \C\57
EMAIL ADDRESS: h\~Cl£dn.:2i* SP '$\...tc. L°""-EMAIL ADDRESS: lHJ?~'~ e; ~NA\ , U.~
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE.
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
PURPOSES OF THIS APPLICATION. o--/ ~ ~ ~ 'e.Jt t'&t . 1/t,,,J/LO _;;;-_/ \.·1..o.w .-.,,..,,........_ VI
SIGN TUR rJ.f----4 ' . DATE -~ ~NATURE'-....,~ -DATE
.,....
APPLICANT'S REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
SIGNATURE DATE
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. INVE CONSENT TO ENTRY FOR THIS PURPOSE.
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 OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SUCCESSORS IN INTEREST.
Bt~ti £4 f? ,0/4 fS' NER SIG ATURE
FOR CITY USE ONLY
tl)P ~'2.o-DD I~ (M,'l'\or "CDP J
a.Ade~ o" 3loo\ 2-02..0 .~,-
A1)U.
P-1 Page 2 of6
Rr:C~IVED
JAN! 7 2020
'., ., -, (', a• '
!=CEIVED
RECEIVED BY:
Revised 03/17
~~ ~~ -------------, ___________ _
(cicyof
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
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, titles, 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.) ~'AA-~~
Person t:A~~U l'A7::\:1 Corp/Part ~
Title ~ Title ____________ _
Address 1,Qt> \.!\~~ \yv-:\ Address __________ _
2. OWNER (Not the owner's agent)
P-1(A)
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, titles, 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 ~~~~ 11\-'T"t;\,
Title OW~
Address ~\VO '-.l \Q-\M
Q. ~~ <A-0rwSlo
Corp/Part \J~l)k ~
Title _____________ _
Address -------------
Page 1 of 2 Revised 07/10
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 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 $500 worth of business transacted with any member of City
staff, Boards, Commissions, Committees and/or Council within the past twelve (12)
months?
D Yes ~a If yes, please indicate person(s): ___________ _
NOTE: Attach additional sheets if necessary.
:;;:h:J: th;b;: ~n:;tion is true and corret:;st of ;;owledge
Signature of owner/date ~~cantlciafiF
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
P-1(A) Page 2 of 2 Revised 07/10
_,, ______ _
('cicyof
Carlsbad
,. ' ___________ ,, '"----------,
•-"
PROJECT DESCRIPTION
P-1(8)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICANT NAME: LAe;..'E..i"'\ L-\'.Pk::.\b.l
. b lication type Include any details necessary to Please describe fully the proposed proJect / apt the propos~d project You may also include
adequately explain. the scope and/or opera ~~n statements regarding the reasons for, or background information and suppo ing
=~~ropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation:
U,~t;:f' ~ .Q._-'::,-C~-1 c:;,,i,>~~ l=AM\L-1 ~\~~
~ ~~ .A.t)\.) A-1-..b ~0~-re~~ £,AKA<v~
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7io ~ 'De:()L. ~ CAl..s·nu-::.~\:.t:> ~ ~t"D 0,0
~-"t ~•lq..l • ~~ Ac,a,._ ~~ "=, --; e>"l4 ,;,.o._ ~) oz. ,~q. 0\ '5 .
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P-1(8) Page 1 of 1 Revised 07/10
(cicyof
Carlsbad
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1(C)
-
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
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 Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
'\i;:v The development project and any alternatives proposed in this application are not contained on the
";2S. lists compiled pursuant to Section 65962.5 of the State Government Code.
D The development project and any alternatives proposed in this application are contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT
Name: i ~ L..\~\),.,;i
Address: l°2>focq :Pi)~ ~
~ CA. OQ,,O c.4
PROPERTY OWNER
Name: ~~ \'\)Ar,yq_
Address: "'.!:>Do 'il\67" U.--'\
C)~K 0.-'\~7.-
Phone Number: 7,6o 3\tt> Cf?,5"!>
Address of Site:. __ ____,,~ ... · --=-"-=~=w,......_.~_,_\ -~=---~-U1-L.1St.,,.___,,._·· --=\:).5"-=-,l1-7?g:e.----'=· ~~---)+----
Local Agency (City and County): C~ ~ ~ (,e,ut;'IM
Assessor's book, page, and parcel nu:: ___ :lk~c..._ .... .....__~\\_2 ___ ~-'--"",,__ __________ _
Specify list(s): ____________________________ _
Regulatory Identification Number: ______________________ _
Date of List: ____________________________ _
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
agencies and developers to comply with the California Environmental Quality Act requirements
in providing information about the location of hazardous materials release sites.
P-1(C) Page 1 of 2 Revised 02/13
("'city of
Carlsbad
MINOR
COASTAL DEVELOPMENT PERMIT/
SINGLE FAMILY RESIDENCE
APPLICATION
Development Services
Planning Division
1635 Faraday Avenue
(760} 602-4610
www .ca rlsbadca .gov P-6
A proposed project requiring application submittal must be submitted by appointment*.
Please contact the appointment specialist at (760) 602-2723 to schedule an appointment.
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
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'.)
I. GENERAL BACKGROUND
P-6
A. Estimated Cost of Development:
Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit.
The City Planner 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 City
Planner). Please refer to the current fee schedule for the appropriate $/square foot fee rate.
⇒
⇒
⇒
⇒
⇒
New Residential Square Footage:
S7\A square feet x $ \4\,:Jt. /sq. ft.=$ $,\O > Gllo. Cc.A
Residential Addition Square Footage:
______ square feet x $ _____ /sq. ft.=$ _________ _
Any Garage Square Footage: ~ square feet x $ 4';JS' /sq. ft. = $_ C\~1 ~1Tt,.,0~
Residential Conversion Square Footage:
______ square feet x $ ____ /sq. ft. = $ _________ _
Please contact the City of Carlsbad Building Division for current fee rate for Non-
Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse
uses.)
______ square feet x $ __ /sq. ft. = $ __________ _
COST OF DEVELOPMENT ESTIMATE: $ O\,~ <;:b ~ " ,, q
B. Do you wish to apply for:
1. A Minor Coastal Development Permit (Under $60,000 cost es~ate~
2. A Coastal Development Permit ($60,000 or more cost estimate)J8:
C. Street address of proposed development
~~ ·a.,\Jt)
BILLING CONTACT
RAJESH PATEL
3170 Vista Way
Oceanside, Ca 92056-3608
INVOICE NUMBER INVOICE DATE
00064001 03/30/2020
REFERENCE NUMBER FEE NAME
~ INVOICE (00064001) ~
INVOICE DUE DATE
03/30/2020
City of Carlsbad Ccity of
1635 Faraday Avenue C l h d
Carlsbad, CA 92008-7314 ar Sua
INVOICE STATUS INVOICE DESCRIPTION
Due NONE
TOTAL
CDP2020-0013 COASTAL DEVELOPMENT PERMIT (CDP): Minor Permit $938.00
March 30, 2020 3:20 pm
SUB TOTAL $938.00
TOTAL ... 1 _____ $9_3_8.o_o .... 1
11111111111111111 IIIII 11111 11111 111111111111111 11111 1111111111111
City of Carlsbad
Faraday Center
Faraday Cashiering 001
2009001-1 03/30/2020 284
Mon, Mar 30, 2020 03:31 PM
Receipt Ref Nbr: R2009001-1/0020
ENERGOV -ENERGOV
Tran Ref Nbr: 200900101 0020 0020
Trans/Rcpt#: 00064001
SET#: 00064001
Amount:
Item Subtotal :
Item Total :
ITEM(S) TOTAL:
Check (Chk# 013244)
Total Received:
Have a nice day!
1@ $938.00
$938.00
$938.00
$938.00
$938.00
$938.00
I
**************CUSTOMER COPY*************
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