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HomeMy WebLinkAboutCD 2017-0009; RANCHO CARRILLO REC CENTER; Administrative Permits (ADMIN)• L11461/ CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION CITY USE ONLY C.DOriginal Project Number:6)p civ-io Consistency Determination Number:20 t; co 9 PROJECT NAME:Rancho Carrillo Clubhouse Remodel/Addition Assessor's Parcel Number(s):2226010700 Description of proposal (add attachment if necessary):264 SF addition to existing clubhouse building; match existing exterior finishes; modify kitchen layout (no addtional fixtures); new cabinets. Would you like to orally present your proposal to your assigned staff planner/engineer?Yes ID No Please list the staff members you have previously spoken to regarding this project.If none, please so state. Shay Evan OWNER NAME (Print):Rancho Carrillo HOA APPLICANT NAME (Print): JWC Construction and Consulting MAILING ADDRESS:6250 Flying Leo Carrillo Lane MAILING ADDRESS:2580 Fortune Way CITY, STATE, ZIP:Carlsbad, CA 92009 CITY, STATE, ZIP:Vista, CA 92081 TELEPHONE:760.804.5969 TELEPHONE:760.727.2494 EMAIL ADDRESS:jojeda@waltersmanagement.com EMAIL ADDRESS:rhoffman@jwcconstruction.com *Owner's signature indicates permission to conduct a preliminary review for a development proposal. IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND OWNER AND THAT ALL THE ABOVE INFpRMATION IS TRUE ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS AND CORRECT TO THE BEST OF MY KNOWLE. APPLICATION.I/WE CONSENT TO ENTRY FOR THIS PURPOSE.I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KN /LEDGE.lif-71 TelataxaVAr---- 3/28/2017 DATE IGNATURE 1146V/M 4 •5pa SIGNATUREDATEvyril APPLICANT'S REPRESENTATIVE (Print):Russ Hoffman, C/O JWC Construction and Consulting MAILING ADDRESS:2580 Fortune Way CITY, STATE, ZIP:Vista,CA 92081 TELEPHONE:949.244.3147 m EMAIL ADDRESS:rhoffman@jwcconstruction.com I RTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND O RECT TO H OF MY KNOWLEDGE. 3/28/2017 SIGNATURE DATE FEE REQUIRED/DATE FEE PAID:-15b RECEIVED BY: ••. APR 1 8 2ni7P-16 ••.Page 2 of 2 Revised 08/16 whYM.1....1001.1 111.11111.11111.111 INVOICE (00006824) BILLING CONTACT (RANCHO CARRILLO MASTER ASSOCIATION City of Carlsbad City of9665 Chesapeake Dr, 300 1635 Faraday Avenue San Diego, Ca 92123 Carlsbad, CA 92008-7314 Carlsbad INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION 00006824 04/18/2017 04/18/2017 Due NONE• REFERENCE NUMBER FEE NAME TOTAL CD2017-0009 CONSISTENCY DETERMINATION (PLN)$733.00 SUB TOTAL $733.00 TOTAL $733.00 1111111 I(III III 11111111111 0111111111111111111111111 City of Carlsbad Faraday Center Faraday Cashiering 001 1710801 -1 04/18/2017 32 Tue,Apr 18,2017 08:31 AM Receipt Ref Nbr:R1710801 -1/0008 ENERGOV -ENERGOV Tran Ref Nbr:171080101 0008 0009 Trans/Rcpt#:00006824 SET #:00006824 Amount:1 1 $733.00 Item Subtotal:$733.00 Item Total:$733.00 1 ITEM(S)TOTAL:$733.00 Credit Card (Auth#046658)$733.00 Total Received:$733.00 Have a nice day! **************CUSTOMER COPY*************April 18, 2017 8:29 am •.