HomeMy WebLinkAboutCD 2018-0012; JACK IN THE BOX; Consistency Determination (CD)CITY OF CARLSBAD APPLICATION FORM FOR CONSISTENCY DETERMINATION APPLICATION
CITY USE ONLY
Original Project Number: Consistency Determination Number: ODZol 'b -00 J2-
PROJECT NAME: Jack in the Box #0036 Ca~sbad
: Assessor's Parcel Number(s): 203-353-09-00
Description of proposal (add attachment if necessary): Ten_ant improvement-facade remodel and accessibility
changes to restrooms. new finishes and furniture at dining_room and new drive thru equipment.
Would you like to orally present your proposal to your assigned staff planner/engineer? ~ • • No
Please list the staff members you have previously spoken to regarding this project. If none, please so state.
Jason Goff
OWNER NAME (Print):
MAILING ADDRESS: ,? o. rrx:,1x '70C.9
CITY, STATE, ZIP:
APPLICANT NAME (Print): Cynthia Chong / MAt'-1(.S fl«\:WTl;t.T", • MAILING ADDRESS: 2643 4th Avenue --------------
CITY, STATE, ZIP: San Diego, CA 92103
TELEPHONE: c,4c) '1"'->°l I J 1':'.:) TELEPHONE: ~6~1~9-_7~02~--944~8 _______ _
EMAIL ADDRESS: (--\l-l~C>-:.. ·lifi"I ~ ;,\Q. ,<Ot-1 EMAIL ADDRESS: cynthia@marksarchitects.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
NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND
ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. IM/E 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~EDGE -.) , . ~ . ..,.__
-l }CJ! , 7'./ ,!,,(_.,LZ.L
SldNATURE
APPLICANT'S REPRESENTATIVE (Print): Gabriela Marks / Architect
MAILING ADDRESS: 2643 4th Avenue
CITY. STATE, ZIP: San Diego, CA 92103
TELEPHONE: 619-702-9448
EMAIL ADDRESS: gabriela@marksarchitects.com
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE.
JUN I 2 2018
TI AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
HE BEST OF MY KNOWLEDGE.
·. FEE REQUIRED/DATE FEE PAID:
: RECEIVED BY:
O&J1z/18
DAT 1
--------~-------·-" i»" DO O Ci 2..
P-16 Page 2 of 2
---------------------
-------------~ ----
Revised 03/17
,~-t .... -.~
~ ... ,-'--
e ~f.OJ/}.f!Hl
e f~o:.. -----
~-!'
BOTTOM <S(JINC
~ rctc,-SUB
[g]
~•••
MFR:SHERWIN WILLIAMS
COLOR : SW 7016
MINDFUL GRAY
2
RAL-7039
QUARTZ GREY
tGU,i-l·i·O
m
OJ
3
MFR:CROSVILLE TILE
MODEL: SPEAKEASY
COLOR: AV283 SWEET GEORGIA
BROWN
~ TOP fT PNW'(f
[g]
4
MFR:SHERWIN WILLIAMS
COLOR : SW 7020
BLACK FOX
marks
architects