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HomeMy WebLinkAboutCDP 98-42; Seaside Estates; Coastal Development Permit (CDP) (2)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1 ) APPLICATIONS APPLIED FOR: (C [3 Administrative Permit - 2nd Dwelling Unit Q Administrative Variance £3 Coastal Development Permit Q Conditional Use Permit O Condominium Permit CD Environmental Impact Assessment [H General Plan Amendment fod Hillside Development PermitAmendment / O Local Coastal Plan Amendment Q Master Plan O Non-Residential Planned Development (~1 Planned Development Permit HECK BOXES) (FOR DEPARTMENT USE ONLY) CD? *]?'<#• \\W *]}-<&£*} Cs Q Planned Industrial Permit [] Planning Commission Determination I | Precise Development Plan n Redevelopment Permit 3fx| Site Development PlanAmendment / [~| Special Use Permit Q Specific Plan O Tentative Porccl Mop Obtain from Engineering Department O Tentative Tract Map Q Variance Q Zone Change O List other applications not specified (FOR DEPARTMENT USE ONLY, trfW-tX'®* & 2) ASSESSOR PARCEL NO(S).: 214-540-01 thru 12. 19 thru 22. 214-541-01 thru 24^214^41-30 3) PROJECT NAME: Seaside Estates ' 4) BRIEF DESCRIPTION OF PROJECT: Single Family Detached Residential Project 5) OWNER NAME (Print or Seaside Estates, LLC MAILING ADDRESS 15707 Rockfield Blvd. CITY AND STATE Irvine, CA Type) , Suite 255 ZIP TELEPHONE 92618 949/462-9040 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWUEDGETy^ SIGNATURE DATE 6) APPLICANT NAME (Print or Type) PHD Homes, Inc. MAILING ADDRESS 15707 Rockfield Blvd., Suite 255 CITY AND STATE ZIP TELEPHONE Irvine, CA 92618 949/462-9040 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND ,eOR^ECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION Lots 1-36, 112-119, Carlsbad Tract 92-02 Map No. 13378 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. c 8)LOCATION OF PROJECT: ON THE BETWEEN SW Corner of Aviara Parkway and Plum Tree Road West STREET ADDRESS SIDE OF Aviara Parkway (NORTH, SOUTH, EAST, WEST)(NAME OF STREET) Plum Tree Road AND Poinsettia (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS No.20 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 (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 RLM 24) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMEBERS OR CITY COUNCIL MEMBERS TOJNSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT ENTRY FOR THIS PURPOSE I SI FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE S 0 r (/HMOS &*<«<! FEE REQUIRED 1.1ZO TOTAL FEE REQUIRED W33T KtChlVED MAY 2 8 1998 CITY OF CARLSBAD DATE RECEIVED BY: DATE FEE PAID RECEIPT NO. , v 10 O^ ; | O ; JJ C|TY OF CARLSBAD 1200 CARL.SBAcMi.LAGE DRIVE CARLSBAD, fctfLIFORNIA 92008 434-2867 REC'D FROM PHD DATE.f=^ ACCOUNT NO.DESCRIPTION QGOig iw RECEIPT NO. 53356 © Printed on recycled paper. NOT VALID UNLESS VALIDATED BY CASH REGISTER TOTAL 60 V .- - •-» 4 SUPPLEMENTAL APPLICATION FORM FOR ALL COASTAL DEVELOPMENT PERMITS 4 APPLICATION CHECKLIST FOR SINGLE FAMILY REGULAR & MINOR COASTAL DEVELOPMENT PERMITS (>lpp//cation checklist for Non-Single Family RegularCoasta]DevelopmentPermits covered under separate handout) This supplemental application is to be filed for any development requiring a Coastal Development Permit issued by the City of Carlsbad. I. GENERAL BACKGROUND A. Estimated Cost of Development: Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit. The Planning Director 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 Planning Director). => New Residential Square Footage: 191.942 Square feet x $78.00/sq. ft. = $14.971,476.00 => Residential Addition Square Footage: square feet x $94.00/sq. ft. = $ Any Garage Square Footage: 30,280 square feet x $22.00/sq. ft. = $666,160.00 Residential Conversion Square Footage: square feet x $26.00/sq. ft. = $ => For Non-Residential Uses, use the following figures for calculations: Retail/Store @ $38.00/sq. ft.; Restaurant @ $69.007 sq. ft.; Office @ $55.007 sq. ft.; Manufacturing/Warehouse @ $24.00/sq. ft.: square feet x $ /sq. ft. = $ COST OF DEVELOPMENT ESTIMATE: $ 15.637.636.00 B. Do you wish to apply for: 1. A Minor Coastal Development Permit (Under $60,000) 2. A Regular Coastal Development Permit ($60,000 or more) x Form 15 10/97 Page 1 of 8 C. Street address of proposed development D. Assessor's Parcel Number of proposed development 214-540-01 thru 12, 19 thru 22. 214-541-01 thru 24, 214-541-30 thru 33 E. Development Description: 1. Briefly describe project: 44 Single Family Detached Homes to be constructed in an existing improved residential subdivision zoned R-l. 2. Estimated cost of development: $26,178,636 F. Describe the present land uses (i.e. Vacant land, single family homes, apartments, offices, etc.) that surround the proposed development to the: North: Single Family Homes South: Single Family Homes Vacant Land West: Single Family Homes G. Is project located within a 100 year flood plain? ^\ Yes (x] No II. PRESENT USE OF PROPERTY A. Are there existing structures on the property? Q Yes [x] No If yes, please describe. B. Will any existing structure be removed/demolished? Q Yes [x] No If yes to either question, describe the extent of the demolition or removal, including the relocation site, if applicable (also show on plans). As per Jeff Gibson III. LOT COVERAGE N/A - Existing Single Family Subdivision A. ' Existing and Proposed Existing New Proposed Total Building Coverage sq. ft. sq. ft. sq. ft. Landscaped Area sq. ft. sq. ft. sq. ft. Hardscape Area sq ft sq ft sq ft Unimproved Area (Left Natural) sq.ft. sq.ft. sq.ft. Form 15 10/97 Page 2 of 8 B. Parking: Number of existing spaces Number of new spaces proposed Existing/Proposed TOTAL: Number of total spaces required Number of covered spaces Number of uncovered spaces Number of standard spaces Number of compact spaces • Is tandem parking existing? Q Yes # Q No Is tandem parking proposed? Q Yes # Q No C. Grade Alteration: Is any grading proposed? Q Yes Q No If yes, please complete the following: 1. Amount of cut cu. yds. 2. Amount of fill cu. yds. 3. Maximum height of fill slope feet 4. Maximum height of cut slope feet 5. Amount of import or export cu. yds. 6. Location of borrow or disposal site Form 15 10/97 Page 3 of 8 IV. ENVIRONMENTAL REVIEW Submit Environmental Impact Assessment (EIA) Part I with Regular Coastal Development Permits; check with Planning Staff regarding Minor Coastal Development Permits and Single Family Regular Coastal Development Permits for any environmental review requirements. V. GENERAL APPLICATION REQUIREMENTS (For Single Family Regular and Minor Coastal Development Permits; Regular Coastal Development Permits covered under separate handout) A. Site Plan: Four (4) copies for a Minor Coastal Development Permit, four (4) copies for a Single Family Regular Coastal Development Permit prepared on a 24" x 36 sheet(s) folded to 8%" x 11". The site plan shall include the following information: 1. General a. Name and address of applicant, engineer and/or architect, etc. b. Location, size and use of all easements. c. Dimensions and locations of: access, both pedestrian and vehicular, showing service areas and points on ingress and egress, off-street parking and loading areas showing location, number and typical dimension of spaces, and wheel stops. d. Distance between building and/or structures. e. Building setbacks (front, rear and sides). f. Location, height and materials of walls and fences. g. Dimensions/location of signs. h. A summary table indicating the following information (if applicable to the application): (1) Site acreage (2) Existing zone and land use (3) Proposed land use (4) Total building coverage (5) Building square footage (6) Percent landscaping (7) Number of parking spaces (8) Square footage of open/recreational space (if applicable) (9) Cubic footage of storage space (if applicable) B. Building elevations (all sides of all buildings) and floor plans: Four (4) copies for a Minor Coastal Development Permit and four (4) copies for a Single Family Regular Coastal Development Permit, prepared on 24" x 36" sheets folded to 81/2" x 11" size. The building and floor plans shall include the following: 1. Location and size of storage areas (if applicable) 2. All buildings, structure, walls and/or fences, signs and exterior lights. 3. Existing and proposed construction. C. Grading and Drainage: Grading and drainage plans must be included with this application. In certain areas, an engineering geology report must also be included. Please consult the City Planning and Engineering Department representative for a determination on any grading plan geotechnical Form 15 10/97 Page 4 of 8 r .*• "% V .„- ^ •••-" requirements if the project is in an overlay zone. The following information shall be submitted at a minimum: 1. Approximate contours at 1' intervals for slopes less than 5%; 2' intervals for slopes between 5% and 10%; and 5' intervals for slopes over 10% (both existing and proposed). Existing and proposed topographic contours within 100' perimeter of the boundaries of the site. Existing onsite trees; those to be removed and those to be saved. 2. Earthwork volumes; cut, fill, import and export. 3. Spot elevations at the corners of each pad. 4. Method of draining each lot. Include a typical cross section taken parallel to the frontage for lots with less than standard frontage. 5. Location, width and/or size of all watercourses and drainage facilities within and adjacent to the proposed subdivision. Show location and approximate size of any proposed detention/retention basins. 6. Clearly show and label 100 year flood line for the before and after conditions for any project which is within or adjacent to a FEMA flood plain. D. Reduced site plan: One (1) copy of 8V2" x 11". (Not required for Single Family Residence). E. Location Map: One (1) copy of 814" x 11" (suggested scale 200" - vicinity maps on the site plan are not acceptable). F. Colored Site Plan and Elevation Plan: (Not required with the first submittal) It is the Applicant's responsibility to bring one (1) copy of a colored site plan and one (1) copy of a colored elevation to the Planning Department by 12:00 noon, eight (8) days prior to the Planning Commission meeting. Do not mount exhibits. VI. REQUIRED DOCUMENTS A. Land Use Review Application Form B. Completed Coastal Development Supplemental Application Form C. Disclosure Statement D. Completed "Project Description/Explanation" Sheet E. Title Report (required for sites in Coastal Commission Appeal Area) VII. OTHER REQUIREMENTS A. Property Owners List and Address Labels NOTE: When the application is tentatively scheduled to be heard by the decision making body, the project planner will contact the applicant and advise him to submit the radius map, two (2) sets of the property owners list and labels. The applicant shall be required to sign a statement certifying that the information provided represents the latest equalized assessment rolls from the San Diego County Assessor's Office. The project will NOT go forward until this information is received. Form 15 10/97 Page 5 of 8 V, .., -v- W 1. A typewritten list of the names and addresses of all property owners within a 600' radius of subject property (including the applicant and/or owner). The list shall include the San Diego County Assessor's parcel number from the latest assessment rolls. 2. Two (2) separate sets of mailing labels of the property owners within a 600' radius of the subject property. The list must be typed in all CAPITAL LETTERS, left justified, void of punctuation. For any address other than single family residence, an apartment, suite or building number must be included on a separate line. DO NOT include it on the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON LABELS. DO NOT provide addressed envelopes - PROVIDE LABELS ONLY. Acceptable fonts are: Swiss 721, Enterprise TM or Courier NEW (TT) no larger than 11 pt. Sample labels are as follows: UNACCEPTABLE UNACCEPTABLE ACCEPTABLE Mrs. Jane Smith Mrs. Jane Smith MRS JANE SMITH 123 Magnolia Ave., Apt #3 123 Magnolia Ave. APT 3 Carlsbad, CA 92008 Apt. #3 123 MAGNOLIA AVE Carlsbad, CA 92008 CARLSBAD CA 92008 3. 600' Radius Map: A map to scale not less than 1"=200' showing each lot within 600' of exterior boundaries of the subject property. Each of these lots shall be consecutively numbered and correspond with the property owners list. The scale of the map may be reduced to a scale acceptable to the Planning Director if the required scale is impractical. 4. 100' Radius Occupants/Address List and Labels (for coastal zone/CDPs only): One (1) list of the occupants/addresses located within a 100' radius of the project site; and two (2) sets of labels (as described in "A" above) of the addresses within a 100' radius. B. Fees and Deposit for Publication of Notices: See Fee Schedule for amount. VIII. SPECIFIC APPLICATION REQUIREMENTS (May apply to single family, regular and minor coastal development permits) Coastal Overlay Zones require additional information to be submitted as follows: (refer to the Municipal Code for a full description): A. Coastal Agriculture Overlay Zone 1. Refer to the Carlsbad Municipal Code Section 21.202.060 for specific requirements. B. Coastal Resource Protection Overlay Zone 1. Slope analysis/mapping for 25% and greater subject to Section 21.203.040 of the Carlsbad Municipal Code. 2. Topographic and vegetation mapping/analysis subject to Subsection 21.203.040(B)(1) of the Carlsbad Municipal Code, if project is located Form 15 10/97 Page 6 of 8 V. x <*~^ along the first row of lots bordering Buena Vista Lagoon including the Lagoon mouth. 3. Topographic, drainage and wetland mapping subject to Subsections 21.203.040(B)(2)(a) and (b) of the Carlsbad Municipal Code if located east of Interstate 5 in the Batiquitos Lagoon watershed. 4. Drainage study subject to Subsection 21.203.040(B)(3) of the Carlsbad Municipal Code if project is located west of existing Paseo del Norte, west of Interstate 5 or along El Camino Real immediately upstream of existing storm drains. 5. Geologic report addressing landslides and slope stability subject to Subsection 21.203.040(B)(4) of the Carlsbad Municipal Code. 6. Geologic report addressing land slides and seismic hazards subject to Subsection 21.203.040(C) and (D) of the Carlsbad Municipal Code. C. Coastal Shoreline Development Overlay Zone 1. Geotechnical report subject to 21.204.110 if project is located adjacent to an existing seabluff edge between the sea and the first public road parallel to the sea; also may be required by Planning Director if deemed necessary consistent with Section 21.204.110 of the Carlsbad Municipal Code. 2. Show all structures and decks on adjacent north and south properties to perform "stringline" test subject to Subsection 21.204.050(6) of the Carlsbad Municipal Code. 3. Unless otherwise submitted project in this zone must also be submitted with plans showing: a. Boundaries and topography b. Existing and proposed structures c. Circulation d. Drainage e. Finished topography f. Landscaping D. Coastal Resource Overlay Zone Mello I LCP Segment 1. Erosion, sedimentation and drainage report subject to Section 21.205.060 of the Carlsbad Municipal Code if project is located in the Batiquitos Lagoon watershed. IX. REQUIRED COASTAL PERMIT FINDINGS Approval of a regular or minor coastal development permit is based on the ability to make three coastal related findings. These three findings are presented below for your review and information. 1. That the proposed development is in conformance with the Certified Local Coastal Program and all applicable policies. 2. That the development is in conformity with the public access and public recreation policies of Chapter 3 of the Coastal Act. Form 15 10/97 Page 7 of 8 3. That the development conforms with any applicable decision pertinent to this proposal and/or site as set by the Coastal Commission on a previously related appeals decision per Public Resources Code §30604(c). Form 15 10/97 Page 8 of 8 City of Carlsbad Planning Department DISCLOSURE STATEMENT 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, title, 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 See attached Corp/Part PHD Homes' Inc' Title Title See attached Address Address OWNER (Not the owner's agent) 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, title, 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 See attached Corp/Part Seaside Estates, LLC Title 1 Title See attached Address ^_^____ Address 2O75 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (76O) 438-1161 • FAX (760) 438-O894 . NON-PROFIT O&.^IZATION 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 Title N/A Non Profit/Trust, Title Address Address Have you had more than $250 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve (12) months? Yes x No If yes, please indicate person(s):_ NOTE: Attach additional sheets if necessary. 1 certify that all the above information is true and correct to the best of my knowledge. Sea****, Estates, LLC PHD Homes, Inc. By/i PHD .Homes, Inc., Its Manager SignarOie of Owner/date Signature of applicant/da Gary Emsiek, President Gary Emsiek, President 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 H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 DISCLOSURE STATEMENT (Exhibit) Members, Mailing Addresses, Percentages Owner: PHD Homes, Inc. 1% 15707 Rockfield Blvd., suite 255 Irvine, CA92618 Madison Investors, LP 65% 15707 Rockfield Blvd., Suite 255 Irvine, CA92618 Attn: Gary Emsiek Three Arch Investors, LP 34% 15707 Rockfield Blvd., Suite 255 Irvine, CA92618 Attn: David R. Michelson 100% Applicant: PHD Homes, Inc. 15707 Rockfield Blvd., Suite 255 Irvine, CA92618 Owners: David Michelson 50% Gary Emsiek 50% PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: Seaside Estates APPLICANT NAME: Seaside Estates, LLC 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. Application Site Development Plan Amendment Coastal Development Permit The project consists of 44 production custom homes to be built on 44 lots in CT 92-02. The residential lots have been fully improved to the R-1 10,000 S.F. standard as outlined in the Specific Plan - Zone 20. The four basic floor plans range in size from 3,376 S.F. to 4,994 S.F. There are three (3) interior elevations for each floor plan except plan one, which is a single store residence with a loft. There are 10% (four) single story homes in the development to comply with the ridgeline view as outlined in the Specific Plan - Zone 20. Application Hillside Development Permit Amendment The development will require the installation of approximately thirteen (13) retaining walls approximately four (4) feet high in the rear yards in order to offer pool size yards to the potential homeowners. R*V. 4/91 itv of Carlsbad Planning Department DISCLOSURE STATEMENT 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 appl icant'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, title, 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.) See attached _ Corp/Part PHD Homes' Inc' _Person Title Title See attached Address Address 2. OWNER (Not the owner's agent) 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, title, 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 Title See attached Address Corp/Part Seaside Estates, LLC Title See attached Address _ 2O75 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (760) 438-1161 • FAX (760) 438-O894 DISCLOSURE STATEMENT (Exhibit) Members, Mailing Addresses, Percentages Owner: PHD Homes, Inc. 1% 15707 Rockfield Blvd., suite 255 Irvine, CA92618 Madison Investors, LP 65% 15707 Rockfield Blvd., Suite 255 Irvine, CA92618 Attn: Gary Emsiek Three Arch Investors, LP 34% 15707 Rockfield Blvd., Suite 255 Irvine, CA92618 Attn: David R. Michelson 100% Applicant: PHD Homes, Inc. 15707 Rockfield Blvd., Suite 255 Irvine, CA92618 Owners: David Michelson 50% Gary Emsiek 50% NON-PROFIT ORdfclZATION OR TRUST If any person identifiP*^>ursuant to (1) or (2) above is a nonprofjrganization or a trust, list the names and addressesNff ANY person serving as an officerm director of the non-profit organization or as trustee or beneficiary of the. Non Profit/Trust . Non Profit/Trust Title N/A Title Address Address 4. Have you had more than $250 worth of business transacted with any member of City staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? Yes No If yes, please indicate person(s):_ NOTE: Attach additional sheets if necessary. I certify that all the above information is true and correct to the best of my knowledge Seaside Estates, LLC .SK) Homes, Inc. Homes, Inc., Its Manager Signature of owner/date Signature of applicant/date Gary Emsiek, President Gary Emsiek, President 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 H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2 ^^..^i^^