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Home My WebLink AboutCUP 06-11C; PACIFIC RIDGE SCHOOL: CAMPUS IMPROVEMENTS; Conditional Use Permit (CUP)Ccityof Carlsliad APPLICATIONS APPLIED FOR: (CHECK BOXES) LAND USE REVIEW APPLICATION P-1 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Development Pennlts (FOR DEPT. USE ONLY) Legislative Penn/ts (FOR DEPT. USE ONLY) 0 Coastal Development Permit 0 Minor 0 General Plan Amendment CtJPOlll \C D Local Coastal Program Amendment Ill Conditional Use Permit 0 Minor 0 Extension 0 Day Care (Large) Ill Master Plan Ill Amendment Mfol1~:! D Environmental Impact Assessment 0 Specific Plan 0Amendment D Habitat Management Permit D Minor D Zone Change D Hillside Development Permit 0 Minor 0 Zone Code Amendment D Nonconforming Construction Permit Sg,ll1!:! Carl§.bad Coastal Rt.Vii,W A!!! PIIJIJ}ts D Planned Development Permit 0 Minor 0 Review Permit 0 Residential D Non-Residential 0 Administrative 0 Minor 0 Major D Planning Commission Determination 0 Reasonable Accommodation Village RI,Vii,W Area Pt.nnit§. 0 Site Development Plan 0Minor 0 Review Permit B D Special Use Permit 0 Administrative 0 Minor 0Major D Tentative Parcel Map (Minor Subdivision) D Tentative Tract Map (Major Subdivision) D Variance 0Minor NOTE: A PROPOSED PROJECT REQUIRING MULnPLE APPUCAnONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPUCAnON MUST BE SUBMITTED PRIOR TO 4:00P.M. ASSESSOR PARCEL NO(S).: 213-122-18 and 19 -------------------------------------------------------------------PROJECT NAME: Pacific Ridge School -------------------------------------------------------------------------BRIEF DESCRIPTION OF PROJECT: Campus improvements including 2 new buildings, parking expansion, and volleyball courts BRIEF LEGAL DESCRIPTION: Parcels A and 8 of Parcel Map Mo. 21190, in the City of Carlsbad, County of San Diego LOCATION OF PROJECT: 6269 El Fuerte Street ON THE: West (NORTH, SOUTH, EAST, WEST) BETWEEN Bressi Ranch Way (NAME OF STREET) P-1 STREET ADDRESS SIDE OF El Fuerte St (NAME OF STREET) AND Greenhaven Dr (NAME OF STREET) Page 1 of6 Revised 03/16 c OWNER NAME APPLICANT NAME (Print): (Print): Pacific Ridge School same as owner MAILING ADDRESS: 6269 El Fuerte St MAILING ADDRESS: CITY, STATE, ZIP: Carlsbad, CA 92009 CITY. STATE. ZIP: T8.EPHONE: 760-448-9820 TELEPHONE: EMAIL A ODRESS: bbuscher@pacificridge.org EMAIL ADDRESS: 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 "lliiS APPLICATION. L Sl~ful;r-·~~ .r/ttt. ,.A--/1-t~ f(f«c; DATE SI~TURE OAT APPLICANTS REPRESENTATIVE (Print): Bill Hofman, Hofman Planning & Engineering MAILING ADDRESS: 3156 Lionshead Ave, Suite 1 CITY, STATE, ZIP: Carlsbad, CA 92010 TELEPHONE: 760-692-4012 EMAIL ADDRESS: bhofman@hofmanplannlng.com 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 KNOVIILEDGE. /J~ /6ff~C4->-t(!;!l-loti., ~IGNATURE -- --. 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. 11\NE 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. '(f~WNER~l& FOR CITY USE ONLY P-1 Page 2of6 MAY 2 6 2016 CITY OF CARLSBAD PLANNING DIVISION DATE STAMP APPLICATION RECEIVED RECEIVED BY: Revised 03116 I ~----------------------· ('city of 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,.·t:Q organization, corporation, estate, trust, . rtnership, joint venture, association, social club, fraternal '1)'1\dicate, in this and any other county, city and county, nor any other group or combination acting as a unit." city municipality, distriCt or other political su 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 1 0% 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 Corp/Part Pacific Ridge School Title ___________ _ Title _____________ _ Address _________ _ Address 6269 El Fuerte St. Carlsbad, CA 92009 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 Corp/Part Pacific Ridge School Title ___________ _ Title _____________ _ Address. _________ _ Address 6269 El Fuerte St Carlsbad, CA 92009 Page 1 of2 Revised 07/10 t 0 0 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 Profitrrrust S"B{ tf'l'l'";f<l¥<2 Non Profitrrrust ________ _ 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? DYes II' I 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. @\;}£f ~00 Signature of owner/date Signature of applicant/date Dr. Bob Ogle Dr. Bob Ogle Print or type name of owner Print or type name of applicant Bill Hofman Print or type name of owner/applicant's agent P-1(A) Page2 of2 Revised 07/10 ~I PACIFIC R I D G E SCHOOL Disclosure Statement P-1 (A) (Item Three: Non-Profit Organization or Trust) Kumar Aiyer Carlsbad, CA 92011 William Ayyad Rancho Santa Fe, CA 9206z Hugh Bancroft Rancho Santa Fe, CA 92067 Spencer Burkholz San Diego, CA 92092 Eugene Chen Carlsbad, CA 92009 Paul Flather Rancho Santa Fe, CA 92067 Bill Keitel Rancho Santa Fe, CA 92067 Jay Lichter Rancho Santa Fe, CA 92067 Kirk Malloy Encinitas CA 92024 Christopher Maloney Rancho Santa Fe Janet McVeigh . Rancho Santa Fe, CA 92067 Gwendolyn Meyer Rancho Santa Fe, CA 92067 Amy Monteparte San Diego, CA 92127 Chris Nero Olivenhain CA 92024 Steve Netzley Del Mar, CA 92014 Jori Potiker Rancho Santa Fe, CA 92067 Bob Regnery Encinitas, CA 92024 Steve Rosetta Rancho Santa Fe, CA 92067 Shari Sapp Rancho Santa Fe, CA 92067 Johann Verheem Encinitas, CA 92024 *Please note, per our privacy policy we cannot publish the personal addresses of our Trustee Members Ccicyof Carlsbad TIME LIMITS ON DISCRETIONARY PROJECTS P-1(E) PLEASE NOTE: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Time limits on the processing of discretionary projects established by state law do not start until a project application is deemed complete by the City. The City has 30 calendar days from the date of application submittal to determine whether an application is complete or incomplete. Within 30 days of submittal of this application you will receive a letter stating whether this application is complete or incomplete. If it is incomplete, the letter will state what is needed to make this application complete. When the application is complete, the processing period will start upon the date of the completion letter. If you have any questions regarding application submittal requirements (i.e., clarification regarding a specific requirement or whether all requirements are necessary for your particular application) please call (760) 602-4610. Applicant Signature: ......:;~'I'F--=-;;;..;;...;;..;;.._.:;.;;~----------- Staff Signature: Date: To be stapled with receipt to the application P-1(E) Page 1 of 1 Revised 07/10 Ccicyof 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): lj] The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. D The development project and any alternatives proposed in this application !!! contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: Pacific Ridge School Address: 6269 El Fuerte St Carlsbad, CA 92009 Phone Number: 760-448-9820 Address of Site: 6269 El Fuerte St PROPERTY OWNER Name: Pacific Ridge School Address: 6269 El Fuerte St Carlsbad, CA 92009 Phone Number: 760-448-9820 Local Agency {City and County):_C_a_r_ls_b_a_d_,_s_a_n_D_ie.....;;g;_o ___________ _ Assessor's book, page, and parcel number:_2_1_3_-_1_2_2_-_1_8_a_n_d_1_9 _________ _ Specify list(s): __________________________ _ Regulatory Identification Number: ____________________ _ Date of List: ___________________________ _ Pr rty Owner Signature/Date 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 of2 Revised 02/13 .... / City of Carlsbad Faraday Center Faraday Cashiering 001 1614701-1 05/26/2016 32 Thu, May 26, 2016 02:22 PM Receipt Ref Nbr: R1614701-1/0011 PERMITS -PERMITS Tran Ref Nbr: 161470101 0011 0011 Trans/Rcpt#: R0117694 SET#: CUP0611C Amount: Item Subtota 1 : Item Tot a 1: PERMITS -PERMITS 1 @ $2,458.00 $2,458.00 $2,458.00 Tran Ref Nbr: 161470101 0011 0012 Trans/Rcpt#: R0117695 SET #: MP00178J Amount: Item Subtota 1 : Item Tot a 1: 2 ITEM(S) TOTAL: Check (Chk# 001789) Check (Chk# 001798) Total Received: Have a nice day! 1 @ $2,066.94 $2,066.94 $2,066.94 $4,524.94 $4,477.00 $47.94 $4,524.94 **********»***CUSTOMER COPY************* 0 0 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 11111111111111111111~1 ~1111111111111~ Applicant: PACIFIC RIDGE SCHOOL Description Amount CUP0611C 2,458.00 6269 EL FUERTE ST CBAD Receipt Number: R0117694 Transaction ID: R0117694 Transaction Date: 05/26/2016 Pay Type Method Description Amount Payment Check 2,458.00 Transaction Amount: 2,458.00 0 0 City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 I IIIII ~~ 11111111 ~~ 1111 ~~ IIIII Applicant: PACIFIC RIDGE SCHOOL Description Amount MP00178J 2,066.94 6269 EL FUERTE ST CBAD Receipt Number: R0117695 Transaction ID: R0117695 Transaction Date: 05/26/2016 Pay Type Method Description Amount Payment Check 2,066.94 Transaction Amount: 2,066.94