HomeMy WebLinkAboutCUP 85C; Pilgrim United Church of Christ; Conditional Use Permit (CUP) (7)k
CITY OF CARLSBAD
CITY AND STATE TELEPHONE
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE.
LAND USE REVIEW APPLICATION
APPLICATIONS APPLIED FOR: (CHECK BOXES)
CITY AND STATE ZIP TELEPHONE qb6 - YY/B 6) embad 43$-0g5zfh)
I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE
OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
CORSCT TO THE BEST OF MY KNOWLEDGE.
Administrative Permit - 2nd
Dwelling Unit
Administrative Variance
Coastal Development Permit
Conditional Use Permit
Condominium Permit
md-
Environmental Impact
Assessment
General Plan Amendment
Hillside Development Permit
Local Coastal Plan Amendment
Master Plan
Non-Residential Planned
Development
Planned Development Permit
2) ASSESSOR PARCEL NO(S).:
(FOR DEPARTMENT 7
I
Planned Industrial Permit
Planning Commission
Determination
Precise Development Plan
Redevelopment Permit
Site Development Plan
Special Use Permit
Specific Plan
Obtain from Engineering Department
Tentative Tract Map
Variance
Zone Change
List other applications not
(FOR DEPARTMENT '
I specified 1
c- -
3) PROJECT NAME:
4) BRIEF DESCRIPTION OF PROJE & dP- 1
16) APPLICANT NAME (Print or Type) 5) OWNER NAME (Print or Type) 1
MAILI~ ADDRESS MAILING ADDRESS
5051 Shm a
SIGNATURE DATE
7) BRIEF LEGAL DESCRIPTION
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:OO P.M.
b6.v 4004?
Form 16 PAGE 1 OF 2
1- c -
-\ t 8) LOCATION OF PROJECT: 2020 &esfr?& AV.e
STREET ADDRESS
(NORTH, SOUTH, EAST, WEST) I S/O& OF
(NAME OF STREET)
SIDE OF
rn
I &425!s- (NAME OF STREET)
E c5mE (NAME OF STREET)
I MONRO
9) LOCAL FACILITIES MANAGEMENT ZONE I I
12) PROPOSED NUMBER OF
RESIDENTIAL UNITS
lo) PROPOSED NUMBER OF LOTS 1 1) NUMBER OF EXISTING I/.l RESIDENTIAL UNITS
IrJ/nl SQUARE FOOTAGE
15) PROPOSED COMM TI SQUARE FOOTAGE
7gZ 18) EAg.SFEELWER
17) PROPOSED INCREASE IN
ADT ~#Oh)-F~1
14) PROPOSED IND OFFICE/ 13) TYPE OF SUBDIVISION
16) PERCENTAGE OF PROPOSED
PROJECT IN OPEN SPACE
4?f Hdf2&i5 WGGKWB
20) EXISTING GENERAL 21 ) PROPOSED GENERAL
PLAN PLAN DESIGNATION
19) GROSS SITE ACREAGE
6zC *
22) EXISTING ZONING 23) PROPOSED ZONING
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
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. I/WE CONSENT
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE FEE REQUIRED
TOTAL FEE REQUIRED 71
RECENED
JAN 0 5 1999
CITY OF CARLSBAD
DATE RMNMNQB~~~~~~~EcEIvED
RECEIVED BY: l
DATE FEE PAID
Form 16
RECEIPT NO.
PAGE 2 OF 2
-
PROJECT DESCRIPTIONACXPLANATION
Project Name: Pilgrim United Church of Christ multipurpose room expansion and
Pilgrim Children’s Center expansion
Applicant Name: Dana Hield Whitson, Church Moderator
DescriptionACxplanation :
The subject application encompasses two modifications to an existing conditional use
permit for Pilgrim United Church of Christ and Pilgrim Children’s Center, which are co-
located on a property located at 2020 Chestnut Avenue.
The first modification involves the deletion fiom the conditional use permit of rental
property located on Chestnut Avenue immediately east of the church property. That
rental property, a 2500 SF residence, is currently used to house church meetings, church
school classes and outreach activities such as Laubach literacy training and twelve-step
meetings. The church is proposing to replace the meeting space lost with the addition of
1086 SF to an existing multi-purpose meeting room (“Pilgrim Hall”) on the church
campus. The expansion is being designed to blend with the existing wood-stucco exterior
of the existing building. The added articulation to the building and roofline should
improve the appearance of the church fiom Chestnut Street. Minor modification to the
existing landscaping will be accomplished in the vicinity of the expansion footprint.
The second modification is the addition of a new 1440 SF classroom for Pilgrim
Children’s Center. This classroom would allow an increase in enrollment of 30 students.
The building will be of modular construction in order to meet the cost and timing
requirements for the expansion. However, the church has made a significant commitment
to exterior upgrades to the building that will match the exterior wood-stucco finish, with
brick facing, of the existing Children’s Center buildings. The building is being designed
and installed with the intent of making it aesthetically integrated with the existing
Children’s Center and indistinguishable from stick-built construction. An existing
walkway will be relocated and new landscaping will be installed around the perimeter of
the building facing Monroe Street. The eastern face of the building will abut the play
area for the Children’s Center.
Altogether, the expansions will add 2526 SF in building area to the church campus,
which currently has 10,93 1 SF of existing buildings. With the additions, 22% of the 1.41
acre site will be covered with buildings.
The need for these facilities is well documented. The wide number of meetings held at
the church on weekdays necessitates a multipurpose facility that can flexibly
accommodate groups of varying sizes. No other such space exists on the church campus.
The Children’s Center is unique among the daycare centers in Carlsbad in that it offers a
very high-quality program for pre-school children and below market rates. The Church
subsidizes the center by making the facilities available for weekday usage. The center
L .
also offers $35,00Oannually in scholarships or subsidies to families who cannot otherwise
afford childcare services. Currently, there is a waiting list of over 80 children for the
Center. Center staff reports that it currently takes approximately one year for a
placement to become available for those on the waiting list. Unfortunately, for some
children, due to their age or desired attendance schedule, space never becomes available.
Expansion of the Children’s Center is particularly critical in meeting the affordable
childcare needs in the Carlsbad area. The CalWorks program will be progressively
increasing the number of parents into the workforce, creating additional demand for
affordable childcare. Pilgrim Children’s Center, because of its below market rates, will
face a disproportionate share of that demand.
Recent cooperative efforts between Pilgrim Children’s Center, Pilgrim Church, the City
of Carlsbad and residents adjoining the Center have resulted in operational improvements
to the Center to reduce noise and disruption. Regular contact is maintained with
adjoining residents, and no complaint has been made since the CUP review was
conducted. The new addition will minimize any disruption to adjoining residences due to
its placement to the west of the existing Children’s Center (away from the residential
properties), and the fact that playground time will be staggered to keep the number of
children on the playground at any given time consistent with the existing number. The
existing play area already provided meets the State licensing requirements for the
expanded facility.
The combined Church and Children’s Center property provides a unique opportunity to
allow shared use of buildings and parking in a very complimentary fashion. The existing
parking of 42 spaces well exceeds the Children’s Center weekday parking requirement of
11 spaces for 110 students plus parking for staff, and still allows surplus spaces for
church staff, meetings and other weekday uses. Conversely, the Church’s peak parking
demand occurs on Sunday morning and is easily accommodated with onsite and street
parking. The complex meets the current parking requirement for sanctuary seating
purposes of 42 spaces. It should be noted that with the deletion of 2500 SF in rental
space, there would only be a net increase of 20 SF in total building area used by the
church, with no reduction in designated parking.
CITY OF CARLSBAD
APPLICATION REQUIREMENTS FOR:
ADMINISTRATNE PERMIT
An administrative permit may be approved or as an administrative act by the Planning Director. The
following materials shall be submitted for each application or for combined applications on a single
project, except as noted under "III. Other Requirements", A and B of Property Owners List and
Address Labels.
REQUIRED PLANS (folded and delivered in comDlete sets)
1. SITE PLAN - Four (4) copies prepared on 24" x 36" sheet(s) folded to 8 1/2" x 11".
The site plan shall include the following information:
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 (pedestrian and vehicular), service areas
and points of ingress and egress, off-street parking and loading areas showing
location, number and typical dimension of spaces, and wheel stops.
d. Distance between buildings and/or structures.
e. Building setbacks (front, rear and sides).
f. Location, height and materials of walls and fences. EN St7~ PL-Ah) st)ol~)/d6- FEdlcG L/AI&~ ~-- fk0 VIDW g. Location of freestanding signs.
h. A summary table indicating the following informatiofi (if applicable to the
variance): PRW pg,5dI0,5t5L y
(1) site acreage.
(2)
(3) proposed land use.
(4) total building coverage.
existing zone and land use.
H:ADMIN\COUNTER\CHILD DAY CARE Page 2 of 5
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El (5) building square footage.
Ix1 (6) percent landscaping.
$;31 (7) number of parking spaces.
El (8) square footage of operdrecreational space (if applicable).
2. BUILDING AND FLOOR PLANS - Four (4) copies prepared on 24" x 36" sheets folded
to 8 1/2" x 11" size. The building and floor plans shall include the following:
a..
b..
Location and size of storage areas (if applicable).
All buildings, structure, walls and/or fences, signs and exterior lights.
0 3. REDUCED SITE PLAN - One (1) copy of 8 1/2" x 1 1 'I.
0 4. LOCATION MAP - One (1) copy of 8 1/2" x 11" (suggested scale 200" -
maps on the site plan are not acceptable). ;TQ! $J& ~ I p~ov/a~~ vicinity
SW%WELY
11. REQUIRED DOCUMENTS (IN ADDITION TO A COMPLETED LAND USE REVIEW
APPLICATION)
El 1. Land Use Review Application Form.
€4 3. Completed "Project DescriptiodExplanation" sheet. pREv/OUS L y /L3/2~ J/D~
4. Three (3) copies of the Preliminary Title Report (current within the last six (6) months).
H:ADMNCOUNTER\CHILD DAY CARE Page 3 of 5
c
COASTAL DEVELOPMENT PERMITS (Non-Single Family Regular Only/lncluding
Amendments)
CONDITIONAL USE PERMITS (Including Amendments)
MASTER PLAN (Including Amendments)
REDEVELOPMENT PERMITS (Major, Minor and Amendments) - A Coastal
Development permit supplemental application may also be needed.
PLANNING COMMISSION DETERMINATIONS
PRECISE DEVELOPMENT PLANS
SITE DEVELOPMENT PLANS (Including Revisions)
SPECIAL USE PERMITS (Including Amendments; Excluding Floodplain SUPS)
SPECIFIC PLANS (Including Amendments)
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:OO p.m. All joint application exhibits, Le. Site Plans, Landscape Plans and
constraint maps should be prepared at the same scale. (Use a scale no smaller than I” =
40’.)
The following materials shall be submitted for each application or for combined applications on
a single project, except as noted under “111. Other Requirements”, A and B of Property Owners
List and Address Labels. *
1. REQUIRED PLANS (folded, stapled and delivered in COMPLETE sets)
@ A. SITE PLAN: Ten (IO) copies on 24” x 36” sheets folded to 8%” x 11” size.
Fifteen (15) copies of the site plan shall be submitted by the applicant upon
request of the project planner prior to approval of the project. Each site plan
shall contain the following information:
0 . 1. General Information:
a. Name, address and telephone number of the applicant, owner and
engineer or architect who prepared the plan. 0
b.. North arrow and scale. w
D/ C. Vicinity map showing major cross streets.
d. Date of preparation/revisions.
e. Project name and application types submitted. 45 2075 Las Palrnas Dr. Carlsbad, CA 92009-1 576 - (760) 438-11 61 * FAX (760) 438-0894 @
f. Name of sewer, water and school districts providing service to the
project. W/A
w g. All facilities labeled as “existing” or “proposed”
El h. A summary table of the following:
w 0 0 B- o w
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2. Site Information:
Street address and assessor parcel numbers.
Site acreage. 1. 4/ dC ,
Existing zone and land use.
Proposed land use.
Total building coverage.
Building square footage.
Percent landscaping.
Number of parking spaces required/provided.
Square footage of open or recreational space (if applicable), for
each unit and total common open space for the project.
Proposed density.
Area of the site which is undevelopable per Zoning Ordinance
Section 21.53.230 (include the acreage in each category). If not
applicable, state on the plans.
Cubic footage of storage space (if applicable). Show location.
Average daily traffic generated by the project, broken down by
separate uses.
a. General
(1) Approximate location of existing and proposed buildings and
(2)
(3) Location of railroads. d/& .
(4)
(5)
(6)
permanent structures onsite and within 100’ of site.
Location of all major vegetation showing size and type.
Bearings and distances of each exterior boundary line.
Distance between buildings and/or structures.
Setback dimensions for required front, rear and side yards for all
structures.
E?
0 0 0
0 (7) Location, height and materials of walls bb Cyqr~e ld ~S)OS-I,JJ~~.
b. Street and Utilities
d
d
0
(1) Location, width and proposed name of all streets within and
adjacent to the proposed project. Show street grades and
centerline radii.
Name, location and width of existing adjacent streets and alleys. ’
Include medians and adjacent driveway locations.
Typical street cross sections for all streets within and adjacent to
the project. L)/k
(2)
(3)
.....................................
Form 1 3/98 Page 2 of 8
1 0 t
0
0
0
0 0 0
0
0
(4)
(5)
(6)
(7)
(8)
(9)
Width, location and use of all existing and/or proposed public or
private easements. h,
Public and private streets and utilities clearly identified.
Show distance between all intersections and medium and high
use driveways. id0 c.)chd@ IN aIsndG.
Clearly show parking stall and isle dimensions and truck turning
radii for all parking areas. Nr6 CttAd66 /A) Gxi5fNLi.
Show access points to adjacent undeveloped lands.
Show all existing and proposed street lights and utilities (sewer,
water, major gas and fuel lines, major electric and telephone
facilities) within and adjacent to the project.
Show location of all fire hydrants within 300’ of site.
P
(IO)
C. Grading and Drainage
(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. f5j1srA6 ~~4r
(3) MIM&& W&&K Spot elevations at the corners of each pad. p‘de’ mDhn0J - -
(4) Method of draining each lot. Include a typical cross section taken
parallel to the frontage for lots with less than standard fr0ntage.m C&Mc
(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 detentionhetention
basins. EI/p
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.
(6)
E”IA
6. LANDSCAPE PLAN: Ten (IO) copies on 24” x 36” sheets drawn to the same
scale as site plan (See “LA” on page 1). Fifteen (15) copies of the landscape
plans shall be submitted by the applicant upon request of the project planner
prior to approval of the project. Each landscape plan shall include the following
information:
1.
2.
3.
4.
5.
6. Water Conservation Plan.
Landscape zones per the City of Carlsbad Landscape Manual.
Typical plant species, quantity of each species and their size for each
planting zone (use symbols).
An estimate of the yearly amount of irrigation (supplemental) water
required to maintain each zone.
Landscape maintenance responsibility (private or common) for all areas.
Percent of site used for landscaping.
0 0
0
0
.....................................
Form 1 3/98 Page 3 of 8
C. BUILDING ELEVATION AND FLOOR PLAN: Ten (IO) copies on 24” x 36”
sheets (See “LA on page 1). Fifteen (15) copies of the building elevations and
floor plans shall be submitted by the applicant upon request of the project
planner prior to project approval. Each building elevation and floor plan shall
include the following information: -- #.
. 1.
2.
3.
4.
5. Indicate on all building elevations compliance with Carlsbad Height
Floor plans with square footage -? &b- included.
Location and size of storage areas.
All buildings, structures, walls and/or fences, signs and exterior lights.
Include a scale on all floor plans and building elevations.
Ordinance 21.04.065.
D. ROOF PLAN: Show location of roof appurtenances and mechanical equipment. ,d$~
E. CONSTRAINTS MAP: (If the constraints map does not apply to the property, list
it on the map as not applicable. Constraint map shall be the same scale as other
exhibits, i.e. Site Plan, etc.) One (I) copy on a 24” x 36” sheet (see “1.A on
page 1) shall include the following information: w4
1. . 2.
3.
4.
5.
6.
7.
8.
9.
IO.
11.
12.
13.
14.
15.
16.
17.
18.
Major ridge lines.
Distant views.
Internal views.
Riparian or woodlands.
Intermittent drainage course.
25 - 40% slopes.
Greater than 40% slopes.
Major rock outcroppings.
Easements.
Floodplains.
Archaeological sites.
Special Planning Areas.
Biological Habitats.
chaparall plan communities existing on the project site.
Beaches.
Permanent bodies of water.
Wetlands.
Land subject to major power transmission easements.
Railroad track beds.
Indicate the location of Coastal Sage Scrub and
F. COLORED SITE PLAN AND ELEVATION PLAN: (Not required with 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:OO noon, eight (8) days prior to the Planning Commission meeting.
NOT MOUNT EXHIBITS.
G. REDUCED SITE PLAN AND BUILDING ELEVATIONS: One (I) copy 8 1/2” x
11“.
- Form 1 3/98 Page 4 of 8
* dH. LOCATION MAP: One (1) copy 8 %” x 11” (suggested scale 200” - vicinity
maps on the site plan are not acceptable).
II. DOCUMENTS
/A.
OB
Land Use Review Application Form
Coastal Development Permit Supplemental Application
C. Environmental Impact Assessment Form (Fee not required with initial
Fee to be determined after review of project and environmental submittal.
impact assessment form.)
0 D. Public Facility Agreement: Two (2) copies - One (1) notarized original and one
(1) reproduced copy (separate fee required).
0 E. Disclosure Statement.
0 F. Preliminary Title Report: Three (3) copies (current within the last six [6]
months).
G. Sewer: Proof of availability of sewer if located in the Leucadia County Water
District or the Vallecitos Water District.
0 H. Potential Impacts: All projects must evaluate their potential impacts on the
regional transportation system, including the costs of mitigating the associated
impacts, as required by the SANDAG Congestion Management Program (CMP).
For projects with an average daily traffic (ADT) generation rate greater than 500
vehicles per day
9
f&S&@ot +30 w&--+s 4 5&DT = /so t+IS &et&C@GSe ZOsF = I frip
200 or more peak-hour vehicle trips:
Submit two (2) copies of a Circulation Impact Analysis for the project. The
analysis must be prepared by a Registered Traffic Engineer or Registered Civil
Engineer. The analysis must show project impacts to all intersections and road
segments identified as impacted within the included Local Facilities Management
Plan or as otherwise determined in discussions with staff. The following
minimum information should be included with the study:
1. 8 %” x 11” or 8 1/2” x 14” plats showing zone impacted roads, background
and project AM and PM peak hour impacts and traffic distribution.
2. Project traffic generation rates and traffic assignment.
3. Necessary calculations and/or analysis to determine intersection and
road segment levels of service.
4. Any proposed mitigation requirements to maintain the public facility
standards.
5. On collector streets and above, an analysis of the need for a traffic signal
will be required.
4*4**4*4**4444*44444*4*4**44444*4444*
Form I 3/98 Page 5 of 8
“Large” projects: Any project which, upon its completion will be expected to
generate either an equivalent of 2,400 or more average daily vehicle trips 200
or more peak-hour vehicle trips, including large projects that may have already
been reviewed under CEQA but require additional local discretionary actions, is
defined as a “large project” under the SANDAG Congestion Management
Program (CMP) and will be subject to enhanced CEQA review as specified in the
CMP.
Depending upon the complexity of the project, the City of Carlsbad reserves the
right to require a traffic study on any project.
Noise Study:
Manual. d/+
Preliminary SoildGeological Report: Two (2) copies for all projects with cut or
Must be consistent with City of Carlsbad Noise Guidelines 0 1.
0 J- ~ fill depths exceeding 5’. rc, /*
0
111.
K. Completed “Project Description/Explanation” sheet.
L. Signed “Notice of Time Limits on Discretionary Applications”
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 12) sets of the DroDertv 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.
1. A typewritten list of the names and addresses of all property owners
within a 600’ radius of subject property (including the applicant andlor
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 in 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:
.....................................
Form 1 3/98 Page 6 of 8
.
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 OccupantslAddress List and Labels: For Coastal Zone
projects/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. Photographs: Pictures of the property taken from the north, south, east and
west.
0 C. Construction materials board and color samples: Roofing, exterior walls,
textured pavement, glass, wood, etc.
0 D. Fees: See Fee Schedule for amount.
IV. SPECIFIC PROJECT REQUIREMENTS
0 A. For Master Plans and Specific Plans Only:
1. It is strongly recommended the applicant meet with staff before
submitting text and maps for a master plan or specific plan.
2. After staff and the applicant have worked out the details of the master
plan or specific plan a minimum of twenty (20) bound copies of the
document will be required prior to scheduling the project for a public
hearing.
3. Generally the following information must be included in a Master Plan or
Specific Plan document:
a. Introduction
b. Environmental Constraints
C.
d. Openspace
e. Public Facilities and Phasing
f. Signage
Land Use and Development Standards
0 B. For Density Bonus Projects:
1. A letter signed by the present owner stating what specific incentives are
being requested from the City. For any development standards
modification or other additional incentive requested, the applicant shall
submit a project pro-forma to demonstrate that the standards modification
or other requested incentive is necessary to make the project
economically feasible.
2. A detailed vicinity map showing the project location and such details as
the location of the nearest commercial retail, transit stop, potential
employment locations, park or recreation facilities or other social or
community service facilities.
3. For condominium conversion requests, a report documenting the
following information for each unit proposed to be converted: the monthly
income of tenants of each unit throughout the prior year, the monthly rent
for each unit throughout the prior year and vacancy information for each
unit throughout the prior year.
4. Identify the number and location of lower income dwelling units.
For Senior Citizen Housing Projects:
1. A letter signed by the present owner stating what specific incentives are
being requested from the City. For any development standards
modification or other additional incentive requested, the applicant shall
submit a project pro-forma to demonstrate that the standards modification
or other requested incentive is necessary to make the project
economically feasible.
2. A detailed vicinity map showing the project location and such details as
the nearest market, transit stop, park or recreation area, medical facilities
or other related uses or services likely to be patronized by senior citizens.
3. Ten (IO) copies of floor plans for each different type of unit indicating a
typically furnished apartment, with dimensions of doorways, hallways,
closets and cabinets.
4. Ten (IO) copies of floor plans showing any common areas and
accommodations.
5. Identify the number and location of lower income inclusionary dwelling
units.
6. A plan for monitoring age restrictions for all units and income restrictions
for designated inclusionary units.
.....................................
Form I 3/98 Page 8 of 8
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.
I. APPLICANT (Not the applicant’s agent)
Provide the COMPLETE, LEGAL names and addresses of persons having a financial
interest in the application. If the applicant includes a comoration or partnership, include the
names. title. addresses of all individuals owning more than 10% of the shares. IF NO
APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-owned corporation, include the
names. titles, and addresses of the corporate officers. (A separate page may be attached if
necessary.)
INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-
Provide the COMPLETE, LEGAL names and addresses of 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 partnershie, 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 publiclv-
awned corporation, include the names. titles. and addresses of the corporate officers. (A separate
page may be attached if necessary.)
Person Corp/Part
Title Title
Address Address
@ 2075 Las Palmas Dr. Carlsbad. CA 92009-1 576 - (760) 438-11 61 - FAX (760) 438-0894
3. NON-PROFIT OR< AIZATION OR TRUST
If any person identified pursuant to (1 ) or (2) above is a nonurofit 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 t
Non ProfidTrust JFd-W Non Profit/Trust
Title -Ex 7 Title
Address azo &Iddress
tee or beneficiary of the.
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? 0 Yes Po 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.
/a9
Print or type name of owner
Signature of applicanddate
Print or type name of applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
a H:ADMIN\COUNTER\DISCLOSURE STATEMENT 5/98 Page 2 of 2
City of Carlsbad
1200 Carlsbad Village Drive Carlsbad CA 92008
Applicant: WHITSON DANA
DescriDtion
CUP0 0 8 5C
HIELD
Amount
66.66
0189 05/27/99 0001 01 02 C-WMT 66.a
Receipt Number: ROO03670
Transaction Date: 05/27/1999
Transaction Amount: 66.66
Department of Social Services
Facility Number:
Effective Date: 02 ]14/54 Total Capacity:
3 7 2 1113 0 4 5 5
In accordance with applicable provisions of the Health and Safety Code of
California, and its rules and regulations; the Department of Social Services, hereby issues
this License to
to
Name of Facility
P.CLGR PP DAY Cditcl- LIfNTiIf:
ZCZC CNESThUT AUEhUf
CAP L S it A 0 CA 92008
This License is not transferable and is granted solely upon the following:
FACILITY StRVtrS CtiILCLttiN AGES 2 'rt-idflU{itt I.: IL'i>iy2GAK{TEN,
Client Groups Served: CHILL'REN
Complaints regarding services provided in this facility should be directed to:
~IAiirtiI! LUFCZ
Deputy Director, A61 h o riz e d Represent at iv e
Community Care Licensing Division of Licensing Agency
LIC 20s (393) POST IN A PROMINENT PLACE
Pilgrim CM&en’s Center
Parking Analysis
February 13,1999
em- (1 10 students / IO)
reaulredDarlung:
Cuneat onsite parking
Allowable percentage to be used for childcare center
= 10
=u
21 spaces
= 42
= 50% (21)
D
PILGRIM UNITED CHURCH OF CHRIST
CUP 85(C)
_-
A