HomeMy WebLinkAboutDC 06-01; CINDYS FAMILY DAYCARE; Day Care (DC)I
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION
1 ) APPLICATIONS APPLIED FOR. (CHECK BOXES)
(FOR (FOR
DEPARTMENT DEPARTMENT
USE ONLY) USE ONLY)
0 Administrative Permit 0 Planned Industrial Permit
0 Administrative Variance 0 Planning Commission Determination
0 Coastal Development Permit 0 Precise Development Plan
0 Conditional Use Permit 0 Redevelopment Permit
0 Condominium Permit 0 Site Development Plan
0 Environmental Impact Assessment 0 Special Use Permit
0 General Plan Amendment 0 Specific Plan
0 0 +eFltatl',<e PaFsel Mar; Hillside Development Permit Obtain from Engtneerlng Department
0 Local Coastal Program Amendment 0 Tentative Tract Map
0 Master Plan 0 Variance
0 Minor Conditional Use Permit 0 Zone Change
0 Non-Residential Planned Development 0 List other applications not specified \ p!-0(0-0 I
0 Planned Development Permit
2)
3)
4)
A~~SORAA~ELNO(~.: ~a~D~5~-_~~7~O~-~~~~~~ ____________ _
PROJECT NAME: Cin~ .D~eCL1£.
BRIEF DESCRIPTION OF PROJECT: _~~_~~~:~~~a~~~~~~~~~~~~~~~~~~~~~~_
5) OWNER NAME (Print or Type) 6) APPLICANT NAME (Print or Type)
C'I f\ 'tlt t (,(. Lou t;..'S,.e~
MAILING ADDRESS MAILING ADDRESS
37J 5" .Acllli\1.-i 'S'f ~fA\f'/\-.e--
CITY AND STATE ZIP TELEPHONE CITY AND STAT-E' ZIP TELEPHONE
Ca~-lsbct£t CA-Cfa(':i" )t..ct-i.( 3 &.i-:]CJ 'I I
EMAIL ADDRESS: t..1l. t.~()'1 ® ~S3L&tO"c--1 • ..,e..t EMAIL ADDRESS:
I CERTIFY THAT I AT.' THE LEGAL OINNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM TH~ LEGAL REPRESENTATIVE OF THE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND
KN~'VLEDGE
t;,JIJf
CORRECT TO THE BEST OF MY KNOWLEDGE
J,'U-tiL &/7/60
SIGNATURE DATE 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 4:00 P.M.
Form 14 Rev. 03106 l>Ev'Oto05D PAGE 1 OF 5
I I
8) LOCATION OF PROJECT:
STREET ADDRESS
ON THE I \,)J2 S -t SIDE OF I Ad-a-"'v'L-$ 81-,
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN !1o."Y\.Q to-C. l'-
(NAME OF STREET)
AND! fV'. ~" ~ f.~
(NAME OF STREET)
9) LOCAL FACILITIES MANAGEMENT ZONE
10) PROPOSED NUrViBER OF LOTS D11) NUMBER OF EXISTING D12) PROPOSED NUMBER 0 RESIDENTIAL UNITS OF RESIDENTIAL UNITS
13) TYPE OF SUBDIVISION 0 14) PROPOSED IND OFFICEI D 15) PROPOSED Cor\i~M 0 SQUARE FOOTAGE SQUARE FOOTAGE
16) PERCENTAGE OF PROPOSED 0 17) PROPOSED INCREASE D18) PROPOSED SEWER 0 PROJECT IN OPEN SPACE INADT USAGE IN EDU
19) GROSS SITE ACREAGE 0 20) EXISTING GENERAL ~1) PROPOSED GENERAL D PLAN PLAN DESIGNATION
22) EXISTING ZONING D23) PROPOSED ZONING D24) HABITAT IMPACTS GJ IF YES. ASSIGN hl~P;;
25) IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MErll1BERS OF CITY
STAFF, PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS OR CITY COUNCIL MEMBERS
TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. !!WE CONSENT
TO ENTRY FOR THIS PURPOSE
SIGNATURE
FOR CITY USE ONLY
FEE COMPUTATION
APPLICATION TYPE
TOTAL FEE REQUIRED
Form 14 Rev 03/06
FEE REQUIRED
JUN 1 3 2D06
CITY OF CARLSBAD
DATE ~t-f'J~i:iW~fR:;~RECEIVED
RECEIVED BY:
PAGE 2 OF 5
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-.' CITY OF CARLSBAD
APPLICATION REQUIREMENTS FOR:
LARGE F A.1\1IL Y DAY CARE PERl\HT
A proposed project requiring that multiple applications be filed must be submitted prior to 3:30 p.m. A
proposed project requiring that only one application be iIIed must be submitted prior to 4:00 p.m.
All joint application exhibits, i.e. Tentative :Map and Planned Development Site Plan should be prepared at the
same scale. (Use a scale no smaller than I" = 40'.)
The follmving materials shall be submitted for each application or for combined applications on a single
project.
I. REQVIRED PLANS M"'D DOCUMENTS (All required plans shaH be collated into complete
sets. stapled together. then folded to 9" x lr' with lower right hand corner of plan visible.)
A. COMPLETED L~,\l) U5£ REYIE'" APPLICATIO~ FOR.'1
B. SITE PLA:.~ -Two (2) copies on 24" x 36" sheet(s). Each site plan shall contain the following
information:
C.
II.
r;1t.
G3S.
Da. Existing house and distance to property lines.
Db. Drop off and pick up locations.
Dc. Play area with dimensions.
Dd. Adjacent buildings \vith detail of room use (see sample attached).
LOCATION MAP -Show subject property and the location of any large family (14 or fe\yer
children) day care centers closer than 1,200 lineal feet on the same street. If there are no large family
day care centers within 1,200 feet on the same street, a written statement must be submitted in lieu of
a map.
LARGE FAl\nL Y DAY CARE REQUIREl\:1ENTS
Large family day care homes are permitted in the following zones \vith a Large Family Day Care
Permit when the facility is located on a lot occupied by a detached, single family dwelling on a lot of
7,500 square feet or more: RA, RE, EA, R-1, R-2, R-3. RD-l",l, R-P, RT, R\V, fu\1HP.
The applicant has all required State licenses and permits necessary to operate the large family day care
home.
Applicants who reside on rented or leased property must provide proof of \,Titten notice to the
landlord or O\\'1ler of the property that they intend to operate a Large Family Day Care Home on the
rented or leased subject site.
The facility must comply with all zoning regulations applicable to single-family dwellings.
The facility must comply \vith all fire and life safety requirements applicable to single-family
residences per Title 24 of the California Code of Regulations.
The proposed site shall not be located closer than 1,200 lineal feet from any other Large Family Day
Care Home on the same street.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Fonn8 Revised 04/04 Page 1 of2
@1'6.
An outdoor play area must be provided in the rear yard that meets the requirements of the State of
California, Commumty Care Licensing Division. The area must be enclosed by a natural barrier, wall,
solid fence, or other solid structure a minimum of five feet in height. The provider shall ensure that
outdoor play tinles do not begin until after 9:00 a.m. and end before 5:00 p.m. The provider shall
stagger the nunlber of children playing outdoors at anyone time to reduce noise impacts on
surrounding residences.
All outdoor play areas shall be adequately separated from vehicular circulation and parking areas by a
strong fence such as chain link, wood or masonry.
Required garages shall be prohibited for use as a Large Family Day Care Home and shall be utilized
for parking two of the applicant's onsite vehicles during the daily operation of the day care home
rather than parking the vehicles on the street or in the driveway.
The applicant shall designate the onsite driveway as the official drop-off and pickllP area for children
and shall notify parents of tIns requirement. Said driveway shall remain free and clear of parked cars.
The applicant shall require employees to park in locations which will not inconyenience nearby
residents. To disrupt the neighborhood as little as possible, best effort shall be made by the applicant
to require employees to park as close as possible to the Fanllly Day Care Home.
Large Fannly Day Care Home pw\iders shall make written application to tIle Director and shall
include all materials deemed necessary by the Director to show that the requirements of tllls section
are met. The Director shall grant the peront witIl0ut hearing if all the requirements are met. The
decision of tIle Director shall be made within 15 working days of the receipt ofa complete application
and provided to the applicant in writing. The decision of the Director may be appealed to the Planning
Commission within 10 calendar days of the date of the \,'litten decision of the Director. The appellant
shall pay the cost of the appeal at the fee applicable to single family dwellings.
AS THE PROPOSED LARGE F M1IL Y DAY CARE PROVIDER, I AGREE TO COMPLY WITH ALL THE
REQUIREMENTS (NUMBERS 1-12) LISTED ABOVE.
Print~d Name
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Fonn8 Revised 04/04 Page 2 of2
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 foilowing 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 municipclity, 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)
2.
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 I': t f ,dL ,'CI., L()~ C"&+-c!l' Corp/Part. ___________ _
Title O\...,) It.. .e .. r.. Title ______________ _
Address :3 7d S-A d.a.vLS St. 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 C 'I r'\'\-i'\..o. lou Ki"L""S
Title 0 k'd ,,)..f r
Address 3 7dS-Ada lM-S Sb ,
Ctl. r Is b ad Co.. qaoc~
Corp/Part. ______ ' _____ _
Title ______________ _
Address ____________ _
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 officeF --or director of the non-profit
organization or as trustee or beneficiary of the. -
Non ProfitlTrust Non ProfitiTrust'--____ -'-___ _
Title ___________ _ Title _____________ _
Add res 5 __________ _ Address __________________ _
4. Have you had more than $250 worth of business transacted with any member of City staff,
Boards, cOI~s, Committees andlor Council within the past twelve (12) months?
D 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.
Signature of applicant/date
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
PROJECT DESCRIPTION/EXPLANATION
PROJECT NAME: ::1.vl \:lor",,1" do i=(Cclr-L
APPLICANT NAME: (! L{& , <l i 0,> €:Si-e S
Please describe fully the proposed project by application type. Include any details
necessary to adequately explain the scope and/or operation of the proposed projec~.
You may also include any background ioformation and supporting statements regarding
the reasons for, or appropriateness of, the application. Use an addendum sheet.,if
necessary.
Description/Explanation: Ptl..ttc a(' e....
Project Description 10/96 Page 1 of 1
City of Carlsbad
'@Fi,i,i·;UI.J;J.i¥ijJ;,I§."
HAZARDOUS \VASTE AND SUBSTANCES STATEl\1ENT
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 Wastes and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
~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.
o 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: C'-f Y\'li'-\'~i Low E~-te-5
Address: 37),,) AMJ leViS s+-.
C().C I ::,b<sJ d eo... 9r:kD8
PROPERTY OWNER
Name: ____________ _
Address,s ' b (Lvr~
Phone Number: _________ _
Address of Site:, __ 3.¥.'--..:7-=d~S-_-t.A.;...:.u:da...:::s.I....&.:IVl~S~--!:AooS~i ....... ____________ _
Local Agency (City and county):,_--.,C:-· c:t~;" .... I""')'-'Ibw£lcl.JI'f ..... cL~ __ ~,...,S",.,"a~.L.J-\~...:.D~I e=~==-v-p:....),,--____ _
Assessor's book, page, and parcel number: ____________________ _
Specify Iist(s}: _____________________________ _
Date of List: ______________________________ _
AdminlCounterlHazWasle
1635 Faraday Aller,ue • Carlsbad. CA 92008-7314. (760l602-4600 • FAX (760) 602-8559 • www,cl.carlsbad.ca,us ®
The Hazardous Waste and Substances Sites (Cortese List) is a planning document
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. Government Code section 65962.5 requires the
California Environmental Protection Agency to develop at least annually an updated
Cortese List. Below is a list of agencies that maintain information regarding Hazardous
Waste and Substances Sites.
Department of Toxic Substances Control
www.dtsc.ca.gov/database/cCllsites
Calsites Hotline (916) 323-3400
State Water Resources Control Board
www.swrcb.ca.gov/cwphome/lustis
County of San Diego
Certified Unified Program Agency (CUPA)
Mike Dorsey
Chief, Hazardous Materials Division
Department of Environmental Health Services
Hazardous Materials Management Division
Mailing address:
P.O. Box 129261
San Diego, CA 92112-9261
(619) 338-2395
Call Duty Specialist for General Questions at (619) 338-2231 fax: (619) 338-2315
www.co.san-diego.ca.us
Integrated Waste Management Board
www.ciwmb.ca.gov
916-255-4021
Environmental Protection Agency
National Priorities Sites ("Superfund" or "CERCLlS")
www.epa.gov/superfund/sites/cursites
(800) 424-9346
National Priorities List Sites in the United States
www.epa.gov/superfund/sites/npl/npl.htm
5/19/03