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Home My WebLink AboutDC 07-01; Brilliant Kids Montessori; Day Care (DC)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHE I | Administrative Permit I | Administrative Variance [ I Coastal Development Permit IH Conditional Use Permit [ | Condominium Permit | | Environmental Impact Assessment I General Plan Amendment | | Hillside Development Permit I | Local Coastal Program Amendment [_J Master Plan I | Minor Conditional Use Permit I | Non-Residential Planned Development | I Planned Development Permit ECK BOXES) (FOR DEPARTMENT USE ONLY) I | Planned Industrial Permit D D D D D Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Tentative Parcel Map Obtain from Engineering Department Tentative Tract Map Variance Zone Change i List other applications not specified <—*~t**\&. A*t-Aj-i/\y tj^y Lx^r<£-i / 7 / (FOR DEPARTMENT USE ONLY) DC on -oi 2) ASSESSOR PARCEL NO(S).:t 3) PROJECT NAME: 4) BRIEF DESCRIPTION OF PROJECT: -00 -arvt 5) OWNER NAME (Print or Type) /\ my MA.Ch^n 6) APPLICANT NAME (Print or Type) /1/-WV1 MAILING ADDRESS MAILING ADDRESS CITY AND STATE ZIP^f2<f>/r/ TELEPHONE EMAIL ADDRESS:EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. DATE 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. SIGNATURE 7 DATE 7) BRIEF LEGAL DESCRIPTION Kj^l [iU/lf LA. ]/l bHT/Sibr? NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUSl*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. 03/06 PAGE 1 OF 5 8) LOCATION OF PROJECT: ON THE BETWEEN (NORTH, SOUTH, EAST, WEST) STREET Al SIDE OF AND /? I^fe(NAI^fe OF STREET) (NAME OF STREET) 9) LOCAL FACILITIES MANAGEMENT ZONE 10) PROPOSED NUMBER OF LOTS 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 INADT 20) EXISTING GENERAL C. PLAN 23) PROPOSED ZONING (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM f^ SQUARE FOOTAGE 18) PROPOSED SEWER USAGE IN EDU 21) PROPOSED GENERAL PLAN DESIGNATION 24) HABITAT IMPACTS IF YES, ASSIGN HMP # 25)IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS 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. I/WE CONSENT TO ENTRY FC THIS PURPOSE SIGNAT&RE R6CEN6D FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE FEE REQUIRED DAT H!H ) TY OF CARLSBAD ECEIVED RECEIVED BY: TOTAL FEE REQUIRED 77, Form 14 Rev. 03/06 PAGE 2 OF 5 CITY OF CARLSBAD APPLICATION REQUIREMENTS FOR: LARGE FAMILY DAY CARE PERMIT 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 filed 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 1" = 40'.) The following materials shall be submitted for each application or for combined applications on a single project. I. REQUIRED PLANS AND DOCUMENTS (All required plans shall be collated into complete sets, stapled together, then folded to 9" x 12" with lower right hand corner of plan visible.) A. COMPLETED LAND USE REVIEW APHJCATION FORM B. SITE PLAN - Two (2) copies on 24" x 36" sheet(s). Each site plan shall contain the following information: 1. GENERAL INFORMATION Q la) Existing house and distance to property lines. Lip. Drop off and pick up locations. I |c. Play area with dimensions. I Id. Adjacent buildings with detail of room use (see sample attached). f~\C. ) LOCATION MAP - Show subject property and the location of any large family (14 or fewer — ' 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. II. LARGE FAMILY DAY CARE REOUREMENTS I ll. Large family day care homes are permitted in the following zones with 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-l, R-2, R-3. RD-M, R-P, RT, RW, RMHP. /f^=K~\CH2.) The applicant has all required State licenses and permits necessary to operate the large family day care — • — home. I |3. Applicants who reside on rented or leased property must provide proof of written notice to the landlord or owner of the property that they intend to operate a Large Family Day Care Home on the rented or leased subject site. I |4. The facility must comply with all zoning regulations applicable to single-family dwellings. I |5. The facility must comply with all fire and life safety requirements applicable to single-family residences per Title 24 of the California Code of Regulations. I |6. 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. Form 8 Revised 04/04 Page 1 of 2 An outdoor play area must be provided in the rear yard that meets the requirements of the State of California, Community 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 times do not begin until after 9:00 a.m. and end before 5:00 p.m. The provider shall stagger the number of children playing outdoors at any one 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. [~~|9. 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. QlO. The applicant shall designate the onsite driveway as the official drop-off and pickup area for children and shall notify parents of this requirement. Said driveway shall remain free and clear of parked cars. 011. The applicant shall require employees to park in locations which will not inconvenience 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 Family Day Care Home. 012. Large Family Day Care Home providers shall make written application to the Director and shall include all materials deemed necessary by the Director to show that the requirements of this section are met. The Director shall grant the permit without hearing if all the requirements are met. The decision of the Director shall be made within 15 working days of the receipt of a 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 written 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 FAMILY DAY CARE PROVIDER, I AGREE TO COMPLY WITH ALL THE REQUIREMENTS (NUMBERS 1-12) LISTED ABOVE. Printed Name Date Form 8 Revised 04/04 Page 2 of 2 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. Title Corp/Part_ Title 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 Title IM Corp/Part Title Address f)rA/f ^Address 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.carlsbad.ca.us 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 Profit/Trust Non Profit/Trust 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? Yes 11/| 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 owner/date Signature of applicant/date /i««t y i tix\_ ' i / / T "\*- Print or type nanr/e of owner Print or type nar/e 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 12/06 Page 2 Of 2 f City of Carlsbad Planning Department HAZARDOUS WASTE AND SUBSTANCES STATEMENT 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. The development project and any alternatives proposed in this application are contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT- Name: Address: PROPERTY OWNER Name: Ch^n / Address: Phone Number:Phone Number: Address of Site:, Local Agency (City and County): Assessor's book, page, and parcel number: Specify list(s): - ^ ~ -( Regulatory Identification Number:_ Date of List: Applicani-Signature/Date Admin/Counter/HazWaste Propertyt)wner Signature/Date 1635 Faraday Avenue • Carlsbad. CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 * www.ci.carlsbad.ca.us PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: APPLICANT NAME: Please describe fully the proposed project by application type. Include any details necessary to adequately explain the scope and/or operation of the proposed project. 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: Project Description 10/96 Page 1 of 1 HIDDEN VALLEY RD 03 IX) £= I—Itd ^ g n ui oc/1 B) 6441 TOPMAST DRIVE O t*"™ M it> ~<^ oz: -n z: /oo_nn 3<w n E| >T) mom <rno'• COH > D -K a_». -n °SO 5" (D O -i W- oII 01 A <D <-o ElOl N)o0 "D O OSpea m ?z 6441 TOPMAST DRIVE CARLSBAD, CA. 9201 1 PARCEL #21 2-21 0-1 8-00 c|«pp^ c^^ ^^ >^^^^^r «? Ik,.. City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: AMY MA Description Amount DC070001 180.00 6441 TOPMAST DR CBAD Receipt Number: R0064947 Transaction ID: R0064947 Transaction Date: 06/11/2007 Pay Type Method Description Amount Payment Check 180.00 Transaction Amount: 180.00 o State of California Department of Social Services Faci1ity Number: 376617862 Effective Date: 05/13/06 Total Capacity: 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 CAPACITY CHANGE EFFECTIVE DATE: 05/11/07 this License to MA, AMY to operate and maintain a FAMILY DAY CARE Name of Facility MA, AMY FAMILY CHILD CARE 6441 TOPMAST DRIVE CARLSBAD CA 92011 This License is not transferable and is granted solely upon the following: MAX. CAP (WHEN THERE IS AN ASSISTANT PRESENT): 12 - NO MORE THAN 4 INFANTS. CAP 14 - NO MORE THAN 3 INFANTS. 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6. Client Groups Served: CHILDREN/INFANT Complaints regarding services provided in this facility should be directed to: MISSION VALLEY DISTRICT OFFICE (619) 767-2200 Jo Freder i ck «1 / fit/A Deputy Director, Authorized Representative Community Care Licensing Division of Licensing Agency LIC 203A (1/04)POST IN A PROMINENT PLACE CU-PA018