HomeMy WebLinkAboutMS 843; CITY OF CARLSBAD; Engineering ApplicationCITY OF CARLSBAD
LAND USE REVIEW APPLICATION FORM PAGE 1 OF 2
1) APPLICATIONS APPLIED FOR: (CHECK BOXES)
(For Deft. (For oeft. , Use On y) Use On y)
D Master Plan ............... D General Plan Amendment ......
D Specific Plan ...........•. D Site Development Plan .......
D Precise Development Plan ... 0 Zone Change ................ ;
D ' Tentative Tract Map .....•.. 0 Conditional Use Permtt •.....
o Pl anned Development Perm; t 0 Hillside Development Permit.
[] Non-Residential Planned 0 Environmental Impact Development Permit ...•.... Assessment .... ~ ...........
o Cd" P ·t on omlnlum erml ......... , 90""5' D Vartance~ ...•...............
D Special Use Permit ........ :
.. .
0 Planned Industrial Permit ... . -,
D Redevelopment Permi t ....... ' 0 Coastal Development Permit ..
[]I Tentative Parcel Map ....... f1lSi"1.f3 0 Planning Commission Deter ...
0 Admtnistrative Variance ....
2) LOCATION OF PROJECT: ON THE I SOUTH I SIDE OF F7pINE AVENUE I
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN I HARDING STREET I AND I MADISON STR~ET I
(NAME OF STREET) (NAME OF STREET)
3) BRIEF LEGAL DESCRIPTION: 1 THAT PORTION OF RECORD OF SURVEY MAP NO. 11840 SHOWN AS
I' IIAREA = 3.31 ACRES II .
-'
4) ASSESSOR PARCEL NO(S).I 204-100-'M,. ,:~.~,. .; =)L
" ---r--." -..... I
5) LOCAL FACILITIESD 6) EXISTING GENERAL I MANAGEMENT ZONE PLAN DESIGNATION E I 7~ PROPOSED GENERAL I LAN DESIGNATION E I
8) EXISTING ZONING~ OS 19) PROPOSED ZONING I OS 110) GROSS SITE I· 3.31 I ACREAGE
11) PROPOSED NUMBER OFI RESIDENTIAL UNITS 0 -112) PROPOSED NUMBER/ OF LOTS 3 11~6B6I~is¥bN 1 COMMERCIAd
. (PUBLIC BUILDING)(RESIDENTIAL
14) NUMBER OF EX I STI NG RES IDENTIAL UN ITS I 0 I COMMERC rAL . '. INDUSTIRAL) (PUBLIC BUILDING) .
15) PROPOSED INDUSTRIAL I 0 1 166 PROPOSED COMMERCIAL I 28 300 I OFFICE/SQUARE FOOTAGE . SQ ARE FOOTAGE . 2 '
ARFM0008.DH 4/89 .
CITY OF CARLSBAD
LAND USE REVIEW APPLICATION FORM PAGE 2 OF 2
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN. SPACE ~I ___ --J119) PROPOSED INCREASE
~ . IK AVERAGE DAILY r-----., TRAFFIC I . 18) PROPOSED SEWER USAGE IN EQUIVALENT DWELLING UNITS . .
'---....------'
20) PROJECT NAME: I CARLSBAD SENIOR CENTER AND .CUSD EDUCATION CENTER'
21)BRIEF DESCRIPTION OF PROJECT: SENIOR ACTIVITY CENTER FOR THE CARLSBAD SENIOR
PROGRAM AND ADMINISTRAiIVEOFFI·CES FOR THE CARLSBAD UNIFIED SCHOOL DISTRICT
22) OWNER 23) :APPLICANT
NAME (PRINT OR TYPE) CITY OF CARLSBAD NAME (PRINT·OR TYPE) KENNETH QUON
MAILING ADDRESS 2075 LAS PALMAS DRIVE MAILING ADDRESS
2075 LAS PAlMAS DRIVE
CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE CARLSBAD, CA 92009 438-1161 CARLSBAD, CA 92009 438-1161
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT I CERTIFY THAT I AM THE OWNER'S REPRE-ALL THE ABOVE INFORMATION IS TRUE AND CORRECT SENTATIVE AND THAT ALL THE ABOVE . TO THE BEST OF MY KNOWLEDGE. . INFORMATION IS TRUE AND CORRECT TO SIGNATURE DATE THE BEST OF MY KNOWLEDGE. SIGNATURE . DATE
f{~tJ ,-Q~ 5-21..£fO
**************************************************************************************
FOR C lTY USE ONLY'
FEE COMPUTATION: APPLICATION TYPE FEE REQUIRED
MAY 241990
RECEIVED BY:
I
TOTAL FEE REQUIREDI)1vf' ~jjJc.;i,r. -
DATE FEE pAID I I RECEIPT NO·1 I
ARFMOOOS.DH 4/89
;of...,.... _ .-
S.U 8 0 IY I 5 ION LOG
~,'
d;~"'£ken/'1£;e.j&&··.
___ ~ ____ ..... ____________________ PHON.E s ______ _
TENTATIVE MAP APPROVALs ______ _ 1ST EXTEHSION,_. ~ __ _ 2ND EX TENS ION' ____ _
IMPROVEMENT P·LAN NO. 1 ____ --GRADING PLAN NO.I _________ _
"AS BUll IS" APPROVEDI _____ _ GRADING PERMI T NO.' ______ ---__
EROS ION CONTROL PLAN 1 _________ """"-
BONDS AND AGREEMENTS
fAIIHfUL LABOR 4:' HONUHEN-SECURllY
AGREEMENT rI TLE EXPIRATION PERfORMANCE HATERIALS TA nON TYPE (CASH, COMMENJS
DATE BOND AMT. BOND AMT. BOND AMT. SURElY, lOC) ..
SURETY COHPANY' ___________________________________________ ~ ___
ADDRESS I ..... _____________________ ...... ______ ........ ______ __
CON TAC T I ___ ---__ --------...... _ ....... ---------.PHONE s _______ _
EASEMENTS
USE lOCA lION RECORD NO.
REPORTS
"
TYPE Of REPORT STATUS (IN, N/A) CHEC!<EO BY
fit 1e ReDort
Suoalvls on liuarantee
Traverse Cales
Hvdr aulle Cales
Hvdroloov C.ales
Se.,er. [ales ,."" -....... "-. WIt/!'-.. .,; "11 ... '--':!._~ ... _ ......... l.r ........• "" ' .. ! .. , ~oIIs heort
WATER DISTRICT, ~tAlr~aI
SCHOOL DISTRICT'~~sr~t7t1~
ORA INAGE AREA, A . A .
I
NWfJ 2?.>o
PLANNING ACTIONs ______________ _
, I
SEWER DISTRICTs ?dflr: IJ~-.
PLANNING AREAI ____________ _
SPEC IAL ZONES, (ASSESSMEN T, THOROUGHfARE,
aR 1.DG E 0 1ST RIC r 5 , ___ . ____________ --
•
CITY OF CARLSBAD
EI'IIE£III' DEPAIT"E.T
fEES AI. DEPOSITS VO'(SHEEI . 1 .'
/'" ~ ~" /.. PREPARED IY, 'filii f)tI,.,i' PROJICT NAltl:V/;t-~& Perl, t::::qr~b/l4 K'-fo.D.Ut: ~""-er---(t(;F
TENTATIVI PARCIL itA' FII • • • • . • • • • , ~ , • • , • • , • • • • .
~ .. MAP FEI( LOTS)(PARCiL ~A'P/FINAL IiIAP NO. OF LOTS ), •• -+~::.4.I~~~
(EXPED ITE·D/NOT EXPED'TED)
PARCIL MAP EXTENSION FEE
I"PROVIMINT PLAN CHICK 'EE: • • • • • • • • • • • • • • • • • • • •• • • •
DIPOSIT WITH SUIMITTAL _____ ... ___ RECEIPT NO. ______ ___
'"Plgy,e'"I PISCltPIION
TOIAL:
IMPROVEMINI INSPICIION 'EE:
ll1A
TOIAL.:
PARK-IN-LIIU FIE (CIRCLE ~NE):
DWILLINe TYPE: S, OR DUPLEX
AREA: 1 2 3 4
NUMIEft 0' UNITS:
STREET LIGHT ENIRGIIINe:
5,800 I.U"EN ____ _
9,500 LUMEN _______ _
16,000 LUMEN ___ _
20,000 LUMIN _____ _
'ONDIR YAbU,
~ x .' ---....... -PUCINIAGI'
YAbUI
_________ X .
PERCENTAGE •
", «4 UNITS) ", (> 4 uNiTS)' "H
x • -------AREA FUlUN'U
AI 81.00 •
AT 111.06 •
AI 152.10 •
AI 169.3' •
TOTAL: a
GRADING Pt.AN CHICK 'IE DIPOSIT RECEIPI NO. ____ _
(EXPEDITED/NOT EXPEDITED)
-~-~---....,....
GRADING PLAN CHICI( FII ( CUIIC YARDS) •••• ,.
GRADING CASH DIPOSIT
DUPLICATE TRACINe FEI ••
. . , . . , .---r----.---_.._
• • • • • • . . , . . . . • I • • • • • • · · · . ---..-r-----------
• i •
• • • t • • .' i --t-------. t • • • • • • • • • • • STREET SIGN O£PO~IT: _____ AT ______ • __________ ....._--
AT • --------------------------________ AT ___ --• ________ _
TOTAL: a
· · .. · · · . --r-"""---------STREET STRIPING DEPOSIT • • • • • • • • • • • • • • • • • FRONT I. INE OR AREA FEES (TYP. ___ ) • , . . . . . . . '--i---------DRAINAGE ARIA FEE (AREA NO.
~ . . . , . ___ ' ..
TOTAL ACRIS: ____ X ~~~. _______ _ . . . . . . . . . · · · · , . '-..-f---~---
ADDITIONAL FEES:
ARIA 'EI
~ \.Iii·~~ ',ALU£-O~ MA3TU O~AINA~'" •... "W' _.:::~~.:T~
AS NOTED IN "'A~ I tR DRAUACiI PLAN DOCUMENTS
~ULTIPLIfD IY CURRENT INFLATION 'ACTO~.
bINI vAbyr X E6'IoS . . . • A"QYHI
X •
X •
X •
TOTAL:
DRAINAGE FEE DUE:
TyPEl ________________ _ . • • • , • • , , • • • •
• • •
• , .
. . " . · · .' . · , . · · . · . --t----------' TVP E l ________________ _
TOTAL FEES AND OE:POSITS:
( r N ADO [TI ON, A GRAO ING "ER,,! T FEE OF _....,..-., __ ~
IS OuE UPON ISSUANCe OF THe ~RAOIN~ ~E~~IT.)
. · . ,--;-------