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Home My WebLink AboutPRE 2018-0029; MADISON FIVE; Preliminary Review (PRE)CITY OF CARLSBAD APPLICATION FORM FOR PRELIMINARY REVIEW APPLICATION CITY USE ONLY f(',£:iou,., ob 1--4 Development Number: 'l>f.v Z,o If> -OI e,o Project Number: PROJECT NAME: MI\ J,H S,o t,.i r,'1£ Assessor"s Parcel Number(s): d.Oj D:> \ 0 ~ ti.~~ Jo~ 0)1 0;}- Description of proposal (add attachment If necessary): 5 1h yu.... 5-tvY½ l]nJtl }1 ov\11 C2S \ Would you like to orally present your proposal to your assigned staff planner/engineer? (3 • No • Please list the staff members you have previously spoken to regarding this project. If none, please so state. tJP\'\f'I D ~Ul., LLi ff JClt'.:i I."/; Ct\ t?--\':> I (;Afl~ OWNER NAME (Print) ~$ ~(\1,"1~ I-\DLOI iJ&S APPLICANT NAME (Print) fv\\ltfAl:1... ~1Cff ;(.JC. MAILING ADDRESS: P,C), ~(){ J ~ '.1! MAILINGADDREss P.o, ~x J\&>=tl CITY, STATE, ZIP: C..A e.t Sr:A$ c.A ~2-01i11 CITY, STATE, ZIP: CB µ5 gdD C4 C\J OIB TELEPHONE: lol1 tD~ 3~l1 TELEPHONE la I 1 <t.ol../ 3~ 1i EMAIL ADDRESS: Mf ~ L-l\tJ~Hlf-i:'>ttottSt1JG, COM_ EMAIL ADDRESS t1 K (tJ LP\N!;lt I f.£--:US/NS' (-OJ)' "'Owner's signature indicates permission to conduct a preliminary review for a development proposal. ICER FY THAT I AM THE LEGAL OWNER AND THAT ALL THE ICERTI Y THAT I AM THE LEGAL REPRESENTATIVE OF THE ABOV INFORMATION IS TRUE AND CORRECT TO THE BEST OWNEf AND THAT ALL THE ABOVE INFORMATION IS TRUE OFM' KNOWLEDGE. AND C( RRECT TO THE BEST OF MY KNO1EDG~ "~ q 1-':/ ,~ J J\ --°' ~'l I~ SIGN TURE DATE SIGNATURE DA - APPLICANTS REPRESENTATIVE (Print): t.../lA MAILING ADDRESS: • I CITY, STATE, ZIP: TELEPHONE: ...,. .. . .. EMAIL ADDRESS: & 'ti, i .• . t . ..J ., . I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OCT O 3 2018 APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CITY C' C · · · · · CORRECT TO THE BEST OF MY KNOWLEDGE. .1,-· ·J \r\;L .:_, ~~/\Q PLANl~li\JG DIVISiON SIGNATURE DATE IN THE PROCESS F REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF TO INSPECT AND ENTER THE P OPERTY THAT IS THE SUBJECT OF THIS APPLICATION. WJE CONSENT TO ENTRY FOR THIS PURPOSE. -- PROP RTY OWNER SIGNATURE FEE REQUIRED/DATE FEE PAID: I,\\ 11'1 / \V '}•·\f>, I RECEIVED BY: 0\..,,_,, -~~------------------------------ P-14 Page 3 of 3 Revised 07/17 PRELIMINARY REVIEW CHECKLIST Staff would like to know what information you primarily want from this review. With this known, we can focus most of our attention on researching and answering your main questions(s). Please check the one or two boxes below which best describes the information you would like us to concentrate on, and/or check the box marked "other" and tell us in your own words what information you would like from us. D D D P-14 SITE DESIGN: Focus is on reviewing issues such as development standards (setbacks, building height, etc.), hillside compliance, landscaping, signage, open space requirements, and other physical aspects of zoning. Plans adequately illustrating these features are needed for review. LAND USE: Focus is on determining the compatibility of the proposed land use with the existing general plan and zoning designations, determining whether staff could support a general plan amendment or zone change, and determining compatibility of the proposed land use with surrounding land uses. ARCHITECTURE: Focus is on establishing quality architecture and checking its compatibility with the surrounding area and against any applicable guidelines or plans. Building elevations or other architectural information are needed for review. ZONING INTERPRETATIONS: Focus is on interpreting any aspects of the zoning ordinance. LAND DEVELOPMENT ENGINEERING STANDARDS: Focus is on reviewing all engineering-related issues, such as grading, drainage, Best Management Practices for Storm Water Pollution Control, circulation and traffic, street vacations, easements, subdivisions, etc. OTHER: In the space below, please list any other issues you would like us to review. Page 2 of 3 Revised 07/17 Vl-23874 As ofS/31/2018 3:06:51 PM WES.TCQASI ESCRQW ,..lo,...,.,,.,_ West Coast Escrow 40 Main Street, Sv.ite E-I 00 Vista. CA 92083 Phone: (76Q) 639-5429 Fax: (760) 639-5421 Escrow Officer: Emily L. Patterson Buyer's Final Settlement Statement Property: Vacant Land, APN 204-031 & 204-031-02-00 Carlsbad, CA 92008 Buyer: DK Realty Holdings, Inc., a California corporation Purchase Price Contract Sales Price Receipts Deposit or earnest money remitted by Michael Kootchick Closing Funds by wire Increased Deposit remitted per Addendum No. 1 signed 8/2/2018 from MITCHELL RlBACK TTEE U/A DTD 12/8/2006 BY MITCHELL RlBACK New Loan Principal Loan Amount from CAL WEST BANK Appraisal Fee to CAL WEST BANK POC $750.00 Appraisal Review Fee to CAL WEST BANK Document Preparation to CAL WEST BANK POC $500.00 Loan Fee/ Extension or Renewal Fee to CAL WEST BANK $575 POC Wire Fee to CAL WEST BANK POC $25.00 Prorations County Taxes (Unpaid) 1710.4600/6 mos 07/01/18 to 08/31/18 County Taxes (Unpaid) 1710.4600/6 mos 07/01/18 to 08/31/18 Escrow Fees Escrow Fee Loan Tie•ln Fee Notary Fee Electronic Doc Download Archival Fee Messenger Fee (recording docs to Title) Recording Fees Deed ofTrust (Recording) Grant Deed (Recording) Title Charges Lender's Coverage Equity Title Sub.Escrow Fee Refund Totals: Closed Date: Escrow Number: Debits $1,050,000.00 $5,200.00 $2,400.00 $275.00 $45.00 $225.00 $39.50 $30.00 $61.00 $11.00 $686.00 $62.50 $1,666.00 $1,060,713.00 Sava this Statement for Income Tax purposes. ""1 111111111H · Vl-23874-ELP . !.1 8/31/2018 Vl-23874-ELP ~ $10,000.00 $382,072.70 $90,000.00 $577,500.00 $570.15 $570.15 $1,060,713.00 · State of California -Secretary of State . Statement of Information (Domestic Stock and Agricultural Cooperative Corporations) FEES (FIiing and Dlocloeurv}: $25.00. If this Is an amendment, see lnatructiona. IMPORTANT -READ INSTRUCTIONS BEFORE COMPLETING THIS FORM 1. CORPORATE NAME DK REAL TY HOLDINGS, INC. 2. CALIFORNIA CORPORATE NUMBER C3116248 EW40451 FILED In the office of the Secretary of State of the State of Callfomla JAN-30 2014 Thie Spece br Flllng Uae onty 3. If thftN have bffn any changn to the lnfonnatlon contained In the last Sta•ment of lnfonnatlon flied with the California Secr.tary of Stata, or no statement of lnfonnatlon hu bean previously flied, Ude fonn must be completed in Its entirety. Ii] If there has been no change in any of the information oontalned In the last Statsment of lnformatioo flied with the Caltfomla Secretary of State, check the box and prooeecl to Hem 17. Com late Addrneee for the Followln Do not abbnlvlate the name of the . Items 4 and 5 cannot be P .0. Boxes.) 4. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY STATE ZIP CODE 5, STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY CITY STATE ZIP CODE 6. MAILING ADDRESS OF CORPORATION, IF DIFFERENT THAN ITEM 4 CITY STATE ZIP CODE Namea and Complete Add,...... of the Following Officers (The corporallon must list these three officers. A comparable title for the specific officer may be added; hOwever, the preprinted titles on this fonn must not be altered.) 7. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE ZIP CODE 8. SECRETARY ADDRESS CITY STATE ZIP CODE 9. CHIEF FINANCIAL OFFICER/ ADORES$ CITY STATE ZIP CODE Names and Complete Addreeaes of All Directors, Including Directors Who are Also Officers (The corpOflltion must have at least one director. Attach additional , If neceasa . 10. NAME ADDRESS CITY STATE ZIP COOE 11. NAME ADORcSS CITY STATE ZlP CODE 12. NAME ADDRESS CITY STATE ZIP CODE 13. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS, IF ANY: Agent for Service of Proceu If the agent Is an Individual, the agent must reside in California and Item 15 must be completed with a Callfomla street address, a P.O. Box address Is not acceptable. If the agent ia another corporatiOn, the agent musl have on file with the Callfomla Seaetary of State a certificate ursuantto C8111omia Co rations Coda section 1505 and Hem 15 muat be left blank. 14. NAME OF AGENT FOR SERVICE OF PROCESS 15. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INOMDUAL CllY STATE ZIP CODE of Business 16. DESCRIBE THE iYPE Of BUSINESS OF THE CORPORATION 17. BY SUBMlmNG THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, THE CORPO TION CERTIFIES THE INFORMATION CONTAINED HEREIN, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT. 01/30/2014 MICHAEL A KOOTCHICK PRESIDENT DATE lYPEIPRINT NAME Of PERSON COMPLETING FORM TITLE SIGNATURE SI-200 (REVOt/2013) APPROVED BY SECRETARY OF STATE