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Home My WebLink AboutPUD 00-61K; Cowles Addition; Planned Unit Development - Non-Residential (PUD)V CITY OF CARLSBAD ^SSr' LAND USE REVIEW APPLICATION i) APPLICATIONS APPLIED FOR: (CH |~] Administrative Permit Ij Administrative Variance 1 1 Coastal Development Permit C| Conditional Use Permit [j Condominium Permit 1 j Environmental Impact Assessment Lj General Plan Amendment |__J Hillside Development Permit l_J Local Coastal Program Amendment D m Master Plan Non-Residential Planned Development Planned Development Permit \/(J\^ ECK BOXES) (FOR DEPARTMENT USE ONLY) OObl I2' cc D D D E Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Tontativo Parcol Map Obtain from Engineering Department Tentative Tract Map Variance Zone Change • , List other applications not specified , .(FOR DEPARTMENT . .USE ONLY) - 2) 3) 4) ASSESSOR PARCEL NO(S).: PROJECT NAME:\iQt* BRIEF DESCRIPTION OF PROJECT:\ce. 4r> f(Oi^f^/ 5) OWNER NAME (Print or Type) &Xf MAILING ADDRESS 6) APPLICANT NAME (Print or Type) ajg^;m MAILING ADDRESS 104-2. CITY AND STATE ZIP TELEPHONE CITY AND STATE ZIP TELEPHONE i.EMAIL ADDRESS:EMAIL ADDRES 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECTO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE SIGNATURE DATE 7) BRIEF LEGAL DESCRIPTION NOTE; A PROPOSED PROJECT REQUIRING MULTIPLE AppyGATiONS BE FILED, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPUCATION BE FILED, MUST BE SUBMITTED PRIOR TO 4:00 P.M. 8) LOCATION OF PROJECT:104*2- ON THE BETWEEN (NORTH, SOUTH, EAST, WEST) STREET ADDRESS SIDE OF AND (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 i]4) PROPOSED IND OFFICE/ SQUARE FOOTAGE 17) PROPOSED INCREASE INADT 20) EXISTING GENERAL PLAN 23) PROPOSED ZONING (NAME OF STREET) (NAME OF STREET) 12) PROPOSED NUMBER OF RESIDENTIAL UNITS 15) PROPOSED COMM 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-EOR THIS,PURPOSE FOR CITY USE ONLY FEE COMPUTATION APPLICATION TYPE TOTAL FEE REQUIRED FEE REQUIRED RECEIVED DEC 13 2005 PLANNING DEPT RECEIVED Form 14 Rev. 12/04 PAGE 2 OF 5 C,,.. -uJ Faraday Center Faraday Cashiering 001 05347012 12/13/2005 11 Tue Dec 13,2005 10:35 AM PERMITS - PERMITS $326.66 Tran Nbr; 053470102 0016 0019 Trans/RcptHI: R0054427 SET #: PUOOU61K 1 ITEM(S): TOTAL: $326.66 Credit Card (AutWI 064749) $326.66 Total Received: $326.66 Have a nice day! *#**:M-#i-'(-*****cySTQMER COPY************* City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: BROOKS WORTHING Description PUD0061K Amount 326.66 Receipt Number: R0054427 Transaction Date: 12/13/2005 Transaction ID: R0054427 Pay Type Method Description Amount Payment Credit Crd VISA 326.66 Transaction Amount: 326.66 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 information 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 City of Carlsbad 1 -:- . :-,-„„„ ,..,,™>_..,, . j^ , ._.gjj~p-_~~_|^~»g—______0j|__~_g™___|^__^^_^_^^^^__—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 2. 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 Corp/Part_ Title Address Address_ CA . AvWiue • Ca/lsJJSK*., CA &2&2a.73J.fl • (7601 602-460) * FAX (760) 602-6559 • '*•*•*•.£ c,art=bad.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, Title Non Profit/Trust Title Address Address 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? 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 owner/date fo Print or type name of owner Signature of applicant/d %cwVt? A- 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 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 PROPERTY OWNER Name: Address: H« 1 Name: Phone Number:Phone Number: Address of Site: Local Agency (City and County): Assessor's book, page, and parcel number:_ Specify list(s): 1 "2-.\^T~ Regulatory Identification Number: Date of List: Applicant Signature/Daitel Admin/Counter/HazWaste I Property Owner Signature/Date 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.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/calsites Calsites Hotline (916) 323-3400 State Water Resources Control Board www.swrcb.ca.gov/cwphome/lusfis 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 "CERCLIS") 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 Cowles (760) 931-8561 p.2 Poinsettia Cove Maintenance Corporation Architectural Request/Improvement Application Homeowner: Ro&gg. CO^QlS^ Date: 9 [i S ( og Address: \QH1 Uc.HTU.coSg £OA£> Lor#:__ Phone Numbers: Work:; 7£c) ^go uibe Home: Description of proposed improvements: PV . ". cQ-K-g- ; M-U inegfoovy TO ~vU;. j-To-vr Jp Please attach rtre<? f'J^ copies of the plans showing proposed improvements and return application to: Cal West Management 519 Encinitas Blvd., Ste.108, Encinitas. CA 92024 Ph: (760) 753-8018 Fax: (760) 944-6762 Signeo@aol.com OWNER ACKNOWLEDGES: I will assume the responsibility for any work under the above- proposed improvement that my contractor or I accomplish which may, in the future, adversely affect the property. ! will assume responsibility for timely completion and all future maintenance of this addition or improvement. f^ ,-^v f\/.% Homeo\v neFST NOTICE TO HOMEOWNERS: Your proposed improvement may require a permit from the City of Carlsbad or the County of San Diego. You or your contractor should check with the City/County about permil requirements prior to beginning any work. No work shall be done which may change existing drainage patterns. The approval process may take up to 30 days. No work is to begin until approval is received. All improvements require adjacent neighbors' signature as acknowledgement of the scope of work but not approval. The undersigned homeowners have reviewed the proposed improvements: FOR COMMITTEE USE ONLY: Submitted to ARC Date: Application: Xgproyedx or Denied (Circle One) Comment^Conditions: