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Home My WebLink AboutPUD 88-04O; Huang Room Addition; Planned Unit Development - Non-Residential (PUD)CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1)APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPT. USE ONLY \ \ Ad ministrative Permit D n n n n 2) 3) 4) Administrative Variance Coastal Development Permit Conditional Use Permit Condominium Permit Environmental Impact Assessment General Plan Amendment Habitat Management Plan Permit Hillside Development Permit Local Coastal Program Amendment Master Plan Minor Conditional Use Permit Non-Residential Planned Development IX n n n i — | n n ASSESSOR PARCEL NO(S).: 7^S~- >5^ —o S~-o Planned Development Permit Planned Industrial Permit Planning Commission Determination Precise Development Plan Redevelopment Permit Site Development Plan Special Use Permit Specific Plan Tentative Parcol Map Obtain from Engineering Department Tentative Tract Map Variance Zone Change List other applications not specified (FOR DEPT. USE ONLY) PCC/) J?^ OHfo\ -<; PROJECT NAME: fLmf^ 4&eti-{i"i. — 'ffa - (JU-4^/Q BRIEF DESCRIPTION OF PROJECT: •«VUv lt^c(^.>ft*u\. IV ^*x£< 'Sr&Tll ^ //£> W ^Ee^fc^ou. e-*H-t.erv^ 5) OWNER NAME (Print or Type) MAILING ADDRESS 79/7 /?A52rt> flU So CITY AND STATE ZIP TELEPHONE CkRLSfc fr5>fCfa ^l^rv^ jfa-^Pjy-^&J*. EMAIL ADDRESS: 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. . , SIGNATURE " DATE 6) APPLICANT NAME (Print or Type) MAILING ADDRESS CITY AND STATE ZIP TELEPHONE EMAIL ADDRESS: 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ,yl.rf, *-/<?*»&, & fy /£>-</ SIGNATURE DATE NOT£: 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. 03/08 PAGE 1 OF 4 f) BRIEF LEGAL DESCRIPTION 8) LOCATION OF PROJECT: "79/7 ON THE BETWEEN (NORTH, SOUTH, EAST, WEST) STREET ADDRESS SIDE OF ' AND (NAME OF STREET) (NAME OF STREET)(NAME OF STREET) 9) 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 FOR THIS PURPOSE. 10) NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST. PROPERTY OWNER SIGNATURE FOR CITY USE ONLY RE00VED JUN102008 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: Form 14 Rev. 03/08 PAGE 2 OF 4 PROJECT DESCRIPTION/EXPLANATION PROJECT NAME: titfr^ foytM APPLICANT NAME: JirO 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: -ft A Project Description 10/96 Page 1 of 1 86/38/2008 10:32 17684798267 HONG JIN PAGE 81 City of Carlsbad Planning Deparflhient DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership Interests on all "appliesiHons which will require discretionary action en 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. 1. APPLICANT (Not the applicant's agent) Provide the COMPLETE. LEGAL namea and addresses of AUj persons hiving 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 IN!) VIDUALS OWN MORE THAN 10% OP 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 ft**f& 3' A/ Corp/Part • Tltie /W &W0>fTitle ftm& 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 SHARED, PLEASE INDICATE NON-APPUCABLE (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.. /-fa *<ji Corp/Part_ Title Address ??/?Address. 1835 Faraday Avwiue • CarisbW), CA 82000-73(4 • (760) 602-4600 - FAX (780) 6024569 * www.ci.rarlsbad.ca.us 06/30/2008 10:32 17604790257 HONG JIN ^ P6GE 02 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 Profitffi-ust Non Profit/Trust „ Title TKIe 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 I' 2) months? LJ Yes LJ No If yes, please indicate person(s};_ NOTE: Attach additional sheets if necessary. I certify that alt the above information is true and correct to the best of my knowleccie, Signature of owner/date Signature of applicant/date Print or type name of owner Print or type name of applican; Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent H^DM<N«iOUNTER\DISCLOSURESTAre«ENT 12/08 Page 2 of 2 06/38/2008 10:32 17604790267 HONG JIN PAGE 03 HAZARDOUS WASTE AND SUBSTANCES STATEMENT Consultation Of Lists of Sites Related To Hazardous Wastes (Certification of Compliance with Government Code Section 65952.5) Pursuant to State of California Government Code Section 65962.5,1 have consul :od the Hazardous Wastes and Substances Sites List compiled by the California Environmental Prot? Jtion Agency and hereby certify that (check one): H^Thc development project and any alternatives proposed in this application njgjjot contained on the lists compiled pursuant to Section 65962.5 of the State Government Cod'!. Q The development project and any alternatives proposed in this application arc contained on the lists compiled pursuant to Section 65962.5 of the State Government Code, APPLICANT PROPERTY 0 WNER Name: Name: Address: , Address: Phone Number; Phone Number;. Address of Site:. Local Agency (City and County):. Assessor's book, page, and parcel number. Specify llstfsl: Regulatory Identification Number:, Date of List: Applicant Signature/Date Property Owner Signature/Date Admin/Counier/HozWnsie •<*_/ City of Carlsbad 1635 Faraday Avenue Carlsbad CA 92008 Applicant: HONG JIN Description PUD88040 7919 PASEO ALISO CBAD Amount 343.28 Receipt Number: R0070373 Transaction Date: 06/10/2008 Transaction ID: R0070373 Pay Type Method Description Amount Payment Check 343.28 Transaction Amount: 343.28 City of Carlsbad Faraday Center Faraday Cashiering 001 0816201-2 06/10/2008 75 Tue Jun10,2008 02:16 PM PERMITS - PERMITS $343.28 Tran Nbr: 081620102 0053 0063 Trans/Rcpt#: R0070373 SET #: PUD88040 1 ITEM(S); TOTAL: $343.28 Check (Chk# 2121) $340.00 Cash $5.00 Total Received: $345.00 CHANGE: $1.72 Have a nice day! **************CUSTQMER COPY************* APPENDIX A STORM WATER STANDARDS QUESTIONNAIRE INSTRUCTIONS: This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision and land use planning approvals and construction permits). The results of the questionnaire determine the level of storm water pollution prevention standards applied to a proposed development or redevelopment project. Many aspects of project site design are dependent upon the storm water pollution protection standards applied to a project. Applicant responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. A staff determination that the development application is subject to more stringent storm water standards, than initially assessed by the applicant, will result in the return of the development application as incomplete. If applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, they are advised to seek assistance from Engineering Department Development Services staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, applicants for construction permits must also complete, sign and submit a Construction Activity Storm Water Standards Questionnaire. To address pollutants that may be generated from new development, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design, which are described in Chapter 2 of the City's Storm Water'Standards Manual This questionnaire should be used to categorize new development and significant redevelopment projects as priority or non-priority, to determine what level of storm water standards are required or if the project is exempt. 1. Is your project a significant redevelopment? Definition: Significant redevelopment is defined as the creation, addition or replacement of at least 5,000 square feet of impervious surface on an already existing developed site. Significant redevelopment includes, but is not limited to: the expansion of a building footprint; addition to or replacement of a structure; structural development including an increase in gross floor area and/or exterior construction remodeling; replacement of an impervious surface that is not part of a routine maintenance activity; and land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces includes any activity that is not part of a routine maintenance activity where impervious material(s) are removed, exposing underlying soil during construction. Note: If the Significant Redevelopment results in an increase of less than fifty percent of the impervious surfaces of a previously existing development, and the existing development was not subject to SUSMP requirements, the numeric sizing criteria discussed in Table 3 of 2.3.3.4 applies only to the addition, and not to the entire development. 2. If your project IS considered significant redevelopment, then please skip Section 1 and proceed with Section 2. 3. If your project IS NOT considered significant redevelopment, then please proceed to Section 1. 21 SWMP Rev 6/4/08 SECTION 1 NEW DEVELOPMENT PRIORITY PROJECT TYPE Does you project meet one or more of the following criteria: 1. Home subdivision of 100 units or more. Includes SFD, MFD, Condominium and Apartments 2. Residential development of 10 units or more. Includes SFD, MFD, Condominium and Apartments 3. Commercial and industrial development greater than 1 00, 000 square feet including park/no areas. Any development on private land that is not for heavy industrial or residential uses. Example: Hospitals, Hotels, Recreational Facilities, Shopping Malls, etc. 4. Heavy Industrial / Industry greater than 1 acre (NEED SIC CODES FOR PERMIT BUSINESS TYPES) SIC codes 5013, 5014, 5541, 7532-7534, and 7536-7539 5. Automotive repair shop. SIC codes 5013, 5014, 5541, 7532-7534, and 7536-7539 6. A New Restaurant where the land area of development is 5.000 sauare feet or more including parking areas. SIC code 581 2 7. Hillside development (1) greater than 5,000 square feet of impervious surface area and (2) development will grade on any natural slope that is 25% or greater 8. Environmentally Sensitive Area (ESA). Impervious surface of 2,500 square feet or more located within, "directly adjacent"2 to (within 200 feet), or "discharging directly to"3 receiving water within the ESA1 9. Parking lot. Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban runoff 10, Retail Gasoline Outlets - serving more than 100 vehicles per day Serving more than 100 vehicles per day and greater than 5,000 square feet 11. Streets, roads, driveways, highways, and freeways. Project would create a new paved surface that is 5,000 square feet or greater. 12. Coastal Development Zone. Within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%. YES ^ NO ft ^ * *X *X % K x% < 1 Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and Count of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. 2 "Directly adjacent" means situated within 200 feet of the environmentally sensitive area. 3 "Discharging directly to" means outflow from a drainage conveyance system that is composed entirely of flows from the subject development or redevelopment site, and not commingled with flow from adjacent lands. Section 1 Results: If you answered YES to ANY of the questions above you have a PRIORITY project and PRIORITY project requirements DO apply. A Storm Water Management Plan, prepared in accordance with City Storm Water Standards, must be submitted at time of application. Please check the "MEETS PRIORITY REQUIREMENTS" box in Section 3. If you answered NO to ALL of the questions above, then you are a NON-PRIORITY project and STANDARD requirements apply. Please check the "DOES NOT MEET PRIORITY Requirements" box in Section 3. SWMP Rev 6/4/08 SECTION 2 SIGNIFICANT REDEVELOPMENT: 1. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) YES NO £ If you answered YES, please proceed to question 2. If you answered NO, then you ARE NOT a significant redevelopment and you ARE NOT subject to PRIORITY project requirements, only STANDARD requirements. Please check the "DOES NOT MEET PRIORITY Requirements" box in Section 3 below. 2. Is the project solely limited to one of the following: a. Trenching and resurfacing associated with utility work? b. Resurfacing and reconfiguring existing surface parking lots? c. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? d. Replacement of existing damaged pavement? v<*r <>c If you answered NO to ALL of the questions, then proceed to Question 3. If you answered YES to ONE OR MORE of the questions then you ARE NOT a significant redevelopment and you ARE NOT subject to PRIORITY project requirements, only STANDARD requirements. Please check the "DOES NOT MEET PRIORITY Requirements" box in Section 3 below. 3. Will the development create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%? X If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY project requirements. Please check the "MEETS PRIORITY REQUIREMENTS" box in Section 3 below. If you answered NO, you ARE NOT a significant redevelopment, and you ARE NOT subject to PRIORITY project requirements, only STANDARD requirements. Please check the "DOES NOT MEET PRIORITY Requirements" box in Section 3 below. SECTION 3 Questionnaire Results: MY PROJECT MEETS PRIORITY REQUIREMENTS, MUST COMPLY WITH PRIORITY PROJECT STANDARDS AND MUST PREPARE A STORM WATER MANAGEMENT PLAN FOR SUBMITTAL AT TIME OF APPLICATION. MY PROJECT DOES NOT MEET PRIORITY REQUIREMENTS AND MUST ONLY COMPLY WITH STANDARD STORM WATER REQUIREMENTS. Applicant Information and Signature Box This Box for City Use Only City Concurrence: YES NO Date SWMP Rev 6/4/08