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Home My WebLink AboutRP 05-03X1; SPRINGHILL SUITES CARLSBAD; Redevelopment Permits (RP)CARLSBAD REDEVELOPMENT AGENCY PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: I I ADMINISTRATIVE PERMIT • • • • • • New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is equal to or less than $60,000. Interior or exterior improvements to existing structures which result in an intensity of use. Provisional land uses, where a minor or major redevelopment permit is not required. Changes in permitted land uses which result in site changes, increased ADT, increased parking requirements, or result in compatibility issues/problems. Signs for existing businesses or facilities. Repair or maintenance activities which are not exempt from obtaining a permit. • COASTAL DEVELOPMENT PERMIT MAJOR REDEVELOPMENT PERMIT • • New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $150,000. Variances for projects within this category. • MINOR REDEVELOPMENT PERMIT I I New construction of building(s) or addition(s) to the building footprint which have a building permit valuation which is greater than $60,000 but less than $150,000. I I Variances for projects within this category. I I Variances for projects which would otherwise be exempt or be eligible for an administrative permit. MISCELLANEOUS REDEVELOPMENT PERMIT • A-Frame Sign Sign Permit Sign Program Sidewalk Tables/Chairs Outdoor Displays Other ^^^c3^£.2SS£i^2±2£2to5/__^ PROJECT TITLE: Brief description of project: X7 Property Location: APN(s)::^f^_: SC. V^crrtu LuC Owner's Name UlI^^At^cw . ^TS--,^ / Address Sr^:> <-^!u^^^ ^ sa^ , :;^./^/ Telephone Number ^X^^ - ^ - -rue ADIZA DCI .Street Address^/IS<^ <Z^r'Ai:x>^ L(y<J Applicant's Name CSg^^'^;- Address :-^r--^<c^ C^n>^/e>o cZ,r^<U^^ . sL 'ZJ<-/ Telephone Number - ^2^7 " THE AREA BELOW IS TO BE COMPLETED BY CITY STAFF FEES FOR APPLICATION PROCESSING: (List type of fee and amount) ^ ^ \crr/\L- RECEIPT OF APPLICATION Date Application Received, 10 Application Received by jfi/sf/iJ S/L^4 Permit Number Assigned I^P 0^ • /^^ ^ (f^'/^V / ^0? a^'^^/yf LAND USE REVIEW DeVe 10oment Servicp'- Planning Oepartment 1635 Faraday Avenue CARLSBAD APPLICATION DeVe 10oment Servicp'- Planning Oepartment 1635 Faraday Avenue CARLSBAD P-1 (760) 602-4610 P-1 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permit (FOR DEPT. USE ONLY) Legislative Permits I I Administrative Permit ^ Coastal Development Permit (*) OMinor (FOR DEPT. USE ONLY) Conditional Use Permit (*) OMinor O Extension I I Environmental Impact Assessment I I Habitat Management Permit O Minor Hillside Development Permit (*) Planned Development Permit O Residential O Non-Residential I I Planned Industrial Permit 1 I Planning Commission Detemiination Q Site Development Plan I I Special Use Permit I I Tentative Tract Map I I Variance I I Administrative 04,- I I General Plan Amendment I I Local Coastal Program Amendment (*) I I Master Plan | | Amendment I I Specific Plan I I Amendment I I Zone Change (*) I I Zone Code Amendment Ust other apollcations not specified • • • (*) = eligible for 25% discount NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICAnONS BE FILEO, MUST BE SUBMITTED PRIOR TO 3:30 P.M. A PROPOSED PROJECT REQUIRING ONLY ONE APPLICAnON BE FILED. MUST BE SUBMITTED PRIOR TO 4:00 P.M. ASSESSOR PARCEL NO(S).: ^ ^;, PROJECTNAME: . , BRIEF DESCRIPTION OF PROJECT: - , * ' . s ... . .J t • -1^ • / r , y . -r- ... .i • ./c-, •'••» N y • ' ' ^ i . . . ., , ,- BRIEF LEGAL DESCRIPTION: y LOCATION OF PROJECT: / ;,r ^ \ STREET ADDRESS ON THE: SIDE OF (NORTH, SOUTH, EAST. WEST) BETWEEN ,f^41-.- y..:^^ AND (NAME OF STREET) (NAME OF STREET) (NAME OF STREET) P-1 Page 1 of 5 Revised 01/10 OWNER NAME (Print):^: MAILING ADDRESS: CITY. STATE. ZIP: TELEPHONE: EMAIL ADDRESS: % APPLICANT NAME (Print): MAILING ADDRESS: CITY. STATE. ZIP: TELEPHONE: . EMAILADDRESS: . I CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE iNFORMATION IS; TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. , / 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 KN(3WLEDGE. SIGNATURE DATE SIGNATURE 3>l nl'^^o DATE APPLICANTS REPRESENTATIVE (Print): MAILING ADDRESS: CITY. STATE.ZIP: ; ^ r TELEPHONE: EMAILADDRESS: I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BESTX)F MY KNOWLEDGE. RECT TO THE BEST^ MY Kl 3//-t-/2^^ SIGNATURE DATE IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF. PLANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION. lAA^E CONSENT TO ENTRY FOR THIS PURPOSE. NOTiCE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING RECORDED ON THE T^TLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLiCANT NOTICE OF RESTRICTIONS RUN WITH THE LAND AND BINDj^NY SUCCESSORS IN INTEREST. "PR^P^TYOVI NER SiGNATURE FOR CITY USE ONLY DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of 5 Revised 01/10 DISCLOSURE Development Services <S«^ STATEIWIENT Planning Department CITY OF P- 1635 Faraday Avenue '\^/ (760)602-4610 www.carlsbadca.gov CAR L.SBAI3 Applicanfs statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part ofthe 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 ipartnership. include the names, titles, 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 publiclv-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person i^^/^A/^ PAT^L Corp/Part ^'^^ ^^'^ r UC / Of<^ ^tmCP Title AyAA//AGa? Title o^Aje^ Address GOtDcsV CtflCU S'TF 2/</ Address &0COe/v Ci/icCt Sie 2/V 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, titles, addresses of all individuals owning more than 10% ofthe shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publiclv-owned corporation, include the names, titles, and addresses of the coiporate officers. (A separate page may be attached if necessary.) Person O^^^A&^t RAre^ ^ Corp/Part - Title ^ Title OMjm Address ^ 6OLDB\J Clf^CUe 2/^ Address ^ ^^Oe^ Cl/^lX S7^ 2/</ P-1 (A) Page lof 2 Revised 04/09 NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit orqanization 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 $500 worth of business transacted with any member of City staff. Boards, Commissions, Committees and/or Council within the past twelve (12) months? I I Yes [3^0 Ifyes, 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 9C H^TBl , LLC Print or type name of owner Signature of applicant/date /f67^ ^ lie j D(CAJ -HOTtrtS Print or type name of applicant Signature of owner/applicant's agent if applicable/date Print or type name of owner/applicant's agent p-1 (A) Page 2 of 2 Revised 04/09