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Home My WebLink AboutRP 06-03A; Roosevelt Center; Redevelopment Permits (RP)7\ CARLSBAD REDEVELOPMENT AGENCY PERMIT APPLICATION PLEASE CHECK ALL THAT APPLY: I I ADMINISTRATIVE PERMIT I I 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 • • • 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. Variances for projects within this category. Variances for projects which would otherwise be exempt or be eligible for an administrative permit. • MISCELLANEOUS REDEVELOPMENT PERMIT I I A-Frame Sign Sign Permit Sign Program Sidewalk Tables/Chairs Outdoor Displays Other • • • • • PROJECT T\TLEiX^aai^'/fl^// C^icZ^ /^)fe>^—^/^^A?/»7g^7^/^yV^/ Brief description of project: OE\/0(D 0^ operty Location APN(s^: 10Z-2'f2- 11 Street Address y^tcJ>^yZ^ ^/j^/'^A^/z^v Applicant's Name A/C/^ hZci>o/sey Address ^/?7^/g- Sfreef ^-^^/Vfe^ /Oi^ Owner's Name T'^h^ lASci^rAACC- ^<zyiy/c^S,Z^C Address ZO/^ CAi^sy^tJ~ /4/gy?^g ifZ^X Telephone Number CZ^O^ '^P'/yS'/ Telephone Number (7SO:> Z^P- /7Z/ THEAfiEjimOWiSTOBECOiafilgrEOBYOITYSTAFy :l FEES FOR APPLICATION PROCESSING: ^ (List type of fee and amcHjnt) / r)/ u< AA/.cc Zee c^'^yi '^^ RECEIPT OF APPLICATION Date Application Received ^/^^/ Application Received bv yfu^r/Ay Syy^/Zj Permit Number Assigned ^P^&^^}fi/cOp Oh '09A/ CITY OF CARLSBAD LAND USE REVIEW APPLICATION 1) APPLICATIONS APPLIED FOR: (CHECK BOXES) (FOR DEPT. USE ONLY) (FOR DEPT. USE ONLY) • Administrative Permit • Planned Development Permit • Administrative Variance • Planned Industrial Permit Coastal Development Permit • Planning Commission Determination • Conditional Use Permit • Precise Development Plan • Condominium Permit Redevelopment Permit • Environmental Impact Assessment • Site Development Plan • General Plan Amendment • Special Use Permit • Habitat Management Plan Permit • Specific Plan • Hillside Development Permit • Tentative Parcel Map Obtain from Engineering Department • Local Coastal Program Amendment m Tentative Tract Map • Master Plan • Variance • Minor Conditional Use Permit n Zone Change • Non-Residential Planned Development List other applications not specifieciAlteJtsWaiTiO RfttflS 2) ASSESSOR PARCEL NO(S).: 203-292-22 3) PROJECT NAME: ROOSEVELT CENTER 4) BRIEF DESCRIPTION OF PROJECT: CONVERT MIXED-USE DEVELOPMENT PROJECT APPROVED PER RPO6-03/CDPO6-09 INTO 10 CONDOMINIUMS WITH 3 COMMERCIAL UNITS, 5 OFFICE UNITS AND 2 RESIDENTIAL UNITS ( WITH 2 RESIDENTIAL GARAGE UNITS) 5) OWNER NAME (Print or Type) T&G INSURANCE SERVICES, LLC 6) APPLICANT NAME (Print or Type) RICHARD AND RICHARD CONSTRUCTION (RICK WOOLSEY) MAILING ADDRESS 1015 CHESTNUT AVENUE # F2 MAILING ADDRESS 234 VENTURE STREET, SUITE 100 CITY AND STATE ZIP TELEPHONE CARLSBAD, CA 92008 (760)497-1751 CITY AND STATE ZIP TELEPHONE SAN MARCOS, CA 92078 (760)497-1751 EMAIL ADDRESS" R^CKORRCONSTRUCTION. COM EMAIL ADDRESS: RICKORRCONSTRUCTION. COM 1 CERTIFY THAT 1 AM THE LEGAL OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDCy. 1 CERTIFY THAT 1 AM THE LEGAL REPRESENTATIVE OF THE OWNER AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BESf OF MY KNOWLEDGE. 'SIGNATURE / gAie SIGNATURE" " V D/T^f NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS BE FILED, MUSTBE 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 7) BRIEF LEGAL DESCRIPTION LOTS 28,29 AND PORTION LOTS 30, 31 AND 32, BLOCK 34, TOWN OF CARLSBAD 8) LOCATION OF PROJECT: MAP NO. 535 ON THE BETWEEN NORTH 560 & 562 CARLSBAD VILLAGE DRIVE STREET ADDRESS SIDE OF CARLSBAD VILLAGE DRIVE (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) ROOSEVELT STREET AND STATE 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 >LICANT. Nt)Tli2E OF RESTRICTIONS RUN WITH THE LAND AND BIND ANY SUCCESSORS IN INTEREST FOR CITY USE ONLY DATE STAMP APPLICATION RECEIVED RECEIVED BY: Form 14 Rev. 03/08 PAGE 2 OF 4 PROJECT DESCRIPTiON/EXPLANATION PROJECT NAME; ROOSEVELT CENTER RICHARD & RICAHRD CONSTRUCTION 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: THIS PROJECT IS FOR A TENTATIVE MAP FOR THE MIXED-USE DEVELOPMENT KNOWN AS ROOSEVELT CENTER BEING CONSTRUCTED PER RP.06-03 IN THE CARLSBAD VILLAGE REDEVELOPMENT AREA.' THE INTENT OF THE TENTATIVE MAP IS TO CONVERT THE MIXED-USE UNITS TO CONDOMINIUM UNITS. THE TENTATIVE MAP IS FOR CONDOMINIUM PURPOSES WITH THE PROJECT PROPOSING 3 COMMERCIAL CONDOMINIUM UNITS ON THE FIRST (GROUND) FLOOR, 5 OFFICE CONDOMINIUM UNITS ON THE SECOND FLOOR AND 2 RESIDENTIAL CONDOMINIUM UNITS ON THE THIRD FLOOR. EACH RESIDENTIAL UNIT WILL HAVE A GARAGE UNIT ON THE FIRST FLOOR. Project Descriplion 10/96 Page 1 of 1 Citv of Carlsbad Planning Departnnent DISCLOSURE STATEMENT Applicant's statement or disclosure of certain ownership interests on alt applications which wili 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. N6t0g|:?SM|Ji^|;||9^ y: :. .::.Z-Zr,: PerspnJ&deflned^as^ organlzaiion;; cbrporatibniie^ other political sub^^^ - Agents may sign; this; docufnent; howeveri the legal name and entity of the applicant and property owner must be prbyided'ielpwSSSS^ C-:-:'.^ 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% 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 corporate officers (A separate page may be attached if necessaryO^ , ^ L^^^ Person (C^cUflVty \jjcci5-^ Corp/Part "T/^^^S /7w^ Title g)WU^ ^ Title iO<y<yi^ ^ <0^^ . w< . aAjlA/^'^'^^ Address 4 o^-^y^^h^ c^. Address CUt^Sr^uf /iv% , ^'L ^7^^ 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-APPUCABLE (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 Vsci^cf Uoo/^-y Corp/Part. Title Titie____^tA£i::::::> (oK^^^ Address 13H C/^M^^ ^P.St^/^ Address^^^^ CK^n^f /^^ ^ ^'^^ ^^'"^ y. A—i:—L «_ e?cev^S(/>f^C4 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-4600 • FAX (760) 602-8559 • www.ci.cartsbad.ca.us ^ 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 $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 2( ^0 y®s, please indicate person(s):. NOTE: Attach additional sheets if necessary. certify that all the above information is true and correct to the best of my knowledge. Signature of owner/date / Signature of applicant/date Print or type name of owner / Print or type name of applicant Signature of owner/appli RicU^y [z}o gent If applicable/date Print or type name of owner/af^lii plicant's agent H:ADMIN\COUNTER\DtSCLOSURE STATEMENT 12/06 Page 2 of 2