HomeMy WebLinkAboutRP 10-27; Nattiya's Thai Restaurant; Redevelopment Permits (RP)I^RLSBAD REDEVELOPMENT AGEN^
^ 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.
Y\ Interior or exterior Improvements to existing
' structures which result in an intensity of
use.
I I Provisional land uses, where a minor or
major redevelopment permit is not
required.
I I Changes in permitted land uses which
result in site changes, increased ADT,
Increased parking requirements, or result In
compatibility issues/problems.
I Signs for exisfing businesses or facilities.
I Repair or maintenance activities which are
not exempt from obtaining a permit.
Q COASTAL DEVELOPMENT PERMIT
• MAJOR REDEVELOPMENT PERMIT
I I New construction of building(s) or
addlfion(s) to the building footprint which
have a building permit valuation which is
greater than $150,000.
I I Variances for projects within this categor^r
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•
MINOR REDEVELOPMENT PERMIT
I I New construction of bullding(s) or
addltion(s) to the building footprint which
have a building permit valuafion 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
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•
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A-Frame Sign
Sign Permit
Sign Program
Sidewalk Tables/Chairs
Outdoor Displays
Other
PROJECT TITLE: ' zOi 6-7^i//:z'z^,
Brief description of project
ZZ^TZZ^
Property Locati
APN(s) 'j^'^^ (^7^ ^ Street Address ^^^'^^'^C^-;^
Owner's Name,
Address
Telephone Number.
^jfy^Z^Z^Z^^^Z^^ZZ^-"^S^ Applicant's Name_
Address ^T^^^W^^x^r^^^-^^
Telephone Number_
THE AREA BELOW TS TO BE COMPLETED BY CITY STAFF
FEES FOR APPLICATION PROCESSING:
(List type of fee and amount)
$410.00 Administrative Redevelopment Permit,
Plus Postage
RECEIPT OF APPLICATION
Date Application Received_
Application Received by_
Permit Number Assigned fe^P ID 'Sl^
CATOSBAD REDEVELOPMENT AGENCY
ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT
1.
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•
•
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•
APPLICATION APPLIED FOR: (CHECK BOXES)
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
2. LOCATION OF PROJECT
Address: J^^-/^
Bordering Streets:
North:
South:
East:
West:
Within Coastal Zone:
Within Appealable Area of Coastal Zone:
Land Use District within Village:
•
•
)^ 1
• 4
• 7
Yes
Yes
•
•
•
No
No
• 3
• 6
• 9
ADMINISTRA TIVE
RLSBAD REDEVELOPMENT AGEI
PERMIT APPLICATION & DISCLOSURE STATEMENT ''41
)snRi
3. DESCRIPTION OF PROJECT
Project Name:__
Please provide a cc^fnpletVdescription of the project proposed for approval under this application. Provide
any details necessary to adequately explain the scope and/or operation of the proposed project. You may
attach additional pages to this applicafion if necessary to explain the project:
4. AUTHORIZATION TO INSPECT PROPERTY
In the process of reviewing this application it may be necessary for members of City Staff, Design Review
Board Members, or City Council members to inspect and enter the property that is the subject of this
application. 1/we consent to entry onto the subject property for this purpose.
Name: Z^Z^A?yL<^a^Zb/^ Date: Z^/y^z/^Z
Signature Applicantj^ or Owner •
CARTSBAD REDEVELOPMENT AGENCY
ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT
5. PROPERTY OWNER INFORMATION/CERTIFICimON
Name:
Mailing Address:,
Daytime Telephone No.: ZZ^/^J - C^^^^
List the Names and Addresses of ali persons having an ownership interest in the property involved:
Z^^/^ \=yZ^^y/p Z^/yaZ'
If any person identified above is a corporation or partnership, list the names and addresses of ali individuals
owning more than 10% ofthe shares in the corporation or owning any partnership interest in the partnership:
If any person identified above is a non-profit 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 trust:
Have you had more than $250 worth of business transacted with any member of City StaffySoards,
Commissions, Committees, and/or Council within the past twelve (12) months? DYes •(NO
Ifyes, please indicate person(s):
Certification Statement
I Certify that I am the Legal Owner of the subject property for this application and that all of the above
information is true and correct to the best of my knowledge. This application is submitted with my consent
and I agree to accept and abide by any conditions placed on the subject property, inciuding use of buildings,
as a res^tfoflippjpval of thisapplication.
Signature. Date: V*^ /3-/r^
^RLSBAD REDEVELOPMENT AGEf^
ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT
6. APPLICANT INFORMATION/CERTIFICATION
N.m.: </^Jy/;J/^yz:^ .
Mailing Address:.
Daytime Telephone No.: List the Names-and Addresses of ali persons having a financial interest in the applicafion
If any person identified above is a corporation or partnership, list the names and addresses of all individuals
owning more than 10% of the shares in the corporafion or owning any partnership interest in the partnership:
If any person identified above is a non-profit 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 trust:
Have you had more than $250 worth of business transacted with any member of City Steffr Boards,
Commissions, Committees, and/or Council within the past twelve (12) months? • Yes No
If yes, please indicate person(s):
Certification Statement
I Certify that I am the Legal Owner's representative and that all of the above information is true and correct to
the best of my knowledge. I have been authorized by the legal owner of the subject property to submit this
applicafion and I agree to accept and abide by any condifions placed on the subject property, including use
of buildings, as a result of approval of this applicafion. .
.qir^natHrP.---j^— Date:.
CARfSBAD REDEVELOPMENT AGENCY
ADMINISTRATIVE PERMIT APPLICATION & DISCLOSURE STATEMENT
Ili^M^IW
7. RECEIPT OF APPLICATION
Date Application Received: 7
Application Received by:_
Permit No. Assigned:
8. FEES FOR APPLICATION PROCESSING
The following fees shall apply to this application; list type of fee and amount
$410.00 - Administrative Redevelopment Pemnit
Total Fee(s) required for this application:_
Date Fee(s) collected by City Staff:_
Receipt No.:
9. ACTION ON THE APPLICATION
The foUowirig action has been taken fey the Housing and Redevetopment Director on this application:
• Approved subject to conformance with plans submitted as part of application, dated .
• Approved, with conditions. See conditions noted below.
• Denied. Reason
Housing and Redevelopment Director Signature: CD Director Initials: Date:
10. CONDITIONS OF APPROVAL (IF APPLICABLE)
kRLSBAD REDEVELOPMENT AGEI
ADMINISTRATIVE PERMIT APPLICATION
The following supplemental information must accompany the completed application, according to project type.
1. ALL PROJECTS, EXCLUDING SIGNS:
E] A completed Environmental Impact Assessment Form - Part I.
EI The foliowing items must be provided once it has been determined that the application is compiete:
Radius Map, Two separate sets of the Property Owners List and Labels. The property owner list must
be typed and contain the names and addresses of all property owners within a 300 feet radius of the
subject property (including the applicant and/or owner). The list shall include the San Diego County
Assessor's parcel number from the latest assessment rolls. Except for single family residences, the
apartment or suite number must be included on the address mailing labels for property owners within
300 feet radius bf subject property; the parcel number should not be typed on the address labels. The
radius map must be provided with a scale not less than 1" = 200' showing each lot within 300 feet of the
exterior boundaries of the subject property.
2. NEW CONSTRUCTION OF BUILDING(S) or ADDITION(S) TO THE BUILDING FOOTPRINT;
INTERIOR/EXTERIOR IMPROVEMENTS; PROVISIONAL LAND USES; CHANGES IN LAND USE:
S Four (4) copies of a site plan prepared on a 24" x 36" sheet(s) folded to 8V2" xll". The site plan shall
include the following information:
_ Name and address of applicant, engineer and/or architect, etc.
_ Location, size and use of all easements on Vne property.
_ Location and dimension of vehicular access and all off-street parking.
_ Lot dimensions and location (building footprint) of new building or addition as well as any other
buildings on the site.
_ Distance between buildings and/or structures.
_ Building Set-Backs (front, rear and sides).
_ Location, height, and materials of walls and fences.
_ Location of water and sewer iines.
_ A summary table which Includes the following information: lot area (total acres or square feet);
existing land use district; total building coverage; building square footage; number of parking
spaces.
North arrow and scale.
_ Location and width of adjacent street(s).
_ Name of sewer, water and school districts providing service to the site.
_ Existing and proposed topographic contour lines.
_ Existing landscaping and proposed landscaping; please indicate landscaping to be removed, if
any.
(H Four (4) copies of building elevations and floor plans for all buildings on the site, identify new building or
addifion, prepared on 24" x 36" sheets folded to 8V^" x 11" size.
m One (1) copy of 8>^" x 11" locafion map (suggested scale 200" - vicinity maps on the site plan are not
acceptable).
El Three (3) copies of the Preliminary Tifie Report (current within the last six (6) months).
3. SIGNS:
El Three (3) copies of site plan and sign elevafions which include the following informafion:
_ North arrow and scale.
_ Location of existing buildings or structures, parking areas, and vehicular access points to the
property.
_ Location of all exisfing and proposed signs for the property.
_ Distance to the property line(s) for all proposed freestanding signs.
_ Provide an elevafion for ali proposed signs which specifies the following: a) dimensions and area
for all existing and proposed signs; b) materials the sign(s) will be constructed of; and, c)
proposed sign copy.
A summary table which includes: a) total building street frontage; b) total signage allowance
based on Village Master Plan and Design Manual; c) the amount of all existing signage and
type; d) the amount of signage to be removed and type; e) the amount of new signage proposed
and type; and f) notes on exisfing sign permits and sign programs for building or site.