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Home My WebLink AboutRP 82-12; H.S. ERGIN OFFICE REMODEL; Redevelopment Permits (RP) (3)EXHIBIT A TO RESOLUTION NO. G214 Err.^}^01\rlE^TAL_n^2^^ - Part I (To he Completed By Applicanf:) FEE: $100.00 ^ EIA NO. Receipt Noc _ GENERAI. II^r'OPHATION ' • 1. Name ai;id address of developer or project sponsor: H.S. Ergin 2. 7\ddresy of project: 655 Laguna Assessor'3 Blcck and Lot Kurr.ber: 203-102-34 • • 3. NaiTiG, address, and telepLoiie nuraber of person to be contacted concerning thi.^- project: Royce -P.O. Box 1848, Carlsbad, CA 92008 (714) 434-6259 4. Indicate nuniber of the permit applicati.cn for the project to V;hich this foriTi pert^^ins: ' " 5. List and describe any otliC:: related perjnits and other pub] ic 3pprov£^ls required for this project, including those requ.ire. }:y city, regional, state and federal agencies: N.A. 6 • Ex i Li iiy " on i.ng dis tr .i c 11 7. Proposed use cf sice (project for v;hich this form is filed) : Office '''-r^' BACKCROUI^n INT-ORMATJCN • ^ .... 1« Give a brief description of the proposed activity (att^lch any preliminary developraent plans) ; include a discussion of site size; squiire foocage of project; ainount of off street parking; proposed scheduling and related or associated projects and runticipated incremental development. 2 Describe the activity area, including distinguishing ^ natural and manmade characteristics: also provide precise slope analysis v;hen appropriate. None 3 Describe energy conservation measures incorporated into the desian and/or operation of the project. (For a more ' sp-cific''Qiscussion of enerqy conservation requirements see of the City's EIR Guidelines). If residential, include the number of units, schedule of unit sizes, range of sale prices or rents, and type of household size expected. N.A. 5 If commercial, indicate the type, v'hether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities. Professional Office 6. If industrial, indicate type, estimated employment per shift, and loading facilitie-s. N.A. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community, benefits to be derived from the project. > , N.A. I. ENVIRONMENTAL IMPACT ANALYSIS Ansv;er the following questions by placing a check in the appropriate space. (Discuss all items checked yes. Attach additional sheets as necessary).. YES NO 1) Could the project significantly change present land uses in the vicinity of the activity? 2) Could the activity affect the use of a rec- reational area, or area of important • aesthetic value? 3) Could the activity affect the functioning of an established community or neighborhood? 4) Could the activity result in the displacement • of comniunity residents? 5) Could the activity increase the number of low •and ipoderate cost housing units in the city? C) Could the activity decrease the number of low and modest cost housing units in the city? 8) Could the activity significantly affect a historical or archaeological site or its settings? 9) Could the activity significantly affect the potential use, extraction, or conservation of a scarce natural resource? X X X 7) Are any of the natural or man-made features in the activity area unique, that is, not found in other parts of the County, State, or Nation? ^ X X 10) Does the activity area serve as a habitat, food source nesting place, source of water, etc. for rare or endangered wildlife on fish species? ^ 11) Could thc activity significantly affect fish, wildlife or plant life? • 12) Are there any rare or endangered plant species in the activity area? . 13) Could the activity change existing features cjf any of the city's lagoons, bays, or tidelands? X X 14) Could the activity chai:ige existing features of any of the city's beaches? ^ 15) Could the activity result in the erosion or ^ elimination of agricultural lands? ^ 16) Could' the activity serve to encourage develop- ment of presently undeveloped areas or intesify development of already developed areas? _____ 25) Could the activity result in the generation of significant airiounts of dust? X X 17), Will the activity require a variance from established environmental standards (air, water, noise, etc)? ' • 18) V7ill the activity require certification, authorization or issuance of a permit by any local, state or federal environmental control agency? _______ ^ X X 19) VJill the activity require issuance of a variance or conditional use permit by the city? 20) VJill the activity involve the application, use, or disposal of potentially hazardous materials? 21) . VJill the activity involve construction of facilities in a flood plain? - x 22) VJill the activity involve construction of facilities on a slope of 25 percent or greater? x^ 23) Will the activity involve construction of facilities in the area of an active fault? . ^ 24) ' Could the activity result in the generation . of significant amounts of noise? ' ' ^ X 26) Will the activity involve the burning of brush, trees, or other materials? ' x_ 27) Could the activity result in a significant change in the quality of any por-tion of the region's air or v/ater resources? (Should note, surface, ground v.'ater, off-shore). ' _^ ^ x 28) VJill the project substantially increase fuel consumption (electricity, oil, natural gas, etc.)? ^ 29) Will there be a significant change to existing land form? -4- (a) indicate estim.ated grading to be done in cubicyards Q ^ (b) percentage of alteration to the present land form ^ Q , ' (c) maximujp. height of cut ^or fill slopes 30) Will the activity result in substantial increases in the use of utilities, sev/ers, drains, or streets? _____ ^ 31) Is the activity carried out as part of a larger project or series of projects? ^ -5- II. STATE OF NO SIGNIFICANT ENVIRONMENTAL EFFECTS If you have answered yes to one or. more of the questions in Section I but you think the activity will have no significant environmental effects, indicate your reasons belov7: III. COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I (if additional space is needed for answering any questions, attach additional sheets as may be needed). Signature PerjBpn completing report) Date Signed Z^.pg2 Conclusions (To'be completed by the Planning Director). Place a check in the appropriate box. ( ) Further information is required. ( ) It has been determined that the project v/ill not have significant environmental effects. ( ) you must submit a preliminary environmental impact statement by the following date ( ) you should make an appointment v;ith the Planning Director to discuss further processing of your project, in accordance with Chapter 19.04 of the Municipal Code. DATE RECEIVED: BY PLANNING DIRECTOR, or.