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Home My WebLink AboutRP 94-05Ax5; Village Farmers Market; 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. Kl MISCELLANEOUS REDEVELOPMENT PERMIT I I A-Frame Sign Sign Permit Sign Program Sidewalk Tables/Chairs • • • • Outdoor Displays Other |^.^t\-g-l^^/ PROJECT TITLE: ^l^rlsL^i \J \ li^^X f"^V TVIAP^ Brief description of project: ^ Property Location: APN(s): -'3QH'' Ol^f ^% OS^Str^ei Address. Owner's Name Address g^^^^-g^ .C-b.'f-^ Rf^^^t Telephone Number ^ S^SSZ Applicant's Name. Address J^5'7"y-6 ^Kfc Telephone Number 7CC^Zl'L *iS3 THE AREA BELOW IS TO BE COMPLETED BY CITY STAFF RECEIPT OF APPLICATION Date Application Received ^j^^f FEES FOR APPLICATION PROCESSING: (List type of fee and amount) Application Received bv AU^\')A ^/A/A. Permit Number Assigned. Date Filed: ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) (To be completed by City) Application Number(s): General Information 1. Name of project: 2. Name of Address: developer or project sponsor: (^-0<.C tsl^duS [J i I l&Cy I^SSO C ( ! byy City, State, Zip Code: (Lo^C IS Ip CjJ^ ^^A^ ^3-06^ Phone Number: 3. Name of person to be contacted conceming this project: Address: , Zip Code: 4. 5. 6. 7. City, State Phone Number: Address of Project: Assessor's Parcel Number: ^ Ol> ''2>OH " 01 j 0?> j -i- OS List and describe any other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: Existing General Plan Land Use Existing zoning district: Existing land use(s): Desienation:jp<arNiACj ^ COm Iiv;r0iaf Proposed use of site (Project for which this form is filed) Project Description 10. Site size: 11. 12: 13. Proposed Building square footage: Number of floors of construction: Amount of off-street parking provided: 02/22/06 14. Associated projects: ^^fUl^^f j/UI ^^J^ Fo^Cl^cr^ /HQ/"/G/ 15. If residential, include the number of units and schedule of unit sizes: \^^Cs^ 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: Q^^^ nir l/V^cif^i'j no ^^Cvv^Oiv\^^ 17. If industrial, indicate type, estimated employment per shift, and loading facilities: 18. If institutional, indicate the major function, estimated employment per shi^, estimated occupancy, loading facilities, and community benefits to be derived fi'om the project: T shift, 19. If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required: AJ/ A Are the following items applicable to the project or its effects? Discuss all items checked yes (attach additional sheets as necessary). Yes No 20. Change in existing features of any bays, tidelands, beaches, or hills, or Q 0^ substantial alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public • [3^ lands or roads. 22. Change in pattem, scale or character of general area of project. Q 23. Significant amounts of solid waste or litter. Q fTl^ 24. Change in dust, ash, smoke, fumes or odors in vicinity. Q V*Y^ 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or Q \TY alteration of existing drainage pattems. 26. Substantial change in existing noise or vibration levels in the vicinity. 3 • 0^ 02/22/06 Yes No 26. Site on filled land or on slope of 10 percent or more. Q 28. Use or disposal of potentially hazardous materials, such as toxic Q \~(!A substances, flammables or explosives. 29. Substantial change in demand for municipal services (police, fire, water, Q 0^ sewage, etc.). 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, Q [tJ\A etc.). 31. Relationship to a larger project or series of projects. Environmental Setting Attach sheets that include a response to the following questions: 32. Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing stmctures on the site, and the use of the stmctures. Attach photographs of the site. Snapshots or Polaroid photos will be accepted. 33. Describe the surrounding properties, including information on plants and animals and any cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.), intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. Certification I hereby certify that the statements fumished above and in the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are tme and correct to the best of my knowledge and belief. Date: ^^"^J ll Signature: C4*A^^^^^^^ ^'^/'^^^ For: ^C/^1^<S/ j4sr^0> 02/22/06 DISCLOSURE STATEMENT Planning Department CITY OF CARLSBAD P-1(A) 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will 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. Note: Person is defined as "Any individual, flrm, 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 partnership, 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 (^iACv^ly ng^f.»OJ^ Corp/Part. Title Ruw^rS TtWl^f \Ma,i\AQar Title Vdc^-frd-CA Cof^ofais/yyO Addresscl5'?f-6 ^kte Sj Address S^iccfc Si. 2. OWNER (No6he owner's agent) Ly(A{ 7^^^ 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% 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 JO/M- Corp/Part d^fisl^f^J UIKC^CL /fc/A). Title T\X\e jfdtiid^l>C6'^'h Cc\r^^<cChoK Address Address P-1 (A) Page 1 of 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. iSon ProfiDTrust Corr»V t d^orHPr^lgrrust fe^rij rJg5^^^ Title GoitT^ 'Pct^\A^{^^f^[^ Title Bw^rA vr:u> PreS>A<A/lU Address CjAc\>K^y/i\\-'^Orl\io^ Address 7^5?1 |^uM(»»^A Or. 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 1^ No If yes, 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. Sj^n^ui SislnaKure of owner/date Prim or type name of owner Signature of ^pp#cant/date Print or type nsmrie of applicant Signature of owner/applicant's agent if applicable/date ririt or Print or type name of owner/applicant's agent p-1 (A) Page 2 of 2 Revised 04/09 y C I ! Y O F CARLSBAD LAND USE REVIEW APPLICATION P-1 Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits Q Administrative Permit Q Coastal Development Permit (*) QMinor Conditional Use Permit (*) O Minor ^jS^Extension r~] Environmental Impact Assessment r~] Habitat Management Permit O Minor [~] Hillside Development Permit (*) [~] Planned Development Permit O Residential Q Non-Residential I I Planned Industrial Permit [ I Planning Commission Determination r~| Site Development Plan I I Special Use Permit r~| Tentative Tract Map r~| Variance | | Administrative (FOR DEPT. USE ONLY) Legislative Permits \ I General Plan Amendment I I Local Coastal Program Amendment (*) (FOR DEPT. USE ONLY) I I Master Plan Q Amendment n Specific Plan Q Amendment n Zone Change (*) I I Zone Code Amendment Ust ottier applications not specified • • • ') = eligible for 25% discount NOTE: 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. ASSESSOR PARCEL NO(S).: glQ 3> ^ 3 Q ^ - Q 3y Q j^ C>^, PROJECT: -TL^^C^ J^^1C\^ CiJ^A ^S<K\\ PROJECT NAME: BRIEF DESCRIPTION OF DESCRIPTION: Puhl.V f^C^.^^UV - XOl-lOH-Ol.^ Ol .OH. fi'T BRIEF LEGAL OP PROJECT: X'llO tc^6S^^J-t\¥ % Q^cUWk. (L{ACfu.\o[.C ~ STFfEET ADDRESS ^ faX'iC' BctJ>Y SIDE OF ^^(^S-glZ-e/ f Sj^, / (NORTH, SOUTH, EAST, WEST) (NAME OF STREET) L^T' J LOCATION ON THE: BETWEEN (NAME OF STREET) AND /UrlsUJ \/lil'^< DnV (NAMEOF STREET) P-1 Page 1 of 5 Revised 01/10 OWNER NAME (Print): (^gp/sbdlgl \J l\ltic.<, Jksio MAILING ADDRESS: 059^^.^ ^f^.^ J^iTT CITY, STATE, ZIP: r /xCUW^ f. V4- ^ XOO^ TELEPHONE: EMAILADDRESS: Hf^^C^K^f^VWArfCej- APPLICANT NAME MAILING ADDRESS: a^?<r^(a ^Sf^-f^ ^f. CITY, STATE, ZIP: TELEPHONE: EMAILADDRESS: ^r>^^<iUA^trfcef ^ I CERTIFY THAT I 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 TQ DATE DATE 7 APPLICANTS REPRESENTATIVE (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE APPLICANT AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE DATE IQ/M. 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. I/WE CONSENT TO ENTRY FOR THIS PURPOSE. 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 DATE STAMP APPLICATION RECEIVED RECEIVED BY: P-1 Page 2 of 5 Revised 01/10 City of Carlsbad 163 5 Faraday Avenue Carlsbad CA 92 008 Applicant: CHRISTY JOHNSON Description RP95005AX6 2 93 0 ROOSEVELT ST CBAD Amount 651.00 Receipt Number: R0086429 Transaction Date: 09/20/2011 Transaction ID: R0086429 Pay Type Method Description Amount Payment Check 3169 651.00 Transaction Amount: 651.00 City of Carlsbad 163 5 Faraday Avenue Carlsbad CA 92008 INinillll Applicant: CHRISTY JOHNSON Description RP95005AX6 2 93 0 ROOSEVELT ST CBAD Amount 217.00 Receipt Number: R0086764 Transaction Date: 10/12/2011 Transaction ID: R0086764 Pay Type Method Description Amount Payment Check 3183 217.00 Transaction Amount: 217.00 City of Carlsbad 163 5 Faraday Avenue Carlsbad CA 92 0 08 Applicant: CHRISTY JOHNSON Description RP95005AX6 2 93 0 ROOSEVELT ST CBAD Amount 31.24 Receipt Number: R008 7156 Transaction Date: 11/07/2011 Transaction ID: R0087156 Pay Type Method Description Amount Payment Check 3202 31.24 Transaction Amount: 31.24