Loading...
HomeMy WebLinkAboutPUD 09-02A; LIFE TECHNOLOGIES MASTER PLAN; Planned Unit Development - Non-Residential (PUD)/4f~· ~~ ~ CITY OF CARLSBAD LAND USE REVIEW APPLICATION P-1 Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR: (CHECK BOXES) Development Permits D Administrative Permit □ Coastal Development Permit (*) OMinor □ Conditional Use Permit (*) OMinor 0 Extension □ Environmental Impact Assessment □ Habitat Management Permit 0 Minor □ Hillside Development Permit (*) 0 Planned Development Permit 0 Residential 0 Non-Residential □ Planned Industrial Permit □ Planning Commission Determination □ Site Development Plan □ Special Use Permit □ Tentative Tract Map 0 Variance □Administrative (FOR DEPT. USE ONLY) Legislative Permits fuvdl 0'2A D General Plan Amendment D Local Coastal Program Amendment (*) D Master Plan D Specific Plan D Zone Change (*) [Z]Amendment □Amendment D Zone Code Amendment List other applications not specified □ □ □ (*) = eligible for 25% discount (FOR DEPT. USE ONLY) 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).: 212-130-44-00; 212-130-45-00; 212-130-49-00 PROJECT NAME: Life Technologies Master Plan BRIEF DESCRIPTION OF PROJECT: Amendment to existing PUD~ & Reciprocal Parking and Access Agreement, for the increase of surface parking on (3) parcels. ..-()1£,-- OWNER NAME (Print): MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL ADDRESS: I CERTIFY THAT I AM TH INFORMATION IS T KNOWLEDGE. P-1 APPLICANT NAME (Print): McFarlane Architects MAILING ADDRESS: 6363 Greenwich Drive, Suite 140 CITY, STATE, ZIP: ...:S:..::a;;..;n...:D;.;.ie.;.:Q::.;O:..._ ___ --J.,.!::...J..i::;;£_ ____ -1 TELEPHONE: (858) 453-1150 ------------------t EMAIL ADDRESS: nkm@mcfarlanearchitects.com GAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER AND CORRECT TO THE BEST OF MY A INFORMATION IS TRUE AND CORRECT TO E DATE Page 1 of 5 Revised 04/09 ..i....;;.:~:..=_:::;___:;_,,Ji.....u...--X,!..;:.t..:::-:.-.L.11.:1~--1-..;;..• .. ITW/2=½1_1&-1\-ptJ: ~ 2--1'.!6-4s--00 oNNER NAME fPrn-t> t:1-l~~~::..!~~~M>J UL 9'0 ~ u \tU't}Ac{\J • Pt's.'Soc_. VAil.iNG ADDRESS 1--t'li H.15, Ft-tJ:eNN.-. ...... B l_\J p .~ I Te-4-f)O CITY, srATE,ZlP: ~ls"Tb.e, "'~ 'lf>l\4:> Tfl tPH0"1[. J faO -1]'-) -9 08 ~ EVA.IL ADDRESS. : 1 AM TtfE Ll:GIIL O'M'-IEQ .-..~O THAT All Tift A~IC rRUF AN!', C~RfCi f(J fH1': bf!Sf Of. IAY · ?~a-, -s1a1 vPrtJ : .u""'-> w~ -~: -z..,-z.~-44"-oD ONf'ER NAME (Print): • MAIUOOAOORESS: 'ZJ:zd ~~ ~ 11"'5 3~'2.-1 CITY, STATE, ZlP: e\ ~\Jt4PQ t CPr 'fQZ:1$ TELEPHONE: 'Q\ 1> -t, o 1o -eo 9 OD EMAIL ADORESS: I Ct:RTIF't' THAT t AM THI!; L!GAL OMll!R ~D THAT All THI! A1!0V! •~MA M IS TR\JE Ar«> OORRECT TO THE 8E6T OF -..y t(,....,..,fLRU1'Kn ~ Lb·1"-1\-r'~~ ,U'2--\~0-4 ~ 'DD ONNER NAME , Print): u er: :r:~ttNQLOtzuir;., Ct>ff . MAILING ADDRESS SJ9 l ~ Pd\e.J \ ~ CITY, STATE.ZIP: C~, CJt-: 9:z.oo8' Tl:LEPHONE: "9(po-leO~ -3:WO EMAIL ADO RESS: .,. BRIEF LEGAL DESCRIPTION: Parcel '2' of parcel map #17971, in the city of Carlsbad, County of San Diego, State of CA. filed on September 3, 1993 as file #1993-0584478 LOCATION OF PROJECT: 5781 Van Allen Way STREET ADDRESS ON THE: North SIDE OF Van Allen Way --------.,.,.,..,c-:-:==-=='"='==::-----------( NORTH, SOUTH, EAST, WEsn (NAME OF STREET) BETWEEN Faraday ---'----------AND Parcel 1 (NAME OF STREET) (NAME OF STREET) 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. 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 TH D AND rlND/~Y ~UCCESSORS IN INTEREST. ➔ ~ -1---- PRQPERTY 9WNER I NATURE 1A1 @U:2fr/ 4-,..e, fy ; ...,.. FOR CITY USE ONLY DATE STAMP APPLICATION RECEIVED RECEIVED BY: I , BRIEF LEGAL DESCRIPTION: Parcel '1' of parcel map #17971, in the city of Carlsbad, County of San Diego, State of CA, filed on September 3, 1993 as file #1993-05844 78 LOCATION OF PROJECT: 5781 Van Allen Way ON THE: North (NORTH, SOUTH, EAST, WEST) BETWEEN Faraday ------------(NAME OF STREET) STREET ADDRESS SIDE OF Van Allen Way (NAME OF STREET) AND College Blvd (NAME OF STREET) 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. NOTICE OF REST RECORDED ON THE LANDAN P-1 PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING 0 HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH CESSORS IN INTEREST. DATE STAMP APPLICATION RECEIVED RECEIVED BY: Page 2 of 5 Revised 04/09 BRIEF LEGAL DESCRIPTION: Parcel 'A' of parcel map #17971, in the city of Carlsbad, County of San Diego, State of CA, filed on September 3, 1993 as file #1993-05844 78 LOCATION OF PROJECT: Vacant Lot ON THE: South (NORTH, SOUTH, EAST, WEST) BETWEEN Faraday -----------(NAME OF STREET) STREET ADDRESS SIDE OF Van Allen Way (NAME OF STREET) AND College Blvd (NAME OF STREET) 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. F RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING D O TH TLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH HJ;-~~"ltl\ln-R D Y SUCCESSORS IN INTEREST. FOR CITY USE ONLY P-1 Page 2 of 5 RECEIVED NOV O 3 2009 CITY OF CARLSBAD PLANNING DEPT DATE STAMP APPLICATION RECEIVED RECEIVED BY: Revised 04/09 CITY OF DISCLOSURE STATEMENT P-1(A) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov CARLSBAD 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 MAny 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. 2. 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 (NIA) IN THE SPACE BELOW. If a publicly:QWned corporation, include the names, titles, and addresses of the corporate officers. (A separa~ be attached ~ necessary.) Person ~t.J\-. Corp/Part UF~ l~bl.E.2$1(.D~,P Hie \IP~ ~ Tille Addres;~ ?t~=~ddress ~'\ I \/fd-) Pc-\1,ra.l ~ Cf'c9-Lc;.~ c,., C,1.00 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 partnershjp. 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 publicly-owned corporation, include the names. titles, and the corporate officers. (A separate page may be attached if oecessary.) _ 1 r ~~~,L-- Corp/P~I) ~ 12 lhJYlt'IJ ~ t,#,(>C. · Title~ ➔ Address. __________ _ 90\lS P-1(A) Page 1 of 2 Revised 04/09 3. NON-PROFIT ORGANIZATION OR TRUST 4. 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. _______ _ Non Profit/Trust. _________ _ Title ___________ _ Title. _____________ _ Address. __________ _ Address. ____________ _ Have you had more than $500 worth of business transacted with any member of City staff, Boards, Commissions, Committees and/or Council within the past twelve ( 12) months? 0 Yes D No If yes, please indicate person(s):. ___________ _ NOTE: Attach additional sheets if necessary. that all the above information is true and correct to the best of my knowledge. \6 d$?/O Print or type name of owner --;;> --=--~--+---=--+-Spa-~---"---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 of2 Revised 04/09 - <.<~ ~ CITY OF DISCLOSURE STATEMENT P-1(A) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov CARLSBAD 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, 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 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 publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) P~rson ~e-51:>.= Corp/Part L\Fe lE'QttJOU>bl.6,C...Otz..P Title VP lo~ ~ Title -------------- Address ?:-]' { V,4rV Af b,-J Address '5'1°1 l \JM-J Pr\1:@J ~ 2. OWNER (Not the owner's agent) ~c;.~, Ck ~oo~ 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 publicly-owned corporation, include the names, titles, and f he corporate officers. (A separate page may be attached if necessary.) ~ Person ;.J A. ~ Corp/Part eyp.\efl\--) ~\7/rf.-,, (bi2<)0\2ft'll'btJ ~ Title ,p~,r-~~~Title ____________ _ ~ Address Ziz..(~~.<M433-z,,/ Address "'Z...L1..\ ~~~ Pru6 '51-3~"2..\ &~,,,..,r)CJ ~ 'p'24J ,-~ ~~140~ C.Ae c:\V2-4S / ,.. P-1(A) Page 1 of 2 Revised 04/09 3. NON-PROFIT ORGANIZATION OR TRUST 4. 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.________ Non Profit/Trust. _________ _ Title ___________ _ Title ____________ _ Address. __________ _ Address ____________ _ 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? D Yes D No If yes, please indicate person(s): ___________ _ NOTE: Attach additional sheets if necessary. the above information is true and correct to the best of my knowledge. 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 /4f~, "'~ f ~ CITY OF DISCLOSURE STATEMENT P-1(A) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov CARLSBAD 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, 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. 2. P-1(A) 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 publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Peraon~~E Corp/Part LIF'6lmtt-JQL.Of1j.e;)1(.D~. Title V_~ Title Address ~ _ _ Address 1:i:J°I I \IW ~\\:'et-J ~ ~c;.~, C/,q C,Wo'S 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% 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 publicly-owned corporation, include the names, titles, and addresses of the corporate officers. (A separate page may be attached if necessary.) Person lfvpe, e,A:PQ~ Corp/Part U. & J"El'O:f:lJO LOI.>\!$, lOf P, Title __________ _ Address 511// Vfd) Af/f51" ~'Ne CJuxJ~ Title _____________ _ Address 5:MI \Jf(N &\\,w WM,.,\ ~'Pf.>A:0 I Ck ~2.D® Page 1 of 2 Revised 04/09 3. NON-PROFIT ORGANIZATION OR TRUST 4. 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.________ Non Profit/Trust'------------ Title ___________ _ Title _____________ _ Address -----------Address ____________ _ 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? D Yes ~ No If yes, please indicate person(s): ___________ _ NOTE: Attach additional sheets if necessary. ±\-re 5ea&a2o" Print or type name of owner 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 PROJECT DESCRIPTION 1. AMENDMENT TO THE EXISTING PUD 09-02 & RECIPROCAL PARKING AND ACCESS AGREEMENT 2. CONSTRUCTION OF ADDITIONAL SURFACE PARKING STALLS AND LANDSCAPE ISLANDS ON (3) PARCELS. 3. PROPOSED 'AMENITY' BUILDING OF UP TO 80,000SF WITH ASSOCIATED SITE IMPROVEMENTS ON PARCEL 'A', INCLUDING THE CONSTRUCTION OF CONCRETE FOUNTAIN(S) AND AMPHITHEATER. 4. PROVIDE A 15% REDUCTION TO REQUIRED PARKING REQUIREMENTS FOR COMMON PARKING FACILITIES. 5. PROPOSED SITE IMPROVEMENTS ON PARCEL 2 INCLUDING THE CONSTRUCTION OF AN ENTRY PLAZA AND FOUNTAIN. 6. PROPOSED INCREASE TO SURFACE PARKING IS NECESSARY TO MEET PARKING REQUIREMENTS ASSOCIATED WITH NEW BUILDING ON PARCEL 'A' AND ANTICIPATED TENANT IMPROVEMENTS TO THE EXISTING BUILDINGS ON 5781 AND 5791 VAN ALLEN WAY. I •• • , I T Y O t CARLSBAD HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C} Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. D The development project and any alternatives proposed in this application !!! contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name: '4c-~ twa-t:J'¢:;l' Address:ft.>:bl43> f,~U)\[j\ \4 !»l~O PROPERTY OWNJ~ ~""--~ Lt,.(_. ~~P-4..~ C,l"'li __ .-.n-J (_ Name: '3/0 YPf6 V~ .. ~'::Z) . 5r Address: "r't-tl )1. t ~tJ~ 'e,t\)P ~ :Stcv 'D\fU> ,c. ~ &)u:U ~:rru:,vJ~ 43.B\\5 Phone Number: 8 52,-'l:S-!>-\l SD Phone Number: 1f.c,0-1t'l -'1,f)8~ AddressofSite: s1cr, \Je,14 Pt\~ u>M Local Agency (City and County): Ct,µJ?. ~. bf: J01ll, £.,f::6T~ L{jJtP-l>L:, Assessor's book, page, and parcel number: U 1--~() -c\ 5 -0 0 ( :PM:,L~ Z..) Specifylist(s): ____________________________ _ Regulatory Identification Number: ______________________ _ Date of List: _____________________________ _ J +===l=+L-'1--·M---L!...!x::~l ~-~k::J.~/4~~~~1L/h.v4 1Lt..P .. 5~#,vr >i./..,.., Applla,n1\s.iUa1e ~-Property Owner Signaturel_iiate o '° The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing infonnation about the location of hazardous materials release sites. P-1(C) Page 1 of 2 Revised 04/09 '5181 - /(~ .(~~ .. ~ CITY Of CARLSBAD HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1(C) Development Services Planning Department 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): □ The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. The development project and any alternatives proposed in this application !re contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT PROPERTY OWNER Name: {aJ\fft\) ~\ \Ps\,.. Name: '4.c.-11@,ltd~~e-~::1¢:Z't Address: lg~7S 6,~LO\GD De.-~,~o :S,cp'D\EfiO,C.I), ".)U22- Address: :A 'Z,.\ ~i M')$ ~-=b~'2\ ~~t-)O01 & '\'01..~S Phone Number: ~\0-'40b-591:>0 Phone Number: 852>-':\:S-!,-\lSD Address of Site: 516\ \J M,? ~ \t1Ji:? WM,\ Local Agency (City and County): U\,.\~. t)evr. be :101\~ SihST~ Cc,JtU>G Assessor's book, page, and parcel number: U '2--\?9-~4-DD lp~ \) Specify list(s): ____________________________ _ Regulatory Identification Number: ______________________ _ Date of List: _____________________________ _ The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C) Page 1 of 2 Revised 04/09 - HAZARDOUS WASTE AND SUBSTANCES STATEMENT P-1 (C) Development Services Planning Department 1635 Faraday Avenue (760} 602-4610 www.carlsbadca.gov Consultation of Lists of Sites Related to Hazardous Wastes (Certification of Compliance with Government Code Section 65962.5) Pursuant to State of California Government Code Section 65962.5, I have consulted the Hazardous Waste and Substances Sites List compiled by the California Environmental Protection Agency and hereby certify that (check one): The development project and any alternatives proposed in this application are not contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. □ The development project and any alternatives proposed in this application !!! contained on the lists compiled pursuant to Section 65962.5 of the State Government Code. APPLICANT Name:~~ ~:?¢:lt Address: le~~ f,R34LO\l.n De-4:)11.to 5tcµ"D\et;,o ,f.cp, &)u22. PROPERTY OWNER Name: L\~ J1i!,t]vOLD~ ,u:>'f Address: 51'\l \) ~ t\\\t,J ~ ~6,0 I Otc°JtOOf> Phone Number: 852>-'tS~-\lSo Phone Number: f~0 -\,o ~-J1-D0 Address of Site: \) ~""(' U) T Local Agency (City and County): ~'F. ~-OP: :JD'1\l-S•hST~ Lc,IJt~G Assessor's book, page, and parcel number: '2-\1,....-\?0 -~'I -0'0 ( .PPreL-eL' A.') Specify list(s): __ A/.....,,~IC....!:A-~-------------------------~ _/ Regulatory Identification Number:_"' .... Zt'-'A-L.:... ___________________ _ Date of List: __ ,-,~l!C...-----------------.....--------- The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local agencies and developers to comply with the California Environmental Quality Act requirements in providing information about the location of hazardous materials release sites. P-1(C) Page 1 of 2 Revised 04/09 ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed: __ u..,.../_3..,...t_o1 _ __,. ______ (To be completed by City) Application Numb:r(s;: __ P_u_o.;.....__=D_Ff_-_O_;_J__(c....;A'-f-) __________ _ General lnfonnatlon 1. Name of project: Life Technologies Customer Care Building 2. Name of developer or project sponsor: ___,L,..i,,_.f.,.e.__.T..,,e..,,c....,h..,,n..,.o""l""o,.g.,,.i.,,._e ... s __________ _ Address: _ ____;;;5_7....::8;...;;:l~V...;c;a""'n'--=A=l=l=e=n_W=ay..,__ __________________ _ City, State, Zip Code: ____ c=a=r=l=s=b-=-a=d.._1--=-Ca=l=i=f""'o=r=n=i=a~9=2-=-00-=-8 ___________ _ Phone Number: (760) 603-7200 3. Name of person to be contacted concerning this project: -""Ra..._..c .... h..,e.,._l~H ... u .... b""'e...,r..___ _____ _ Address: 5781 Van Allen Way City, State, Zip Code: Carlsbad. California 92008 Phone Number: (760) 603-7200 4. Address of Project: ___ 5..._7 .... 8"'"1..._.V.,.a,.n.....,..A_l_..l..._en..._W=a-.Y~----------------- Assessor's Parcel Number: 212-130-44, 212-130-49 5. 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: NA 6. Existing General Plan Land Use Designation: _I_n_d_u_s_t_r_i_a_l ____________ _ 7. Existing zoning district: _C_-_M~z~H_e_a_v-y_C_o_unn_e_r_c_i_a_l _____________ _ 8. Existing land use(s): __..1 .... n ... d..,.u..,s .... t..._r_,_f..,.a...,1 ____________________ _ 9. Proposed use of site (Project for which this form is filed): New hni )ding, parking Jot expansion Project Description 10. Site size: _3_6_._8_6_A_c_r_e_s _______________________ _ 11. Proposed Building square footage: -=-7..:..7...z...::.0-=0-=-0--=-s=-f ________________ _ 12: Number of floors of construction: _____________________ _ 13. Amount of off-street parking provided: _o __________________ _ 14. Associated projects: _________________________ _ P-1(0) Page 2 of 4 Revised 04/09 15. If residential, include the number of units and schedule of unit sizes: --N .... I_A~------ 16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities: _N~/_A __________________ _ 17. If industrial, indicate type, estimated employment per shift, and loading facilities: _____ _ Manufacture R&D and office. 18. 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 _____ _ 19. If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required: _N__._/_A _________________ _ P-1(D) Page 3 of 4 Revised 04/09 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 substantial □ 1KI alteration of ground contours. 21. Change in scenic views or vistas from existing residential areas or public lands or □ ~ roads. 22. Change in pattern, scale or character of general area of project. ~ □ 23. Significant amounts of solid waste or litter. □ iii 24. Change in dust, ash, smoke, fumes or odors in vicinity. □ 1M 25. Change in ocean, bay, lake, stream or ground water quality or quantity, or □ g] alteration of existing drainage patterns. 26. Substantial change in existing noise or vibration levels in the vicinity. □ lji 27. Site on filled land or on slope of 10 percent or more. □ g] 28. Use of disposal of potentially hazardous materials, such as toxic substances, □ [jl flammables or explosives. 29. Substantial change in demand for municipal services (police, fire, water, sewage, □ ~ etc.). 30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). □ ~ 31. Relationship to a larger project or series of projects. Iii □ 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 structures on the site, and the use of the structures. 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 furnished 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 true and correct to the best of my knowledge and belief. Dale: /{__-Q!? -0 1 Signature: ~ . 1 For. ~ P-1(D) Page_4 of 4 Revised 04/09 Environmental Information Form 32. The project will include work on 2 of 3 lots which host an employee only accessed park & recreation area. The area of construction is planned for an area that was previously graded as part of the Carlsbad Research Center. The soil is stabile and compacted per the previous grading operation. The site has little or no cultural, historical or scenic aspects. There are two existing buildings on two of the lots. 5791 Van Allen Way is a tilt-up concrete warehouse building, construction type 3N, currently occupied with 75,000sf of traditional office space. 5781 is also a tilt-up concrete warehouse building constructed as part of the same original speculative development project, construction type V-B, currently occupied with approximately 350,000sf of office, R&D, manufacturing and warehouse. Please see the attached aerial photo taken in February 2008. 33. The site is within the Carlsbad research center, bordered on 2 sides by Faraday Ave. and College Blvd, with Van Allen running between the 4 lots. On the other side of College Blvd, there is a hotel and additional office buildings. On the opposite side of Faraday Ave., there is a commercial food court, a gas station, more office buildings, and the City of Carlsbad Building department down the hill. There are 2 additional commercial warehouse and office buildings to the West, and to the North of these there is a residential neighborhood. The site drops off steeply to the North of the 5781 Van Allen Way Lot, which is undeveloped. Please see the attached aerial photo taken in February 2008. l ij~i'!:;~, Id i ~J J# 15767-L R:\15767\ docs\Environmental Information Form Phase L.doc