California Code of Regulations › Title 5 - Education › Division 2 - California State Library › Chapter 2 - California Library Construction and Renovation Board › Article 2 - California Library Construction and Renovation Program › Section 20426 - Changes in Projects and Withdrawal of a Grant

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Changes in a project. Any change in the
				  project made by the gant recipient subsequent to the approval of the project by the
				  board, which significantly changes the project information provided during the
				  application process, shall be approved by the State Librarian. The State Librarian
				  shall have the sole authority to determine if a change is significant. If the State
				  Librarian does not approve the change, the grant recipient may appeal the State
				  Librarian's decision to the board. The decision of the board regarding a change in
				  the project is final and binding.
(b)
				  Withdrawal of a grant. If it is determined by the grant recipient that a project
				  cannot be built within the scope of the approved application, the project may be
				  withdrawn by the grant recipient at any time. The board shall disapprove matching
				  state funds for projects which have been withdrawn by the grant recipient.
PRE-APPLICATION FOR CALIFORNIA LIBRARY CONSTRUCTION AND
					 RENOVATION BOND ACT FUNDS
APPENDIX 1 (To Section
					 20420
					 (c))
Administered by the California State Library: Gary E. Strong,
					 California State Librarian
The pre-application shall be received by the Bond Act Fiscal
					 Officer, or that officer's designee, at the following location by 3 p.m. on November
					 21, 1990:
California State Library
Library & Courts Building
Fiscal Services - Room 215
914 Capitol Mall
Sacramento, California 95814-4877
The applicant local jurisdiction pursuant to the Education Code,
					 Title 1, Division 1, Part 11, Chapter 11, Sections
					 19950-19981 and Title 5, Division 2,
					 Chapter 1, Sections
					 20410-20426 of the California Code of
					 Regulations, hereby makes pre-application for a state matching grant for the
					 construction or remodeling of the public library facility described herein:
PROJECT IDENTIFICATION
OFFICIAL NAME OF PROJECT: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]______________________________________
TYPE OF APPLICANT: City: [] County: [] City/County: [] District:
					 []
Joint Powers Agreement (JPA): [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(If applicable -- specify names of parties)
___________________________
GRANT APPLICANT: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(Legal name of jurisdiction that will own building)
Elected Official: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 _____________________________________________
(Mayor, Chairperson of Board of Supervisors, Head of Special
					 District, authorized to sign the pre-application)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]______________________________________________________
For JPA Projects Only
If application is by a JPA applicant, provide the elected
					 official of the second party.
Elected Official: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(Mayor, Chairperson of Board of Supervisors, Head of Special
					 District, authorized to sign the pre-application)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
______________________________________________________
LIMIT COMMENTS THROUGHOUT THE ENTIRE FORM TO SPACE PROVIDED
					 UNLESS OTHERWISE STATED. LIMIT TYPE SIZE TO NO SMALLER THAN 11 POINTS, AND 12 PITCH
					 (ELITE) WITH NO MORE THAN 6 LINES PER INCH. ATTACHMENTS SHALL NOT BE ACCEPTED UNLESS
					 REQUIRED BY REGULATION OR CALLED FOR ON THE PREAPPLICATION FORM.
LIBRARY JURISDICTION: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(Legal name of library that will operate the service in the
					 building)
Library Director Name: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
_______________________________________________________
PROJECT EVALUATION DATA
GROSS SQUARE FOOTAGE:
The current gross square footage of the existing public
					 library(s) being replaced is:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ________________________________________ SF
(If there is no existing facility, enter "0")
At completion of the project, the total gross square footage of
					 the proposed public library building will be:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ________________________________________ SF
STANDARD METROPOLITAN STATISTICAL AREA (SMSA):
Is the proposed site for the project located in a Standard
					 Metropolitan Statistical Area (SMSA)? Yes [] No[]
DISTANCE TO NEAREST EXISTING PUBLIC LIBRARY FACILITY:
(For purposes of this distance determination only, a "public
					 library facility" means a building of 1,400 square feet or more providing direct
					 public library service.)
Number of miles to the nearest existing public library facility
					 other than the library facility(s) being replaced by the proposed project:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ______________________________________ Miles
(Provide mileage to the nearest 1/10th or a mile by driving the
					 distance in an automobile from the proposed site to the nearest public library
					 facility, regardless of what jurisdiction the public library is located in.)
Name of Nearest Public Library Facility: [BLACK RIGHT-POINTING
					 SMALL TRIANGLE]___________________________
Square Footage of Nearest Public Library Facility:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ________________________________________ SF
NUMBER OF SQUARE MILES IN THE PROJECT SERVICE AREA:
Number of square miles in the project service area:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ______________________________ SQ Miles
LIBRARY PROJECT'S SERVICE AREA 1990 POPULATION:
					 ___________________________
LIBRARY PROJECT'S SERVICE AREA 2010 POPULATION:
					 ___________________________
AGE OF THE EXISTING PUBLIC LIBRARY:
When was the existing public library building, which will be
					 replaced or improved by the proposed project, initially built?
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ______________________________________ Year
(If proposed project will replace more than one building, list
					 the oldest of the buildings.)
(If there is no existing facility, enter "0")
CONDITION OF THE EXISTING PUBLIC LIBRARY:
When was the most recent structural renovation or expansion of
					 the existing public library building?
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ______________________________________ Year
(If proposed project will replace more than one building, list
					 the most recent activity for any of the buildings.)
(If there is no existing facility, enter "0")
ELECTRONIC INFORMATION DELIVERY UNITS: (Public use units
					 only.)
For the purposes of this section, "electronic information
					 delivery units" means computer terminals, CD-ROM readers, microcomputers, computer
					 printers, photocopy machines, facsimile machines, minicomputers, audio-visual
					 listening or viewing units, microform readers and reader/printers, TDD units,
					 downlink satellite dishes, and CATV monitor/tuners dedicated for the use of the
					 public.
Number of electronic information delivery units dedicated to
					 public use to be housed in the proposed project, and specified in the project's
					 building program and furnishings and equipment budget:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________________ Units
MEETING SPACE: (Public use space only.)
For purposes of this section, "meeting space" means community
					 meeting space, conference space, quiet study space, literacy training space,
					 children's story hour space, theatres, and multipurpose space dedicated for the use
					 of the public.
Number of square feet of meeting space dedicated to public use
					 to be housed in the proposed project, and specified in the project's building
					 program:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ________________________________________ SF
____________________________________________________________
CHANGING CONCEPTS IN PUBLIC LIBRARY SERVICE
Describe how the proposed project will respond to changing
					 concepts in public library service: __________
____________________________________________________________
____________________________________________________________
NEEDS ASSESSMENT
Briefly describe why the proposed project is needed, and the
					 degree to which citizens, community organizations and local agencies participated in
					 the determination of the need. Summarize physical facility and service limitations,
					 population growth, changing demographic characteristics etc.:
___________________________
PROJECT BUDGET ESTIMATE
Estimated Total Eligible Project
							 Costs:
[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________
Local Match (35%):
[BLACK RIGHT-POINTING
							 SMALL TRIANGLE] $___________________________
State Match (65%):
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] $___________________________
APPLICATION TIMETABLE
During which funding allocation cycle does the applicant intend
					 to apply?
[] First Cycle
[] Second Cycle
SIGNATURES
The parties below attest to and endorse the accuracy and
					 truthfulness of the pre-application for California Library Construction and
					 Renovation Bond Act funds. It is further understood that this pre-application is not
					 binding, but is necessary to obtain the State Librarian's notification of the
					 competitiveness of the proposed project.
LIBRARY DIRECTOR
I hereby affirm that the library jurisdiction, for which I am
					 the administrative agent, is aware of the pre-application.
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
Signature
Date
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
Name (Type)
Title (Type)
OFFICIAL OF THE APPLICANT LOCAL JURISDICTION
(Local policy-level general governmental official, e.g., city
					 manager, mayor, administrator etc.)
I hereby affirm that the local jurisdiction, for which I am a
					 governmental official, is aware of the pre-application.
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
Signature
Date
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
Name (Type)
Title (Type)
For JPA Projects Only
If pre-application is by a JPA applicant, provide the elected
					 official of the second party.
OFFICIAL OF THE APPLICANT LOCAL JURISDICTION
(Local policy-level general governmental official, e.g., city
					 manager, mayor, administrator etc.)
I hereby affirm that the local jurisdiction, for which I am a
					 governmental official, is aware of the pre-application.
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
Signature
Date
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
Name (Type)
Title (Type)
APPLICATION FOR CALIFORNIA LIBRARY CONSTRUCTION AND
					 RENOVATION BOND ACT FUNDS
APPENDIX 2 (To Section
					 20420
					 (c))
Administered by the California State Library: Gary E. Strong,
					 California State Librarian
The application shall be received by the Bond Act Fiscal
					 Officer, or that officer's designee, at the following location by 3 p.m. on February
					 15, 1991 or July 19, 1991.
California State Library
Library & Courts Building
Fiscal Services - Room 215
914 Capitol Mall
Sacramento, California 95814-4877
The applicant local jurisdiction pursuant to the Education Code,
					 Title 1, Division 1, Part 11, Chapter 11, Sections
					 19950-19981 and Title 5, Division 2,
					 Chapter 1, Sections
					 20410-20426 of the California Code of
					 Regulations, hereby applies for a state matching grant for the construction or
					 remodeling of the public library facility described herein:
PROJECT IDENTIFICATION
OFFICIAL NAME OF PROJECT: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
TYPE OF APPLICANT: City: [] County: [] City/County: [] District:
					 []
Joint Powers Agreement (JPA): [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(If applicable -- specify names of parties)
GRANT APPLICANT: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
(Legal name of jurisdiction that will own building)
Elected Official: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
(Mayor, Chairperson of Board of Supervisors, Head of Special
					 District, authorized to sign the application)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
___________________________
For JPA Projects Only
If application is by a JPA applicant, provide the elected
					 official of the second party.
Elected Official: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
(Mayor, Chairperson of Board of Supervisors, Head of Special
					 District, authorized to sign the application)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
_____________________________________________________
LIMIT COMMENTS THROUGHOUT THE ENTIRE FORM TO SPACE PROVIDED
					 UNLESS OTHERWISE STATED. LIMIT TYPE SIZE TO NO SMALLER THAN 11 POINTS, AND 12 PITCH
					 (ELITE) WITH NO MORE THAN 6 LINES PER INCH. ATTACHMENTS SHALL NOT BE ACCEPTED UNLESS
					 REQUIRED BY REGULATION OR CALLED FOR ON THE APPLICATION FORM. CLEARLY LABEL ALL
					 SUPPORTING DOCUMENTS SUBMITTED WITH THE APPLICATION WITH THE NAME OF THE APPLICANT
					 AND PROJECT.
Project Coordinator: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
(Name of individual who will have administrative control over
					 the project for the local jurisdiction)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
___________________________
Alternate Contact Person: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(If the project coordinator is unavailable, the contact person
					 shall be authorized to ace in the capacity of the project coordinator.)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
_______________________________________________
Head of Planning Department: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(If JPA, provide Head of Planning Department for jurisdiction
					 providing the service. If applicable -- Special Districts exempt)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
________________________________________________
Head of Public Works Department: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(If applicable. If JPA, provide for jurisdiction providing the
					 service.)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
________________________________________________
LIBRARY JURISDICTION: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(Legal name of library that will operate the service in the
					 building)
___________________________
Library Director Name: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________
Title: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
_______________________________________________________
Alternate Contact Person: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
________________________________________________________
________________________________________________________
Library Building Consultant: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE] ________________
(If applicable)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
________________________________________________________
Architect: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ License #:
					 __________________________________________________
(providing construction budget estimate & conceptual
					 plans)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
________________________________________________________
Address: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 _____________________
________________________________________________________
Interior Designer: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
(If applicable)
Title: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ____________________________________________________________ Phone: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]
					 __________________________________________________
Address: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE]___________________________
________________________________________________________
CHANGES IN PROJECT INFORMATION
Were there any changes in the proposed project information from
					 that provided during the pre-application or a previous application?
Yes []
No []
If so, were changes made in any of the
							 following?
Project Square
							 Footage..........................
Yes []
No []
Standard Metropolitan Statistical Area
							 (SMSA)..........................
Yes []
No []
Distance to Nearest Existing Public
							 Library..........................
Yes []
No []
Square Miles in Project Service
							 Area..........................
Yes []
No []
Library Project's Service Area 1990
							 Population..........................
Yes []
No []
Library Project's Service Area 2010
							 Population..........................
Yes []
No []
Age of existing public library
							 building..........................
Yes []
No []
Date of most recent renovation or expansion of
							 existing public library building..........................
Yes []
No
							 []
Electronic Information Delivery
							 Units..........................
Yes []
No []
Meeting Room
							 Space..........................
Yes []
No []
Project
							 Budget..........................
Yes []
No []
Needs
							 Assessment..........................
Yes []
No []
Changing Concepts in Library
							 Service..........................
Yes []
No []
(This information will be utilized by the State Library to
					 update the project database created from information previously provided during the
					 pre-application or an earlier application.)
TYPE OF PUBLIC LIBRARY PROJECT & GROSS SQUARE
					 FOOTAGE
TYPE OF PROJECT:
GROSS PROJECT SQUARE
							 FOOTAGE
A)
New Building
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
B)
Addition
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
&
Remodeling
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
Of Existing Library Bldg. for:
Energy Conservation
Yes []
No []
Disabled Access
Yes []
No []
Health & Safety
Yes []
No []
C)
Conversion
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
(Acquisition of a Building to convert
into a public library building)
&
Remodeling
Of Building for:
Energy Conservation
Yes []
No []
Disabled Access
Yes []
No []
Health & Safety
Yes []
No []
D)
Remodeling of Existing Library Building
							 for:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
SF
Energy Conservation
Yes []
No []
Disabled Access
Yes []
No []
Health & Safety
Yes []
No []
E)
Remodeling for Shelving & Built-in
							 Equipment:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
SF
(For projects with this activity only)
MULTIPURPOSE PROJECTS:
Is the project also a multipurpose building?
Yes
							 []
No []
Specify other uses of multipurpose building: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE] ___________________________
_____________________________________________
_____________________________________________
CURRENT GROSS SQUARE FOOTAGE:
The current gross square footage of the existing public
					 library(s) being replaced is:
________________________________________ SF
(If there is no existing facility, enter "0")
PROJECT PLANNING INFORMATION
LIBRARY FACILITIES MASTER PLAN:
STANDARD METROPOLITAN STATISTICAL AREA (SMSA):
Is the proposed site for the project located in a Standard
					 Metropolitan Statistical Area (SMSA)?
Yes [] No []
DISTANCE TO NEAREST EXISTING PUBLIC LIBRARY FACILITY:
(For purposes of this distance determination only, a "public
					 library facility" means a building of 1,400 square feet or more providing direct
					 public library service.)
Number of miles to the nearest existing public library facility
					 other than the library facility(s) being replaced by the proposed project:
______________________________________ Miles
(Provide mileage to the nearest 1/10th of a mile by driving the
					 distance in an automobile from the proposed site to the nearest public library
					 facility, regardless of what jurisdiction the public library is located in.)
Name of Nearest Public Library Facility: [BLACK RIGHT-POINTING
					 SMALL TRIANGLE]___________________________
Square Footage of Nearest Public Library Facility: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE] ________________________________________ SF
NUMBER OF SQUARE MILES IN THE PROJECT SERVICE AREA:
Number of square miles in the project service area: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE] __________________________________ SQ Miles
RELATIONSHIP OF PROJECT TO NEIGHBORING PUBLIC LIBRARY
					 FACILITIES:
Describe how the proposed facility relates to neighboring
					 existing and proposed public library facilities. If a facilities master plan exists,
					 reference appropriate pages in the report to support statements:
If the applicant has completed or updated a jurisdiction-wide
					 library facilities master plan within the last 5 years, the document shall be
					 submitted with the application.
NEEDS ASSESSMENT FOR THE LIBRARY
					 PROJECT:
LIBRARY PROJECT'S SERVICE AREA 1990 POPULATION: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE] ___________________________
LIBRARY PROJECT'S SERVICE AREA 2010 POPULATION: [BLACK
					 RIGHT-POINTING SMALL TRIANGLE] ___________________________
AGE OF THE EXISTING PUBLIC LIBRARY:
When was the existing public library building, which will be
					 replaced or improved by the proposed project, initially built?
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ______________________________________ Year
(If proposed project will replace more than one building, list
					 the oldest of the buildings.)
(If there is no existing facility, enter "0")
CONDITION OF THE EXISTING PUBLIC LIBRARY:
When was the most recent structural renovation or expansion of
					 the existing public library building?
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ______________________________________ Year
(If proposed project will replace more than one building, list
					 the most recent activity for any of the buildings.)
(If there is no existing facility, enter "0")
PHYSICAL FACILITY LIMITATIONS
Provide statements of deficiencies of the existing public
					 library facility(s) for the following:
(If more than one facility, complete this section for each
					 facility separately, i.e., submit two copies of this section of the form.)
______________________________________________
Structural:
______________________________________________
______________________________________________
Electrical Power & Data Distribution:
______________________________________________
______________________________________________
Lighting (natural & electrical):
______________________________________________
______________________________________________
Mechanical (HVAC):
______________________________________________
______________________________________________
Energy Conservation:
______________________________________________
______________________________________________
Health & Safety:
______________________________________________
______________________________________________
Disabled Access:
______________________________________________
______________________________________________
Acoustics:
______________________________________________
______________________________________________
Space Flexibility/Expandability:
______________________________________________
______________________________________________
Functional Spatial Relationships:
______________________________________________
______________________________________________
Site:
______________________________________________
______________________________________________
Other/General:
______________________________________________
Engineering, Energy & Asbestos Studies:
If the existing library facility will be remodeled, or if an
					 existing building will be converted into a library building, provide a copy of an
					 engineering study and an asbestos survey with supporting cost figures. If the
					 existing facility will be remodeled for energy conservation, provide a copy of an
					 energy audit with supporting cost figures.
SERVICE LIMITATIONS:
Provide a statement of space deficiencies of the existing public
					 library facility(s):
(If more than one facility, complete this section for each
					 facility separately, i.e., submit two copies of this section of the form.)
Collections:
Readers' Seating:
Staff Offices, Workstations & Supervision:
Special Purpose Units:
Meeting Room Seating:
Types of Services for which space is lacking:
Describe the degree to which citizens, community organizations
					 and local agencies participated in the determination of the need for a new/improved
					 facility:
If helpful in demonstrating the facility limitations, provide
					 photographs or a video tape of the existing library building(s) as support
					 documentation. Label all photographs or video tapes with name of applicant and
					 project. This submittal is optional.
If the applicant has completed or updated a jurisdiction-wide or
					 project specific library needs assessment within the last 5 years, the document
					 shall be submitted with the application.
LIBRARY BUILDING PROGRAM:
For new construction, conversion and addition/renovation
					 projects, a final building program document shall be submitted with the application.
					 The library building program shall meet the requirements shown in Appendix 3.
______________________________________________
Demographics:
Briefly describe how the proposed library project will meet the
					 needs of the service area population based on the existing and projected demographic
					 characteristics, including, but not limited to factors such as age, race, ethnicity,
					 education and socio-economic considerations:
______________________________________________
______________________________________________
Changing Concepts in Public Library Service:
Describe how the proposed project will respond to changing
					 concepts in public library service:
______________________________________________
Building Components Allocation for the Proposed Library
					 Project:
Provide a summary of the proposed project's holdings at capacity
					 as reflected in the library building program, by providing the proposed allocations
					 for the following library building components:
Collections
Number
							 of Vols/Units
Books
Adult..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Fiction..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Non-Fiction..........................
[BLACK RIGHT-POINTING
							 SMALL TRIANGLE]
___________________________
Reference..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Special..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Young Adult (if
							 applicable)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Children..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Easy/Picture..........................
[BLACK RIGHT-POINTING
							 SMALL TRIANGLE]
___________________________
Juvenile..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Fiction..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Non-Fiction..........................
[BLACK RIGHT-POINTING
							 SMALL TRIANGLE]
___________________________
Reference..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Total
							 Books..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Audio-Visual
Video
							 Tapes.........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
___________________________
Compact
							 Discs..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Audio Cassette
							 Tapes..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Phonodiscs..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Talking
							 Books..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Computer Software
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Other (slides, photographs, realia
							 etc.)
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Total Audio-Visual
							 Materials..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Periodicals Titles
Number of
							 titles
..........................Adult
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
..........................Young Adult (if
							 applicable)
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
..........................Children
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Readers'
							 Seating
Number of Seats
Adult Reference
							 ..........................Services
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
General Book
							 ..........................Collection
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Browsing Services..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Young Adults (if
							 applicable)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Children's
							 Services..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Periodicals
							 Services..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Special
							 Collections..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Other
							 (Miscellaneous)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Staff
							 Workstations:
Number of
							 Public Service
							 Workstations
Number of
							 Off/Workroom Workstations
Circulation..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Adult Reference..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Children's..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Young Adult (if
							 applicable)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Special
							 Collections..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Administration..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Technical
							 Services..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Extension..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Custodial..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Other (Specify
							 ____________________)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Other (Specify
							 ____________________)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Special Purpose
							 Units
Number of Units
(Provide for both staff and public use.)
Computer
							 Terminals..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
CD-ROM Readers..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Microcomputers..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Minicomputers..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Computer Printers..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Microform Readers and
							 Reader/Printers..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Microform
							 Cabinets..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Lateral/Vertical
							 Files..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Photocopy
							 Machines..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Facsimile
							 Machines..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
AV Listening/Viewing
							 Stations..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Map Files..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Atlas Cases..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Card Catalog
							 Units..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Workstations for the Disabled
							 (TDD* etc.)..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Other (Specify:
							 ____________________)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Other (Specify:
							 ____________________)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
* Telecommunication Device for
							 the Deaf (TDD)
Electronic Information Delivery Units: (Public use units
					 only.)
For the purposes of this section, "electronic information
					 delivery units" means computer terminals, CD-ROM readers, microcomputers, computer
					 printers, photocopy machines, facsimile machines, minicomputers, audiovisual
					 listening or viewing units, microform readers and reader/printers, TDD units,
					 downlink satellite dishes, and CATV monitor/tuners dedicated for the use of the
					 public.
Number of electronic information delivery units dedicated to
					 public use to be housed in the proposed project, and specified in the project's
					 building program and furnishings and equipment budget:
______________________________ Units
Cable Television Production
					 Capabilities
Describe the cable television production capabilities of the
					 proposed project (uplink dish, cable channel, production studio etc.):
Meeting Space
(Provide
							 for staff and public use)
Number of
							 Seats
Community Meeting
							 Space..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Conference Space..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Quiet Study Space..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Literacy Training
							 Space..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Staff Training
							 Space..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Administrative Conference
							 Space..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Children's Story Hour
							 Space..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Multipurpose
							 Space..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Theatres..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]
___________________________
Other (Specify:
							 ____________________)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Other (Specify:
							 ____________________)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Other (Specify:
							 ____________________)..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
___________________________
Meeting Space
(Public use space
					 only.)
For purposes of this section, "meeting space" means community
					 meeting space, conference space, quiet study space, literacy training space,
					 children's story hour space, theatres, and multipurpose space dedicated for the use
					 of the public.
Number of square feet of meeting space dedicated to public use
					 to be housed in the proposed project, and specified in the project's building
					 program:
______________________________ SQ. FT.
Service & Space Conversion Standards and Guidelines:
Provide information regarding any standards or guidelines
					 utilized in the building program for the following. The use of standards or
					 guidelines is not mandatory, but if used, provide the conversion factors for the
					 following:
Collections
Provide and cite the source for any standard or guideline used,
					 such as units per capita , units per square foot, etc.:
Books
Audio-visual
Periodicals
Reader's Seats
Provide and cite the source for any standard or guideline used,
					 such as reader's seats per capita or per 1,000 people, etc.:
Staff
					 Workstations
Provide and cite the source for any standard or guideline used,
					 such as number of staff or staff workstations per capita or per 1,000, etc.:
Square Footage
If national (e.g. Wheeler & Goldhor or ALA 1962) or local
					 quantitative space conversion standards were utilized to plan this project, specify
					 the level and cite the source:
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________ SF / Capita Source: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE] ___________________________
________________________________________
If the library facility is not being planned to provide at least
					 .5 square foot per capita, explain why this is not necessary to meet the local
					 service needs of the project's projected population:
_____________________________________________________________
_____________________________________________________________
If the proposed project's square footage becomes inadequate to
					 effectively serve the population of the service area within twenty years, what is
					 the current plan to meet the library facility needs of the service area?
_____________________________________________________________
Summary of the Library Facility Space Requirements:
Provide a summary of the spaces, collections, readers seats and
					 square footage in the program:
(Attach additional pages if necessary.)
Name of
							 Space/Area
Volumes in
							 Collections
Readers Seats
SQ.
							 FT.
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
____________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ____________
___________________________
___________________________
___________________________
Net Assignable Sub-total:
[BLACK RIGHT-POINTING
							 SMALL
							 TRIANGLE]
___________________________
___________________________
___________________________
Non-Assignable
							 Space*:..........................
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE]___________________________
(Non-Assignable Square Footage is ____________________ %
							 of the Gross Square Footage)
Total Facility Gross Square
							 Footage:..........................
[BLACK RIGHT-POINTING SMALL
							 TRIANGLE]___________________________
* "Non-Assignable"
							 means utility areas of a building required for the function of the building such as
							 stairways, elevators, dedicated corridors and walkways, public lobbies, restrooms,
							 duct shafts, mechanical rooms, electrical closets, janitor's closets, fireplaces,
							 interior and exterior wall thickness, exterior amenities which are part of the
							 building but not enclosed, such as patios, canopies, porches, covered walkways,
							 etc.
SITE DATA:
For new construction, conversion and addition/renovation
					 projects, provide all of the following data for evaluation of the proposed library
					 site:
Ownership and Availability
(Provide for remodeling projects as well.)
Site
Is the library site currently owned by the
							 applicant?
Yes []
No []
Will the library site be owned by the
							 applicant?
Yes []
No []
Is the library site currently leased by the
							 applicant?
Yes []
No []
If the library site is leased, provide the name and address of
					 the owner:
Name: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Address: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
___________________________________________
___________________________________________
If the library site is not already owned by the
					 applicant:
(a) A legally executed option to
				  purchase agreement for the site shall be submitted with the application;
				  or
(b) A legally executed lease or
				  lease-purchase agreement for the site shall be submitted with the application. (See
				  Section 20414 (f))
Building
(For Conversion Projects Only)
Is the building to be converted currently owned by the
					 applicant?
Yes []
No []
If the building to be converted is not already owned by the
					 applicant, a legally executed option to purchase agreement for the building shall be
					 submitted with the application (even if the building will be donated to the
					 applicant).
Title Considerations
(Provide for remodeling projects as well.)
Site
Provide a preliminary title report for the proposed library site
					 with the application (See Section
					 20424 (b)).
Name of Title Company Officer: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE] ___________________________
Name of Title Company: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Address: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
____________________________________________________________________
Telephone: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Are there any exceptions to marketable record
							 title?
Yes []
No []
(See Section
							 20424 (b))
If so, the applicant shall provide legal counsel's written
					 opinion regarding exceptions in the title report.
Building
(For Conversion Projects Only.)
Provide a preliminary title report for the building to be
					 converted into a library with the application.
(See Section
					 20424 (b))
Name of Title Company Officer: [BLACK RIGHT-POINTING SMALL
					 TRIANGLE] ___________________________
Name of Title Company: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Address: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
_____________________________________________________
_____________________________________________________
Telephone: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Are there any exceptions to marketable record
							 title?
Yes []
No []
(See Section
							 20424 (b))
If so, the applicant shall provide legal counsel's written
					 opinion regarding exceptions in the title report.
Boundary Survey
(Provide for remodeling projects as well.)
(For multipurpose projects, provide for the library portion of
					 project only.)
Provide a boundary survey showing the metes and bounds of the
					 proposed library site upon which the proposed library facility and site improvements
					 are to reside. The survey shall be stamped and signed by a licensed land
					 surveyor.
Appraisal
(For multipurpose projects, provide for the library portion of
					 project only.)
Site
What is/was the purchase price of the library site?
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 $________________________________________
(Provide the following only if appraisal is required.)
What is the appraised value of the library site?
[BLACK RIGHT-POINTING SMALL TRIANGLE]
					 $________________________________________
Name of appraiser who performed appraisal: [BLACK RIGHT-POINTING
					 SMALL TRIANGLE] ___________________________
Telephone: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Credentials: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
(Shall have MAI or SREA)
Enclose a copy of the appraisal for the property (See Section
					 20416 (d)).
Building
What is/was the purchase price of the building to be
					 converted?
[BLACK RIGHT-POINTING SMALL TRIANGLE] $
					 ________________________________________
(Provide the following only if appraisal is required.)
What is the appraised value of the building?
[BLACK RIGHT-POINTING SMALL TRIANGLE] $
					 ________________________________________
Name of appraiser who performed appraisal: [BLACK RIGHT-POINTING
					 SMALL TRIANGLE]___________________________
Telephone: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Credentials: [BLACK RIGHT-POINTING SMALL TRIANGLE]
					 ___________________________
Enclose a copy of the appraisal for the property (See Section
					 20416 (d)).
Site Use Potential
Accessibility
Is the site strategically located in a geographically
							 central part of the library service area?
Yes []
No []
Is the site located in a retail commercial business
							 district (either downtown or suburban)?
Yes []
No []
Is the site generally accessible to all parts of the
							 service area?
Yes []
No []
Describe any natural or artificial barriers which may impede
					 access to the site:
List the major arterial routes in the proximity of the site with
					 traffic count (number of vehicles per day) information:
Street
							 Name
Number of Blocks from
							 Site
Traffic Count
Count
							 Date
__________________ [BLACK RIGHT-POINTING SMALL TRIANGLE]
							 __________________________
___________________________
___________________________
___________________________
___________________________ [BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
							 ___________________________
___________________________
___________________________
___________________________
___________________________ [BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
							 ___________________________
___________________________
___________________________
___________________________
___________________________ [BLACK RIGHT-POINTING SMALL
							 TRIANGLE]
							 ___________________________
___________________________
___________________________
___________________________
Is site located on a pedestrian circulation
							 pattern?
Yes []
No []
Can curb cuts be obtained to provide access to
							 site?
Yes []
No []
Is site located on or near a mass transit
							 line?
Yes []
No []
Number of mass transit lines stopping within 1/4 mile of
							 site:..........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
Library Parking
Number of spaces available off street, on
							 site:..........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
spaces
Number of spaces available off street, off
							 site:..........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
spaces
(within 500 feet of front door)
Number of spaces available on
							 street:..........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
spaces
(within 500 feet of front door)
TOTAL NUMBER OF SPACES AVAILABLE FOR
							 PARKING:..........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
spaces
Number of parking spaces required by
							 zoning:..........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
spaces
Calculate the number of parking spaces
							 required, if 1.5 square foot of parking space is needed for every 1.0 square foot of
							 library building (assume an average parking space equals 350 SF/space):
Building Gross SF x 1.5 divided by 350
							 =..........................
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
spaces
________________________________________________________
If proposed project provides less parking than 1.5 SF of parking
					 space to 1 SF of building space, provide justification of why the library needs less
					 parking:
________________________________________________________
Site Description
Size
The total square footage of the library site should equal the
					 square footage shown in 1 through 7 below:
(If the project is an addition to an existing library, complete
					 this section for the entire site, i.e., the existing site plus any newly acquired
					 land.)
(If the project is a multipurpose building, complete this
					 section only for the library portion of the project.)
1. PROPOSED LIBRARY BUILDING
							 FOOTPRINT*
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
SF
2. PROPOSED LIBRARY PARKING LOT
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
3. FUTURE LIBRARY EXPANSION OF
							 BUILDING**
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
SF
4. FUTURE LIBRARY EXPANSION OF
							 PARKING**
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
SF
5. REQUIRED LOCAL ZONING SET-BACKS
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
6. DESIRED AESTHETIC SET-BACKS &
							 AMENITIES
[BLACK RIGHT-POINTING SMALL TRIANGLE]
							 ___________________________
SF
7. MISCELLANEOUS & UNUSABLE SPACE
[BLACK
							 RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
TOTAL SQUARE FOOTAGE OF LIBRARY PROJECT
							 SITE:
[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
SF
* "Footprint" means
							 the square footage of surface area of the site that the building occupies.
** If expansion for
							 the building or parking will not take additional space on the site, please explain
							 method to be used:
Zoning
What is the current zoning classification of the site [BLACK
					 RIGHT-POINTING SMALL TRIANGLE]___________________________
Will the site have to be rezoned to build the
							 project?
Yes []
No []
Will a variance be needed to build the
							 project?
Yes []
No []
If so, when can the variance be obtained?
					 ___________________________
(Date)
Solar
					 Orientation
Will the orientation of the site and placement of the building
					 on the site allow solar access from a westerly direction into the library building
					 through windows or doors?
Yes []
No []
If yes, how will this problem be addressed:
Topography
Describe the general topography of the site. Is the site
					 generally level or will it require extensive rough grading? Provide estimates on the
					 amount and cost of cut and fill that may be necessary:
Has a topographical survey been completed?
Yes
							 []
No []
Drainage
(Provide for remodeling projects as well.)
Is the site in the 100 Year Flood Plain?
Yes
							 []
No []
Do any water courses drain onto the site which require
							 control?
Yes []
No []
Do any water courses drain off the site which require
							 control?
Yes []
No []
Is the storm sewer system adequate to prevent localized
							 flooding of the site during intense storms?
Yes []
No []
California Environmental Quality
					 (CEQA)
(See Public Resources Code, Sections
					 21000 -
					 21177 and
					 California Code of Regulations, Title 14, Sections
					 15000 -
					 15387)
(Provide for remodeling projects as well.)
The applicant, as the lead agency, shall provide evidence that
					 the necessary environmental impact documentation (EID) as required by the provisions
					 of CEQA has been fully completed:
1) If the
				  applicant has determined that there is no possibility the project will result in an
				  adverse environmental impact, or that the project qualifies for a specific statutory
				  or regulatory exemption, and therefore is not subject to the provisions of the act,
				  provide an explanation and appropriate citations:
If an exemption is claimed for the project, provide a statement
					 of the basis for the claim, and if completed, a copy of the Notice of Exemption with
					 the application.
2) If a negative
				  declaration was adopted for the project, provide a final copy of the negative
				  declaration, as well as a conformed (stamped by the County Clerk) copy of the Notice
				  of Determination which has been signed by the lead agency and filed with the County
				  Clerk with the application.
3) If the
				  project was the subject of an Environmental Impact Report (EIR), provide a final
				  copy of the EIR and a conformed (stamped by the County Clerk) copy of the Notice of
				  Determination which has been signed by the lead agency and filed with the County
				  Clerk with the application.