Cal. Code Regs. tit. 5 § 20426

Current through Register 2024 Notice Reg. No. 25, June 21, 2024
Section 20426 - Changes in Projects and Withdrawal of a Grant
(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by the grant recipient that a project cannot be built within the scope of the approved application, the project may be withdrawn by the grant recipient at any time. The board shall disapprove matching state funds for projects which have been withdrawn by the grant recipient.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] ___________________________
SignatureDate
[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] ___________________________
SignatureDate
[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] ___________________________
SignatureDate
[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 ConservationYes []No []
Disabled AccessYes []No []
Health & SafetyYes []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 ConservationYes []No []
Disabled AccessYes []No []
Health & SafetyYes []No []

D)Remodeling of Existing Library Building for:[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ SF

Energy ConservationYes []No []
Disabled AccessYes []No []
Health & SafetyYes []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:

CollectionsNumber 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 TitlesNumber of titles
..........................Adult[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
..........................Young Adult (if applicable)[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
..........................Children [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________

Readers' SeatingNumber 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 WorkstationsNumber 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 UnitsNumber 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/AreaVolumes in CollectionsReaders SeatsSQ. 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 NameNumber of Blocks from SiteTraffic CountCount 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.

Before adopting a Negative Declaration, or a final Environmental Impact Report, the applicant shall submit the draft environmental documents to the:

State Clearinghouse

Office of Planning and Research

1400 10th Street

Sacramento, California 95814

The applicant shall take into consideration timely comments made by state agencies on the project before adopting final environmental documents and approving the project. The applicant shall provide either the compliance letter or the comments from state agencies provided by the State Clearinghouse with the application. After project approval, a Notice of Determination shall be filed with the County Clerk before it is submitted with the application.

____________________________________________________________

Summarize the potential significant adverse effects to the environment of the proposed project and any measures that have been adopted to mitigate or reduce these effects:

_____________________________________________________________

_____________________________________________________________

Are there any unresolved legal actions pending against the project regarding CEQA compliance? If so, provide the case name, court number and a brief explanation:

_____________________________________________________________

Historic districts

(Provide for remodeling projects as well.)

Was the existing library building, if it is being renovated or expanded as part of the project, or any buildings on adjacent properties, built prior to 1941?

Yes []No []

Is the existing library building, or any buildings on adjacent properties:

On the National Register of Historic Places?Yes []No []
A National Historic Landmark?Yes []No []
A National Monument?Yes []No []
On County or Municipal Historic Designation list?Yes []No []

Is there a local historic preservation ordinance that applies to the proposed project site or any adjacent properties?

Yes []No []

_____________________________________________________________

If yes, briefly specify any applicable requirements or restrictions, such as height limits etc.:

_____________________________________________________________

If yes, is the proposed project conceptual design substantially in compliance with the local historic preservation ordinance?

Yes []No []

_____________________________________________________________

Geotechnical Report

Identify and summarize any special geologic conditions, including, but not limited to, compressible and expansive soils, tunnels and mine shafts, unstable slopes, active seismic zones, excessive ground water and areas prone to liquefaction. Indicate if these conditions will prevent the use, or significantly increase the cost of developing the site for a public library building:

_____________________________________________________________

Provide a copy of the geotechnical report performed by a licensed engineer with the application.

_____________________________________________________________

Demolition costs

Describe any demolition costs involved with the site:

_____________________________________________________________

Utilities

Describe utilities availability and associated costs if any utilities are not currently located within 100 feet of a property line of the site:

(All off-site costs beyond 100 foot utility tie-ins are local ineligible expenses, but shall be identified and included in the budget estimate under ineligible site development costs.)

UtilityAvailabilityCost to Bring Service to Site
ElectricityYes [] No [][BLACK RIGHT-POINTING SMALL TRIANGLE] ______________ $ _____________
TelephoneYes [] No [][BLACK RIGHT-POINTING SMALL TRIANGLE] ______________ $ _____________
GasYes [] No [][BLACK RIGHT-POINTING SMALL TRIANGLE] ______________ $ _____________
Cable TVYes [] No [][BLACK RIGHT-POINTING SMALL TRIANGLE] ______________ $ _____________
Storm SewerYes [] No [][BLACK RIGHT-POINTING SMALL TRIANGLE] ______________ $ _____________
Sanitary SewerYes [] No [][BLACK RIGHT-POINTING SMALL TRIANGLE] ______________ $ _____________
WaterYes [] No [][BLACK RIGHT-POINTING SMALL TRIANGLE] ______________ $ _____________

Site Development CostsEligibleIneligible
Utilities..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Cut, Fill & Rough Grading..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Special Foundation Support..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
(pilings etc.)
Paving, curbs, gutters & sidewalks..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Retaining Walls..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Landscaping..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Signage..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Lighting..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Removal of underground tanks..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Removal of toxic materials..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Rock removal..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$
Other (Specify)
[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]___________________________$
TOTAL SITE DEVELOPMENT COSTS:..........................[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$ [BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________$

_____________________________________________________________

Mitigating Circumstances:

If there are problems with the proposed site, what mitigating circumstances lessen the negative impact? Describe the proposed design solutions which moderate the site's drawbacks. Provide information on alternative sites considered, and why the proposed site is the best location for a public library in the service area:

_____________________________________________________________

Visual Record:

Provide photographs and/or a video tape of the site and surrounding area. Show several views of the site and a 360 degree perspective around the site of the surrounding buildings. Label all photographs and video tapes with the name of the applicant and project.

Maps:

Provide a map showing the location of the proposed library site in the community. This map (or another with a larger scale) shall show the service area of the proposed project, and if possible, the nearest existing library (other than the one being replaced).

PROJECT TIMETABLE

Provide the timetable for the proposed project. Show estimated dates of completion, as well as actual dates of completion:

TIMETABLEDATE
Site Purchase/Lease Agreement Executed[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
Schematic Plans & Cost Estimate[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
Design Development Plans & Cost Estimate[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
Working Drawings & Final Cost Estimate[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
Start of Construction[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
Completion of Construction[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________
Calculate the number of months from the month of application until the estimated start of construction:
[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________Months
Calculate the number of months for the construction of the project from start to finish:
[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________Months

CONCEPTUAL ARCHITECTURAL PLANS

New construction, conversions and addition/renovations:

For new construction, conversion and addition/renovation projects, a set of conceptual plans (no less than 22 x 34 inches for paper size) prepared by an architect licensed to practice in the State of California shall be submitted with the application. Multipurpose projects shall submit the required conceptual plans for both the total multipurpose project, as well as the library portion of the project.

The conceptual plans shall consist of the following:

(a) An area plan showing the library site in context with the surrounding neighborhood buildings, parking and streets.
(b) A site plan showing the library building, parking lot and access roads, as well as any anticipated future expansion of the building and parking lot. The site plan shall also indicate the direction of north.
(c) A floor plan (single line) showing, and identifying by name on the plan, the major programmed areas for the library. Each area shall show the square footage called for in the library building program and the actual square footage allocated on the plan.
(d) Two sections through the building, one longitudinal and one latitudinal.
(e) Two elevations, with one elevation being the front of the library building.
(f) Outline specifications describing the type of construction by identifying the basic building components (structural, mechanical etc.), and the type of occupancy. The architect shall reference any applicable Sections of State Statutes and State Building Codes.
(g) For the remodeling portion of the project, a floor plan which identifies the extent and limits of the remodeling.
(h) For projects which involve rehabilitation for health and safety purposes, the architect shall cite the specific Sections of State Statutes, State Building Codes or local codes which demonstrate that the existing building is in need of rehabilitation for health and safety purposes. If local codes are cited, provide a copy of any cited sections of the local code.

Remodeling of existing libraries only:

For projects which involve remodeling of existing libraries exclusively, only outline specifications with a floor plan which identifies the extent and limits of remodeling shall be submitted with the application. If the remodeling project involves rehabilitation for health and safety purposes, the architect shall cite the specific Sections of State Statutes, State Building Standards Codes or local codes which demonstrate that the existing library building is in need of rehabilitation for health and safety purposes. Provide a copy of any sections of the local code which have been cited.

FINANCIAL INFORMATION

Normal Construction Costs in the Applicant's Area:

(See Section 20418 (c))

(For projects with new construction only.)

In order to justify the eligible projected construction cost estimate for new construction, the following information is required:

The current (1990) cost of public library buildings figure of $115.20 per square foot multiplied by the following locality adjustment factor:

1) County: [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ Multiplier Factor: [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
2) Locally Adjusted Cost Per Square Foot ($/SF): [BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
($115.20 x Multiplier Factor)

This figure is increased by 1/3 percent for every month from the State Librarian's deadline for application until the anticipated bid date which provides the eligible projected construction cost per square foot estimate.

3) Number of Months: __________ x .33 =[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ % Inflation Factor
4) Locally Adjusted $/SF x Inflation Factor % =[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF

The locally adjusted cost per square foot figure added to the inflation factor cost per square foot figure (line 2 plus line 4) equals the normal public construction cost in the applicant's area:

5) Eligible projected construction $/SF:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF

The eligible projected construction cost is calculated by multiplying the eligible projected construction cost per square foot figure times the square footage of new construction:

Eligible projected construction $/SF:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
(re-enter line 5)
x
The Square Footage of New Construction:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
Equals:
6) The eligible projected construction cost:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________

If the projected construction cost estimated by the project architect is lower than the figure in line 6, the applicant shall use the lower figure as the normal public construction cost in the applicant's area.

If the optional modification below is not utilized, the eligible projected construction cost may be increased by fifteen percent to allow for a contingency at this point:

Eligible Contingency:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________
(15% of line 6)

Optional modification:

The applicant may, at its option, employ a local cost comparison approach to increase the eligible projected construction cost figure. List a minimum of three comparable public construction projects which have been bid within two years of the State Librarian's deadline for application:

ProjectDate BidContract Cost/SF
A)[BLACK RIGHT-POINTING SMALL TRIANGLE] ______________________________________________________[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
B)[BLACK RIGHT-POINTING SMALL TRIANGLE] ______________________________________________________[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
C)[BLACK RIGHT-POINTING SMALL TRIANGLE] ______________________________________________________[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
D)[BLACK RIGHT-POINTING SMALL TRIANGLE] ______________________________________________________[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
E)[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________ ___________________________[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
F)[BLACK RIGHT-POINTING SMALL TRIANGLE] ______________________________________________________[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF

Comparable public construction projects are post offices, museums, courthouses, city halls, auditoriums, community college and public libraries, senior citizens centers, public schools and recreation centers.

The costs per square foot of the above recently bid comparable projects are averaged to obtain the:

7) Locally Determined Comparable $/SF:___________________________? $/ SF
(average of A through F)

The average of this locally determined comparable cost per square foot figure (line 7) and the eligible projected construction cost per square foot figure (line 5) equals the revised eligible projected construction cost per square foot:

Locally Determined Comparable $/SF:
(reenter line 7)[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
Plus
Eligible Projected Construction $/SF:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
(reenter line 5)
Divided by 2, Equals
8) Revised Eligible Projected Construction $/SF:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF

The revised eligible projected construction cost is calculated by multiplying the eligible projected construction cost per square foot figure times the square footage of new construction:

Revised eligible projected construction $/SF:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
(reenter line 8)
x
The Square Footage of New Construction:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________/ SF
Equals
9) The revised eligible projected construction cost:[BLACK RIGHT-POINTING SMALL TRIANGLE] $___________________________

The revised eligible projected construction cost may be increased by fifteen percent to allow for a contingency:

Eligible Contingency: ___________________________? $
(15% of line 9)

Detailed Projected Construction Cost Estimate

For new construction, the architect shall provide the applicant, and the applicant shall submit with the application, a conceptual phase estimate of the projected construction costs for the proposed project. The estimate shall be organized using either A. or B. as follows, or a similar estimating format. The footnoted citations below are provided only as a reference. Applicants are not required to use the external documents footnoted by asterisks in order to comply with the cost estimate requirements.

A.*General RequirementsFinishes
Site WorkSpecialties
ConcreteEquipment
MasonryFurnishings
MetalsSpecial Conditions
Wood and PlasticsConveying Systems
Thermal and Moisture ProtectionMechanical
Doors and WindowsElectrical
B.**FoundationsConveying
SubstructuresMechanical
SuperstructuresElectrical
Exterior ClosureGeneral Conditions
RoofingSpecial
Interior ConstructionSite Work
* Construction Specifications Institute (C.S.I.) Masterformat Divisions
** R.S. Means Assemblies Cost Data Manual

For remodeling work, the architect shall provide the applicant, and the applicant shall submit with the application, a conceptual plans estimate of the projected construction costs for the proposed project. The estimate shall be organized by the three types of eligible project expenditures for remodeling work:

A. Energy Conservation
B. Access for the Disabled
C. Compliance with Current Health and Safety Requirements for Public Facilities

For remodeling work, the architect shall also provide a lump sum estimate for the remaining "general" remodeling work included in the project.

Multipurpose Cost Comparison:

(For multipurpose projects only.)

The architect shall provide the applicant, and the applicant shall submit with the application, a cost analysis comparing the budget of the multipurpose project as a whole with the budget of the library portion of the project, using the same formats as above.

Library Project Budget

(Provide for all projects. Provide for library portion only of multipurpose projects.)

LIBRARY PROJECT COSTSELIGIBLEINELIGIBLE
1)Purchase Price or Appraised Value of Building..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________NA
Construction Contract for:
2)New Construction..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
(Including additions)
Remodeling for:
3)Energy Conservation.......................... ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
4)Disabled Access.......................... ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
5)Health & Safety.......................... ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
6)General (Other).......................... N/A___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
7)Contingency..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
8)Site Development Costs..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
9)Site Demolition Costs..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
10)Fastened Shelving & Built-in Equipment..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
11)Works of Art..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
12)Furnishings..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
13)Movable Equipment..........................N/A___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
14)Geotechnical Reports..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
15)Architectural & Engineering Fees..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
16)Construction Cost Estimator Fees..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
17)Asbestos Consultant Fees..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
18)Library Consultant Fees..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
19)Interior Designer Fees..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
20)Local Project Administration Costs.......................... N/A___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
21)Other (Specify ____________________)..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
22)Other (Specify ____________________)..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
23)Subtotal $..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
(Add lines 1 through 22)
24)State Project Administration Fee..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
(1/2% of line 23 eligible costs)
25)Purchase Price of Land..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
26)Appraised Value of Land..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
(No lease or lease-purchase)
27)Credit for Architectural & Engineering (A & E) Fees..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
(Paid for prior to 2/15/88 for 1st funding cycle, and prior to 7/19/88 for 2nd funding cycle)
28)TOTAL COSTS:..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ______________________________________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
SOURCES OF PROJECT INCOME:
29)State Matching Funds..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
(65% of line 28 eligible costs)
30)Local Matching Funds..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________N/A
(35% of line 28 eligible costs)
31) City..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
32)County.......................... ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
33)Special District.......................... ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
34)Private.......................... ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
35) Other (Specify:_________________________)..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
36)Local Credits (Land, A&E Fees and Furnishings)..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
(Enter total of figures on lines 25 through 27 and only furnishings from line 12 which have already been acquired prior to the State Librarian's deadline for application)
(No credit for land which will be acquired)
(The addition of lines 31 through 36 must equal line 30)
37)Adjusted Local Match..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
(Line 30 minus line 36)
38)Supplemental Local Funds..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
(The same as line 28 ineligible)
39)TOTAL PROJECT INCOME:..........................___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] $ ___________________________
(Add lines 29, 30 and 38)

Local Funding Commitment:

Provide the necessary resolution by the governing body of the applicant required to support the application.

(See Section 20416 (a))

SIGNATURES

The parties below attest to and certify the accuracy and truthfulness of the application for California Library Construction and Renovation Bond Act funds. If the application is successful, the application agrees to execute the project on the basis of the application data provided herein.

LIBRARY DIRECTOR

I hereby affirm that the library jurisdiction, for which I am the administrative agent, approves of the application and will operate the facility as a library after its completion.

[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
SignatureDate
[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
Name (Type)Title (Type)

HEAD OF PLANNING DEPARTMENT

(If applicable - Special Districts exempt)

I hereby certify the accuracy of the 1990 and 2010 population figures contained in the application for the jurisdiction which I represent.

[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
SignatureDate
[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
Name (Type)Title (Type)

ELECTED OFFICIAL

Signature of Mayor, Chairperson of Board of Supervisors, or Head of District, authorized to make application for the local jurisdiction

[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
SignatureDate
[BLACK RIGHT-POINTING SMALL TRIANGLE]___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
Name (Type)Title (Type)

JPA projects only.

(If application is by a JPA applicant, provide the elected official and head of planning of the second party.)

ELECTED OFFICIAL

Signature of Mayor, Chairperson of Board of Supervisors, or Head of District, authorized to make application for the local jurisdiction

[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
SignatureDate
[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
Name (Type)Title (Type)

HEAD OF PLANNING DEPARTMENT

(If applicable - Special Districts exempt)

I hereby certify the accuracy of the 1990 and 2010 population figures contained in the application for the jurisdiction which I represent.

[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
SignatureDate
[BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________ [BLACK RIGHT-POINTING SMALL TRIANGLE] ___________________________
Name (Type)Title (Type)

OUTLINE OF REQUIREMENTS FOR A LIBRARY BUILDING PROGRAM: APPENDIX 3

(To Section 20410 (k) & Section 20420 (c) via application form)

Table of Contents

Overview and Introduction

Provide a general introduction to the project with an overview of the need for the project along with a time schedule for the project. Discuss the relationship of the library building program to the architectural design process, as well as the roles of the library building team members.

Community Analysis

Provide an in-depth understanding of the particular community by describing and analyzing all relevant factors which will have an effect upon the library's roles and plan of service.

Governmental Agencies

Identify all governmental agencies which will have an influence on the planning of the new facility and describe the nature of the relationship. Identify key individuals and define their roles in the project.

Location

Provide general information locating the projected within the library service area and local jurisdiction. An area map showing the location of the proposed project site shall be included, if a site has been identified. Further site analysis is optional.

Demography

Provide information about the size, projected growth and demographic characteristics of the population within the library service area. This information shall include, but not be limited to, the composition of the population by age, race, ethnicity, education and other socio-economic factors. This information shall be analyzed and compared to the norm of larger populations such as the special district, city, county, state and nation. This data shall be used in developing the library's plan of service to its community.

Library Institutional Analysis

Describe the mission of the public library and the library plan of service providing any information which will be necessary to determine the allocation of space for the proposed library building in terms of collections, reader's seats, staff workstations, special purpose units and meeting room space.

History of the Library

Provide a brief history of the development of the library.

Library Plan of Service

Define any applicable roles of the proposed public library and describe any specific goals and objectives for library service to the community. Provide a detailed analysis of the types of services to be offered as well as how the plan will be implemented in the proposed facility. Provide any applicable use statistics, service standards or guidelines. Provide a citation and brief description if there is a jurisdiction-wide plan of service that has been officially adopted. Provide a citation and summary analysis if there is a user survey to support the library's plan of service.

Library Collections

Describe the current status of the library collections and project the capacity of future holdings for the proposed facility. Discuss collection development and provide justification for the size and types of collections based on demographics, previous as well as anticipated purchasing patterns, verifiable library use statistics, and any applicable standards or guidelines. Provide a summary of all project collections to be housed in the library, as well as the conversation factors used to calculate the required shelving units to store the holdings.

Readers' Seats

Describe the number, type and allocation of the patron seating needed to meet the requirements of the proposed facility. Identify any standards utilized in determining the amount of seating as well as any applicable conversion factors use to calculate the square footage needed to house the various types of seating.

Special Purpose Units/Spaces

Identify and describe the various kinds of special purpose units (CD-ROM readers, microform readers, photocopy machines etc.) which will be required in order to support the operation of the proposed facility. Describe the significance of this equipment in meeting the challenge of changing concepts in public library service. Provide an allocation of the units as well as any applicable conversion factors used to calculate the square footage needed to house the special purpose units.

Staff Workstations

Describe the projected staff organization and provide any applicable standards used in determining the size of the projected staff. Provide the resulting number of staff workstations (public, office and workroom) needed to provide the desired service level in the proposed facility, and indicate the proposed allocation of staff workstations. Provide conversion factors used to calculate the square footage needed to house the various types of staff workstations.

Meeting Room Requirements

Describe the number and capacity of meeting rooms for the proposed library. Indicate how this space supports the library's plan of service and provide an allocation of the space. Provide conversion factors used to calculate the square footage needed for the various types of meeting room seats.

Facility Space Analysis

Summary of Facility Space Requirements

Provide a summary page(s) of the various spaces in the proposed library showing the name of the spaces with the respective square footage, collections and reader's seats required.

Spatial Relationships

Describe the relationships of the various spaces in the proposed library either through the use of narrative, a spatial diagram or a matrix.

Space Descriptions

Provide a description of each individual space as well as a general narrative for the whole library which addresses, as appropriate, the following items:

Square footage, occupancy by staff and patrons, type and size of collections, functional activity description, spatial relationships, flexibility, expandability, staff efficiency, energy efficiency, fenestration, space finishes, building materials, access for the disabled, acoustics, environmental conditions (HVAC), electrical power supply, illumination, communications, computer applications, security systems, signs, audio-visual aspects, visual supervision and layout of furniture and equipment.

Financial Analysis

Provide a preliminary capital outlay project budget for the proposed facility with cost justifications.

Cal. Code Regs. Tit. 5, § 20426

1. New section filed 10-31-90; operative 10-31-90 (Register 90, No. 50).

Note: Authority cited: Section 19960, Education Code. Reference: Sections 19961, 19965, and 19966 Education Code.

1. New section filed 10-31-90; operative 10-31-90 (Register 90, No. 50)