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HomeMy WebLinkAboutCUP 08-19; BRESSI RANCH ASSISTED LIVING FACILITY; Engineering ApplicationCITY OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information. Write N/ A when not applicable. PROJECT NAME: Rressi Ranch Assisted Living F^cilitv DATE: 7'M'rf PROJECT DESCRIPTION. ^ a2-Bedr 36r865 sf single f^rv. facility over a 2.454 sf tacganiOTit- iir-im-y anp«; with Rfwfflfje parK''ng f^T" srS?ff and visitors. PROJECT ADDRESS: fiw Nyg^rrf Str^r LOTNO(S).: 2 MAP NO.: 14800 APN(S).: 213-190-02 NUMBER OF LOTS: 1 NUMBER OF ACRES: 2.5 MILES OF TRAILS: • nvA/MPD- A/ K>tc-f-?>l tret-viver, e^~t^OWNER: % fi^n-h Qij-p Group' Mailing Address: 9619 (^esnpRaJ^ Dr., 103 San Dif>on. CA 92123 Phone Number: 858-565-4424 Fax Number: 858-565-1508 E-Mail: hRYinPhfiflltN^npgrp. r^fii I certify that I am the legal owner and that all the above information is true and corract to the best of my knowledge. Signature: 73$yjlr~^ry Date:f/W? CIVIL ENGINEER: ^^^ c^r^ynf^ FIRM: Nafflflnii Engineering Mailing Address: 4740 Ruf fner street San Diego,. CA 92111 Phone Number: 858-292 7770 Fax Number: a«M_ 571 -3241 E-Mail: ^phhan^«?land.C3an State Registration Number: 25593 ADDITIONAL COMMENTS: APPLICANT: Health Care Group Mailing Address: 961 9 Chesapeake Dr. , 103 San Diego, CA 92123 Phone Number: 858-565-4424 Fax Number. 858-565-1508 E"Mail: fcevin@healthcarecpn3.cxMi Signature: T£Qrfp~~*^r)r Date: fy0'0J SOILS ENGINEER: Qjrtis J/ Burdett FIRM: Christian Wheeler Enoineering Mailing Address: 3980 ^y^ Avenue San Dieqo. CA 92105 Phone Number: 619-550-1700 Fax Number: 61 9.550-! 701 E-Mail: State Registration Number: -j QQQ IMPROVEMENT VALUATION l. What water district is the proposed project located in? (check one) VjCarlsbad Municipal Water District noiivenhain f~]Vallecitos 2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements^ (if applicable)? $ 4~&/?£~ GRADING QUANTITIES cut 6, 600 cv fill 6, 600 cy remedial - cy import - cy export - cy SEE REVERSE SIDE HI/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 05/01/07 GV* OF CARLSBAD - ENGINEERING DEPAkwtfENT APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information. Write N/A when not applicable. APPLICATION FOR ( s all that apply) p Adjustment Plat (ADJ) Q Certificate of Compliance (CE) p Dedication of Easement (PR) Type: Type: Type: n Encroachment Permit (PR) p Final Map (FM) [x] Grading Plancheck (DWG) p Improvement Plancheck (DWG) P Parcel Map (PM) p Quitclaim of Easement (PR) Type: Type: Type: n Reversion to Acreage (RA) p Street Vacation (STV) p Tentative Parcel Map (MS) n Certificate of Correction (CCOR) P Covenant of Easement (PR) P Substantial Conformance Exhibit (SCE) p Trails rj<mile p> mile p Other PROJECT I.D. M 03^9 DRAWING NUMBER %&3f- FOR CltY DEPOSIT/FEES PAID - ^,1)72, USE ONLY COMMENTS C\j^ ^^^'^ r\ "f ' APPLICATION, ACCE BY: SEP 14 2009 ENGINEERING DEPARTMENT DATE STAMP APPLICATON RECEIVED H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2 Revised 05/01/07 Storm Water Compliance Form For a Tier 2 Construction SWPPP I am applying to the City of Carlsbad for one or more the following type of construction permit(s): t Grading Permit | Building Permit t Right-of-Way Permit My project does not meet any of the following criteria for a project that poses a significant threat to storm water quality: s My project does not include clearing, grading or other ground disturbances resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas; and, s My project is not part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas; and, S My project is not located inside or within 200 feet of an environmentally sensitive area and will not have a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). My project requires preparation and approval of a Tier 2 Construction Storm Water Pollution Prevention Plan (SWPPP) because my project meets one or more of the following criteria demonstrating that the project potentially poses a moderate threat to storm water quality: 21 My project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); and/or, Q My Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and, my project meets one or more of the following additional criteria: • Project is located within 200 feet of an environmentally sensitive area or the Pacific Ocean; • Project's disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; • Project's disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or • Project will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 2 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST ADHERE TO, AND AT ALL TIMES, COMPLY WITH THE CITY APPROVED TIER 2 CONSTRUCTION SWPPP THROUGHTOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. Owner/Owner's Authorized Agent Information and Signature Box This Box for City Use Only City Concurrence: Yes No By: Date: Project ID: Construction SWPPP Standards and Requirements 3/24/2008