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