HomeMy WebLinkAboutMS 2017-0004; SUMMIT SENIOR; Engineering Application(City of
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APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Gfl'q- OU oS
I PERMIT NUMBER:
Project Name: SUMMIT SENIOR Project Number: MS 2017-0004
Project Location: SUMMIT SENIOR Drawing Number: 516-7A
Assessor Parcel Number(s): 209-060-56-000 & 209-060-57-000
Project Description: SENIOR LIVING HOME
Owner: STEADFAST CARLSBAD SENIOR, LLC
Address: 18100 VON KARMAN AVE. / Suite: 500
City: IR INE State: CA Zip: 92612
Phone Number: 949-852- N I Fax Number:
I certify that I am the legal own of is roperty and I authorize the grading associated with this permit.
OWNER SIGNATURE: T DATE: f2..110\
Civil Engineer: RICK ENGINEE I NA CO.
Address: 5620 FRIARS RhJ Suite:
City: SAN DIEGO State: CA Zip: 92110
Phone Number: 619-291-0707 Fax Number: 619-291-4165
Soils Engineer: ADVANCED GEOTECHNICAL SOLUTIONS, INC
Address: 485 CORPORATE DR. Suite: B
City: ESCONDIDIO State: CA Zip: 92110
Phone Number: 714-786-5661 Fax Number:
Grading Contractor: r.J PtOK 'f I lJ''{?4('47j State License No.: S1 t0 43
City Business License No.: &JS t2_7
cc
Address: 1 9-7 ç ZPJ ) 51 Suite:
City: (Z.Agp,J State: Zip: 92..o2.
Grading Quantities: cut Z, '37-;Z> cy fill (0 0 cy import cy
remedial 0 A cy export 21,9 2-0 cy
Qualified contact person trained in NPDES requirements:
Phone Number:
Basis of Permit Fees: 23, 0* 0 cy Total Permit Fees: $ 3 q
Verified By: C Balance Due: $
I hereby acknowledge that I have read the application and information provided is correct. I agree to comply with all
federal, state, and city laws, ordinances, regulations and policies relating to excavation and grading including, but not
limited to, the Federal Endangered Species Act of 1973 and any amendments thereto. I will also comply with OSHA
Permit requirements for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to
this application.
Applicant Name: KEVIN SHIRATA
Address: 18100 VON KARMAN Suite: 500
City: IRVINE State: CA Zip: 92612
Phone Number: (949) 518-2166 .
Fax Number:
APPLICANT'S SIGNATURE: 1-Q DATE:
E-24 Page 1 of 1 REV 07/14
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Cailsbad
1-1 C866258149E
APPLICATION S
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information. Write N/A when not applicable.
Project Name:Steadfast Residential Care Facility - Date:May 20, 2019
Project Description: Construction of anew 84,491 SF 104 Unit Care Facility with Memory Care
Project Address: 5592 El Camino Real, Carlsbad, CA 92008
Lot No(s).: Map No.:MAP 2019-0002 APN(s):209-060-56-00 & 209-060-57-00
Number of Lots: Number of Acres:3.44 Acres Miles of Trails:________________________
Owner: Dinesh Davar do Steadfast Carlsbad Senior, LLC Applicant: William H. Sell Jr.
Mailing Address: 18100 Von Karman, Suite 500 Mailing Address: 245 Fischer Ave, Suite B-2
Irvine, CA 92612 Costa Mesa, CA 92626
Phone Number: (949) 623-7709 Phone Number: (714) 557-2448
Fax Number: Fax Number:
E-mail: dinesh.davar@steadfastco.com E-mail: rbsellioaoc.com
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
91 ('OV~Wvl_ 5"20"2019 I 1:30 Signature: Date: igure. Date:
3CE4OU74C04O...
Civil Engineer: Michael E. While Soils Engineer: Andres Bemt
Firm: Rick Engineering Firm: Advanced Geotechnical Solutions, Inc
Mailing Address: 5620 Friars Road Mailing Address: 485 Corporate Drive, Suite B
San Diego, CA 92110 Escondido, CA 92029
Phone Number: (619) 688-1486 Phone Number: (619) 867-0487
Fax Number: Fax Number:
E-mail: mwhile@rickengineering.com E-mail: andres.bernaladv-geosolutions.com
State Registration Number: 49865 State Registration Number: 2715
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
FI Carlsbad Municipal Water District 0 Olivenhain 0 Vallecitos
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)? $
GRADING QUANTITIES
cut cy fill cy remedial cy import _______ cy export _______ cy
E-23 Page 1 of 2 REV 07/14
4,
Docusiqn Envelope ID: 435493C6-F648-4875-B751-1 C866258149E
APPLICATION
ENGINEERING
.1är1 sh ad PLANCHECK
Develooment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Comnlete all annronriate information. Write NIA when not annlicabI.
APPLICATION FOR
(check all that apply)
OR CITY USE ONLY
Project
I.D.
_________ Drawing
Number
Deposit /Fees
Paid
Comments
El Adjustment Plat (ADJ)
El Certificate of Compliance (CE)
El Dedication of Easement (PR)
Type:
Type:
______ __________ _____________
Encroachment Permit (PR) t'W!7 oOc-/ aLëi
Final Map (FM)
El Grading Plancheck (DWG)
El Improvement Plancheck (DWG)
El Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:
El Reversion to Acreage (RA)
El Street Vacation (STV)
El Tentative Parcel Map (MS)
O Certificate of Correction (CCOR)
O Covenant of Easement (PR)
O Substantial Conformance
Exhibit (SCE)
O Trails El <mile El > mile 4
0 Other /1
APPLICATION ACCEPTED BY: DATE STAMP RU4 AM
SEPO4 2019
LAND DEVELOPMENT
ENGINEERING
E-23 Page 2 of 2 REV 07/14
I...
Cityof Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Docu
Complete all appropriate information. Write N/A when not applicable.
Project Name:CARLSBAD SENIOR HOUSING Date:____________________________
Project Description: 24 HOUR RESIDENTIAL CARE FACILITY FOR THE ELDERLY
Project Address: 5592 EL CAM INO REAL CARLSBAD, CA 92008
Lot No(s).: STEADFAST CARLSBAD Map No.:STEADFAST CARLSBADAPN(s): STEADFAST CARLSBAD
Number of Lots: 1 Number of Acres:1 Miles of Trails: N/A
Owner: STEADFAST CARLSBAD SENIOR, LLC Applicant: JAMESPALDA
Mailing Address: 18100VONKARMANAVE. Mailing Address: 18100 VON KARMAN AVE.
SUITE500IRVINE,CA92612 SUITE500IRVINE,CA92612
Phone Number: 949-623-7709 Phone Number: 949-623-7709
Fax Number: 9497778209 Fax Number: 949-777-8209
E-mail: DINEsH.DAvAR@STEADFASTCOCOM E-mail: JAMES.PALDA@STEADFASTCO.00M
I certify that I am the legal owner and that all the above by
information ciairect to the best of my knowledge. (_00c1ed
Signature:b _Date:2/14/2019I5:4 Eriga n?ue: _Date:2/14/2019I1;
93CE40AA74C048D..
Civil Engineer: MIKEWHILE Soils Engineer: ANDRESBERNAL
Firm: RICKENGINEERING Firm: ADVANCEDGEOTECHNICAL SOLUTIONS
Mailing Address: 5620 FRIARS RD. Mailing Address: 485CORPORATEDR.SUITEB
SANDIEGO,CA92110 ESCONDIDO,CA92029
Phone Number: 619-291-0707 Phone Number: 619-867-0487
Fax Number: 619-291-4165 Fax Number: 714-409-3287
E-mail: MWHILE@RICKENGINERING.COM E-mail: ANDRES.BERNAL@ADVGEOSOLUTIONS.00M
StateRegistrationNumber:49865 StateRegistrationNumber:2715
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
El Carlsbad Municipal Water District El Olivenhain E Vallecitos
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)? $
GRADING QUANTITIES
cut 23000 cy fill 600 cy remedial cy import cy export 22400 cy
E-23 Page 1 of 2 REV 07/14
08
DocuSicin Envelope ID: 18
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
mnIt II nnrnnrfe infnrmtinn Write N/A when not annlicable.
APPLICATION FOR
(check all that apply)
__________ _________
FOR CITY USE ONLY
___________ Project
I.D.
Drawing
Number
Comments
Li Adjustment Plat (ADJ)
LI Certificate of Compliance (CE)
Li Dedication of Easement (PR)
Type:
Type:
LI Encroachment Permit (PR)
Li Final Map. (FM)
Grading Plancheck (DWG)
E1 Improvement Plancheck (DWG)
1 Parcel Map (PM) .
Li Quitclaim of Easement (PR)
Type:
Li Reversion to Acreage (RA)
Li Street Vacation (STV)
Li Tentative Parcel Map (MS)
Li Certificate of Correction (CCOR)
Li Covenant of Easement (PR)
Li Substantial Conformance
Exhibit (SCE)
Li Trails Li <mile Li > mile
Li Other
APPLICATION ACCEPTED BY: • DATE STAMP
AIPLII&A1ONRECEIVED
ED
FEB 19 2019
LAND DEVELOPMENT
ENGINEERING
E-23 Page 2 of 2 REV 07/14
. Chicago Title Company
Builders Services Division
2365 Northside Drive, Suite 600, San Diego, CA 92108 (619) 521-3400
PARCEL MAP GUARANTEE
Order No: 00107843-996-SDI Fee: $0.00
Dated as of: August 8, 2019 at 7:30 am Parcel Map No: City of Carlsbad M.S. 2017-
0004
CHICAGO TITLE INSURANCE COMPANY
a corporation, herein called the Company
110131-mmXV
The County of San Diego and any City within which said subdivision is located in a sum not exceeding
$1000.00 that, according to those public records which, under the recording law, impart constructive
notice of matters affecting the title to the land included within the exterior boundary shown on the map of
the above referenced subdivision, the only parties having any record title interest in said land whose
signatures are necessary, under the requirements of the Subdivision Map Act, on the certificates
consenting to the recordation of said map and offering for dedication any streets, roads, avenues, and
other easements offered for dedication by said map are set forth in Schedule A.
CHICAGO TITLE INSURANCE COMPANY
Issuing Office:
2365 Northside Drive, Suite 500
San Diego, CA 92108
(619) 521-3400
(619) 521-3605 Fax
President
Secretary
-JUfUY
Authorized Signature
CLTA Guarantee Form No. 23
Parcel Map Guarantee (10-26-95)
Page 1
Order No.: 00107843-996-SDI
SCHEDULE A
The map hereinbefore referred to is a subdivision of:
SEE ATTACHED DESCRIPTION
The parties hereinbefore referred to are:
OWNERS:
STEADFAST CARLSBAD SENIOR, LLC, a Delaware limited liability company
TRUST DEED HOLDERS:
NONE
END OF SCHEDULE A
CLTA Guarantee Form No. 23
Parcel Map Guarantee (10-26-95)
Page 2
Order No.: 00107843-996-SDI
LEGAL DESCRIPTION
PARCEL I:
ALL THAT PORTION OF LOT "B' OF RANCHO AGUA HEDIONDA, IN THE CITY OF CARLSBAD,
COUNTY OF SAN DIEGO, STATE OF CALIFORNIA ACCORDING TO MAP NO. 823, FILED IN THE
OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, NOVEMBER 16, 1896, DESCRIBED AS
FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID LOT "B", AS SHOWN ON MAP OF RECORD OF
SURVEY NO. 517, RECORDS OF SAN DIEGO COUNTY; THENCE SOUTH 0o06 EAST ALONG THE WEST
LINE OF SAID LOT, AS SHOWN ON THE AFORESAID MAP, 1093.5 FEET; THENCE SOUTH 87° 45' EAST,
1133.0 FEET; THENCE SOUTH 13° 12' WEST, 550.0 FEET; THENCE SOUTH 81° 53' EAST, 2214.4 FEET;
THENCE SOUTH 90 35' WEST, 1003.3 FEET; THENCE NORTH 65° 45' WEST, 646.0 FEET; THENCE NORTH
780 32' WEST, 369.0 FEET; THENCE SOUTH 22° 37' WEST, 1236.8 FEET TO A POINT ON THE
SOUTHWESTERLY LINE OF SAID LOT "B", BEING ALSO THE CENTER LINE OF THE COUNTY ROAD
KNOWN AS A-13, AND SHOWN ON THE MAP THEREOF ON FILE IN THE OFFICE OF THE COUNTY
SURVEYOR OF SAID SAN DIEGO COUNTY; THENCE ALONG SAID SOUTHWESTERLY LINE OF SAID
LOT AND SAID CENTER LINE OF SAID ROAD, SOUTH 770 30' EAST, 888.8 FEET; SOUTH 520 56' EAST,
514.0 FEET; AND SOUTH 800 12' EAST 660.0 FEET; THENCE SOUTH 800 12' EAST ALONG THE
EASTERLY PROLONGATION OF SAID CENTER LINE, 7.6 FEET TO THE TRUE POINT OF
BEGINNING; THENCE NORTH 20° 31' 30" EAST, 370.03 FEET; THENCE NORTH 40° 28'30" WEST, 238.78
FEET; THENCE SOUTH 20° 31' 30" WEST, 525.34 FEET TO THE AFOREMENTIONED CENTER LINE OF
COUNTY ROAD A-] 3; THENCE SOUTH 80° 12' EAST ALONG SAID CENTER LINE AND THE EASTERLY
PROLONGATION THEREOF, 212.55 FEET TO THE TRUE POINT OF BEGINNING.
PARCEL 2:
THAT PORTION OF LOT "B" OF RANCHO AGUA HEDIONDA, IN THE CITY OF CARLSBAD, COUNTY
OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO MAP THEREOF NO. 823, FILED IN THE
OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY, NOVEMBER 16, 1896, DESCRIBED AS
FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID LOT "B" AS SHOWN ON RECORD OF SURVEY
MAP NO. 517, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO COUNTY,
OCTOBER 23,1935; THENCE ALONG THE WEST LINE OF SAID LOT "B" AS SHOWN ON SAID RECORD
OF SURVEY MAP NO. 517, SOUTH 000 06'00" EAST, 1093.50 FEET; THENCE SOUTH 87° 45' 00" EAST,
1133.00 FEET; THENCE SOUTH 13° 12' 00" WEST, 550.00 FEET; THENCE SOUTH 81° 53' 00" EAST,
2214.40 FEET; THENCE SOUTH 09° 35' 00" WEST, 1003.30 FEET; THENCE NORTH 65° 45' 00" WEST,
646.00 FEET; THENCE NORTH 78° 32'00" WEST, 369.00 FEET; THENCE SOUTH 22° 37' 00" WEST, 1236.80
FEET TO THE CENTER LINE OF COUNTY ROAD A-13 AS SHOWN ON SAID RECORD OF SURVEY MAP
NO. 517; THENCE ALONG SAID CENTER LINE AS FOLLOWS: SOUTH 77° 30'00" EAST, 888.80 FEET;
SOUTH 520 56' 00" EAST, 514.00 FEET; AND SOUTH 800 12' 00" EAST, 455.05 FEET TO THE MOST
WESTERLY CORNER OF LAND DESCRIBED IN DEED TO STEVEN GREGORY, ET. UX., RECORDED
DECEMBER 4, 1956 IN BOOK 6367, PAGE 25 OFFICIAL RECORDS, BEING THE TRUE POINT OF
BEGINNING; THENCE ALONG THE NORTHWESTERLY BOUNDARY OF SAID GREGORY'S LAND,
NORTH 200 31' 30" EAST, 525.34 FEET TO THE MOST NORTHERLY CORNER OF SAID LAND; THENCE
ALONG THE NORTHWESTERLY PROLONGATION OF THE NORTHEASTERLY LINE OF SAID
GREGORY'S LAND, NORTH 400 28' 30" WEST TO THE INTERSECTION OF A LINE BEING PARALLEL
WITH AND DISTANT 100.00 FEET NORTHWESTERLY OF THE NORTHWESTERLY LINE OF SAID
GREGORY'S LAND; THENCE SOUTH 20° 31' 30" WEST ALONG SAID PARALLEL LINE TO THE CENTER
LINE OF SAID COUNTY ROAD A-13; THENCE ALONG SAID CENTER LINE SOUTH 800 12'00" EAST TO
THE TRUE POINT OF BEGINNING.
END OF LEGAL DESCRIPTION
CLTA Guarantee Form No. 23
Parcel Map Guarantee (10.26-95)
Page 3
S S
Order No.: 00107843-996-SDI
(continued)
CLTA Guarantee Form No. 23
Parcel Map Guarantee (10-26-95)
Page 4