HomeMy WebLinkAboutPE 2.85.13; JEFFERSON STREET; Engineering Application1
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PE NO. -2• 6'5. /3 Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Company
59 Jefferson St., Carlsbad,CA 92008
Legal Description Map No. Surety Address
(Attached) A.P.N. 155-170-23
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SubJn Name
'-fa )_ ___ -- Ii- (
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Date pled / Rec'd by
Owner Phone Csh deptsit Rec'd by Date,.filed
Charles Elsbree & Robert Lewis 436-9724 $
Owner's Address The following documents are required and shal4ece a part
P. 0. Box 142, Carlsbad, CA 92008 of the ,grading permit when they ar
,
7roved.
Plans by Civil Engineer R.C.E.
Joseph K. Lukoski -27542 Grading plans Specifications
Soil report Geologic Report Address Phone
P. o. Box 1733, Carlsbad, CA 729-4340 Drainage structures ____ Other
Compaction report Soil Engineer R.C.E. Phone
So.. Calif Soils 52ting 280-4321 Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
Ni-on Tract-or 758-5000 A PART OF THIS PERMIT
Address Authorized hours of operation:
P 0. Box 550, Vi ta, ('A 7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
Haul routes are to be approved by City Engineer. California Builders Proposed use of grade site
Adequate provisions shall be made for erosion and siltation 12 Unit Apartment complex. Number of cubic yards control.
Cut Fill Import Waste
All slopes shall be planted per City Code. I I
—0— 100
Proposed Schedule of Start Finish
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All fills to be compacted to at least 90% of optimum
Operations (dates) 4/15/85 0 4 /22/85 density unless noted otherwise.
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with
all City ordinances and State laws regulating excavating and grading, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to 0 REGULAR GRADING - City inspector will make inspections this application ed below.
e"CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee ___________________________________________ observe work, coordinate tests, make reports.
Owner or authorized age INSPECTION DATE INSP. SIGNATURE
1nlliaL-si.te prep. ?e_ q ENVIRONMENTAL CLEARANCE
Date 3/13/3~'
EIA Log No. —
_______________
Rough. prior to drains
-A-1 W Final - slopes planted J cii ti/i-il 1.4 By —A
Compaction reports rec'd. Grading permit fee $ Plan check fee $2DJ
Private engr. cert. rec'd. Perm QIs Asd -
e ____________________________ uy /7,' 'LJ' Lid t
Permit
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ories: White-Office; Green-Building
Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
CID 7A-4479e~ W4i £v bz e/6 —dL
CI TY OF CAR L SB AD / 3
ENGINEERING. DEPARTMENT
FEES AND DEPOSITS WORKSHEET
I P.REPARED BY: P 0 - 2 75 PROJECT NAME - DATE
TENTATIVE PARCEL MAP FEE .
MAP FEE ( LOTS)(PARCEL MAP/FINAL MAP NO OF LOTS (EXPEDITED/NOT EXPEDITED)
PARCEL MAP EXTENSION FEE
IMPROVEMENT PLAN CHECK FEE: - •. :-
DEPOSIT WITH SUBMITTAL RECEIPT NO
JjP OyjfJj CPTJ.Q1I BONDED VA LUE,
Thvt 214-9 2O52 °
-
00 ov (A4 A) TOTAL X =
_ PERCENTAGE
IMPROVEMENT INSPECTION FEE: • .5 .5 .5 ••
ITEM - VALUE S
7u 154-4 2oZ
TOTAL X 51 = 2 so,')
PERCENTAGE
PARK-IN-LIEU FEE (CIRCLE ONE)
DWELLING TYPE SF OR DUPLEX MF(<LL UNITS) W,(> 4 UNITS.) MH
AREA: 1234 . • 'S
NUMBER OF UNITS: X AREA FEE/UNIT
STREET LIGHT ENERGIZING (
5,800 LUMEN AT 81 00
9,500 LUMEN AT 111.06
16 ,000 LUMEN AT 152.1O=
20,000 LUMEN AT 169.38 = ________________ S •S
TOTAL: =
GRADING PLAN CHECK FEE DEPOSIT S RECEIPT NO.
(EXPEDITED/NOT EXPEDITED)
GRADING PLAN CHECK FEE C / 7O CUBIC YARDS) . So -
GRADING CASH DEPOSIT
DUPLICATE TRACING FEE
STREET SIGN DEPOSIT
S S _____________ AT
AT
AT
TOTAL: •. _________________
STREET STRIPING DEOSi1 .. ... . . . . . . .. ... . . . • ........:
FROWT LINE OR AREA FEES (TYPE _____•_) . . . . . . . ... ... . . ..
DRAINAGE AREA FEE (AREA NO. .. .. •. . . . ....... ...
TOTAL ACRES:--X AREA FEE
LESS VALUE CF MASTER DRAINAGE IMPROVEMENTS
AS NOIED IN MASTER DRAINAGE PLAIt DOCUMENTS
MJLTIPI.ID BY CURRENT INFLATION FACTOR. • S.
LINE VALUE X FACTOR = AMOUNT
X ___ = • . S
______ X
S • •
S x'L'••
TOTAL
DRAINAGE FEE DUE
ADDITIONAL FEES
TYPE
TYPE
TOTAL FEES AND DEPOSITS
(IN ADDITION, A GRADING PERMIT FEE OF
IS DUE UPON ISSUANCE OF THE GRADING PERMIT.)-