HomeMy WebLinkAboutPE 2.85.33; CARR RESIDENCE; Engineering ApplicationApplication for Grading Permit
1101
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. c
Validation by Finance
Department
Building Permit Plan Check No
FOR APPLICANT TO FILL IN IIUbi559
Site Adc1
4611462 Ve,qo Si.
St4y-mPfly —
ñi,v4-& $.e1..' I9/2'
Legal Description Map No. SDry Adthus-
223-25—b I 07
Subdivision Name Date Filed / Rec'd by
tc?IC'5 p 4/14/
Owner Phone - Cash dep Rec'd by / Date *led
Owner's Address
L1 cr1.1ccA
The following documents are required andshall become a part
725 MaSto of the grading permit when they are approvd.
Plans by Civil Engineer R.C.E. 1/1. 420AI Grading plans Specifications
_____ Soil report Geologic Report v" Drainage structures ______ Other Address Phone
V' Compaction report Soil Engineer R.C.E. Phone
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
Terrys' 1kr A PART OF THIS PERMIT
Address 1
(1.44 1. Authorized hours of operation:
' 7:00 AM to Sunset, Monday- Friday.
=6eryParty responsible
2. Haul routes are to be approved by City Engineer. Proposed use of grade site
Adequate provisions shall be made for erosion and siltation
control.
SFA
Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
I5roposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) /i/t fr it/v. density unless noted otherwise.
I hereby acknowledge that I have read the application and state that
.__l _..__r_..
the information I have provided is correct and agree to comply with
_. e'&_._ l_..._ regulating all City OWlfldflCS d1U tdt IdWS 1YUIdLIF1 XdVdtII1 dilU yrauplig, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to LI REGULAR GRADING - City inspector will make inspections
this application. jed below.
"CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
Owner or authorized agent cIJlII.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep. ~//?,o . A ENVIRONMENTAL CLEARANCE- Date
_______________
Rough - prior to drains
ElALogNo. J4A
By f/o4.1.#t4..f__na
- 7f/7
Grading permit fee $ Plan check fee $ Compaction reports rec'd.
Permit Is ue
________________________________ Date
Private engr. cert. rec'd.
White-Office; Green-Building by
Permit ExViration Date 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
PIE
FEE: $175.00
RECEIPT NO: -
ENVIRONMENTAL IMPACT ASSESSMENT FORM - Part I
(To Be Completed by APPLICANT)
CASE NO:
DATE:
Applicant: David Carr
Address of Applicant: 7325 Nuslo Lane
Carlsbad, CA 92008
Phone Number: (619) 436-5798 H 438-9136 W
Name, address and phone number of person to be contacted (if other than
Applicant):
GENERAL INFORMATION:
Description of Project: Grading.for 6mi1y res-idenee *
Proje.t Location/Address:. Venado St. Lots 461 & 462 La Costa Vale fln
Assessor Parcel Number: .223 .- 250 - 08 & 09
Zone of Subject Property: R1
Proposed Use of Site: Single Family Residence
List all other applicable applications related to this project:
Grading -plan
-
Environmental Impact Assessments for grading permits must be accompanied
with a gradinq plan and grading profile.
•
Describe the activity area, including distiguishing.natu
r
a
l
a
n
d
m
a
n
-
made characteristics; also. provide precise slope analysis
w
h
e
n
appropriate. . .
.
Describe energy conservation measures incorporated into, th
e
d
e
s
i
g
n
and/or operation of the project,
'4. If residential, include the number of units, Sche
d
u
l
e
o
f
u
n
i
t
s
i
z
e
s
,
range of sale prices or rents, and type of household Si
z
e
e
x
p
e
c
t
e
d
.
One unit approx. 3500 square feet, household size- 5.
If commercial, indicate the type, whether neighborhood, c
i
t
y
o
r
regionally oriented, square 'footage of sales .area, and
l
o
a
d
i
n
g
facilities.
N/A •
•
If industrial, indicate type., estimated 'employment per s
h
i
f
t
,
.
a
n
d
.
loading facilities. ' . • • •
• N/A , •
' ••
7. If institutional, indicate the major function, estimat
e
d
e
m
p
l
o
y
m
e
n
t
p
e
r
shift, estimated occupancy, loading facilities, and com
m
u
n
i
t
y
b
e
n
e
f
i
t
s
to be derived from the project.
N/A . • • •
•
• -2- •
. . I. ENVIRONMENTAL IMPACT ANALYSIS 3
Answer the following questions by placing a check in the appropriate
space. (Discuss all items checked "yes". Attach additional sheets as
neóessary.)
YES NO
Could the project significantly change present
land uses in the vicinity of the activity?
Could the activity affect the use of a recreational
area, or area of important aesthetic value?
Could the activity affect the functioning of an
established community or neighborhood?
Could the activity result in the displacement of
community residents?
Could the activity increase the number of low and .
modest cost housing units in the city? Vel _
Could the activity decrease the number of low and
modest cost housing units in the city?
Are any of the natural or man-made features in the
activity area unique, that is, not found in other
parts. of the county, state,or nation?
Couidthe activity significantly affect an
histórióalör,:.archaeological site or its settings?.
Could the activity significantly affect the
potential use,. extraction, or conservation of a.
scarce natural resource?
Does the activity significantly affect the
potential use, extraction, or conservation of a
scarce natural resource?
Could theactivity significantly affect fish,
wildlife or plant life?
Are there any rare or endangered plant species
in the activity .area?
Could the act-ivity change existing features of
any of the city's lagoons, bays, or tidelands?
Could the activity change existing features of V7
any of the city's beaches? •
Could the activity result in the erosion or .
elimination of agricultural lands?
Could the activity serve to encourage development
of presently undeveloped areas or intensify develop-
ment of already developed areas?
-3-
YES NO
Will the activity require a variance from
established environmental standards (air., water,
noise, etc.)? .
will the activity require certification, authori
z
a
-
tion-or issuance of a permit by any local, state
o
r
federal environmental .control agency?
Will the activity require issuance of a variance
orconditional use permit by the City?
Will the activity involve the application., use, or
disposal of potentially hazardous materials?
Will the activity involve construction of
facilities in a flood plain?
rcti
will the activity involve construction of
facilities in the area of an active fault?
Will the 'activity involve construction of
facilities on a slope of 25 percent or greater?
Could the activity result in the generationof
significant amounts of noise?
Could the activity result in the generation of
significant amounts of .dust?
Will the activity involve the burning of brush,
trees, or other materials?
Could the activity result in a significant change
in the, quality of any portion of the region's air
or water resources? (Should note surface, ground
water, off-shore.)
Will the project substantially increase fuel
. consumption (electricity, oil, natural gas, et
c
.
)
?
Will there be a significant change to existing
land form? .
.
(a) Indicate estimated grading to be done in
cubic yards: 1,00 .
(b) Percentige Of alteration to the present
.
land form:.
(c) Maximum height of cut or fill slopes:
.
Will the activity result in substantial increases
in the use of utilities, sewers, drains or street
s
?
Is the activity carried out as part of a 'larger
project or series of projects?
-4-
STATEMENT OF NON-SIGNIFICANT ENVIRONMENTAL EFFECTS
if you have answered yes to one or more of the questions in Section
I but you think' the activity will have no significant environmental'
effectS, indicate your reasons below:
COMMENTS OR ELABORATIONS TO ANY OF THE QUESTIONS IN SECTION I
(If additional space is needed for answering any'questions, attach
additional sheets as needed.)
Signature
:. 17:. ..
'
I
H
BACKGROUND
1. APPLICANT: (Jr-
2: ADDRESS AND.PHONENUMBER OF APPLICANT: 7325 iV.\0 L---
C-r. 9acc
3. DATE CHECK LIST.SUBMITTED: _7t25
ENVIRONMENTALIMPACTS
(Explanations of all Affirmative Answers are to b Written Under
Section III - Discussion of Environmental Evaluation)
'YES MAYBE NO
1.. Earth - Will the proposal have
significant results in:
Unstable earth coriditionsorin
changes in geologic substructures?
Disruptions, displacements, corn- •
paction.or overcovéring of the soil?
Change in topography or ground -
surface relief features?
The destruction, covering or
0
modification of any unique geologic
or physical features? K
Any increase in wind or water
erosion of soils, either on or off'
the site?
f. Changes in deposition or erosion -
of beach sands, or changes in
siltation, deposition or erosion
which may modify-the channel 'or a .
river or stream or the bed of the
ocean or any bay, inlet or lake?
. YEA MAYBE NO
2. Air - Will the proposal have
iTnificant results in: '
a. Air emissions or deterioration
of ambient, air quality?
-b. The creation of 'objectionable
odors?
'
c. Alteration of air movement,
moisture or temperature, or any
change in climate, either locally
or regionally? •
3. Water -.Will the proposal have • •
significant results in: •
Changes in currents, or the course
or direction of water 'movements,
in either marine or fresh waters? •yI
Changes in absorption rates, -
drainage patterns,, or the rate and
amount of surface water runoff? • •
c. Alterations to the course or flow • • '
of' flood waters? • • •' • - _____ ______
d.' Change in the amount of surface • " ' '
water in any water body? • •
'e. Discharge into surface waters, ' •• •.• 0
or in any alteration of surface - • • • - -
water quality, including but not • •
limi.ted to, temperature, dissolved
oxygen or turbidity? • • ______
f. Alteration of the direction or
rate of flow of ground waters?
g.. Change in the quantity of ground
waters,'either through direct
additions or withdrawals, or through
interception of an aquifer by cuts
or excavations? • ______ _____ ______
h. Reduction in the amount of water, •
otherwise available for public
water supplies? • • • - • • ______
-2-
- f t4 t
YE MAYBE NO
4. plant Life -' Will the proposal have S
significant results in: -'
Change in the diversity of species,
or numbers of any species of plants.
(including trees, shrubs, grass,
crops, microflora and aquatic plants)?
Reduction of the numbers of any
unique, rare or endangered species
of plants?
Introduction of new species-of plants
into' an area, or in a barrier to the
normal replenishment of existing
species?
Reduction in acreage of any'
agricultural crop?
5. Animal-Life - Will the proposal have, 5 '
significant results in: '
a. Changes in the diversity of species,
or, numbers of any species of animals '
(birds, land animals including reptiles,
fish and shellfish, benthic organisms,
insects or microfauna)?
- b. Reduction Of the numbers of any unique, ..' .,
rare or endangered species'of animals?
Introduction of new species of animals' '
into an area, or result in a barrier S
to the migration or movement of S '
animals?
Deterioration to existing fish or
wildlife habitat?
. Noise - Will the proposal significantly S
increase existing noise 'levels? S ,
Light. and Glare - Will the proposal sig- S
nificantly produce new light or glare?
. 8. ' Land Use - Will the proposal have S
significant results in the alteration of
the present or planned land use of 'an 5
area? S S
S S .-3-
." . YE
9. Natural Resources - Will the proposal
have significant results in:
Increase in the rate of use of any
natural resources?
Depletion of any nonrenewable
natural resource?
10. Risk of Upset - Does the proposal
involve a significant risk of an
explosion or the release of hazardous
substances (including, but not limited
to, oil, pesticides, chemicals or
radiation) in the event of an accident
or upset conditions?
11. Population - Will the proposal signif-
icantly alter the location, distribu-
tion, density, or growth rate of the
human population of an area?
12. Housing - Will the proposal-signif-
icantly affect existing housing, or
create a demand for additional housing?:..
13. Transportation/Circulation,- Will the
proposal have significant results in:
Generation' of additional vehicular
movement?
Effects on existing parking facilit-
ies, or demand for new parking?
C. Impact upon existing transporation
systems?
Alterations to present patterns of
circulation or movement of people
and/or gOods? '
Alterations to waterborne., rail or
air traffic?
Increase 'in traffic hazards to
motor vehicles, bicyclists or '
pedestrians?
-4-
MAYBE No
,
MAYBE NO
14. Public Services - Will the propdsal:tháve,
a significant effect upon, or have signif-
icant results in 'the need for new or
altered gOvernmental services in any of
the following areas:
Fire orotetirn?
. b. Police protection?
C. Schools?
Parks or other recreational
facilities?
Maintenance of public facilities,
including roads?
Other governmental services?
15. Energy Will the proposal have signif-
icant results in:
-
Use of substantial amounts of. fuel -
or energy?
Demand upon existing sources of
energy, or require the development -
of new sources of energy? -
16. Utilities - Will the proposal have
significant results in. the need for new
systems, or alterations to the following
utilities: '
Power or natural gas? -
Communicationssystems?
Water? :
Sewer or septic tanks?
Storm water drainage?
Solid waste and disposal?
17. Human Health - Will the proposal have
significant results in the creation of
any health hazard or potential health
hazard (excluding' mental health)?
-5-
S
YES MAYBE NO
18. Aesthetics - Will the proposal have
significant results, in the obstruction
of any scenic' vista or view open to the
public, Or will the proposal result in
creation. of an aesthetically offensive
public view'
Recreation - Will the proposal have
significant results in the impact upon
the quality or quantity of existing • '
recreational opportunities? ' • ' _____ ______
Archeological/Historical, - Will the ' ' • '
proposal have significant results in •
the alterationof a significant .
archeological or historical site,
structure, object or building'? • ' •,
21 Analyze viable alternatives to the proposed project such as
a) Phased development of the project, b) alternate site designs,
. • C) alternate scale of development, d) alternate uses 'for the site,
e) development at some future time rather than now, f) alternate
sites for the proposed, and g) no project alternative
-6- •
. .nq,,
YES MAYBE NO
22. Mandatory Findings of Significànce'-: .
Does the project have the potential
to degrade the quality of the
environment, or curtail the diversity
in the environment? .
Does the project have the potential
to achieve short-term, to the dis-
advantage of long-term, environmental
goals? (A short-term impact on the
environment is one which occurs in a
relatively brief, definitive, period of
time while long-term impacts will
endure well into the future.) . V
C. Does the project have impaáts which
are individually limited, but
cumulatively considerable? (A
project,may impact on two or more
'separate resources where the impact
on each resource is relatively small,
but'where the effect of the total of , V
those impacts on the environment is
significant.)
d. Does the project have environmental
effects which will cause substantial V
adverse effects. on human beings, ' V
either directly or indirectly?
11,1. DISCUSSION OF ENVIRONMENTAL EVALUATION . V
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I
Iv. DETERMINATION...(TO Be Completed by the Land Use Planning Office)
On the basis of this initial evaluation:
find the proposed project COULD NOT have a significant effect on
the environment, and a NEGATIVE DECLARATION will be prepared.
I find that although the proposed project could have significant
effect on the:environment, there will not be a significant effect in
this case because the mitigation measures described on an attached
sheet have been added to the project. A Conditional Negative
Declaration will be proposed.
I find the proposed project MAYhave a significant effect on the
environment, and an ENVIRONMENTAL IMPACT REPORT is required. - •
.
?ate • S S
natur . S
V. MITIGATING MEASURES (If Applicable) -
COUNTY OF SAN DIIGO
DEPARTMENT OF PLANNING AND LAND USE
COAAD OF gu,tnv1101'm
OM 4AMILtON
PIN.? oNy*ICt
PAUL W. 'OROfM
INCONO OI$?NICV
eoatn (OGrcocw
tHINC CUITRICT
JIM NA 99
I CODES DIVISION El tan fl,,.... flffl' El Mn..h Count flflb.. El rest f',.,Int,, Office "1 01.1-1
5201 Ruffin Road. Suite 83 - 334 Via Vera Cruz 200k East Main Street
RETURN TO: San Diego, CA 92123 San Marcos, CA 92069 El Cajon, CA 92020
565-5920 741-4236 579.4511
Project Location VtNAOO £ 7' lame of Permittee ,4V( C"4,t/L -
C,4,2 C..S As 14 J!N Grading Permit No.
l'7..1 4Ac6tr-.
This report form for a "minor" grading project is to be completed md signed by the Registered Civil Engineer
(or rohitect) who has been designated on the Grading Plan and Permit as the Engineer who will furnish the
compaction report for work authorized by a grading permit issued by the Department of, Planning and Land Use.
The Intent of the format is to provide information to the Department of Planning and Land Use as to grdIi
compliance with the approved Grading Plan and Permit. Where the questions below refer to location,
configuration or quantity of cut and/or fill areas, it Is understood that your response will not normally bt'
based on an actual Land survey or detailed earthwork quantity calculations. It should he noted, however,
that the Department is particularly concerned where there are possible infractions with respect to over-
steepened slopes, encroachments of required setbacks, uncompacted fills placed, or where the quantity of Fill
placed differs substantially from that authorized.
The Department of Planning and Land Use require3 that all fills authorized by it Grading Permit be compacted to a minimum of 901 of maximum density with the exception that not more than 12" of uncompacted and untested iiIts may be dispersed over the land parcel. The need to compact all fills that are beyond the present limits of tho
present proposed construction is to insure that future proposed construction of room additions or swimming
pools or similar structures will not require that uncompacted fills be removed or recompacted, or that
extensive foundation work be installed.
Compaction reports will not be accepted unless this form is completed and signed by the registered person.
r
A. COMPATIBILITY WITH GRADING PLAN AND PERMIT -.
I. Was the compacted fill placed only in the approximate locations designated on the grading Yes V'
plan as areas to be filled? -
Did the quantity of fill material placed approximately conform to the grading plan? 1e3it yo
Did the toe of fill or the top of cut appear to meet the prescribed property line setback No
(1.5' for fill: 3.0' for cuts)?
Were the finished fill slopes equal to or less than 2 horizontal to I vertical?Yes_
S. If the fill material was obtained by cuts on the site, were the cut! made in the proper Yes fr" m.
location and to the proper slope approximately as shown on the approved grading plan?
6. Were brow ditches constTucted approximately as shown on the grading plan? Yes_ 140
$ftoi., bil'CME.S To Sit CPO" P&t'Eb PRIO,'t 10 C,t.//5,41 6^40AV4 ^PA40VA-c-
B. LOCATION AND AMOUNT OF COMPACTION TESTS
1. Have you attached a sketch and data showing the location and relative elevation for all Yes 0,1 .4,—compaction tests?
2. Was a compaction test made so that there is at least one test In each 2' thick lens of Yes— No
compacted material? 90C j,t,, ,.*1y' sa'rSO ,tôit rsr,"G'
3. As indicated by Inspections, observations and compaction test results, was the fill, Yesfr" No
excluding the top 1.0', compacted to at least 90 of maximum dry density?
C. QUALITY OF FILL COMPACTION OPERATION
Yes V-11 Was the area to receive fill properly prepared in terms of brush removal, benching. o_
wetting, removal of noncompacted fill or debris and related Items?
Was all detrimentally expansive soil placed in the fill at 3' or more below finish grade?
Have you attached a copy of your curve -showing the relationship between optimum moisture Yes No— content and maximum density?
Was all material used as fill (earth, rocks, gravel) smaller than 12" in size? Yes_ No I--,' ::;rc
Are all areas of the fill suitable for support of structures' Yes,' No_
Were all existing fills on the site recompacted In accordance with the provisions of the Yes
Trading ordinance?
Dpi .-3
Re. 3-'-9
. .1
D . STATISTICAL DATA
Dates the grading work was performed: DeC. /8 PA
Dates your representative was on site and number of hours on site for each date, and name of representative:
/9S -4'4 1 IL '& ( (ô'iv T,1,P-3 I4J1#/ ('CNrA4C1sfl £JOStC cO
N.CA-Nr/S ji ,,
E. ASBUILT DATA
If the fill placement was not in accordance with the approved grading plan, did you notify Yes 140
the permittee to obtain approval for deviation from the plan before proceeding with - -
additional fill placement?
If the approved grading plan does not reflect the actual location1 depth and type of fill. Yes
have you submitted for review and approval an as-built plan? -
REMARKS: R6roMM04/ z Z~ 1' ,218,4'L (I 7O f /do rroA.1 ,'.-V 4e--
Cc,,vr,AJUOVS T1.'itl5 ,q--s #4 ,Ot,4.'O64T/ e'/bf
DC5/6,I.
CERTIFICATION
I hereby certify, under penalty of perjury, that the infornati ided Lh this certification
is true to the best of my knowledge and belief.
Signature _____
(To be sign Ind dated by a g tered Engineer or Architect)
Registration or Certification ?umber RU 33220
Address 1535.S6 ESCONDIDO BL., ESCONDIDO, 'CA.
Telephone Number 7410533
DPI
Rev. 3-7-9
COS. OF SAN DGO
DEPARTMENT OF PLANNING AND LAND USE
eooea DIVISION
?OU I4AMU.TON
'IAtt OIya'C?
,tca.. O,stflley
O4IR 001C0f4
V_I.. OflAICt
JIM a& 92
.OUR,N •,Sfl.ry
I - - - San Olego Off Ice 0 North County Off Ice ED Em County Office
5201 fluff In Road. Suits 93 334 VII Vera Cruz 200.1. East Main Street
RETURN TO: San Oleqo, CA 92123 San Marce,, CA 92069 El Colon, CA 92020
565.5920 141.4238 5194511
Project Location VtNAbo £ 7. 'lame of Persiittee .0,4 ye C4,tA_-
.S 84A Grading Permit No.
I7.t 'VfyGz LA C ea r*
This report form for a "minor" grading project is to be completed and signed by the Registered Civil Engineer
(or t.rchitect) who :ias been designated on the Grading Plan and Permit as the Engineer who will furnish the
compaction report for work authorized by a grading permit Issued by the Department of. Planning and Land iklt.
The Intent of the format is to provide Information to the Department of Planning and Land Use as to qridltij
compliance with the tpvroved Grading Plan and Permit. Where the questions below refer to lOc3ttofl,
configuration or quantity of cut and/or €111 areas, It is understood that your response will not normally
based on an actual land survey or detailed earthwork quantity calculations. it should he noted, however,
that the Department is particularly concerned where there are possible infractions with respect to ovrr-
steepened slopes, encroachments of required setbacks, uncompacted fills placed, or where the quantity of tilt
placed differs substantially from that authorized.
The Department of Planning and Land Use requires that all fills authorized by a Grading Permit be compacted to
a minimum of 90 of maximum density with the exception that not more than 12" of uncompacted and untested fills
may be dispersed over the land parcel. The need to compact all fills that are beyond the present limits of th
present proposed construction is to Insure that future proposed construction of room additions or lwimnilnt
pools or similar structures will not require that tiiicompacted fills be removed or recompacted, or that
extensive foundation work be installed.
Compaction reports will not be accepted unless this form is completed end signed by the registered person.
A. COMPATIBILITY WITH GRADING PLAN AND PERMIT
Wat the compacted fill placed only in the approximate locations designated on the grading Yes
plan as areas to be filled?
Did the quantity of fill material placed approximately zonform to the grading plan? Yes
S. Did the toe of fill or the top of cut appear to meet the prescribed property line setback Yes k1o,
tt.S' for fill; 3.0' for cuts)?
Were the finished fill slopes equal toot less than 2 horizontal to I vertical' Yes y
S. If the fill material was obtained by cuts on the site, were the cuts made in the proper Yes" 'Jo_
location and to the proper slope approximately as shown on the approved grading plan?
6. Were brow ditches constructed approximately as shown on the grading plan? Yes_, No
A-464J JiITrMfS To 184f C 4P 497't40 P4 lOjS ro jaza,,SAe £AAOw -
B. LOCATION AND AMOUNT OF COMPACTION TESTS
Yes " ,I,-
Yes— !o
Yesb No
Yes
Yes "11
Yes f' 'to
Have you attached a sketch and date showing the location and relative elevation for all
compaction tests?
Was a compaction test made so that there is at least one test In each 2' thick lens of
compacted material? ROCK pra e—.ifor svrO ,e* rgrr,'IG
As Indicated by Inspections, observations and compaction test results, was the fill.
excluding the top 1.0', compacted to at least 901 of maximum dry density?
C. QUALITY OF FILL COMPACTION OPERATION
Was the area to receive fill properly prepared in terms of brush removal, benching,
wetting, removal of noncompacted fill or debris and related items?
Was all detrimentally expansive soil placed in the fill at 3' or sore below finish grade?
Have you attached a copy of your curve showing the relationship between optimum moisture
content and maximum density?
'I
ate; .c_
No
4. Was all material used as fill (earth, rocks, gravel) smaller than 1211 in size? Yes
3. Are all areas of the flit suitable for support of structures? Yes 0101 ,
6. were all existing flits on the site recompacted in accordance with the provisions of the Yes
grading ordinance? -
DPI.
Rev. 3--9 UP
'0. STAT!STIC.U. DATA
1. Dates the grading work was perfrned:
Dates your representative ias n Site .nd number of hours on site for each date, and name of representative:
DIC • /3sc -4iv c. 196.6 (Osiv TA'P I4?IS#/ rDNrA4c7ol sivoticeZ
S fi.M,LtIt (
E. AS-BUILT DATA
If the fill placement was not in accordancewith the approved grading plan, did you notify Yes..NO
the perinittee to obtain approvil for deviation from the plan before proceeding with -
additional fill placement'
If the approved grading plan does not reflect the actual location, depth and type of fill. Yes
have you submitted for review and approval an as-built plan? -
REMARKS: Rcgrgi 2 q .;4I.4'L (I 7oiO 0 rro^ol rV .4(.€-
A- A M I AO1,1Mi'
jC5/6.%f.
CERTIFICATION
I hereby certify, under penalty of perjury, that the tnfornstià ided Lh this certification
is true to the best of my knowledge and belief. u'
ere
Signature Date
(To be sign
Engineer or Architect)
Registration or Certification &usber RCE 33220
Address 1535 S. ESCONDIDO BL., .ESCONDIDO, CA.
Telephone 'Number .741-0533
El
0PL.'
Rev. 3-7.9
-2-
I tk.ii irni'it
Building P,mt Plan Check No.
- -
FOR APPLICANT _TO_ FILL _IN SlteAd4res S.reomby iOQOfl TI LT 4614 I6 2 Ve01
L*g& Diwpiion Map No. A - - 223-25a -OF O7_77
Data Filed Recd b
' -5 5 . 4/ c A/k!
'
&t*a Csa.. Phone Cast deposit Recd by / Date #11od
Add a _ The following documents are rlquired and hall become a part I9(lO '
PIamWOv EngIneer R.C.E.
of t7 he ading permit when they are approved.
Grading plans Specifications - j _fJ _dMI
Adess Phone Soil report - Geologic Report
Drainage structures — Other
R.C.E.__ kComp.cilonr,po
TëtT(,1 1'ZZCtt)V
Phone
?~3-cQ
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Authorized hours of operation:
7:00 AM to Sunset. Monday. Friday.
kPIOkJ c1 grads site 4777 fa.
1Number of atle yards
Put Import Waits
r4OI%Oo(
Sips Finiq ,
Opsadon.I) u/it It-c
ackw1.J,. that I have read the application and state that 4thl.Jwnk.rL4 I have wuvidad is correct and agree to comply with
City .JI.....cee and Stats laws relating excavating and grading.
tánd the wed conditions of any permit issued pursuant to
th aØ
' Ssatsss of PWI111..
Osenur or suawrized ans
Haul routes are to be approved by City Engineer.
Adequate provisions shall be made for erosion and siltation
control.
All slopes shall be planted per City Code.
All tills to be compacted lost least 90% of optimum
density unhais noted otherwise.
Under City Cod. Sec. 11.06 170 this grading Is: 0 ROULAR GRADING . City Inspector will make Inspections Jed below.
LVCONTROLLED GRADING . Private grading engineer shall observe work, coordinate tests, make reports.
INSPECTION I DATE I INSP. SIGNATURE
initial . sit* prep. ENVIRONMENTAL. CLEARANCE.
Date
'7 24 Rough POW 10 daffis
. ElALci .
By
:;&
________
Final. elopes planted
GadIngpwals /az. Plan check fee $.ar COmpact ispodsiec
Private engr. cart recd.
PQ RX- 1114671 , Dow Copilps: Whits,-Office. Gr"wBuilding: PInnit Date Goldenrod- Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED TUi0 OCOLIIV SO %SAI lP e,s,. •
ZS—
Application for Grading P,rm.t
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
43$5541
-ì r
P1 NO.
VaIidt.on hy Finance
Department
Buing Permit Plan Check No.
FOR APPLICANT TO FILL IN
I Site Ad4res Si. I 1673 46 Ve.qJe SI. A LeIDesaipdon Map No.
223-29p- Subdivision Name
-. J•_(._.__,_' lardAmn
?32S_ Ado Lo. Crha'1
by Civil Engincer R.C.E. h'L
Phone
we
INWIlber at cubic yards
Fill Import Waste
f
DiiooI %ool — I Proposad$dw&laof Stpn Fini ,
1
; Operations da li/ti f,c IIIar.I
1 hereby edsnowisdgs that I have vied the application and state that j.
th Inf e onnadon I have provided Is correct and agree to comply with e all cIty ordinances and State laws regulating excavating and grading.
id the provisions and conditions of any permit Issued pursuant to
'°' i •
Siiture of L
te Ooonorioadagsnt
'
ENVIRONMENTAL CLEARANCE. '7 Data
ElA Lao No. ii2.33.
By
Tfl2M_NO M6Ii r
y Ad-
t-'7TE-g
Date Filed R.cd
-6 5 /4L/
Cash depost.' Recd by / Dave fled
The following documents are rfquiredand shall become a part
of the,adirig permit when they are approved.
Grading plans - Specifications
- Soil report - Geologic Report
_k( Drainage structures Other
Compaction report
SPECIAL CONDITIONS WHICH ARE MADE
-
A PART OF THIS PERMIT
. Authorized hours of operation:
7:00 AM to Sunset. Monday. Friday.
Haul routes ate to be approved by City Engineer.
Adeate provisions shall be made to! erosion and siltation
control.
All slopes shall be planted per City Code.
All fills to be compacted to at least 90% of nptimunt
density unIpj noted otherwise.
Under City Code Sec. 11.06 170 this grading is: 0 REGULAR GRADING . City inspector will make inspections
Jidled below.
[VCONTROU.ED GRADING . Private grading engineer shall
observe won. coordinate tests, make reports.
INSPECTION DATE INSP.SIGNATURE
Initial site prep. /1/tofr4
Rough. prior to r,ina
Final . slopes planted J9
4-i