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Home My WebLink AboutPE 2.86.05; AVENIDA ENCINAS PLAZA; Engineering ApplicationApplication for Grading Permit Pw * 26g-3 CITY OF CARLSBAD ENGINEERING DEPARTMENT 1200 Elm Avenue 438.5541 Building Permit Plan Check No. - PE NO. ______ FOR Arr,IcANT TO FILL IN Site Address Surety Company ond No. 5 75 4,L,,jJ/D4 7C.//Y/zS _____________________________ Legal Description Map No. /' Surety Address- 1U/k Subdivision Name Date Filed Recd by A v- 'JA.'d4-S Ph Phone .Owner, Cash deposit by Date filed . $ Owner's Address / 5017 :5 The following documents are required and shall become a part of the grading permit when they are approved. Grading plans 1/' Specifications Soil report Geologic Report Drainage structures ___ Other Compaction report Plans by Civil Engineer 7 R.C.E., Address Phone (;7,4L_) /775 2 Soil Engineer R.C.E. Phone 7'6- /?i,QW Grading Contractor Phone _0 L^Jtjti& Z i ( SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT Address?l CAA j( Cre / Authorized hours of operation: 7:00 AM to Sunset, Monday- Friday. Party responsible for overall supervision Haul routes are to be approved by City Engineer. 1iM ,qAu10Mb Proposeduse of grade site Adequate provisions shall be made for erosion and siltation control. Number of cubic yards Cut Fill Import Waste All slopes shall be planted per City Code. Proposed Schedule of Start Fin Operations (dates) is$ All fills to be compacted to at least 90% of optimum density unless noted otherwise. I hereby acknowledge that I hav e r e a d t h e a p p l i c a t i o n ' a n d s t a t e t h a t the information I have provided is correct and agree to comply with all City ordinances and State laws regulating excavating and grading, and the provisions and conditions of any permit issued pursuant to this application, Signature of Permittee . _________________________________ Owner or(56ut~horizedagen Under City Code Sec. 11.06 170 this grading is: 0 REGULAR GRADING - City inspector will make inspections listed below. CONTROLLED GRADING - Private grading engineer shall X observe work, coordinate tests, make reports. INSPECTION DATE INSP. SIGNATURE Initial - site prep. ENVIRONMENTAL CLEARANCE - Date " I 7 /- Rough - prior to drains - EIA Log No.Z.6-b.5 By Final - slopes planted Compaction reports rec'd. Grading permit fee $ Plan check fee $ Private engr.cert.rec'd. Permit IsWed by ________________________ Date Permit Expiration Kate '- 7 Yellow-inspector;Pink-Perrnittee; Goldenrod-Finance THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO TH E W O R K D E S C R I B E D THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD w S FEE: $175.00 RECEIPT NO: ENVIRONMENTALIMPACT ASSESSMENT FORM - Part I (To Be Completed by APPLICANT) -CASE NO: DATE: Applicant: Address of App1ica6t: '-,7;4 4.cii,. 4. Phone Number: (7)' Name, address and phone number of person to be contacted (if other than Applicant): 'M .'97/1 GENERAL INFORMATION: - 7 Descriptionof Project: Project Location/Address: ..s,p op 4'4' N0R79 ZD42 M2'PT OA 1 , 1i/L5 840., H D/b Assessor Parcel Number: Zone of Subject Property: 4 t; f Proposed Use of Site: —7Y X/2. .. Listall other applicable applications related to this project: iW$ PIAN - Describe the activity area, including distiguishing natural and man- made characteristics;. also provide precise slope analysis when appropriate. ! /7297 V/7A/17 PV/711 ,',91VZ4-L T/'P7Y. 5tcPEo PP//L'M76LY ' 7' w,411?0 Describe energy conservation measures incorporated into the design and/or operation of the project. 4. If residential, include the number of units, schedule of unit sizes, range. of sale prices or rents, and type of household size. expected. 5. If commercial, indicate the.type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities. • IA- If industrial, indicate type, estimated employment per shift, and loadingfaciiities. • . . . • • If institutional, indicate the major function, estimated employment per. shift, estimated occupancy, loading facilities, and community benefits to be derived from the project. . . . • • -2- V V I.' ENVIRONMENTAL IMPACT ANALYSIS V Answer the following questions by placing a check in the appropriate space. (Discuss all items checked "yes". Attach additional sheets as necessary.) 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? Could the activity decrease the number of 'low and modest cost housing units in the city? Are-any of the natural or man-madefeatures in the activity area unique, that is, not found in other parts of the county, state or nation? Could the activity significantly affect an historical or archaeological site or its settings? Could the activity significantly affect the potential use, extraction, or conservation of a scarce 'natural resource? V Does the activity significantly affect the potential use, extraction, or- conservation of a scarce natural resource?' Could the activity significantly affect fish, wildlife or plant life? - Are there any rare or endangered plant species in the activity area?' Could the activity change existing features of any of the city's lagoons, bays, or tidelands? Could the activity, change existing features of any of the city's beaches? 15)' Could the activity result in the erosion or elimination of agricultural lands? 16) 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, authoriza- tion or issuance -of a. permit by any local, state or federal environmental control agency? 19). Will the activity require issuance of a variance or conditional use permit by the City? X Will the activity involve the application, use, or disposal *of potentially hazardous materials? Will the activity involve construction of facilities in a flood plain? 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 generation of 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, etc.)? ' Will there be a significant change to existing land form?. , •. - ________ _______ (a) Indicate estimated grading to be done 'in • • • 'cubic yards: 'POjo eor 10 /f'-. • Percentage 'of alteration to the presnt , • land form: Maximum height. of cut or fill slopes: • • 2') ''I . •• - 30) Will the activity result in substantial increases • in the use of 'utilities, sewers, drains or streets? 31) Is the activity carried' out as part of a larger • project' or series of projects? ' ' ' ' • S I II. . STATEMENT OFNON-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: . . . 8_'4& 4'é y c/ c ' 41X14 W/'.L £ss O.7 /A' AWL )ej MJVQ. AL 7iz4 T/W 'rJD 6VA7/.frI . .. III. 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.) Signatur 6z'~_ (Person Completing Report) - -Date Signed • /. /8. /98', • • • •• - : CITY OF CARLSBAD 0. ENGINEERING DEPARTMENT ' FEES AND DEPOSITS WORKSHEET PROJECT E, 2 B. 05 NAME:--.-Ps DATE PREPARED BY: 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. IMPROVEMENT DESCRIPTION -SEBVALUE . (1w6 2k3)PQI u4r. h-i'PyE,qEiV?3 1553 7te TOTAL:..15_5,, Z7E9 X 35X = S,435°-° - . . . . PERCENTAGE IMPROVEMENT INSPECTION FEE: . . . ITEM . VALUE )w&, 2. 6 -3 . (5'S. 2 7b . . . .. TOTAL: " f$S.'2- 7 x 76 41-- PERCENTAGE . PARK-IN-LIEU FEE (CIRCLE ONE): DWELLING TYPE: SF OR DUPLEX MF (<4 UNITS). MF (> 4 UNITS) MH . AREA: 1 2 53 4 • . . . . 5• . NUMBER OF UNITS: . . . .5 X . = AREA FEE/UNIT STREET LIGHT ENERGIZING: . . . . . . 5.800 LUMEN AT 81.00 = 9,500 LUMEN AT 111.06 = •, . . 55• . 16.000 LUMEN AT 152.10 20,000 LUMEN . AT 169.38 TOTAL: GRADING PLAN CHECK FEE DEPOSIT '2_0O ' RECEIPT NO. 57a33 (EXPEDITED/NOT. EXPEDITED) . , ' GRADING PLAN CHECK FEE (,55C CUBIC YARDS) . . . • . . . . • • • . GRADING CASH DEPOSIT • ........ . . .......... . . ., • . . DUPLICATE TRACING FEE . . . .. . . . • . . . ....... . .... . . . . STREET SIGN DEPOSIT: . . . . AT AT AT TOTAL: STREET STRIPING DEPOSIT • .. . . ... . . . • • ..... '. • . . • . • FRONT LINE OR AREA FEES (TYPE . ) . • • •' . . . . . • ... . . • DRAINAGE AREA FEE (AREA NO. ' ' ). . ... . . . . . . . . • ... . • TOTAL ACRES:- X AREA FEE LESS VALUE OF MASTER DRAINAGE IMPROVEMENTS AS NOTED IN MASTER DRAINAGE PLAN DOCUMENTS MULTIPL IED BY CURRENT INFLATION FACTOR. LINE VALUE X FACTOR , = AMOUNT X X TOTAL: DRAINAGE FEE DUE: ADDITIONAL FEES: TYPE : • • .•. . . • . . • . . . . . • S - TYPE : • S • • • I . . . . • . • . S S ' TOTAL FEES ANDDEPOSITS: (IN 'ADDITION, A GRADING PERMIT FEE' OF IS DUE UPON ISSUANCE OF THE GRADING PERMITS) S S• • • S - , S