HomeMy WebLinkAboutPE 2.86.17; NORTH COUNTY PLAZA; Engineering ApplicationApplication for Grading Permit
No 116
PE NO. Z /7
_~ CITY OF CARLSBAD - - 0 31 , -, CAVO 2? 7 ENGINEERING DEPARTMENT
1200 Elm Avenue I .1 Vf'tion nce 4385541
00 Dertmec', 4 Building Permit Plan Check No.
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ol FOR APPLICANT TO_ FILL _IN
Site Address NO - 17E - A(012711 4 1(2 ST Surety Company -04" AAAJWOA-t £04c, .4#.f1 .f6/FtJcw SP7 Z/k',Oti 4Ak' Legal Description Map No. Surety Address 07,$ 32 771%41 644P /l3c) 1..071-Y A44P85 ~4 . ,&b4 57 Subdivision Name
Date Filed by 01 Recd IV oi7i',f_c-',2"y_PLi9 44S' P._(7 Owner Phone c4i, dejosit Recd by Date filed AL./JC ,4/ C10J,,7Y4S.S 0c, 7 /-? Y?- ?Y3/ $ /01009. Owner's Address 5'4o.111 25 'ZGCO The following documents are required and shaP(becolie a
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7i'.rO C01','O. 47 P1434, CA, of the/ di permit when
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Grading plans
Soil report
they are approved.
Specifications
Geologic Report
Plans by Civil Engineer /fc ,C..t# 4sSoC1 R.C.E. _119 Z 47 5 Pc#7 Q7 Address Phone
Drainage structures
Compaction report
_____ Other Soil Engineer R.C.E. Phone
Grading ContractorL,,J wrr Phone SPECIAL CONDITIONS WHICH ARE MADE 7'0 3e- LE7/A/A410
A PART OF THIS PERMIT Address
//7SO 9J7? _____ 1 Authorized hours of operation:
7:00 AM to Sunset, Monday
- Friday. Party responsible for overall supervision
. , 3$ *..'I 2.. / ,.iiO Coc',yry ,4ss',47zS
Haul routes are to be approved by City Engineer.
Proposed use of grade site
Adequate provisions shall be made for erosion and siltation
Number of cubic yards
control. Cut Fill Import Waste
All slopes shall be planted per City Code. eiooc4 , ,, ,,o4 - 950 cy
Proposed Schedule of Start j Finish All fills to be compacted to at least 90% of optimum Operations (dates) i4A( /,ed 46 density unless noted otherwise.
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__________________ ' Owner or authorized agent 2 Va'
?' ENVIRONMENTAL CLEA 'ANCE -
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Date
By
I hereby acknowledge that I have read the application and st
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the information I have provided is correct and agree to com
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all City ordinances and State laws regulating excavating an
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and the provisions and conditions of any permit issued pur
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this application.
Signature of Permittee
Grading permit fee $ 3
Permit ssu
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Permit ilxpiration D e
Under City Code Sec. 11.06 170 this grading is: D REGULAR GRADING - City inspector will make inspections
,Jisted below. CONTROLLED GRADING- Private grading engineer
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observe work, coordinate tests, make reports.
INSPECTION DATE INSP.SIGNA3,J,RE
Initial - site prep. & 4V2-
Rough - prior to drains Lcr'p' f/Liip (2 L{. IC
Final - slopes planted 2,o
ComppçVIonreportsec'd. ( an check fee $
Private engr. cert. re 'd. I
Date JP,'p'LI)/?) ee
apies: White-Office; Green-Building;
Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT T
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THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
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Mail to: State C1ertnghouse. 14 Tenth Street, Pm. 121, Sacramento, CA 95814 -- 916/445-0613 See NOTE Below MOlt COMPLETION AND ENVIR0NM'ffj DOCUMENT FORM [__ -L1
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1. Project Title: NORTH COUNTY PLAZA - HUGHES NORTH COUNTY ASSOCIATES
2. Lead Agency: City _ofCarlsbad 3. Contact Person:Brian Hunter
3a. Street Address: 1200 Elm Avenue. 3b. City: Carlsbad
3c. County: San Diego 3d. Zip: 92008 3e. Phone:(619)438-5591
PROJECTLOCATM 4. County: San Diego 4a. City/Comunity:Carlsbad
4b.(optional) Assessors Parcel No. 4.c. Section Twp. Range__________________
5a. Cross Streets: _Marron & Jefferson For Rural, Sb. earest
6. Within 2 miles of: a. State Hwy No. I5 b. Airports c. Waterways Pacific Ocean
7. DOCUMENT TYPE 8. LOCAL ACTION TYPE ia. DEVELOPMgNT TYPE:
CEQA 01 General Plan Update 01 Residential: Units Acres______________
01 MOP 02 New Element 02 X Office: Sq.Ft. 4500
02 Early Cons 03 _General Plan Amendment Acres Employees___________________
03 _Neg Dec 04 Master Plan 03 j_Shópping/Coimiercial: Sq.Ft.147159
04 _Draft EIR 05 _Annexation Acres Employees_________________
05 Supplement/ 06 _Specific Plan 04 industrial: Sq.Ft._____________________________ Subsequent EIR
(if so. prior SCM 07 Redevelopment Acres
Prior cornliar)ce 08 Rezone 05 Sewer: MGD________________________________ EIA OtO NEPA 09 Land Division 06 MGD______________________________________ _Water:
tivision, Parcel Map. 06 Notice of intent Tract Map, etc.) 07 _Transportation: Type___________________________
07 Envir. Assessment! 10 Use Permit 08 EUatioa: Mineral______________________ _Mineral
FONSI
11 _Cancel Ag Preserve' 09
08 Draft EIS
12 JL.other Grading Type:'________________________________________ OTHER
- 10 Other:____________________________________________ 09 _Information Only 16.9 9. TOTAL ACRES:
ju _rnaI Document
11 Other____________________
11. PROJECT ISSUES DISCUSSED IN DOCUMENT
01 _Aesthetic/Visual 08 Geologic/Seismic
02 -Agricultural Land 09 Jobs/Housing Balance
03 _Air Quality 10 _Minerals
04 .............Archaeo1ogical/Histor1ca1 11 _Noise
05 _Coastal 12 Public Services
06 _Fire Hazard 13 Schools
07 Flooding/Drainage 14 _Septic Systems
12. FUNOING(approx.) Federal S State $ -
13. PRESENT LAND USE AND ZONING:
Vacant - Community Commercial
14. PROJECT DESCRIPTION:
15 Sewer Capacity
16 Soil Erosion
17 Solid Waste
18 _Toxic/Hazardous
19 _Traffic/Circulation
20 _Vegetation
21 _Water Quality
Total $
22 _Water Supply
231et1ánd/Riparian
24 Wildlife'
25 Growth Inducing
26 .-Incompatible Landuse
27 _Cumulative Effects
28 Other____________________
Additional grading (20,100 c.y. cut and 19,150 'c.y, fill) to complete Dad
preparation,
15. SI4AThRE OF LEAD AGENCY REPRESENTATIVE: JQ:~Date
NOTE:' Clearinghouse '.4111 assign identification numbers for all new projects. If a SCM Number air ady exists for a project
(e.g 'from a Notice of Preparation or previous draft doc=ent) pleasefill it in.
KV1WiNt ./UNCES
____ Resources Agency
- CTRPA (CalTRPA)
Air. Resources Board :' TRPA (Tahoe RPA)
Conservation Báy Conservation & Dev't Comm
Fish and Game Parks and Recreation
/ Coastal Commission Of fice of Historic Preservation
Caltrans District -Native American Heritage Comm
Caltrans - Planning State Lands Comm
Caltrans - AerOnautics Public Utilities Comm .
California Highway Patrol Energy Comm
Boating and Waterways Food and Agriculture
Forestry, . Health Services
State Water Resources control . . Statewide. Health Planning (hospitals)
Board.- Headquarters Housing and Community Dev't
Regional Water Quality Control . Corrections
Board, Region General Services
____ Division of Water Rights (WRCB) ' Office of Local Assistance
Division of Water Quality (SWRCB) Public Works Board.
Department of Water Resources Office of Appropriate Technology (OPR)
Rec1amation Board Local Government Unit (OPR)
Solid Waste Management Board .. Santa Monica Mountains Conservancy
Colorado River Board : Other
FOR SCH USE ONLY
Date Received at SCH • Catalog Number' .
Date Review Starts . Proponent
Date to Agencies • ' Consultant
Date to SCH ' Contact ' Phone___________
Clearance Date. . Address '
Notes; ' ' '
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: CITY OF CARLSBAD
ENGINEERING DEPARTMENT
.
" FEES AND DEPOSITS WORKSHEET
S 'PREPARED BY:
PROJECT NAME: RE. 2 g. / 7. •.
. 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
'IMPROVEMENT DESCRIPTION
' '. TOTAL: ' . .X
PERCENTAGE
IMPROVEMENT INSPECTION FEE:
ITEM ' . ', , VALUE •. . ' .•
TOTAL.:. , - '' . X ' =
PERCENTAGE
PARK-IN-LIEU FEE (CIRCLE ONE):
DWELLING TYPE: SF OR DUPLEX MF (<4 UNITS) MF (> 4 UNITS) MH '
AREA: 1 : 2 3 , 4
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' 152.10 = ,
20,000 LUMEN AT 169.38 = '
TOTAL: ' . =
GRADING PLAN CHECK, FEE DEPOSIT ' RECEIPT, NO.: ,
(EXPEDITED/NOT EXPEDITED)
..
. '
GRADING PLAN CHECK FEE (_20,/00CUBIC YARDS) /00 t9
GRADING CASH DEPOSIT . .•. . . . . ... . . . . .. . .'. • ....../0,000-
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 ?LAN DOCUMENTS
. MULTIPLIED BY. CURRENT INFLAT10*1 FACTOR.
LINE " VALUE X FACTOR AMOUNT • S
X
X
• -S •
• X'
TOTAL:
;DRAINAGE FEE DUE:
ADDITIONAL FEES:' ' • ' • S • • ,
•
• ' :
'TYPE:' . • • . I,. • . • . • . . .' • '
, ,TYPE: - . - • • • .•. .• . • • . • •' . . • 'S
TOTAL FEES AND 'DEPOSITS: :. . •' . '.
(IN ADDITION, A GRADING PERMIT FEE OF
IS DUE UPON ISSUANCE OF THE GRADING PERMIT.)