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HomeMy WebLinkAboutPE 2.86.18; JOHNSON RESIDENCE; Engineering ApplicationApplication for Grading Permit CITY OF CARLSBAD. ENGINEERING DEPARTMENT 1200 Elm Avenue 438.5541 0 PE NO. Z86,/8 Building Permit Plan Check No. FOR APPLICANT TO FILL IN Site Address &'1 Surety Company Bond No. Legal Description 40 7- /Z Map No. Surety Address A tf ____________________ Subdivision Name L Date Filed Rec'd by Owner -.0,S Phone ZI Z' Cash deposit Rec'd by Date filed $ Owner's Address ,Z 4'o9 .,i9 -i9-P4- './# C/7-1/gJ.' The following documents are required and shall become a part of the grading permit when they are approved. L"Grading plans pecifications —L---soil report Geologic Report ______ Drainage structures Other L Compaction report Plav Civil Engineer R.C.E. l91? •D:4 -'.I7 Address Phone -' /0 " s '" Soil Engineer R.C.E. Phone 1/4 A/ Grading Contractor,4, 4e,7 669 ip Phone 436 -304 SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT Address , 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. Proposed us of grade site 'IQ t9 _' Adequate provisions shall be made for erosion and siltation - control. Number of cubic yards Sde-A- At Cut Fill Import Waste All slopes shall be planted per City Code. Proposed Schedule of Start Operations (dates) Finish ,Qpg 4, All fills to be compacted to at least 90% of optimum 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, and the provisions and conditions of any permit issued pursuant to this application. Under City Code Sec. 11.06 170 this grading is: 0 REGULAR GRADING - City inspector will make inspections jisted below. Signature of Permittee ,XCONTROLLED GRADING Private grading engineer shall bserve work, coordinate tests, make reports. Owner or authorized (AN sP. SIGNATURE INSPECTION DATE __________________ Initial - site prep. ENVIRONMENTAL CLEARANCE - Date EtA Log No. By 3/i/8 Rough - prior to drains 4AIV A Final - slopes planted Compaction reports rec'd. Grading permit fee $ / Co Plan check fee $ 30 4Z1 Permit9y1, 41 Private engr. cert. rec'd. lip A A - uy ualie __________________ White-Office; Green-Building; (I Perm 'piration Datef,41&Ir1 / 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 • /?E cPJF FEE: $175.00 RECEIPT NO: 5&33c ENVIRONMENTAL -IMPACT ASSESSMENT FORM - Part .I (To Be Completed by APPLICANT). CASE NO: DATE: Applicant: Address of Applicant: ? ' phone Number: Name, address and phone number of person to be contacted (if other than Applicant): GENERAL INFORMATION: Description of Project: L07— t Project Location/Address: J9 /9L_ tfr',4-P Assessor Parcel Number: of 10 4~7 Zone of Subject Property: ______________________________________ Proposed Use of Site: List all other applicable applications related to this project: I Describe the activity area, including distiguishing natural and man- made characteristics; also provideprecise slope analysis when appropriate. . 9 4 p)7 /-V7 ,1-c1dW P'c Describe energy conservation measures incorporated into the design and/oroperation of the project. /Z. 3 i., If residential, include the, number of units, schedule of unit sizes, range of sale prices or rents, and type. of household size expected. /a/ - e4 . If commercial, indicate the type, whether neighborhood, city or • regionally oriented, square footage: of sales area, and loading facilities. If industrial, indicate type, estimated employment per shift, and loading facilities. If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading, 'facilities, and community benefits to be* derived from the project. . . -2- I. ENVIRONMENTAL IMPACT ANALYSIS Answer the following questions by placing 'a check in the appropriate space. (Discuss all items checked "yes". Attach additional sheets as necessary.) YES NO Could the project significantly.c'hange 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? Couldthe 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-made features 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? Does the activity significantly affect the potential use, extraction, or, conservation of a scarce natural resource'? Could the activity significantly affect fish, S wildlife or plant life? Are there any rare or endangered plant species in the activity area? S 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? S S could the activity result in the erosion or S elimination of agricultural lands? Could the activity serve to encourage development . of presently undeveloped areas or intensify develop- S ment of already developed areas? -3- • S . .' .. YES NO 17) Will the activity require a variance from established environmental standards (air, water, noise, etc.)?.. . . 18) 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? ' 20) Will the activity involve the application, use, or disposal of potentially hazardous materials? 21) Will the activity involve construction of facilities in a flood plain? 22) Will the activity involve construction of facilities in the area of an active fault? . 23) ' Will the activity involve construction of facilities on a slope of 25 percent or greater? 24) Could the activity result in the generation of significant amounts of noise? 25) Could the activity result in the generation of 'significant amounts of dust? - 26) Will the activity involve the burning of brush, trees, or other materials? 27) ' 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.)' . . . 28) Will the project substantially increase 'fuel consumption (electricity, oil, natural gas, etc.)? 29) Will there be a significant change to existing' land form? . . . Indicate estimated grading to be done in cubic yards: Percentage'of alteration tb the present land form: (C) Maximum height of cut or fill slopes: 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? -4- . . & II. 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: . .. . :111. COMMENTS OR ELABORATIONS TO ANYOF THE QUESTIONS IN SECTION I (If additional space is needed for answering'any questions, attach additional sheets as needed.)-- Signature .. . (Person C p. ting Report) . . DateSigned___________________________________________________________ • • S ENVIRONMENTAL IMPACT ASSESSMENT FORM:- PART II (To Be Completed by the LAND USE PLANNING OFFICE) CASE NO. . e6.I DATE: a/IoJ BACKGROUND S 1. APPLICANT: - 2 ADDRESS AND PHONE NUMBER OF APPLICANT oq CA. c2oo . fl2D 3. DATE CHECK LIST SUBMITTED: 3(L4 f 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: a. Unstable earth conditions or in. changes in geologic, substructures? b..' Disruptions', displacements, com- paction or overcovering of the soil? - Change in topography or ground surface relief features? - The destruction, •covering or modification of any unique geologic or physical features? - Any increase in wind o.r.water erosion of soils, either on or off the site? • - 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? - .• YES MAYBE NO 2. Air - Will the proposal have significant results in: •. Air emissions or deterioration of ambient air quality? • ______ . . ______ The creation of objectionable S . odors? . . • Alteration of air movement, moisture or, temperature, or any change in climate, either locally . • or regionally? 3. Water --Will the proposal have • S significant results in: S Changes in currents, or the course S or direction of water movements, in either marine or fresh waters? Changes in.absorption. rates, drainage patterns, or the. rate and S. • amount of surface water runoff? -• c. Alterations to the course or flow. 0 S of flood waters? - 0 d. Change in the amount of surface water in any water body? S • e. Discharge into surface waters, S or in any alteration of surface S water quality, including but not limited to, temperature., dissolved S oxygen or turbidity? Alteration of the direction or S rate of flow of ground. waters? ______ •. . Change in the quantity of ground ,. • S • • . . S • waters, either through direct additions or withdrawals, or through S interception of an aquifer by cuts S • S S or excavations? h. Reduction in the amount of water • S S otherwise available for public S • S water supplies? S - • S ______ _____ ______ -2- • 5 0 • YES MAYBE NO 4. Plant Life - Will the proposal have' 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? C. Introduction of new species of plants • into an area, or in a barrier to the normal replenishment of existing species? d. Reduction, in acreage of any agricultural 'crop? . 1'- 5. Animal Life - Will the proposal have - 0 0 significant results in: - a. Changes in the diversity of species, or'numbers of any species of animals 0 (birds, land animals including reptiles, fish and shellfish, benthic organisms, • insects or microfauna)? • 0 • • b. Reduction of-the numbers of any unique, rare or endangered species of animals? 0 C. Introduction of new species of animals 0 into an area, or result in a barrier to the migration or movement of animals? 0 0 d. 0 Deterioration to existing fish or • wildlife habitat? • 0 • ' 0 • 0 0 6. Noise - Will the proposal significantly increase existing noise levels? 7... Light and Glare - Will the proposal sig- nificantly produce new light or glare? 0 8. Land Use - Will the proposal have 0 significant results in the alteration of O the present or planned land use of an area? 0 • • 0 • • I -3- S.. YES MAYBE MAYBE NO 9. Natural Resources - Will the proposal have significant results in: . S 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 S • 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? • S C. Impact upon existing transporation S systems? . S • . d. Alterations to present patterns of • circulation or movement of people . S and/or goods? e. Alterations to waterborne, rail or - 55 S air traffic? • - •• S f. Increase in traffic hazards to motor vehicles, bicyclists or • S S pedestrians? S S •__• S 4 - S :YES MAYBE NO 14. Public Services - Will the proposal have a significant effect upon, or have signif- icant results in the need for new or altered governmental services in any of • the following areas: a. Fire protection? b Police protection?'.. Schools? S Parks or other recreation'a1 • S • facilities? • e.. Maintenance of public facilities, - including roads? ______ _____ • ______ f. Other governmental services?-. 15. Energy - Will the proposal have signif- • icant results in: Use of substantial amounts of fuel orenergy? Demand upon existing sources •of 0 • - energy, or require the development: • S • of new sources of energy? 16. Utilities - Will the proposal have • 0 significant. results in the need for new• • systems, . or alterations to the following • utilities: 0 S • a. 'Power or natural gas? ______ • • b. Communications systems? C. •0 Water? • : S S • •• • d. Sewer or septic tanks? Storm water drainage? Solid waste and disposal? S - _____ • 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? S S • Recreation - Will the proposal have significant results in the impact upon the quality or quantity of existing recreational opportunities? Archeological/Historical - Will the • S proposal have significant results in the alteration of 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 thannow, f) alternate. sites for the proposed, and g) no project alternative. e hcv -6- © .., YES MAYBE 'NO 22. Mandatory Findings of Significance - 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.) Does the, project have impacts 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 effec-t of -the total of those impacts on the environment is significant..) A. Does the project have environmental ' ' .. •. effects which will cause substantial adverse effects on human beings, either directly or indirectly? III. DISCUSSION OF ENVIRONMENTAL EVALUATION " a D c4 $r' 4. cIQ t 2 ' $i 1 P r' €r / -7- 0 .• .., .••. 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 a. significant effect on the environment, there will not be a significant effect in this case because the mitigation measures describedonan attached sheet hàve'béen added to the project. A Conditional Negative Declaration will be proposed. I find the proposed project MAY have a significant effect on. the environment, and an ENVIRONMENTAL IMPACT REPORT is required. 3i)Ch& MITIGATING MEASURES (If Applicable) . S -9- WE . MITIGATING MEASURES (Continued) RETURN TO: COAAÔ OF ,UPCIVI4dI'I ?U HAMILTON elms? O,.,a,c? I'&UL *. FOOIM sscone o,.,n,c, mO2Im H(DUICOCK INtRO OSItNIC? jIM §A 99 COUSIN OSSYWICt 0AUt. sca-r El San Diego Office 0 North county Office 0 East County OfficS CR10 5201 Ruffin Road, Suite 83 334 Via Vera Cruz 200-1 Edit Main Street San Diego, CA 92123 San Marcog, CA 92069 El C1I60j CA 92020 565-5920 741.4238 S79.4511 Prnect Location fVtAf'4 AC, OA. Name of PermittCe TcDN\ o-NSoN Grading PármitNo. Lot "1 46 TQ(v - This report form for a "minor" grading project is to be complóttd and öned by the Rterèt Civil Engineer (or Architect) who has been designated on the Grading Plan and Permit aS the Engineer who will ftIPnish 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 grading compliance with the approved Grading Plan and Permit. There the quEstions below refer to location, configuration or quantity of Cut and/or fill areas, it is understood that your response will not normally be based on an actual land survey or detailed earthwork quantity calculations. It should be 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 requires that all fills authorize by a Grading Permit be compacted to a minimum of 90% of ma.'tlinum density with the exceptiQn that not sote than 12" of uncompacted And untested fills may be dispersed over the land parcel. The need to compact all full that are beyond the preSent limits of the present proposed construction is to insure that future proposed con5truct1onof room additions or swimming pools or similar structures will not require that uncompacted fills be removed or rmcompaeted, or that extensive foundation work be installed. Compaction reports will not be accepted unless this form it complEted and signed by the'registered person. A. COMPATIBILITY WITH GRADING PLAN AND PERMIT Yes ' Was the compacted fill placed only in the approximate locatlond degiindteA on the grading to plan as areas to be filled? - Did the quantity of fill material placed approximately conIos Ed the gra1ng plant YeS S. Did the toe of fill or the top of cut appear to meet the ptesribdd property tine ikbick Yet No (1.5' for fill; 3.0' for cuts)? - Were the finished fill slopes equal to or leSS than 2 hritontflI to I ,EtttcEl' Yes ' _ If the fill inatHal wa.S obtained by,cuti on the site, were tàtê cuts adsè in the propet Yes .( No location and to the proper Slope mpprbxitbiy aS shown on the approved grading plan? Were brow ditches constgucted apto*imateLy as shown on the iradtfiJOlen? Yes No B. LOCATION AND AMOUNT OF COMPACTION TESTS Have you attached a sketch and data shoving the location and rElttivé Eivatiofl toi ill Yes V11, No compaction tests? Was a compaction test made so that there is at least one tasi lit eacH if thick tenl of YeS_ Mo_ compacted material? As Indicated by Inspections, observations and compaction test tE1uit 3 weE the fill, Yet j No_ excluding the top 1.01, 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 f4it6vE1, benching, YEv" o_ wetting, removal of noncotepacted fill or debris and related iteit? Was all detrimentally expansive soil placed in the fill at i' Oi itofE bElow finish gtitd? Yes 1/ No_ Have you attached a copy of your curvE showing-the retationshi bEtween opiiia ISlut Yes ' No_ content and maximum density? Was all material used as fill (earth, rocks. gravel) SmEllEr then 12" in IttE? Y6* v-' No_ S. Are all areas of the fill suitable for support of structure? Yet j ' No_ 6. Were all existing fills on the site recompacted in accordance with the provisionS of the YeS 4o__ grading ordinance? DF L -473 Rev. 3----9 ; - COUTY OF SAN 0100 DEPARTMENT OFPLANNING AND LAND USE --re nivia,np.à * 0. STATISTICAL DATA W I. D*tii the qtnding w',r w r,rfor'e4 7— Tr-aS26 .Q2-.7-1-t 2. Ditei vi!tr r'pr'nitI;' on itt! md ntmth.r it hour4.c',i 4I* ct$e n treenI': 7-'.. 8, 7-29 L. . AS-BUILt DATA - I If the fill placement wig not n iccorcIenee with the 1pprovè IAtt !J n i' oUy the petmlttee to obtitn :tpprrvml for dovlitlon from the plan S'!t ioft1n4 ti(Ih r - iddltlonml fill plmr.riiønt? 2. If the approved 3ridint plin'loei not reflect the ictut )dition, cepth niI type of tilt. . Y64 have you ,hmtt.1 fir revt"w in '.rrr'wt en .ig-hutlt pl1n - RPKS: Jco, ,i/o#t #" fdé4 co/ is lool e1'_4 • CERTIFICATIOU 'I hereby ertIfy, 'incler rnmlty of perjury, that the tñtorifltt6 Li true to the bt of my knowledqe end bitlaf. ReIitretton or Certltie*tiOfl Pumr 1535 ktitit4bthO liL, lCONDIbo CA telephone Hteeber 741-0ii OPt'7 ..