2007-719 G -�TGINEERING SERVICES DEPARTM ".N
505 S. VULCAN AVE.
ENCINITAS, CA 92024
GRADING PERMIT
PERMIT NO 719GI
------------------- - - - - --
PARCEL NO. 258 - 241 -3100
JOB SITE ADDRESS: 389 PLAN NO.: 719 -G
APPLICANT NAME REQUEZA STREET CASE NO.:
RANCHO COASTAL HUMANE SOCIETY
MAILING ADDRESS: 389 REQUEZA STREET
CITY: ENCINITAS STATE: CA ZIP: 92024 -
PHONE NO.: 760 -753 -6413
CONTRACTOR
LICENSE NO.: PHONE NO.:
ENGINEER O ENGINEERING LICENSE TYPE:
PERMIT' I E DATE: 7/23/08 PHONE 760- 436 -066
PERMIT XP. DATE: /00 /00
INSPE T PERMIT ISSUED B
---- - - - - --
PERMIT FEES & DEPOSITS
1• PERMIT FEE
3. INSPECTION FEE 553.00 2. GIS MAP FEE
5. NPDES INSPT FEE '00 4. INSPECTION DEPOSIT: •00
7. FLOOD CONTROL FE 110.00 G. SECURITY DEPOSIT .00
9• IN -LIEU UNDERGRN .00 8. TRAFFIC FEE 11,065.00
11-PLAN CHECK FEE ' 10 -IN -LIEU IMPROVMT •00
.00 12.PLAN CHECK DEPOSIT: •00
DESCRIPTION OF WORK ------- .00
- - - -_ _ __
PERMIT FOR THE ILLEGAL GRADING ON SITE. NO CONTRACTOR INFORMAT
WORK COMPLETE. CONTACT ENGINEERING INSPECTOR FOR REQUIREMENTS ION -
-- -- INSPECTION
------- - - - - -- DATE
-- - ----- INSPECTOR'S SIGNATURE
INITIAL INSPECTION
COMPACTION REPORT RECEIVED
ENGINEER CERT. RECEIVED
ROUGH GRADING INS ECTION
FINAL INSPECTION`
---- --------------------------------
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE APPLICATION AND STATE T
INFORMATION IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND
LAW THAT THE
TIN CAVATING AND GRADING STATE
IS UED PURSUANT TO THIS APPLICATION.
PROVISIONS AND CONDITIONS OF
SIGNATURE 2 , " c l
DAT SIGNED
�1
PRINT NAME
TEL HONE NUMBER
hTDr+T L+ n7,TD .
�i.inTt n � r rnT.Tm
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Recording requested by: ) THE ORIGINAL OF THIS DOCUMENT
WAS RECORDED ON MAY 06, 2008
�1 City of Encinitas ) DOCUMENT NUMBER 2008- 0243955
GREGORY J. SMITH, COUNTY RECORDER
When recorded mail to: ) SAN DIEGO COUNTY RECORDER'S OFFICE
City Engineer ) TIME: 4:09 PM
City of Encinitas )
505 South Vulcan Avenue )
Encinitas, CA 92024 )
SPAS
Maintenance Agreement
Uncontrolled Embankment
Site Address 398 ReQUeza Street
Application Number 719 -G
The undersigned, the owner of 398 Re ueza Street APN 258 - 241 -31 and per legal description
Attachment A in the City of Encinitas, County of San Diego, State of California, in the consideration of
the grant of permission by the City of Encinitas to install and maintain an Uncontrolled Embankment per
Attachment B for the use and benefit of owner's property, and agrees with the City of Encinitas, as
follows:
1. The Owner acknowledges that as an Uncontrolled Embankment, the site is not eligible for a building
permit unless special soils analysis and foundation design are approved.
2. The Uncontrolled Embankment will be maintained in a safe and sanitary manner at the sole cost, risk
and responsibility of the property owner and his successors in interest, who shall hold the City of
Encinitas harmless with respect thereto. In accordance with section 23.24.040of the City of Encinitas
Municipal Code the City Engineer will instruct removal of the Uncontrolled Embankment if it is not
maintained in a safe and sanitary manner.
Owner' Signature
Print name(s) Rancho Coastal Humane Society, a California Corporation
Jim Silveira, '/L�Sic�;✓� -� ��
(— Titlel
Dated this D r# day of ,dgt&
20
[Signature of OWNER must be notarized. Attach the appropriate acknowledgment.]
Date: 7 /� g
By:
/P,MPeter Cota - Robles
Director of Engineering Services
m16500
State of California ) _
CALIFORNIA ALL - PURPOSE
County of ) CERTIFICATE OF ACKNOWLEDGMENT
On *alai " _ before me, /
(here Insert name and title of the officer)
personally appeared �� �� y�� '
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(sltare subscribed to
the within instrument and acknowle ed to me that e, he /they executed the same inooer /their
authorized capacity(ies), and that b his/ er /their signature(s) on the instrument th
W upon behalf of which the person(s) acted, executed the instrument. a person(s), or the entity
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and correct.
RANDA G. MIILJOuR
WITNESS my hand and official seal. Ces 81 >•""4
r Sn Dfto Comit
m Exp. JaK G,. 2011`
Signature
(Seal)
OPTIONAL INFORMATION
Although the information in this section is not required bylaw, it could prevent fraudulent removal and reattachment of this
acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document.
Description of Attached Document
ditionai information
Ad
The preceding Certificate of Acknowledgment is attached to a document Method of Signer Identification
titled /for the purpose of Proved to me on the basis of satisfactory evidence:
L0 form(s) of identification Q credible witness(es)
Notarial event is detailed in notary journal on:
containing pages, and dated
Page # Entry #
The signer(s) capacity or authority is /are as: f
Notary contact: R
El Individual(s)
❑ Attorney -in -Fact Other
❑ Corporate Officer(s) ❑ Additional Signer(s) El Signer(s) Thumbprint(s)
Title(s) ❑
❑ Guardian /Conservator
❑ Partner - Limited /General
❑ Trustee(s)
❑ Other:
representing:
Names) of Person(s) or Entity(ies) signer is Representing f
0 Copyright 2007 Notary Rotary, Inc. 925 29th St., Des Moines, IA 50312- 3612 Form ACK033 10/07v N, To re- order, call toll -free 1 349 -6588 or visit us on the Internet at http:
/ /www.notaryrotary.com
_ State of California )
CALIFORNIA ALL - PURPOSE
County of � 441 ) CERTIFICATE OF ACKNOWLEDGMENT
On _yp,�i 12s, X before me, p L
(here insert name and title of the officer)
Personally appeared
_ r
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) (Ore subscribed to
the within instrument and acknowled ed to me that(�Phe /they executed the same i is/ er /their
authorized capacity(ies), and that b his/ er /their signature erson s) on the instrument the s or t
upon behalf of which the person(s) acted, executed the instrument. p O, he entity
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
RAND
G. INIIWp
mi ssbn �t 7�
r on Coot"
Cep ' Exp. l sn. i. 201
Signature
(Seal)
OPTIONAL INFORMATION
Although the information in this section is not required by law, it could prevent fraudulent removal and reattachment of thi
acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. s
Description of Attached Document
The preceding Certificate of Acknowledgment is attached to a document Method of Signer Identification
titled /for the purpose of Proved to me on the basis of satisfactory evidence:
Lo form(s) of identification Q credible witness(es)
containing pages, and dated Notarial event is detailed in notaryjournal on:
Page # Entry #
The signer(s) capacity or authority is /are as: f
Notary contact: R
❑ Individual(s)
❑ Attorney -in -Fact Other
❑ Corporate Officer(s) ❑ Additional Signer(s) ❑ Signer(s) Thumbprint(s)
Title(s) ❑
❑ Guardian /Conservator
❑ Partner - Limited /General
❑ Trustee(s) x
❑ Other:
representing:
Names) of Persons) or Entity(ies) Signer is Representing
0 Copyright 2007 Notary Rotary, Inc. 925 29th St., Des Moines, IA 50312-3612 a,. Form ACK03. /07 JV1N3 To re-order, call toll -free 1 349 or visit us on the Internet at http: /
/www.nOtaryrotary.com
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W __ E Sampo En2ineerin2, Inc.
Land Planning, Civil Engineering, Surveying, Mapping
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November 10, 2008
Page 1 of 1
City of Encinitas
Engineering Services Permits
505 South Vulcan Avenue
Encinitas, CA 92024
Re: Engineer's Final Grading Verification for Grading Permit Number 0719 -G ,
Rancho Coastal Humane Society, 389 Requeza Street
The grading under permit no. 0719 -G has been performed in substantial conformance with
the approved grading plan, or as shown on the attached `As Graded' plan.
Final Grading Inspection has demonstrated that lot drainage conforms to the approved
grading plan and that swales drain at a minimum of I% to the street and /or an appropriate
drainage system.
The Low Impact Development, Source Control and /or Treatment Control Best Management
Practices as shown on the approved drawing and required by the Best Management Practice
Manual Part II were constructed and are operational, together with the required maintenance
covenant(s). �J
Engineer of Record: _(� — – �• —� + L
Vincent L. Sampo, PE, PLS for Sampo Engineering, Inc. s "b
Dated: // /D Na "t73
6W64WW
Verification by the Engineering Inspector of this fact is done by the Inspector's signature
hereon and will take place only after the above is signed and stamped and will not relieve the
Engineer of Record of the ultimate responsibility:
Engineering Inspect r:
Dated:
1034 Second Street ♦ Encinitas, CA 92024 ♦ phone: 760 - 436 -0660 ♦ fax: 760 - 436 -0659
info @sampoengineering.com