HomeMy WebLinkAboutSDP 2024-0001; THE ROOSEVELT; Engineering ApplicationAPPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
E-23 Page 1 of 2 REV 12/2024
Complete all appropriate information. Write N/A when not applicable.
Project Name: Date: __
Project Description:
Project Address:
Lot No(s).: Map No.: APN(s):
Date:
Owner:
Mailing Address:
Phone Number:
E-mail:
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
Signature: Date:
Civil Engineer:
Firm:
Mailing Address:
Phone Number:
Soils Engineer:
Firm:
Mailing Address:
Additional Comments:
IMPROVEMENT VALUATION
1.What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District Olivenhain Vallecitos
2.7otal cost estimate, including the 15% contingency fee, forZDWHUDQGUHFODLPHGZDWHULPSURYHPHQWVVHZHU
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GRADING QUANTITIES
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Applicant:
Mailing Address:
Phone Number:
Email:
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APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
E-23 Page 2 of 2 REV 12/2024
APPLICATION ACCEPTED BY: DATE
APPLICATION RECEIVED
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Drawing Number Comments
Adjustment Plat (&2&)
Certificate of Compliance (C2&)
Dedication of Easement (PR)
Encroachment Permit (PR)
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Grading Plancheck (*5)
Improvement Plancheck (,03)
Parcel Map (0$3
Quitclaim of Easement (9$&
Reversion to Acreage (0$3)
Certificate of Correction (C2&)
Covenant of Easement (PR)
Other
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E-24 Page 1 of 1 REV 12/2024
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
APPLICATION
GRADING PERMIT
E-24
PERMIT NUMBER: GR
Project Name:
___________
___________
___________
___________
_______
Project Location:
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Assessor Parcel Number(s):
Project Description:
Owner:
Address: Suite:
City: State: Zip:
Phone Number:
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: DATE:
Civil Engineer:
Address: Suite:
City: State: Zip:
Phone Number: Email:
Soils Engineer:
Address: Suite:
City: State: Zip:
Phone Number: EmaiO:
State License No.:
City Business License No.:
Suite:
State: Zip:
Grading Quantities: cut cy fill cy import c\
remedial cy export cy
Qualified contactperson trained in NPDES requirements:
Phone Number: Email:
I hereby acknowledge that I have read the application and information provided is correct. I agree to comply with all
federal, state, and city laws, ordinances, regulations and policies relating to excavation and grading including, but not
limited to, the Federal Endangered Species Act of 1973 and any amendments thereto. I will also comply with OSHA
Permit requirements for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to
this application.
Applicant Name:
Address: Suite:
City: State: Zip:
Phone Number: Email:
APPLICANT’S SIGNATURE: DATE:
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Grading Contractor:
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Address:
City:
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