HomeMy WebLinkAboutPE 2.93.13; WELDON RESIDENCE; Engineering Application0 ..
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information.. Write N/A when not applicable.
PROJECT NAME: _ DATE:
PROJECT DESCRIPTION: &M&Lgea 4
PROJECT ADDRESS: .5011 11I?24 17i..O 1W 4111111SIX&Ir
LOT NO(S).: MAP NO.: APN(S).: 21o_6 2 _.'I(
OWNER: (JJJ APPLICANT: Q)(9_L W so&es Gyp
fMailing 78 _LIi''d1!_T_14447 Mailing Address: (2..'4i._Ae*2L#iIJLJ&LUnO Address:
C" l5s OI6 -An
..
Phone Number: A44•_'737 Phone Number: (_G4)_44
I certify that I am the legal owner and that all the above infonallpri I certify that I am the agent of the legal owner and that all Information on
is true and correct to the best of my nowle e. this sheet is true and c _ebeat of my knowledge.
Signaturd';*~- Signatui q ate tow-
CIVIL ENGINEER: _4 _ SOILS ENGINEER: k2f76Jfrmt _
Firm: 4IP)_L Firm: .
Mailing Address: '7 _&ë''[_d!_s". Mailing Address: 1 MLi)U2i'_AJ_IMo
Phone Number: 544_4144_. Phone Number: (421,40
LANDSCAPE ARCHITECT: 041i I 0 ADDITiONAL COMMENTS:_________________________
Firm:
Mailing Address: '.'. __
- Phone Number: Tt')_44__..
NO. OF DWEwNavNn... NO. OF LOTS: - NO. OF ACRES:_.3.._.
.
IMPROQEMENTVALUA11ON: sewer, water & reclaimed water:_________________
streets and drainage: IaIdscape: water district:___________________
GRADING QUANTITIES:_ 5_. CV cut .cy fill 0 Cy
remedial cy import/export. cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\MISFORMS\FRM00063 - REV 12/15/92
I 4'.., CITY USE ONLY
APPLICATION FOR 'Ia""heck" 'Pró"L t/F
(CHECK ALL THAT APPLY) Number Number ID Paid
O Adjustment Plat AMP'
0 Certificate of Compliance COO"
O Dedication, of Easement DOE
.•,
'
Type
Type
O Encroachment Permit ENCROACH
0 Engineering Standards Variance ESV
0 Final Map FM
Gre ig 3 GRADING' 3q4 1P4-Df 2''o
O Imp ment Plancheck IPC
O Lanascape Plancheck L.PC
0 Parcel Map PM
O Quitclaim of Easement ourro
Type
Type
0 Reversion to Acreage WA
O Street Vacation • Iy
0 Tentative Parcel Map MS
f
P:\D0CS\M1SF0RMS\FRM00063
CITY OARLSBAD - ENGINEERING kPARTIVIENT
. ' APPLICATION
- - GRADING PERMIT '
I-
PROJECT NAME W1rr PERMIT NUMBER 9
PROJECT LOCATION: 50l1Tierra Del Oro'Street -
ASSESSOR PARCEL NUMBER(S) 210-020-016
PROJECT DESCRIPTION:, Grading &hthse colistructim for single family ±esidence on a beach
front vacant lot approximately 36 feet above sea level r
OWNER: Char1e4s Weldôn - Southwest Law Center '• . •
ADDRESS: 12749 NorwalkBlvd.; #104, Norwalk,' CA 9065l-
PHONE NUMBER: _(310); 4-377'."
ICERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND IAUTHORIZE THE GRADI~ASSO~ClED 1 01- ' . (I
WITH THIS PERMIT.
OWNER SIGNATUREaLw 011i ATE-_-
CIVIL ENGINEEft\4P°Greg Le Blanc R. .E. 48393 (exp.. 6-30-96)
ADDRESS: 39843 Ainbeley Circle, Temè'culá, CA 92591
PHONE NUMBER: (909) '676-7454
SOILS .•ENGINEER: Woodward Clyde
0 rO 81 1
-:
ADDRESS 1615 Murray Canyon Road,
PHONE NUMBER: (619) 29'4-9400 1 '-
GRADING CONTRACTOR t CIrATE LICEE i'JO
..-r •,-,__• ADDRESS L - CnYBUSINESC10ENSE
PHONE NUMBER
BASIS OF PERMIT FEES: 350 -.
GRADING QUANTITIES: •: 350 _-' cy cut . .-350 cy fill 011
-0- - cy remedial -0- cy export/import
VERIFIED
TOTAL PERMIT FEES:- BALANCE DUE: - • . .' BY:_______________
I hereby acknowledge 2 that I have read the application 'and state that the inforrnátion I have provided is
correct and agreeto comply with all City ordinànôes and State Laws, requiring éxcavating'and gradirg; and
the provisions and conditions of any permit issued pursuant to this application
(A4 . . APPLICANT NAME'David Lee__Soanes,'Ltd. ____.-- PHONE NO.(619) _544-0444
ADDRESS: 780West _"G" Street _S_t_' _67,_ San Diego ;__CA.92101
APPLICANT'S SIGNATURE: DATE:
-
r.. • - ' I • • - . - -
REV. 01/11/93 P:\DOCS\MiSFORMS\FRM0006S - - . -. • -
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