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HomeMy WebLinkAboutPD 16-02; HARDING SQUARE; Engineering Application(City of Carlsbad APPLICATION ENGINEERING PLANCHECK E-23 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Complete all appropriate information. Write N/A when not applicable. Project Name: 2390 h'AAP'V 57-1 Date: -7116 Ilk ______________________ Project Description: 5i11)1/€'PMFPr —'j -'7 Project Address: -3-79 6, NA it b/ i'-' C. Lot No(s).: vk Ti A- /13 Map No.: J / APN(s):zc '1 - Number of Lots:/ Number of Acres: V . / ' Miles of Trails: - Owner: Abii _ Applicant: Mailing Address: 2-3'-jLA _'c-Or Mailing Address: 5qHa ___it-..T icr '_LA_ZOI Cl/Sbc _k C_?Oo - Phone Number: 7Lc)_'U3 Phone Number: 7c, _-8II ' Fax Number: _7toQ c7q&_ Fax Number: 7(o T'I2_- E-mail: I_?_rs',tecti-,7r1cc. ,E-mail: I certify that I e legal owner and that all the above information i tru n rrect to the best of my knowledge. Q=&A--Date: Signature: _Date: Signature: Civil Engineer: Le AJ.4b.._P/t?,' Soils Engineer: Firm: a(-tI'r,tI-I4vD5Rt'(Y/c4 Firm: Mailing Address: 2/$P'C'16 tn'V 9ka'V Mailing Address: Jc,.t'ifjD Phone Number: 7 _0 ze, 7"7F'; _/q_2-eZb Phone Number: Fax Number: Fax Number: E-mail: /d'r4e-e-5 C fe 0,n_i"_Jvfvcyod E-mail: State Registration Number: L$76&'1 StateRegistrationNumber: Additional Comments: IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) U Carlsbad Municipal Water District 0 Olivenhain U Vallecitos If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ GRADING QUANTITIES cut _______ cy fill cy remedial cy import cy export cy E-23 Page 1 of 2 REV 07/14 PP 1 Lo-02 (City of Carlsbad APPLICATION ENGINEERING PLANCHECK E-23 Develooment Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Corn olete all aoorooriate information. Write N/A when not aoDlicable. APPLICATION FOR (check all that apply) SE~QIJL~ J _________ IT -. Project] -1.D Drawing Number Depos/Fees Paid - Comments LI Adjustment Plat (ADJ) LI Certificate of Compliance (CE) $.Dedication of Easement (PR) Type: 5TR6fl (4 1 Type: O Encroachment Permit (PR) 0 Final Map (FM) LI Grading Plancheck (DWG) LI Improvement Plancheck (DWG) O Parcel Map (PM) El Quitclaim of Easement (PR) Type: LI Reversion to Acreage (RA) O Street Vacation (STV) O Tentative Parcel Map (MS) O Certificate of Correction (CCOR) LI Covenant of Easement (PR) LI Substantial Conformance Exhibit (SCE) LI Trails LI < mile LI > mile LI Other APPL/rccEPB E-23 Page 2 of 2 REV 07/14 (City of Carlsbad APPLICATION ENGINEERING PLANCHECK E-23 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Complete all appropriate information. Write N/A when not applicable. Project Name:1/'D/AJc c44gg Date: 2-28 Proect Description: ,f4'A4t',2 c'4/c /241P #€ A aiy ?ro1 ja/( Project Address: 390 4,eD..'vZ LJ4, &?#'/56&d ZO8 Lot No(s).: Map No.: APN(s):24//O/2ct Number of Lots: Number of Acres: 49, lAc Miles of Trails:_______________________ Owner: ,14e,21N'4 AJV Applicant: Riry Mailing Address: :3.+040 1e1Q.'4/6 SP' Mailing Address: ( d4e ) /4aa 4 9Zc4 Phone Number: 742. t88-9/3 Phone Number: Fax Number: Fax Number: E-mail:'E-mail: I certify that I am the legal owner and that all the above information is t e and correct to the best of my knowledge. Date: 2 'Z!/ signature:IC.Lni Date:—Z'28 44 Civil Engineer: 24'Y,7 (/,,i17 Soils Engineer: 7,' /'P #E Firm: W#44MrJ cc'ap Firm: 640 yl~k Mailing Address: 2/9 ,i/eir/ &y Mailing Address: i 90 I4 7 -, 4r 9Z5/ Phone Number: (?')74Z Phone Number: 7.O -59QcgO9 Fax Number: ________ E-mail: CMe jaiij 00-Q 4i /i.4 Fax Number: E-mail: 7'Iv/e1cQ/h ea/ ash. State Registration Numb: A'ca 246 State Registration Number: ,'6Z2.44 Additional Comments: IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) Carlsbad Municipal Water District fl Olivenhain Vallecitos If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ GRADING QUANTITIES cut cy fill 4' cy remedial .Z2. cy import C cy export 0 cy E-23 Page 1 of 2 REV 07/14 vz-, ( City of Cailsbad APPLICATION ENGINEERING PLANCHECK E-23 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Complete all appropriate information. Write N/A when not applicable. APPLICATION FOR (check all that apply) • FOR CITY USE ONLY Project ID. Drawing Number Deosit IFees Paid Comments El Adjustment Plat (ADJ) It,, 1%LA LII Certificate of Compliance (CE) El Dedication of Easement (PR) Type.,. .• • Type: El Encroachment Permit (PR) fl Final Map (FM) 'Grading Plancheck (DWG) i_Id! •9, '7J El Improvement Plancheck (DWG) El Parcel Map (PM) J Quitclaim of Easement (PR) Type: El Reversion to Acreage (RA) El Street Vacation (STV) El Tentative Parcel Map (MS) E Certificate of Correction (CCOR) El Covenaptof Easement (PR) El Substantial Conformance Exhibit (SCE) El Trails LI] < mile [1 > mile lL.-)t.Q..- APPLICATION ACCEPTED BY: DATE STAMP APPLICATION RECEIVED E-23 Page 2 of 2 REV 07/14 (City of Carlsbad APPLICATION GRADING PERMIT E-24 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I PERMIT NUMBER: I(o 09 I Project Name: ,t,/ LI iJr Project N umber: ,2'O /c 02 Project Location: 3390 '' Drawing Number: Assessor Parcel Number(s): 114r— g90 Project Description: 74 7err/ ce,r '7 L/24'gZ#l7' Owner: )c'ez/7'y' tgqr v/ L"4!#'.iJ7t Address: s44&9 Lc7-E46r Suite: Z110- City: oere XS h4w f State: Zip: Phone Number: 7,0 . 7473 Fax Number: I certify that I am the legal owner of this property and I authorize the grading associated with this permit. OWNER SIGNATURE: ra4 (79z,z,7 DATE: Civil Engineer: J,q.-, p ,4. (1,e'417- Add ress: 2/9 AllAzzeldal 74 Suite: City: 7ws State: C44 Zip: 9224 Phone Number: 7O - * 7473 Fax Number: Soils Engineer: Address: Aza 34. ,4i. ,.ad 'p Suite: City: &p/4 4'd State: 67-14 Zip: 92¼'/ Phone Number: 7t - 599. eso9 Fax Number: Grading Contractor: to/s7€/7'e'AJ' State License No.: C Z18'j - City Business. License No.: Address: 2358 /e 27- Suite: City: State:' 04 Zip: ?P- 0(:2p Grading Quantities: cut 44 cy fill ___ cy import cy remedial cy export 0 cy Qualified contact person trained in NPDES requirements: Phone Number: Basis of Permit Fees: 30 cy Total Permit Fees: $ Verified By: . Balance Due: $ 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 fQr trenches over five feet deep and the provisions and conditions of any permit issued pursuant to this application. Applicant Name: Address: 2/9 Jy . Suite:'______________ City: State: Zip: 92 24 Phone Number: 747 Ot Fax Number: .0.9./&, APPLICANT'S SIGNATURE: DATE: E-24 Page 1 of 1 REV 07114