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HomeMy WebLinkAboutDEV 2016-0070; DEMPSEY RESIDENCE; Engineering ApplicationOr- 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: Dempsey Residence Date:______________________ Project Description: Single family residence Project Address: Bolero St & Candil P1 Lot No(s).:46 Map No.: APN(s):215-491-36-00 Number of Lots: 1 Number of Acres: Miles of Trails:_________________________ Owner: John Dempsey Applicant: Same as owner Mailing Address: 1835 Aston Ave Mailing Address: Carlsbad, CA 92008 Phone Number: (760) 480-5671 Phone Number: Fax Number: Fax Number: E-mail: jd@dempseyconstruction.com 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: Signature: Date: Civil Engineer: Mel Landy, PE Soils Engineer: Dan Math, GE Firm: CTE, Inc. Firm: CTE, Inc Mailing Address: 1441 Montiel Rd Mailing Address: 1441 Montiel Rd Escondido, CA 92026 Escondido, CA 92026 Phone Number: (760) 746-4955 Phone Number: (760) 746-4955 Fax Number: Fax Number: E-mail: Mel@cte-inc.net E-mail: Dan@cte-inc.net State Registration Number: No. C081085 State Registration Number: No. 2665 Additional Comments: IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) Carlsbad Municipal Water District 0 Olivenhain fl 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 # (7 Development Services 41L City APPLICATION ENGINEERING Land Development Engineering Carlsbad PLANCHECK 1635 Faraday Avenue 760-602-2750 E23 www.carlsbadca.gov Comolete all aonronnate information. Write NIA when not annlicable. APPLICATION FOR (check all that apply) FOR CITY USE ONLY Project I.D. _________ Drawing Number Deposit /Fees Paid Comments Adjustment Plat (ADJ) 17-uI(0 O Certificate of Compliance (CE) O Dedication of Easement (PR) Type: Type: O Encroachment Permit (PR) O Final Map (FM) KjGrading Plancheck(DWG) Dzos-o Dj(,. o).-94 GR.Zi Improvement Plancheck (DWG) O Parcel Map (PM) O Quitclaim of Easement (PR) Type: El Reversion to Acreage (RA) 0 Street Vacation (SW) O Tentative Parcel Map (MS) O Certificate of Correction (CCOR) El Covenant of Easement (PR) 0 Substantial Conformance Exhibit (SCE) O Trails 0 < mile 0 > mile Other APPLICATION ACCEPTED BY: DATE STAMP APrQN ECEEV D MAR 21 2017 LAND DE'.LLOPMEN ENC,rING 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: Project Name: Dempsey Residence Project Number: t t V ).OI 0070 Project Location: Bolero Street & Candil Place Drawing Number: S 0 . - f - Assessor Parcel Number(s): 215-491-36-00 Project Description: Single family Residence Owner: John Dempsey Address: 1835 Aston Ave Suite: City: Carlsbad State: CA Zip: 92008 Phone Number: (760) 480-5671 Fax 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: Mel Landy, PE. Constuction Testing & Engineering, Inc Address: 1441 Montiel Rd Suite: 115 City: Escondido State: CA Zip: 92026 Phone Number: (760) 746-4955 Fax Number: Soils Engineer: Dan Math, GE. Construction Testing & Engineering, Inc Address: 1441 Montiel Rd Suite: 115 City: Escondido State: CA Zip: 92026 Phone Number: (760) 7464955 Fax Number: Grading Contractor: State License No.: City Business License No.: Address: Suite: City: State: Zip: Grading Quantities: cut cy fill cy import cy remedial cy export cy Qualified contact person trained in NPDES requirements: Phone Number: Basis of Permit Fees: 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 for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to this application. Applicant Name: John Dempsey Address: 1835 Aston Ave Suite: City: Carlsbad State: CA Zip: 92008 Phone Number: (760) 48cK52,? Fax Number: APPLICANT'S SIGNATURE: 7 DATE: E-24 Page 1 of 1 REV 07/14 I RFCER'E U MAR 21217 LAND DE V E L O P M E N T ENGINEE R I N G IJA ff 4 "Tim I:&W INTERNATIONAL 5050 Avenida Encinas Suite 260 Carlsbad, CA 92008 PROJECT PLAN REVIEW COMPLETION The following project plans have been reviewed and are recommended for approval: Project Name: Dempsey Residence Project No.: DEV20I7-0070 Dwg. No.: 502-4A Sheets No.: 1 —6 OF 6 DECLARATION OF RESPONSIBLE CHARGE I hereby declare that I have exercised responsible charge over the plan review of this project as defined in Section 6703 of the Business and Professions Code to determine that the plans are found to be in substantial conformance with applicable codes and standards. Plan review of these project drawings does not relieve the Engineer of Work of the responsibilities for project design under state and local ordinances. Signed 07-24-2017 Date RCE 58089 Exp. 6/30/18