HomeMy WebLinkAboutDEV 2017-0106; ALGA ROAD SFD; Engineering ApplicationDocuSign Envelope ID: 95294FE2.073C42BDB7EB98EBF119
(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: (crflfl — C'rP3
Project Name: 2139 Alga Road SF0 Project Number: DEV2017-0106
Project Location: 2139 Alga Road Drawing Number: 5044A
Assessor Parcel Number(s): 215-220-59
Project Description: Construction of a single family home on previously graded lot
Owner: Manuel Campana
Address: 1500 Newell Ave Suite: 206
City: Walnut Creek State: CA Zip: 94596
Phone Number: 925-788-0877 Fax Number:
I certify that I am the legal o atjesiproperty and I authorize the grading associated with this permit.
OWNER SIGNATURE I . ii) DATE: I
Civil Engineer: Kristin L.
Address: P.O. Box 143 Suite:
City: Bonsall State: CA Zip: 92003
Phone Number: 760 310 9408 Fax Number:
Soils Engineer: Mark Hertherington
Address: 5365 Avenida Enemas Suite: A
City: Carlsbad State: CA Zip: 92008
Phone Number: 760-931-1917 Fax Number: 760-931-0545
Grading Contractor Pa'(-ic. Coa,+ State License No.: 76 /Y0 A
0 City Business License No.: to
Address: 21J2& (1'{üj V!h G1f9, (.j4 Suite:
City: 0 (1 State: C4 Zip: 'P'
Grading Quantities: cut 170 cy fill 170 cy import ________ cy
remedial 0 cy export cy
Qualified contact person trained in NPDES requirements: Kristin L. Greene, PE, QSD/QSP
Phone Number: 760 310 9408
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: rA)k tt)II - (/ U
Address: '37 [ UccUe... (1 Suite:
City: State: CIA Zip: g7_o(c_
Phone Number: c- q2Z 7.*4d by Fax Number:
APPLICANT'S SIGNATURE.? i ciA DATE: - 31 I -
'-4376386EDD9E4A.. RECEIVED
E-24
SEP 112017
Page 1 of 1 REV 07/14
LAND DEVELOPMENT
1 L~W(2,O IIO W(o ENGINEERING
I
Development Services (C
01.
ity of APPLICATION
ENGINEERING land Development Engineering Carlsbad radayPLANCHECK 1635 Fa Avenue
760-602-2750 E23 www.carlsbadca.gov
Comniete all anorooriate information. Write NIA when not ann11ceb1e
Project Name:SFR CO ALtnk P-DAD Date:5.3 'II
Project Description: i2OPOSED S IJ4&L rML01 t2-S( ic1C-.E
Project Address: AL..&A gCrP
Lot No(s).: Map No.: 510 I At"g APN(s):). (6 '2.1Z0__6 '7
Number of Lots:i Number of Acres:O. 2.9 Miles of Trails: 4
Owner: fflaiit)i4rKpd4L4L.. Applicant: ttfl jtiJ
Mailing Address: 1500 NQWi ( IW*Q( Mailing Address: I2k . via Pit C.trV'i)D
Wj%ij C1 qq c 1-A 5 4
Phone Number gtc isø444e 7 Phone Number • - q-7
Fax Number. Fax Number
E-mail: E-mail:
I certify that e legal owner and that all the above
infomaUon tr nd rrect to the best of my owl ge.
4
j Signature- - Date: Signature: __.-Date-- I
Soils En ineer trT _________________ Civil Engineer: #1
Firm: 6- • Firm:
Mailing Address: /ZD i4k' (4? Mailing Address:
tc,4-f2.. C& q24 C4L$D,+D1 4-'too5
Phone Number: r7I,t7 •'3/fl 94L71c Phone Number _AA a. I 1Q17
Fax Number Fax Number. 1i'e- g,. tj-4L5
E-mail: 4dk41-eem. &k. E-mail:
State Registration Number 5'7&E) State Registration Number '1 7
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
0 Carlsbad Municipal Water District 0 Olivenhain 0 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
Lcut P70 (70 cy fill cy remedial cy import _______ cy export_______ cy
E-23 Page 1 of 2 REV 07/14
4h
APPLICATION Development Services City Of ENGINEERING Land Development Engineering
Cu PLANCHECK 1635 Faraday Avenue
760-602-2750
E23 www.carlsbadca.gov
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Project
I.D.
Drawing
Number
Deposit /Fees
Paid
Comments
El Adjustment Plat (ADJ)
yc,.So'1-..14
El Certificate of Compliance (CE)
O Dedication of Easement (PR)
Type:
Type:
El Encroachment Permit (PR)
O Final Map (FM)
.Grading Plancheck (DWG) b(iV..'ii- blo C, C7 R. Lou- D
El Improvement Plancheck (DWG)
El Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:
El Reversion to Acreage (RA)
El Street Vacation (STV)
El Tentative Parcel Map (MS)
El Certificate of Correction (CCOR)
El Covenant of Easement (PR)
El Substantial Conformance
Exhibit (SCE)
El Trails El <mile El > mile
El Other
APPLICATION ACCEPTED BY: DATE STAMP
APPLICATION RECEIVED
RECEIVED
MAY 232017
LAND DEVELOPMENT
ENGINEERING
E-23 Page 2 of 2 REV 07/14
5050 Avenida Encinas
Suite 260
Carlsbad, CA 92008
INTERNATIONAL
PROJECT PLAN REVIEW COMPLETION
The following project plans have been reviewed and are recommended for approval:
Project Name: 2139 Alga Road
Project No.: DEV20I7-0106
GR. No.: 2017-0033
DWG. No.: 504-4A
Sheets No.: I - 5 OF 5
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 AG..IQ..2fl17
uate
RCE 77512 Exp. 6/30/2019