HomeMy WebLinkAboutCDP 2017-0064; SLOWIK ADU; Engineering Application( 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/' /4 IV 'LO I va -oo l-J
Project Name: SLOWIK Project Number: r.:~_7n10.nn1a
Project Location: 3960 Sunnyhlll Drive, Carlsbad, CA Drawing Number: 518-2A
Assessor Parcel Number(s):
Project Description: SLOWIKADU
Owner: SHARON SLOWIK
Address: 3960 Sunn~hlll Drive, Suite:
City: CARLSBAD State: CA Zip: 92008
Phone Number: 760.803.2253 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: Erin Rist
Address: 2121 Montiel Road Suite:
City: San Marcos, CA State: CA Zip: 92003
Phone Number: 760.839. 7302 Fax Number:
Solis Engineer: Martin Owen
Address: 10925 HARTLEY ROAD, SUITE "I" Suite:
City: SANTEE State: CA Zip: 92071
Phone Number: 619.258. 7901 Fax Number:
Grading Contractor: PR Frame ConstrugiQâ–¡, lai;., State License No.: f;QR?~1
City Business License No.:
Address: 230 Bavaria Drive Suite:
City: Vista State: CA Zip: 92083
Grading Quantities: cut 540 cy fill 30 cy import n cy
remedial 490 cy export 510 cy
Qualified contact person trained In NPDES requirements:
Phone Number:
Buis of Permit Fees: cy Total Permit Fees: $ ---Verified By: Balance Due: $ YJ
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: Sharon Slowik
Address: 3960 Sunnyhill Drive, ~ Suite:
City: CARLSBAD // ;r= CA Zip: 92008,,.
Phone Number: 760.803.2253 n r Fax Number: , I I
APPLICANT'S SIGNATURE: ~ /}// /I/\.. DATE: Yh?b/2-J
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