HomeMy WebLinkAboutCDP 2016-0005; KLOVANISH RESIDENCE; Engineering Application( City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
~ PERMIT NUMBER: ~-Zoi 1-(1J~C,
Project Name: Klovanish Residence Project Number: CDP2016-0005:
Project Location: Cinnabar Way_ south of intersection with El Ca Drawing Number: Dwg. No. 503-9A
Assessor Parcel Number(s): 213-310-11
Project Description: Repair of erosion damaQe to riprap
Owner: ~teven Klovanish
Address: 2721 Carlsbad Blvd· Suite:
tity: Carlsbad State: CA Zip: 92008
hone Number: (760)846-9090 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: Daniel Valdez -Coffey EnQineerinQ
)',ddress: 9666 Business~ark Ave Suite: STE 210
_City: San Diego State: CA. Zip: 92131
Phone Number: (858) 831-0111 Fax Number: (858) t5;:s 1-U 1 /'::3
Soils Engineer: EnQineerinQ DesiQn Group
Address: 2121 Montiel Road Suite:
City: San Marcos State: CA Zip: 92069
Phone Number: 760-839-7302 Fax Number:
Grading Contractor: TBD t'>f:Alti -"" ":. CIT'/ B l I J .Nl'(State License No.: q (!)-~ ~f" • . -City Business License No.:
Address: l,. 2J.f \ iJt 'f<_f(_o-1\J ~ ~TF]) Suite: l,
City: CA(<...L Sl .!) State: CJ± Zip: °11:ul J
Grading Quantities: cut 650 cy fill 25 cy import -0-I cy
remedial 32 cy export 625 cy
Qualified contact person trained in NPDES requirements: Daniel Valdez -Coffev Enaineerina
Phone Number: (858) 831-0111
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. ~ J,, luv~lsh Applicant Name:
Address: Zt-Z,,( ~{;s~ Bl ✓d.
City: &rls_k/ State:
Phone Number: ~ I ....., ,...,
APPLICANT'S SIGNATURE: LJf-;(..../(_.1 vx..__
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61
Suite:
Zip: £/2,tx)g'
Fax Number:
DATE: /$i ~/11
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