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HomeMy WebLinkAboutRP 16-12; ARMY/NAVY STUDENT ENRICHMENT CTR; Engineering ApplicationC City of Carlsbad - APPLICATION ENGINEERING PLANCHECK E-23 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov ro riate information. Write N/A when not a licable. Project Name: Army & Navy Academy Student Enrichment Center Date: ____________ _ Project Description:---------------------------------- Project Address: 2 600 Carlsbad Blvd. Lot No(s).: Parcel 1 Map No.:_2_1_0_4_6 ____ _ APN(s): 2 03-054-33 Number of Lots: 1 Owner: Mailing Address: Phone Number: Fax Number: E-mail: A:\:-oAL©±tm.L..tA& If (Mf flrt. I certify that I am the legal owner and that all the above ' Co'( information is and correct to the be 0'4~dge. Signature: ,A/c~ff_,,,,__ te: ~ l/) 10 Civil Engineer: Adam L. Toal, P. E. Firm: Toal Engineering, Inc. Mailing Address: 139 Avenida Navarro San Clemente, CA 92672 Phone Number: (949) 492-8586 Fax Number: (949) 498-8625 E-mail: atoal@toalengineering.com State Registration Number: C59275 Applicant: Mailing Address: Phone Number: Fax Number: -mail: Firm: Mailing Address: Phone Number: Fax Number: E-mail: Miles of Trails: State Registration Number: Additional Comments: _________________________________ _ IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) IB] Carlsbad Municipal Water District D Olivenhain D Vallecitos 2. 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 160 cy fill o cy remedial 590 cy import O cy export 160 cy E-23 Page 1 of 2 REV 07/14 C 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. APPLICATION FOR ( check all that apply) D Adjustment Plat (ADJ) D Certificate of Compliance (CE) D Dedication of Easement (PR) Type: Type: lli] Encroachment Permit (PR) 0 Final Map (FM) lfil Grading Plancheck (DWG) D Improvement Plancheck (DWG) D Parcel Map (PM) D Quitclaim of Easement (PR) Type: D Reversion to Acreage (RA) D Street Vacation (STV) D Tentative Parcel Map (MS) D Certificate of Correction (CCOR) D Covenant of Easement (PR) U Substantial Conformance Exhibit (SCE) D Trails D < mile D > mile D Other II APPLICATION ACCEPTED BY: E-23 Project I.D. n/a n/a n/a ~4) }l, r-P ~,B-,.... n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Drawing Number --I;+- ~R Page 2 of 2 FOR CITY USE ONLY Deposit /Fees Paid l~-r l:f7 II Comments o--6~ DATE STAMP APPLICATION RECEIVED 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 II PERMIT NUMBER: Project Name: ~C-">cl'--"-"-"""!--4-->.!.....L.:._,;..+---+-;-"--'-""'..!..+;=--"~'---=--=+-------,--Project Number: """"--"~-=----->L.__=-i~'----'-------'-""'-----=---1 Drawing Number: Project Location: _J..._Ll....,__-=-~--------1 Assessor Parcel Number(s): ~ Project Description: Owner: Address: Suite: City: 0 A1l'LS rf-:>/f'c D Phone Number: "].lo 0-"'-----:? State: ---~--------1 Zip: C( r;LO D l5 Fax Number: I certify that I am the legal o OWNERSIGNA auth rize the grading associated with this permit. •"")~ • ~ DATE: {0 / I S-/ / 7' Civil Engineer: Address: ~l~~-=-=--'-1-,..,.¥-.::...=~__J~_!_.:__~=......-"--"='----------,,---.------Suite: ----------1 City: 7 A:~'\ Vv'l u _ State: {! 1 Zip: 7-:J- Phone Number: Fax Number: Q l{Ct--4 {tJ ;J-7j- Soils Engineer: Address: City: Phone Number: Grading Contractor: Qualified contact person trained in NPDES requirements:. ) l \..._()..._.;;' Phone Number: • u,,6 ~ 3 '-l S--ITT D 0 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: " D ti i.J ---=-----'~--,---"""--=--=--..-----------.7"'1-----------',~;,,-,"=--------'I Address: ;;2 7 5 D / yfo /L. r r (" 4-u n. ' b. Suit City: _/ 4-J , i l -,,:__'pl Phone Number: Ld' • ,ij ~ 2,, -:I? J--r= c1,1= Fax Number: ~--~-~~----1 APPLICANT'S SIGNATU E: D E-24 Page 1 of 1-REV 07/14