HomeMy WebLinkAboutMS 2022-0003; 1098 MAGNOLIA AVE; Engineering Application( City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
i PERMIT NUMBER: GR 2021-0047
Project Name: 1098 Magnolia Avenue Project Number: MS2022-0003
Project Location: 1098 Magnolia Avenue Carlsbad, CA 92008 Drawing Number: DWG 535-6A
Assessor Parcel Number(s): 205-191-14
Project Description: SB-9 Urban Lot Split & Development of New SFR upon newly created lot
Owner: Mehrdad Dokhanchy
Address: 1098 Magnolia Avenue Suite:
City: Carlsbad State: CA Zip: 92008
Phone Number: 925-705-6173 Email: mehrdad.dokhanchy@gmail.com
I certify that I a~ the legal ow~roperty anJ~orize the grading associated with this permit.
OWNER SIGNArURE: .... ..:, DATE: 4/24/2023
Civil Engineer: David Yeh
Address: 14373 Viewridge Ave. Suite: A
City: $an Diego State: CA Zip: 92123
Phone Number: 858-587-8070 Email: David@lmco.net
Soils Engineer: Soils Testers -Chin Chian Chen
Address: F .0. Box 1195 Suite:
City: LakE !Side State: CA Zip: 92040
Phone Number: l?iCf -1'1 '3-()Ot>O Email:
Grading Contrac or: Mike O'Gara State License No.: 4/3o;i 41-1
City Business License No.: RLR._r. I 2 I si i o
Address: J7. b . Blk. /{.J3 Suite:
City: I'__ A. ~ I ·'-"BAJ:> State: LA-Zip: i/f'2 DJ g
Grading Quantifo ~s: cut 135 cy fill 125 cy import 0 cy
remedial 280 cy export 10 cy
Qualified contact person trained in NPDES requirements: David Yeh
Phone Number: 858-587-8070 Email: David@lmco.net
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: Mehrdad Dokhanchy
Address: 1098 Magnolia Avenue Suite:
City: Carlsbad State: CA Zip: 92008
Phone Number: 925-705-6173 .... I ""' Email: mehrdad.dokhanchy@gmail.com
APPLICANT'S SIGNATURE: crJ+AV" •;~ DATE: 4/24/2023
E-24 Page 1 of 1 REV02/22
SOILS ENGINEER"S CERTIFICATE
f, .. CHIN C CHEN .. A REGISTERED
PROFE$SIONAl £NGINt.ER OF THE STA TE OF CAi IFOf?MA.. PRfNCiPAi l Y OOtNG
r..iUSil\'t.55 tN· Th'f:. r-ttlV O. APPUt:0 SOILS Mi;..C' ANtCS. Ht.HE.BY CERTN-Y THAT
A SAMPLING AND STUDY O T.4f. SOIL CONDI a.vs P !:.VALENT WH'f:-UN n-us
S!TE WAS MAD£ BY ME OR UNDER MY DIR£CTION B£T'N££N TH£ DATES OF
OCTQBEE 29 .. 2021 A.ND JW Y1S. 2Q22 . TtlO
COP.1ES OF THE SOit$ REPORTS, J08#1106F5-71, COMPU ED F.ROM 1)-US
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Ol\~ER•s CERTIFICATE
f ( '11£ ) .½'£R£BY CERTIFY THA T A REGfSTER£D SO/LS ENGINEER Or?
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THtS SIT£_ IF THIS PROJECT/DEV£{ OPM£NT i'S SLJ8J£CT TO A STATE-
REGULA TED SWPPP~ I (WE) Al.SO AGREE A QUAUh'ED SWPPP PRACTITIONER
(OSP) HAS BEEN OR Wi'LL BE RETA.1NED TO SLJP£RVJSE JMPLEMENTA TION OF
THE SWPPP IN ACCORDANCE 111TH THE CALIFORNIA CONSTRUCTl0.~1 ORDER AND
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Mtl·fRDAO DOKHA,"•iCH Y. OWN:..R
~~~ PATRICIA L YNbJ PHA~R DATE
OWNER'S CERTIFICATION:
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