HomeMy WebLinkAboutPD 2022-0003; KEMPER RESIDENCE; Engineering Applicationl_ 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 2022-0006
Project Name: 7133 Aviara Drive Kemper Residence
Project Location: 7133 Aviara Drive. Carlsbad. CA 92011
Project Number: _P_D_2_0_2_2_-0_0_0_3 __ --<
Drawing Number: __ 5_3_6_-4_A ____ ----l
Assessor Parcel Number(s): _.&.?'...11..o!'i-fl'--'-'1I0,::-...,,,?8 _______________________ ------I
Project Description: Construction of a Single-Family Residence
owner: Steven Kemper
Address: 7133 Aviara Drive, Carlsbad, CA 92011 Suite: --=-~-,--,--------1
City: Carlsbad State: CA Zip: __ 92_0_1_1 ___ ___,
Phone Number: (619) 992-5460 Email: sjkemper@gmail.com
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: David Caron, PE
Suite: P Address: 110 Copperwood Way
City: Oceanside State: CA Zip: 9_2_0_5_8 ____ ___,
------Phone Number: (760) 908-8745 Email: info@civillandworks.com
Soils Engineer: Robert Chan
Address: 7915 Silverton Avenue Suite: 317
City: San Diego State: --~C~A~--Zip: 92126
Phone Number: (858) 586-1665 Email: robertaetl@aol.com
Grading Contractor: ________________ State License No.:
City Business License No.: -----------1
Address: Suite: ---------1
City: --------~~----State: ---=~-----Zip: --~~------! Grading Quantities: cut 91 cy fill 406 cy import 315 cy
remedial 219 cy export .0 cy
Qualified contact person trained in NPDES requirements:
Phone Number: Email:
Basis of Permit Fees: ___________ cy Total Permit Fees: $ -----------I
Balance Due: $ Verified By:
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 excavalion 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. • / • I/ _
Applicant Name: Stt ul ,,. ~m /lei_/
Address: 1 { S ~ Ar, 't-.r,~ /) nit 1
City: , _W/(,h,;/i' ,
Phone Number: / /o/'l l q 'I ',J,-~ '-f{d J
APPLICANT'S SIGNATURE<"
E-24
Suite: -
State: --~(__fr~-~ Zip: Cj) ti I
••<{)-lt£,,.,.,v, 'h i,iv,.,-_,'{,U,;.,, Email:
bATE:I -/
Page 1 of1 REV02/22