HomeMy WebLinkAboutCDP 10-12; RICHARD SMERUD RESIDENCE; Engineering ApplicationAPPLICATION
GRADING PERMIT
E-24
Land Development Engineering
1635 Faraday Avenue
766-V
www.rrlsbadca.gev
I PERMIT NUMBER:
ProjectNime: SKeF UDMZil EX14tE ProjectNumber c.t t'
Project Location: 1099 P,c*jiA \tSAiX)A/ Drawing Number. &tr 'i'm- M
Assessor Parcel Number(s) APN ~
~Kc
Z5I — 07...
Project Description: GAC1 L.-O't rJr Jt4t FAMU-)' iØ4
Owner 7pfl PAMU1 1RO
Mdres& ,3()fJ eiwe
.. Suite:
Cfty. esr-ON Di D o . State: C4 Zip: ')Z() Z
Phone Number - 74() 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 r gep ,r'KuP
Address: 43ZZ 8RtG..T FLAC,6 Suite:
CitY C.. M(- ISA ID State: CA Zip: ) 30Cj
Phone Number: 7J_ 7.O- OO9 wl(,d - 00 'io9M Fax Number -70-2110-002a
SoilsEngineer I1&Lt1t N€jitC
Address: .3LThC FoM Aii Suite: ________
City 56$ 1€.G.o State: OC Zip: 9IO
PhoneNumber jP3Q - I7O0 FaxNumber 5O -'/O1 V
Grading Contractor: State License No.:
City Suskess Ucense Na: V
Address: Suite:
City: State: Zip:
Grading Quantities: cut V) cy liii cy import 37..O Vcy
remedial
V WQ cy export V•CY
Qualified contact person trained in NPDES requlr,ments:
Phone Number B031- O( . V
Basis of Permit Fees: cy Total Permit Fees: $
Verified By. Balance Due: $
I hereby acknowledge that 1 have read the application and Information provided is correct I agree to comply with all
federal, state, and city lava, 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 wifl 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: 1CI1MX) 1Q(if3
Address: 3(7 CAM ll4) MARLS4 Suite:
c j-01 p< . State: CA Zip:
Phone Number 7(0 -_745 - 2790 Fax Number:
APPUCANVS SIGNATURE: V DATE:
E-24 pap lofi REV4I3W10
CITY OF
CARLSDD13 A
APPLICATION
ENGINEERING
PLANCHECK
E-23
Develooment Services
Land Development Engineering
1635 Faraday Avenue
76134M-2750
www.carlsbadca.gov
Comolete all aoororiate information. Write NIA when not applicat*.
Project Name.1C14A) RESI Q3CE Date- ii ( 1
Project Description: RE (Q-4 5TIPK /,..QT $ COs13TtWC.T A NELk) s ti4cu
FAP4 LL-'.! HOU SE t A Z CAk GA46 Pv AJ ArTAc4EX) 2 LL.IN. Otiir
Project Address:_ tO) 1ip.NA \JLSTA (AM)'
Lot No(s).:P0R1104 - LOTS to., it.,R Map No.: 1157 APN(s): I 5 S - Z.5 I - 01-
Number of Lots: I Number of Acres: • Z 3 Miles of Trails: N .4.
Owner 1CI4qPi) smefup Applicant gopr SuKnP
Mailing Address: a35 F9,6GMS,r PLACO Mailing Address: 43z1 SGA B(k\T FLA
E'C.Cr)\tO C? ZO?°) CgLAflJ CA ')LOO
Phone Number 2A - 4141104 Phone Number 110 -
Fax Number Fax Number 760 - 7Z0. 0 qj
E-mail: E-mail: 5E 1OR.5U1WP OARUNR,tIt
I certify that I am the wng7iiktoWrall the above
infonnalion is Co of my knowledge.
Sig Date- /M 1/ Sgnature1)rLhi42_1ate i/:sJii
Civil Engineer( ePE.Rr 'SuKU4 Soils Engineer DAN AóL.1&
Firm: THE. MA-T CO. Firm: CUtUSTIAtJ WI4EELYL
Mailing Address: 13Z2. SEA Z Qt6%kI P..A(€ Mailing Address: 3%O 140mc A'4OE r—AQLSSA16 (A 9Jppp ADta, CA ')ZIUs
Phone Number 160 -1Z.C)- bb'Th Phone Number t - 550 - I700
Fax Number 1 bb - 170- OO'W) Fax Number (at') -550-170 1
E-mail: SSARcT OR TON3.CO h-mail: _______
State Registration Number ?CE f-83011._ State Registration Number R -3(oO 37
Additional Comments:
IMPROVEMENT VALUATION
e proposed project located in? (check one) 1. What water distriZisbad
Municipal Water District (3 Otivenhain (3 Vailecltos
Z 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
[C:Ut:-2:-:0 cy fin 340 cy remedial 30 cy Import 3ZQ cy export cy
E-23 Page 1 of RV4/3O/1O
tt2
CITY OF
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
7604M-2750
www.carlsbadca.gov
Corniolatp all anoronriata information Write NIA when not aonlicable.
APPLICATION FOR
(check all that apply)
_________
FOR CITY USE ONLY
Project
I.D.
Drawing f Number
Deposit /Fe
Paid
Comments
13 Adjustment Plat (ADJ)
J Certificate of Compliance (CE)
13 Dedication of Easement (PR)
Type:
Type:
Encroachment Permit (PR)
Final Map (FM)
Grading Plancheck (DWG)
Improvement Plancheck (DWG)
13 Parcel Map (PM)
13 Quitclaim of Easement (PR)
Type:
U! Reversion to Acreage (RA)
UI Street Vacation (STy)
Tentative Parcel Map (MS)
Certificate of Correction (CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
13 Trails U <mile 13 > mile
6 6iher
DATE STAMP
AP jVED
JAN 20 2011
ENGINEERING
DEPARTMENT
E-23 Page 2 of 2 REV 4/30/10
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