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HomeMy WebLinkAboutCT 89-15; JEREZ COURT; Engineering ApplicationCITY OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION GRADING PERMIT PROJECT NAME REZ /a.T (cT 'i -t~) PERMIT NUMBER PROJECT LOCA11ON 75/i Q7il 7 Z 24. ASSESSOR PARCEL NUMBER(S): PROJECT DESCRIPTION: €icOíJ6 ~ir) -OWNER: AbDRESS: PHONE NUMBER:-.e7 ICERTIFY THAT I AM THE LEGAL OWNER. OF THIS PROPERTY AND] AUTHORIZE THE GRADING. ASSOCIATED WITH: THIS PERMI : OWNESINATURE:• :TE P/ CIVIL ENGINEER: ADDRESS: Oip PHONE NUMBER: :2 :SOILS ENGINEER: ADDRESS 74'/ CA A PHONE NUMBER: GRADING CONTRACTOR STATE LICENSE NO;: -7R3J96 A ADDRESS: -4Z CITY BUSINESS LICENSE NO: PHONENUMBER:239' %/ .VLS 4 7ZL93Z. v' BASIS OF RERMITFEES: Cy GRADING QUANTITIES: cycut Cy fill cy remedial cy export/import TOTAL PERMIT FEES BALANCE DUE VERIFIED BY I hereby acknowledge that I have readthe application and iflforrnatli provided is correct.'( agree to comply with all federal, state, and city laws, ordinances, regulations and policies relating toexcavation and grading induding, but not limited to, the Federal Endangered Species Act of 1973 and any amendments thereto OSHA Permit requirements for trenches over five feet deep and the provisions and conditiàns of any permit issued pursuant tothis.application. APPLIcANT NAME 4iLL iA&) PHONE NUMBER: ') ADDRESS: it!. kf/f 2o 69 APPLICANT'S SIGNATURE:DftTE4g FA WORO\DOCSMISFORMS\GRADING PERMIT APPLICATION C11 CARLSBAD -ENGINEERING DEMENT APPLICATION FORENGINEERING PLAN CHECK OR PROCESSING Complete all appropriate information. Write -N/A when not applicable PROJECT NAME: ckV Ui— L4 DATE: _____ PROJECT DESCRIPTION -5 ; Co - - PROJECT ADDRESS: - LOT NO(S) MAP NO ' je NO OF DWELLING UNITS 5 LFMP ZONE # LOTS I # ACRES , 5 OWNER CtrcU ('dWJ APPLICANT C}ti Mailing Address: -- U4i LAAmA Mailing Address: 41 'Lrk.&w LL ¶zth - Phone Number (7Oo ) Phone Number I certify that I a elegalowner and that all the, above - - - - - ;forma;d Signature Date Al CIVIL ENGINEER SOILS ENGIN 'ER Dv1d Firm: - j o 4i Ci u 4i fvt-r - Firm: Mailing Address '4-6 Vt Mailing Address 5741 Pa(iiuy (?Jtt - - PhOne Number: (7) 74-Y6' - Phone Number: 76 6) 43-1:s - - State Registration Number: - 26 363, - State Registration- Number: - - 417 - - -- LANDSCAPE ARCHITECT ADDITIONAL COMMENTS Firm: - - - - Mailing Address: - - - -' - Phone Number: State Registration Nümbër: - - - - - - -, - - - - - - -- -- - - IMPROVEMENT VALUATION- - - - - - 1. What water district is the proposed project located in (circle one)? - Carlsbad Municipal Water District Oliveñhain - - 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 (if appIicabe)? - $ 3. What is the total cost estimate, including the 15%contingency fee, for sewer (for Carlsbad - Municipal, Water District only), street, public (median) landscape and irrigatibfl, and- drainage improvements (if -applicable)? - - - - - - - -. - - $ -bo - 4. What is the total cost of'landscape and irrigation improvements on private property (if $ applicable)? - - - - - -, - :- - - - GRADING QUANTITIES cut cy - ifil cy - rernedia! - - : - -cy - import/export cy DOCS/MISFORMS/APPUCATION ENG PLANCHECK OR PROCESSING • REV. 6/10/97 S APPLICATION FOR: (( all that apply) FOR CITY USE ONLY Plancheck Number Type Drawing 1 Number j Project I.D. Deposit/Fees Paid U Adjustment Plat ADJP I Certificate of Compliance COC 1J Dedication of Easement DOE Type: Type: Ll Encroachment Permit ENCROACH L1 Engineering Standards Variance ESV I Final Map FM 4-Grading Plancheck GRPC 3 1i Grading GRADING Ll Improvement Plancheck PC Landscape Plancheck LPC LI Parcel Map PM LI Quitclaim of Easement QUITC Type: Type: LI Reversion to Acreage RTA Lk Street Vacation SW LI Tentative Parcel Map MS LI Certificate of Correction CCOR LI Covenant for Easement COVE LI Substantial Conformance Exhibit SCE APPLICATION ACCEPTED BY: MASTER PROJECT ID: RECEIPT NUMBER: PRELIMINARY SIERRA SYSTEM INPUT INITIAL: SIERRA SYSTEM INPUT INITIAL: R:BASE INPUT INITIAL: MASTER FILE NUMBER: F LI OTHER: DATE STAMP APPLICATION RECEIVED DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV. 6110/97 PROJECT PLAN REVIEW COMPLETION The following project plans have been reviewed and are recommended for approval: Project Name: _1l L2ai2-7 Project No: Drawing No: "'k Sheets No.1 through DECLARATION OF RESPONSIBLE CHARGE hereby declare that I have exercised responsible charge over the plan review of this project as defined in Section 6703 of the Business and Professions Code to determine that the plans are found to be in substantial. compliance with applicable codes and standards. Plan review of these project drawings does not relieve the Engineer of Work of the responsibilities for the project design. Firm: Berriman & Hëniar Address: . .11590 W. Bernardo Court, SUite 100 San Diego, CA 92127 Telephone: 451-6100 By: 4/'L Lw Date: Expiration: _______ (seal) rill LU No. 4t 4JJ 98 Exp t'( C or Rev. 2/8/96 F:\USERS\RALLE\WPDATA\PLANREV. B&H 'V.