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
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