HomeMy WebLinkAboutHDP 94-05; DANIEL MUHE; Engineering ApplicationCITY O•ARLSBAD ENGINEERINGPARTMENT
APPLICATION
GRADING PERMIT
PROJECT NAME: 4/1 14A.A"e.. PERMIT NIJMBER:g5O//
PROJECT LOCATION:237
ASSESSOR PARCEL NUMBER(S):_/cJPd/
PROJECT DESCRIPTION: _
OWNER: MI/
ADDRESS: 1#119 i .
PHONE NUMBER:.
I CERTIFY THAT I AM THE LEGAL-,OWNER OF THIS PROPERTY AND I AUTHORIZE THE GRADING ASSOCIATED
WITH THIS PERMIT.
OWNER SIGNATURE ,J'J1LJif*.UJ1 , DATE:
CIVIL ENGINEER: Ci74' *12711a11
ADDRESS: ,2i/' frdrk,iy Py, &7r%1c(
PHONE-.NUMBER:
SOILS ENGINEER:
ADDRESS: O. tJ4,C ''
PHONE NUMBER: '' 3/
GRADING CONTRACTOR: 6L51&W STATE LICENSE NO.: 49iP4
ADDRESS: _3O A'JAI _ BUSINESS LICENSE NO:_____________
-PHONE NUMBER: 9/3 71
BASIS OF PERMIT FEES:_ cyA19,0GRADING QUANTITIES: Cy cut / 3 Cy fill
cy remedial 9Y cymport
VERIFIED
TOTAL PERMIT FEES: BALANCE DUE: BY:
lh.rucy acknovWedge that I have food the application and information provided is correct. I agree to c*nVIV with dfederel, stat., and citylaw., ordinances, regulations
and policies relating to excavation end grading including, but not Iintad to, the Federal Endangered Spades Act of 1973 and any anwndmunts thereto, 0511* Psrrrnt
requirements for trenches over five fist dese and the provisions and conditions of any p.mit issued. pursuant to this application.
APPLICANT NAME PHONE J_M k4' PHONE NO._39Z?
ADDRESS:
APPLICANT'SSIGNATURE: ,11341AL/24_- I DATE:.. A9,1—
P:\00CSM100RMSFRM000e5 7 REV. 12/22193
CITY do-CARL.SBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate Information. Write N/A when not applicable.
PROJECT NAME: 4v'/ ,11c,M DATE_____________
PROJECT DESCRIPTION- 41-V :
PROJECT ADDRESS: J6, SA/ E77e 7
LOT NO(S);: MAP NO.:___ APN(S).:/3/9O-/9
OWNER: O,22- 44/J APPLICANT: S?"I
Mailing Address: 40 40 Mailing Address:
Phone Number: ) 434 837 Phone Number:
I certifythat I am the legal owner and that all the above information
Is true and correct to the beet ô my knowie go.
I certify that I am the agent of the legal owner, and that all information On
this sheet ii true and correct to the beet of my knowledge.
Signature Date K/5 Signature
CIVIL ENGINEERVIZ 7 , SOILS ENGINEER:-11e
Firm: -St4 C6T4&14
Mailing Address: 19
Firm: C
• 4 Z' 27"-'t "'t
MaiIin9Address: 6460
Q4sfi4r (3-g 2cx A-M 9/O
Phone Number: ((/t7 7 0: 5- Phone Number: )
LANDSCAPE ARCHITECT- COMMENTS:________________________
Firm:
Mailing Address: _______________________________________ • S
Phone Number: ( -
-NO. OF DWELLING UNITS: OF LOTS! OF ACRES:_C.
IMPROVEMENT VALUATION: sewer, water & reclaimed waterP/2i q3,
streets and- drainage: water district:_________________
GRADING QUANTITIES: cut /1. cy fill -S40 Cy
reme_________ cy export :329 cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\MISFORMS\FRM000I3 REV 12/15/92
APPLICATION FOR
(CHECK ALL THAT APPLY):
FOR CITY USE ONLY
Plancheck
Number
Type Drawing
Number
I Project
ID.
I Deposit/Fees
Paid
O Adjustment Plat ADJP
O Certificate of Compliance COC
O Dedication of Easement
Type:___________________________
Type:
DOE
0 Encroachment Permit ENCROACH
O Engineering Standards Variance
O Final Map FM
'Grading GRADING qg jjppq -
O Improvement Plancheck IPC
O Landscape Plancheck LPC
O Parcel Map PM
O Quitclaim of Easement
Type:_________________________
Type:
aurrc
O Reversion to Acreage RTA
O Street Vacation SN
O Tentative Parcel Map MS
MASTER PROJECT ID
RECEIPT NUMBER____________________________
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_________
SIERRA SYSTEM INPUT .111195- —
R:BASE INPUT INITIAL______________
DOttier:
RECENED
f'1A'? 16
C', J.) , 3F G.RLSSAD
NGA'TNTER
APPLICATION RECEIVED
PADOCS\MISFORMS7RM00063 40 REV 12/15/92