HomeMy WebLinkAboutHDP 95-10; DENNIS RESIDENCE; Engineering ApplicationCITY OARLSBAD - ENGINEERING DEkt1MENT
APPLICATION
GRADING PERMIT
PROJECT NAME: PERMIT NUMBER:'
PROJECT LOCATION:-W2 )
ASSESSOR PARCEL NUMBER(S):.
PROJECT DESCRIPTION:- _SUiLE 9(LY
OWNER: -.
ADDRESS: ,ki 4LFI ML( I/ff.
PHONE NUMBER: 4,3 (9 4--7
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:
ADDRESS: tVi AVti VM2'Q
PHONE NUMBER:
SOILS ENGiNEER: c_frtC*L (JC,.
ADbRESS: itk 0 . :
PHONE NUMBER:
GRADING CONTRACTOR: C.E •. LLcJ_C'1'*" STATE, LICENSE NO.:4'46Ofl
ADDRESS: BUSINESS LICENSE: NO:______________
..PHONE NUMBERI1_
BASIS OF PERMIT FEES: ____ cv
'GRADING QUANTITIES: _ Cy cut cy fill
cy remedial cy export/import
VERIFIED
TOTAL PERMIT FEES: BALANCE DUE:. BY:
I hereby .cicnowl.dg. that I have read the application and iformiticn proysdad is-correct. I agree to comply with df.d.r, itsts, and cfty laws, ord.nincss, regulations
and policies relating to excavation and grading including, but not knited to, the Fudari Endangered Species Act of 1973 and any omindm..ts thereto, OSHA Psnmt
requirements for trenches over five feet deep and the-provisions and conditions of any p.mt issued pursuant to this apøeItiofl.
APPLICANT NAME PIP D"1-S •, PHONE NO Th'f° r-i ,ADDRESS: )1.
'
-APPLICANT'S SIGNATURE: '2t1 _DATE:-ft_tJTV -
P:\DOCS\MISFORMS\FRM00085 7 REV. 12122193
• H ••
CITY OF CARLSBAD - ENGINEERING DE?ARTMENT
APPLICATION
FOR ENGINEERING PLANCHECKOR PROCESSING
PROJECT NAME: 7VA//5 ,S/p/eE. . DATE:
PROJECT DESCRIPTION: _e
PROJECT ADDRESS: 727
LOT NO(S).: 99 MAP NO.: __'APN(S).:
OWNER:
Mailing Addr.ss: £ __
2VC1-d/7t -C_• -
PoiNur: (,6/'2 7.
I Certify that I am the legal owner and that all the above lNormatlon'
is true and correct to the b.st edge.
Signature,YyVLrLb4'l4ate
CIVIL ENGINEERL._'Y •L
liNumber:
II Eli
LANDSCAPE ARCHITECT: /J
Firm:
APPLICANT:
MslllngAddrsss: 921 47
Phon. Num:,.. jY) _'9-a8/
I certify that I am the- legal owner and that all information on
this sñeit is ti_b.sknowledge.
Ain,aturlik ' A Date
LSANGINEER:....
Mailing Address:' 7Z _747 79 -
-c-fl
Phone. Number:
Stat. Registration Number:-,k?
ADDITIONAL COMMENTS:____________________
Mailing Address:
Phone Number: _ q/-_/7 c •_"_'
State Registration Number
NO OF DWELLING UNITS / LFMP ZONE NO OF LOTS / NO OF ACRES:-
•i _._•S._• . S IMPROVEMENT, ALUATJON seyer, water & reclaimed water__________
Water District (circle one): Carlsbad Municipal Water District • Olivenhain Vallecitos .
streets and drainae: landscape:
GRADING-QUANTITIES:.. Cy cut /.0 Cy fill 4'•cy
remedial cy-impoo)/1' _cy 11
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
PADOcS\MISFORMSWRM00063
REV 04/28195
FOR CITY USE ONLY
APPLICATION FOR Plancheck Type - Drawing Project Deposit/Fees (CHECK ALL THAT APPLY): Number Number ID.
O Adjustment Plat Aaw
0 Certificate of Compliance COC
O Dedication of Easement DOE
Type:___________________________
Type:
0 Encroachment Permit
El Engineering Standards Variance ESV
O Final Map
3rading Plancheck
0 Grading GRADM
O Improvement Plancheck HDC
O Landscape Plancheck LPG
O Parcel Map PM
O Quitclaim of Easement "TIC
Type:__________________________
Type:
O Reversion to Acreage RTA
O Street Vacation
o Tentative Parcel Map
o Certificate of Correction -CI.
O Covenant for Easement 11
cove
t 0 Substantial Conformance Exhibit
APPLICATION ACCEPTED BY
MASTER PROJECT ID -
___________2S7 3 RECEIPT RECEIVL) NUMBER
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_______
SIERRA SYSTEM INPUT INITIAL
-
/-
R:BASE INPUT INITIAL______________
MASTER FILE NUMBER: F PITY OF CARLSBAD
ENGINEERING COUNTER
Dther
DATE STAMP
APPLICATION RECEIVED
P:\DOCS\MISFORMS\pRM00063 REV 04/28195