The URL can be used to link to this page

Home My WebLink AboutPD 01-03; ZOMORRODIAN RESIDENCE; Engineering Application• CITY OF CARLSBAD ENGINEERING DEPARTMENT APPLICATION GRADING PERMIT PROJECT NAME: 1-A Coo-rn 3oj-n- L- I PRMITNVMBER PROJECT LOCATION.* 'tOO L CosTA kos,, C&A C 2-00 ASSESSOR PARCEL NUMBER(S): 2 - o - O 1 PROJECT DESCRIPTION - öftL..E FAIYULY Hone: OEJ>TI,J&- L_b -r OWNER: M. Zômoocpi - ADDRESS: LF5 VAEcITOO ) 3IF SAr flP&.OS C1 PHONE NUMBER: (7 1// /g x, ZO I CERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND I AumoRrzE THE GRADING ASSOCIATED WITH THIS PERMIT. - OWNER SIGNATURE: 44 :DATE: ISc). CIVIL ENGINEER: ADDRESS: jLE V17S 7)1 OIO, 5UriE SA, Uras GA 9o,9 PHONE NUMBER: xZOS SOILS ENGINEER t./AflFc ENG 1cc ADDRESS: i'IS -VALLEOrrO DE OP-0, S o I-rE 13 1 1Y)WcS ci. 92i- PHONENUMBER: 67D46 1 - /OO -- GRADING CONTRACTOR: OAE /BIE STATE LICENSE NO.: ADDRESS: 1,45 VAcEcrrs J p, CITY BUSINESS LICENSE NO PHONE NUMBER: (70) 4t -(O BASIS OF PERMIT FEES 7q3-CY GRADING QUANTITIES 4 Cy cut 7 - Cy fill Iz cyremedial cy.ex/import TOTAL PERMIT FEES: BALANCE DUE: VERIFIED BY I hereby acknowledgethat] have read the application and information provided is correct. I agree to comply with-alliederal, state, and city laws, 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. OSHA Permit requirements for trenches over five feet deep and -the provisions and conditions of-any permit issued pursuant to this application. APPLICANT NAME: pzjy ZowpoDi-AA PHONE NUMBER(7O) 471 -000 ADDRESS: li/c V'uc'iDos D O ) SOim iS - ç APPLICANT'S SIGNATURE: - - - - DATE: WORD\DOCS\MISFORMSGRADING PERMIT APPLICATION - - 0- . CITY OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION FOR ENGINEERING PLAN CHECK OR PROCESSING. Complete all appropriate information. Write NIA when not applicable. PROJECT NAME: LA cOA Sot -L-k--Lo+ I DATE ____ PROJECT DESCRIPTION: yij if 140114E ôi'J AN EX)y,,6- Lo7 PROJECT ADDRESS: LtOO 1-Pt Gos-rA GgBD LOTNO(S).: ' MAP NO.: APN(S).: .140-01 NO. OF DWELLING UNITS: I LFMP ZONE: # LOTS: ) # ACRES: . 2 OwNE' O APPLIOANT:ZE Mailing Address: /4L5 VAL.-LEA-rO ti Og.o Mailing Address- SK) tT B CA Vag B 3q4 Mxcoc, CA 7Z1 Phone Number: (7t,p) Phone Number: (7) I certify that. I am the legal owner and that all the above information is true and orrect to the best of my knowledge Signature Date /tc/ ( Signature Date CIVIL ENGINEER: SOILS ENGINEER:. Firm: LAtSTEC 51iR,I&Q'c.. Firm: tTEC Mäiling.Address: J4 i/ft..Fo1TOS i)E 0/?b, Mailing Address:- 16 'VALLEeg., SOiTEi SACSGA'1ZO( tE IS, AR63C1 920 Phone Number: (17.éO)- q71 --1üg Phone Number: .(7bb)L(_Jcic,U State Registration Number: 'State Registration Number: ADDITIONAL COMMENTS IMPROVEMENT VALUATION ' 1. What water district )s the proposed project located in? (circle one) arisbad ,Municipair Water District Olivenhain 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 applicable)? ' - $ N fr 3. What is the total' cost estimate, including the 15% -contingency fee, for sewer (for Carlsbad -- MunicipaI Water District only), street, public (median) 'landscape and irrigation, and. - drainage improvements (if applicable)? - -$ /,q 4. What is the totaFcostof landscape and irrigation improvements on private property (if applicable,)? $ - - - --.' GRADING QUANTITIES cut , cy ' fill G I cy 'remedial ,i2c'. - cy impor Z.c' S cy N:WORD100CSIMtSFORMSfAPPtICATION ENG PLANCHECK OR PROCESSING - , 3 . -. - REV. 16/06/99 . APPLICATION FOR: (.1 all that apply) FOR CITY USE ONLY Plancheck Number Type Drawing Number Project I.P. Deposit/Fees Paid • Adjustment Plat ADJP • Certificate of Compliance COC • Dedication of Easement DOE Type: Type: • Encroachment Permit ENCROACH J Engineering Standards Variance ESV l Fia1 Map FM 1'6rading Plancheck GRPC Wei 3'4 2) 6163 I I906 • Grading GRADING Li Improvement Plancheck PC Li Parcel Map PM Li Quitclaim of Easement QUITC Type: Type: Li Reversion toAcreage RTA lStreet Vacation SW Li Tentative Parcel Map MS L Certificate ofCorrection CCOR Li Covenant for Easement COVE Li Substantial Conformance Exhibit - I SCE APPLICATION ACCEPTED BY: MASTER PROJECT ID: RECEIPT NUMBER: PRELIMINARY SIERRA SYSTEM INPUT INITIAL: SIERRA SYSTEM INPUT INITIAL: R: BASE INPUT INITIAL: MASTER PILE NUMBER: F Li OTHER: RECEIVED JAN2 5 ENGINEERING DEPPRTMT DATE STAMP APPLICATION RECEIVED DOCS1MISFORMSIAPLICATION ENG PLANCHECI< OR PROCESSING REV. 10106199 PROJECT REVIEW COMPLETION The following project has been reviewed and are recommended for approval: Project Name: Zornorrodian Residence Project No.: PD. 01-03 DoumentNo.: Dwg. 393-7A Sheets No.: 1 Through: 2 DECLARATION OF RESPONSIBLE CHARGE I hereby declare that I have exercised responsible charge over the review of this project as defined in Section 6703 of the Business and Professions Code and have found the project to be in substantial compliance with applicable codes and standards. Review of this project does not relieve the Land Surveyor or tligineer of Work of the respOnsibilities with state and local ordinances. Powell/PB S&J 175 Calle Magdalena Encinitas, CA 92024 (760) 753-1120 ' No. 057649 t Exp._12-31-01 J * K C V ~4 e OF IC A0~26~/ Signed jL..._-_ Date 0/ Charles R. St. John, R(iE C57649 Expiration Date 12/31/01 PROJECT REVIEW COMPLETIONdoc