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Home My WebLink AboutPD 04-06; ANILLO WAY; Engineering Application,------------------------------------------- PROJECT DESCRIPTION: C,R.~1"'1 (:, Pt..Ai-.1 _ PROJECT ADDRESS: A"'1"-llU...O wA--../ 1 '1bo-RL.;'f>Bti-t:> C.A .LOTNO(S).: 4"'1\ MAPNO.: bt:.o4 : APN(S).: 2.(b-2.~O -02. · NUMBER OF LOTS: \ NUMBER Or ACR,ES: Mailing Address: P.o. Soi 300~2.9 · E"sc,.o-,,U:HPO I C.A q-z.00'3 Phone Number: i bo -74 ~-\ C\ \ C\ Fax Number: E-Mail: I certify that I am the_ legal owner and ~at all. the above to the best of my knowledge. bate:JA APPLICANT: Mailing Address: Phone Number: Fax Number: E-Mail: -liqAgL. ( W,J~ De;veL~f?M1;:,,111L ?, 0, e,o,c; 3D~'Z.'1 E~~C>LCO I .CA. c!:\'2,0'3"3 1bo..:. 74q-IC\.19 -.,,. ·.,. _CIVIL ENGINEER: /'1l'-'4A6L. A. "'1\l"'1.t:>6ii:!L.1"'1 FIRM: 'W\l~t>cR.L..IN e....i~,N~lNb, SOILS ENGINEER: p:e .. fr-11~. ·i;·'.··-uMM°GR.M,A,J FIRM: vJ~"ti::RN SOIL,.S g·.~No~no~ §-)lb. _ Mailing Address: p. o . 60 ')( 4t.. \ 30 o. Mailing Address:· 47."3 H~I..G-· ·b."E:' · E'fi(..0,-JC::>at>O I '-I>, °''2-04\b Phone Number: 1b0 -,4~-'Z'Z.'38 Fax Number: '1b0 -14~-o,~b · E-Mail: Phone Number: ~xNumber:. {:-Mail: ii~C.O~C:Hi:>0 1 ·C.b. <:\-i.O'Z.G\ 11:P -146-'3'$ 'S-S : .. : ... 1bo -;Ab_:...-'\C\.\"L · .· . ; .. -$tate Registration Number: _ State Registration Number: · .'2. bb, b · : ADDIT1ONAL COMMENTS:· IM~ROVl;MENT VALUATION 1. What w9ter: _district is_t~e proposed project located i~? (check one) · Ocartsbad Municipal Water D!strict !glonvenhain Ovat'lecitos 2, If iii the carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, fQr water and reclaimed water improvements, sewer {for Carlsbad Municipa_l ' . ' . Water District 0111,y:),_-street,-public (median) landscape and irrigation, and drainage improvements (if applicable)? , · $ _ -------- GRADING QUANTITIES cut 4o cy fill 900 cy remedial 112D0 cy import fcbO cy export ¢ cy SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check - I - APPUCAnoN· FOR . ( ./ all that apply} . D Adjustment Plat (ADJ) ·D Certificate of Compliance (CE) .o Dedication of Easerhen~ (PR) . ·Type: • ,I I ' ': • ~ . .. ,. Type:·. : . . ., Type: D Encorac~ment .Pe11T1lt (~R). .. D Final ~ap (FM) ,. I Grading Plancheck (DWG) ' . 0 Improvement Plancheck (OWG) ·D Parcel Map (PM) .. D Quitclaim of l;asement (PR) • • • • •• ..... ·:. -, •• ! • •• ' .. Type::· .. Type: '. . .. ; · .. Type: ('. · .. , D ReversioQ. to Ac_reage (RA) D -Stree~ Vacation_ (SlV) ·. D Certificate of Correction (CCOR) · D Covenant of Easement (PR} · · D Substantial Conformance Exhibit (SCE) D Other :•. U,ff"\C\/CI nouc,._IT <:CO\/lf"'CC::llAA~TS::D~IAnnUl":IUnn fnr S:nnln,:i,,:iirinn Pl::tn ('.hpr,k PAM? .... • \ f ,J., . .. -. '' . . ....... . . '. ' ... ,. _,,·. .. . . !!it~! ' ··,' . ~ ~ '·. :., . , Revised 1/14/02 '-1· PROJECT NAME: LA 4 7 LI MIA? U6 A-PROJECT NUMBER: PROJECT LOCATION: ~Y'.)j \\~ _We:._~, . DRAWING NUMBER: ASSESSOR PARCEL NUMBER(S): . . ',. 2 I b -'2.? () -0-'2. ~--:---,----~...;;._..;;;....:=:-----:------------ PROJECT DESCRIPTION: Lo~ ) .. 1 I I M ~ p f,ll':l4 OWNER: AA,<-½4~\ CrtW$ })guc(011)Yv)e,0-\ ;:[. ,. I ADDRESS: P, O 1 _'Bo'f:: 3 oo 4 Z'J SUITE: CITY: · E S<.olAl i 6 u · · STATE: ·CA ZIP: ~ Z Cl '3a PHONE NUMBFiR: . 7 60 7 4 C, -~9 (~ FAX NUMBER: 7 66 7 4 9 -~68 3 I CERTIFY THAT I AM THE LEGAL OWNER OF THISC:::RT'f AND I AUTHORIZE THE GRADING ASSOCIATED WITH THIS PERMIT. OWNER SIGNATURE:. ~ -.,,J-/, • . . . . . _ . . DA~E: '1-'8..oy CIVIL ENGINEER: ADDRESS: __ __...:..;.."-'---,.i:~F-..:::;:-~=~--------------SUITE: ---'-'--;..;:..;;;.~:..;..,=-=-----------STATE: (/\_ ZIP: S'Z.()4 6 CITY: .PHONE NUMBER: FAX. NUMBER: 7 £ i) 7/2 3 -C:J 7 2 l_ SOILS ENGINEER: ADDRESS: 42:~ . ~Je. ~Vt)\v-.~ ' ' I ~ SUITE: CITY: E,.-sc.9'0&~~~ STATE:_ C.A ZIP: ~2.cit, PHONE NUMBER: 7lc 74b· "3 c;53 FAX NUMBER: Z~_o· 74-b-4-'712 GRADING CONTRACTOR: _________________ STATE UCENSE NO.: CITY BUSINESS LICENSE NO. ADDRESS: . CITY: ----------------------------------SUITE: STATE: ----------------------PHONE NUMBER: ------------FAX NUMBER: GRADING QUANTITIES: cut 40 cy remedial -e-cy · fill litA-6 cy export -e- QUALIFIED CONTACT PERSON TRAINED IN NPDES REQU_IREMENTS: . PHONE NUMBER: } ~ C 6 t\, ~ -'2. 9 ~* ___ ZIP: _____ _ BASIS OF PERMIT FEES: _________ C'f TQTAL PER.M11 FEES: $ _____ _ VERIFIED BY: BALANCE DUE: $ . . . I hereby acknowledge that I have read th'e application and information provided Is correct. I agree to comply with all federal, 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. I will also comply with OSHA Permit-requirements for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to this application.· 1 ~ I D· '( I_ -.}L APPLICANT NAME: N\1Ja.<>.. \ Crews ~u~ o@Jtl ( "t I l ,~.~-~..;;._---_;_,.-------- ADDRESS: f, 0, 'B6i:: 4 6 I 3 60 CITY: E 'Sq IC~ i ~ S) SUITE: STATE: c.A ZIP: 9-Z.6'3C PHONE NUMBER: . 7~o--& /9 \ 9 4 FAX NUMBER: APPLICANT'S SIGNATURE:~~ • L--.. 7& a 74-9 6c8 3·· DATE: &•Z,8 •0'-f