HomeMy WebLinkAboutPE 2.91.12; AVIARA PLANNING AREA 7; Engineering ApplicationCITY OF CARLSBAD ENGINEERING DEPARTMENT
APPLICATION
GRADING PERMIT
PROJECT NAME:4V1AA 04 7 PERMIT NUMBER:
PROJECT LOCATION: U Cor r'r \ i &
ASSESSOR PARCEL NUMBER(S):___________________________________________________
PROJECT DESCRIPTION:
OWNER: '1T c.3 1t4 c- S
ADDRESS: 2O3 S CorI-€._DQI_t'd ,- ui (( _rIhe(____C_A .J.
PHONE NUMBER: __I 4 00
S
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I CERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND I AUTHORIZE THE GRADING ASSOCIATED
WITH THIS PERMIT.
OWNER SIGNATURE Ti7T),1d £Q I, - DATE: - Z 3-• 'I
CIVILENGINEER: J5 4-&. ,\S$OCLATh'5
ADDRESS 1 0 1 79 4ue&rus e A> 1 cic
PHONE NUMBER: 55 9 -4SOD
SOILS ENGINEER: Et ct L5 , / frJ(
ADDRESS: 5 7'//Pfr/4R t// ',_,4i --5 A )(A __9°ô
PHONE NUMBER:
S
GRADING CONTRACTOR:'24 (_,yP,s2,'6_ STATE LICENSE NO. :M 34V7$
ADDRESS: ZQ5__&J. _swe_ // CITY BUSINESS LICENSE NO: ?t?VI.'AJ4
PHONE NUMBER 9#- 9'/_—
BASIS OF-PERMIT FEES: - cy,
GRADING QUANTITIES: cy cut cy fill
-. cy remedial cy export/import
- VERIFIED
TOTAL PERMIT FEES: d'IO. - BALANCE DUE: BY:
I hereby acknowledge that I have read the application and Information provided Is correct. I agree to comply with all federal, state, and city laws,'
ordinances, regulations and policies raIa1-ig to excavation and grading Including, but not limited to, the Federal Endangered Specie. Act of 1073
and any amendments thereto, OSHA Permit requiromentsfor benches over five feOt deep and tha provisions and condition, of any permit Issued
pursuant to this application. ' S
APPLICANT NAME 'o rr-_r1,h1\or p.rec PHONE NOR2IL1.3I -dQO
ADDRESS: 019 Thv1bd j_OA __r
APPLICANT'S SIGNATURE. Ct& _DATE:2?,-C1I
D'wi,{ A•'cr
P:\DOCS\MlSFORMS\FRM00065 ' S REV 05/10/93
0 Pp
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
GRADING PERMIT APPLICATION
SITE ADDRESS: o WP5&q F ilit cfALA Ap. (9i(.- 'Y7o-
ASSESSOR'S PARCEL NUMBER(S): .2.15- 057- /o, 2/5-0116-/,
LEGAL DESCRIPTION: 1-o7 -5 -t-r' c,c. *?+f 'T9 7 c 5
AJAA Pi'1A5EIj (NfT.
PROJECT NAME: AVi,4/ fMrnQ1146- 7
PROJECT ID: -
OWNER: CQMr1u.&I7? fLt/4n'1 LLIC,%J 60rv1$4,VY
ADDRESS '/330 4 VI(*6EL 1)12. ST /1,p 1 541i bF(61) CA 9'-
71z?-PHONE NUMBER:
CIVIL ENGINEER: +_Acc PE NO.: 142 /_Z _
ADDRESS /png 44FK1JS sr .c/ DtE 6-n C42-j2 I )
PHONE NUMBER:
SOILS ENGINEER:.0 _PE NO.: __Okf33
ADDRESS q7-140' L4E- .S7E fOJ 5,4A/ b,-o C21 gp,2C
PHONE NUMBER:
GRADING CONTRACTOR: _____STATE LICENSE NO.:_____________
ADDRESS CITY BUSINESS LICENSE NO.___________________
PHONE NUMBER: 24 HOUR PHONE NO.:
PROPOSED USE OF GRADE SITE: LLT1 44'itUI €U/'/O'3
GRADING QUANTITIES:C lT'P961W11 FILL 2,1ftQIMPORT 2fZ t WASTE
PROPOSED START DATE: JO FINISH DATE:
I hereby acknowledge that have read the application and state that the information I have provided is correct and agree to comply with all City
ordinances and State Laws requlating excavating and grading, and the provisions and conditions of any permit issued pursuant to this
application.
14A4 Signature of Applicant /i /(,'/tj'i44-e) DATE:
i FOR CITY USE ONLY
Received by: RECEIVED
Entered Into Computer by__________ Date:
Permit Noi' 9' /_/2. Project Engineer:_________
APR 1 6 1991
Drawing No. 33APlancheck Fee Deposit Z 3 00 CITY OF CARLSBAD
ENGINEERING COUNTER
Approved for Issuance: Date:. DATE STAMP RECEIVED
07/25/90