HomeMy WebLinkAboutPE 2.92.22; GOOD RESIDENCE; Engineering Application- - SENT SY:CITY OF CPRLS3D 7- 6-53 4:1PM 619468944 * ;# 2
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION .
9wC, 33c'-A- GRADING PERMIT
PROJECT NAME: '1.4j,:::: PERMIT NUMBER: f1 . ?.
PROJECT LOCATION: _7r77 &i (Lt6- zlr z (LAc,1 CA-.
ASSESSOR PARCEL NUMBER(S):_Z'3 -1I -26 2S.-il -
PROJECT DESCRIPTION: - 4lcL-
OWN
ADDRESS: \Z-IIZS 4i
PHONE NUMBER: j27- 5-70— ZI
I CERTIFY THAT I AM E OWNER OF THIS PROPERr' AND I AUTHORIZE THE GRADING ASSOCIATED WITH THIS PERMIT.
OWNER SIGNATURE h11 4ATE: q 3
CIVIL ENGINEER;P t1LFk1 _\ -vc 1)-
(7 ADDRESS: 4'1 \.4r ' 4zcr 'z i C. 97-1
--
PHONE NUMBER:_.
SOILS ENGINEER:
ADDRESS: 2A6a \Jta 44. * bZ1 Do, 1
PHONE NUMBER: 9743- 2i1-
GRADING CONTRACTOR:ifr L17tic STATE LICENSE NO,: 45957
ADDRESS- C CITY BUSINESS LiCENSE NO:1 PHONE NUMBER 74e- srRt, C4 7J;3
" BASIS OF PERMIT FEES: I cy GRADING QUANTITIES:
- cy cut 13w
-- cy fill
- .cy remedial S cy exportjlmport
- O 40.-
TOTAL PERMIT FEES:
-- BALANCE DUE:Z,
VERIFIED
BY:
I hereby eckncwadgs that I have reed the .ppIon and IrifoivnatSon p,ov$d.d I@ øe'r.ct I some b 00ap1y with all federal, mats, end olty ordlnano.s, raguladone and po4lc4s rPatlmg to uxoavaton and gradina Inotuding, but not limliad to, th. Federal End.ngs.d apeol,. Act of 1V3 and any amundriento thereto, OSHA P.m'ilt requirements for tretwhes over s fact deep and the provotom and condlitons of any psivnit Issued pursuant to th4 appilcedon.
APPLICANT NAME _"/'4 C J4tr1ox.1 LX.. PHONE NOj9-745--3cSI ADDRESS: ALM,1l. WA.-4 - -
APPLiCANT'S SIGNATURE- 1'\ Il L(2Q-'\ S DA-m; i- az-c
P:\D0C3\UISFORM57M00OS5
REV. 0/1Q/P$
S ... I
07/25/90
: çE_z,qiz
CITY OF CARLSBAD
- ENGINEERING DEPARTMENT
GRADING PERMIT APPLICATION
SITE ADDRESS: Th13, 7177 4')IPrR- PR\J-..
ASSESSORS PARCEL NUMBER(S): 215 (j-.Z(, 77
LEGAL DESCRIPTION:LøiZ7S, 279 CITY OF S40 YRic-T -
pt1 17, I A T' Gtty OF GkLo ; CoT'( OF $rl .blO4 ThToF C4Po4IA
.tCCv.Dp Cj 70 rffrp 'ie.eo AO,IZ+(2-, (LO lr. TH- 04--Fi CE OF TK& (OI.)My CO.OER.
OF 5Prc' PO CQrTY, I99
PROJECT NAME: 6,202 Re6 IMACF,
PROJECT ID:
OWNER: t4 4)D MARO N ARST K, 61-00D
ADDRESS _70 oQ-rH Lfr- AQE.. SU I1 ccD C.Pr 9 I101 Z,(40 1
PHONE NUMBER: (61 j7?) 440-0006
CIVIL ENGINEER: _PD tEC-P40L0C4I5 PE NO.:4 ,o42
ADDRESS 5950 L.P fLG- Cou2T $J,rs oo CA-BAO CA- 12.O°
PHONE NUMBER: 4 -5'7i
SOILS ENGINEER: I CoPoM7 NO.:_____________________
ADDRESS 24-0 _TOPt- Io0A-D.(O_C422& _soiTa
PHONE NUMBER: j)
GRADING CONTRACTOR: S STATE LICENSE NO.:____________
ADDRESS CITY BUSINESS LICENSE NO.____________________
PHONE NUMBER: 24 HOUR PHONE NO.:
PROPOSED USE OF GRADE SITE: fPiMIL.¼/
GRADING QUANTITIES: CUT I300FILLJ IMPORT WASTE
PROPOSED START DATE: FINISH DATE:
I hereby acknowledge that I have read the application and state that the information I have provided I. correct and agree to comply with all City
ordinances and State Laws requlating excavating and riding, and the provisions and conditions of any permit issued pursuant to this
;::re of Applicant _(A _DATE I
FOR_ITY USE ONLY'
W.
Received by S_PIVIM
Entered Into Computer by Date: 4 O\I 92.
Permit No.FE2q22... Project Engineer:LLIEP. : NOV 04 1992
Drawing No30-QvPIancheck Fee Deposit F300 CITY OF CARLSBAD
S ENGNFFRNG COUNTER STAMP RECEIVED DATE Approved for Issuance: Date: