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Home My WebLink AboutPE 2.94.05; HAYGEMAN RESIDENCE; Engineering ApplicationCITY OFIARLSBAD -'ENGINEERING PEPA'RTMENT APPLICATION GRADING PERMIT PROJECT NAME: Af'GE1iN C-Er PERMIT NUMBER: %2N. PROJECT LOCATION: 72_14 AV/A-I OP-JoE ASSESSOR PARCEL NUMBER(S): '2 I - 11 13 PROJECT DESCRIPTION: OWNER:-MA R'( VE ADDRESS: Z& gU7/ P-i, 2V, C.a. f2.c PHONE NUMBER.-JA I - I CERTIFY THAT I AM THE LEGAL OWNER OF THIPRPERTY AND I AUTHORIZE THE GRADING ASSOCIATED WITH THIS PERMIT. 'WN$ ACENT ,- OWNER SIGNATURE #7 DATE: 7- (4 - 17 CIVIL ENGINEER: ADDRESS: (SS Or?cxI '7r, E-" CArchc.J (j720o7 PHONE NUMBER: SOILS ENGINEER: 1)F 7c4//A ADDRESS: / LL7Z D!Z.. L'IT A <f-APP If ECA. cp,7 PHONE NUMBER: 753 - 7 GRADING CONTRACTOR: Ik WARIWEI RAD!A1 STATE LICENSE NO.441 ADDRESS: 26$ CAUM # Cl'. 09/07145, (A. CITY BUSINESS LICENSE NO:______________ PHONE NUMBER: - I 4Z.O BASIS OF PERMIT FEES: • cy GRADING QUANTITIES:. 300 cy cut / co : _,cy fill cy remedial cy export/import VERIFIED TOTAL PERMIT FEES: 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 Ia'ws, 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 'L'bA'4-fcl 6nnyer ATAI 1S PHONE o4- ADDRESS: 41V4fP_ =tA1105Wç%4f' (AfP1 CA, ?2c' 7 APPLICANT'S SIGNATURE:Z4:: DATE:7 )4- 7.4.. P:\DOCS\MISFORMS\FRM00065 . . REV. 06/10/93 E CITY OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION GRADING PERMIT D jjijq j PROJECT NAME: HAI66 P'iAiV PERMIT NUMBER' 2-2%4' - OL PROJECT LOCATION: -c/" ' iZ/r_At 26f___3fO ASSESSOR PARCEL NUMBER(S): Z/-..-i/- __GEEJGCO UN TF' PROJECT DESCRIPTION: I LOT/A/cL(,t)'rrviIt.Y RES/2E/4JCE OWNER: ' ,t1AR'f Y6Cfr7/ctA/ ADDRESS: 2OflC __,ZO C1 /IP 6_iiSb'o(9?zw3 PHONE NUMBER: 93/_/dj 92. I CERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND I AUTHORIZE THE GRADING ASSOCIATED WITH THIS PERMIT. -3622 OWNER SIGNATURE DATE: CIVIL ENGINEER: C0Ni( 4e 'Assoc _2N c ADDRESS: /3 c L/)L D/ A 64ROiF qeo07 PHONE NUMBER: 6/' 763 /43 C/? 734/55 SOILS ENGINEER:(A,2O/P (5607—CCfr1N/C C.. ADDRESS: /3 LJVFtO DI? A 4iêDiPF 9ëLd7 PHONE NUMBER: Ig 173 7 GRADING CONTRACTOR: STATE LICENSE NO.:__________ ADDRESS: CITY BUSINESS LICENSE NO:______________ PHONE NUMBER: BASIS OF PERMIT FEES: cy GRADING QUANTmES: cy cut cy fill cy remedial cy export/import VERIFIED TOTAL PERMIT FEES: BALANCE DUE: BY: I hereby acknowledge that I 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 requiring excavating and grading, and the provisions and conditions of any permit issued pursuant to this application. APPLICANT NAME P RC— fr4) th'1YEt4)4iV PHONE NO. I/3/. ADDRESS: ZZ6'O II1H1?AP_Cr#110 _____qzxa APPLICANT'S SIGNATURE: DATE:_____________ P:\DOcSMISFoRM57RM00065 REV. 01/11/93 CITY OF CARLSBAD ENGINEERING DEPARTMENCVE APPLICATION .•, FOR ENGINEERING PLANCHECK OR PROCESSIN9 1994 Complete all appropriate information. Write N/A when not applicable. NAME: ' lV. PEY O CARLAD DESCRIPTION * FFRJ ADDRESS —tcsM,/ 6 _5 MAP NO /24-f _ APN(S) OWNER DRkJ 1 fl4/ APPLICANT: ME__4S_OAJ#VJt ,t. /py6MmIV Mailing Address: 7_2I0 fli)1tel? _OJ? Cr_ ' Mailing Address: t4.jLS6M_'Jzoot_/10 Phone Number (_ /931_/1 &1 Phone Number (_* - 1 certify that lam the legal owner and that all the above information ' -' • 4'. I certify thafl am the agent of the legal owner and that all information on is true and correct to the beet of my knowledge thus sheet is true and correct to the beet of my knowledge Signature _______Date . Signature _______Date____________ CIVIL -ENGINEER:-,Jo/#N_eowsi SOILS ENGINEER V/T/f/?Y,1_S1N/,LMJer Firm fAccc ..Z?uc Fimi tD#P OTCfiAI(fl Mailing Address: /3 6 1/t/2pit_' A Mailing Address: C1c1,w, _Cø9Zcb7i (1O//3'_Q __2'007 Phone Number (6I )_73 _ I43 Phone Number /(57 c3 - 3 ' g 7 LANDSCAPE ARCHITECT ADDITIONAL COMMENTS 9t_ ,41c_337 —& Firm _______________________________ ' Mailing Address: 41 Phone Number: I '_ --_- NO OF DWELLING UNITS:NO OF LOTS L. NO OF ACRES • _3 —J... IMPROVEMENT VALUATION: sewer water & ieclaimed water streets and drainage: landscape:-- water district: GRADING QUANTITIES:_'CV cut ' cy fill ___________ cy -'- - ' remedial, cy import/export cy PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE I' 4' P:\DOCS\MISFORMS\FRM00063 * REV 12/15/92