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HomeMy WebLinkAboutSDP 15-04; AVENIDA ENCINAS PARKING EXPANSION; Engineering ApplicationAPPLICATION (?' Development Services City of ENGINEERING Land Development Engineering Carlsbad PLANCHECK 1635 Faraday Avenue 760-602-2750 E-23 www.carlsbadca.gov Comniete all annronriate information. Write N/A when not applicable. Project Name: 4 Tv c o e. ,j 7115 Date: 9/2 9/15- Project Description: 4JV,1(e,J _tf /4 F- SIE(T_I%'IJg ~,'4CS' / RETA.MG W4L. Project Address: S), /Vi,u,p,q .,AJ#I S LotNo(s).: Map No.: APN(s):2//710-/4tt 16 Number of Lots:/ Number of Acres: _</ Miles of Trails: 1V,tJE Owner: 4i i 124iuCta'MS I. P Applicant: Mailing Address: 0 0 .5i Mailing Address: 5AM Phone Number: 6/9 30' 988 5 Phone Number: 4s Fax Number: ,jJ/#9 Fax Number: ID W AJ E-mail: .41//I E-mail: I certify that I am the legal owner and that all the above information is true an o c best of my knowledge. or Signature -s2wwe: 1/6'// S Signature: Date: Civil Engineer: WRL'TWk Soils Engineer: Firm: W IC 5tAJEIL-iA. Mailing Address: 2 53 A 53 £, tAss l/E 6-AS I Firm: Mailing Address: CMt5SIt7CA P 2P Phone Number: 7 925 '22 9 8 Phone Number: Fax Number: E-mail: &b.vsQ hLQrl iIJd.C.OA State Registration Number: g /9 1 Fax Number: E-mail: State Registration Number: Additional Comments: IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) arlsbad Municipal Water District 0 Olivenhain El Vallecitos If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15% contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ GRADING QUANTITIES Fct 3 S 2. cy fill 1 1 cy remedial cy import - cy export 7 cy E-23 Page 1 of 2 REV 07/14 50F' 1'2--04 APPLICATION Development Services 'cC.ity of ENGINEERING Land Development Engineering Carlsbad radayPLANCHECK 1635 Fa Avenue 760-602-2750 E23 www.carlsbadca.gov Comnleta all annronriate information. Write N/A when not airnlicable. APPLICATION FOR (check all that apply) FOR CITY USE ONLY __________ Project I.D. _________ Drawing Number Deposit /Fees Paid Comments El Adjustment Plat (ADJ) El Certificate of Compliance (CE) El Dedication of Easement (PR) Type: Type: El Encroachment Permit (PR) El Final Map (FM) Grading Plancheck (DWG) El Improvement Plancheck (DWG) El Parcel Map (PM) El Quitclaim of Easement (PR) Type: El Reversion to Acreage (RA) El Street Vacation (STy) El Tentative Parcel Map (MS) El Certificate of Correction (CCOR) El Covenant of Easement (PR) El Substantial Conformance Exhibit (SCE) ElT$Z El< mile El>mile l"Other APPLICATION ACCEPTED BY: /L 0 OCT 06 2015 LAND L)E1ELOPWiET EPINEERIf'C E-23 Page 2 of 2 REV 07/14 APPLICATION 6 Development Services U]. CA,rl shad GRADING PERMIT Land Development Engineering 1635 Faraday Avenue E-24 760-602-2750 www.carlsbadca.gov I PERMIT NUMBER: I Project Name: Lincoln/AE Project Number: SDP 1 5-04/CDP15-08 Project Location: 5999 Avenida Encinas Drawing Number: Assessor Parcel Number(s): 210-170-14-00 & 2101701600 Project Description: Addition of 14 additional off-street parking spaces and a retaining wall Owner Avenida Encinas, LP/Brig Black Address: 600 B Street Suite: 2480 City: San Diego State: CA Zip: 92101 Phone Number: 619-230-8885 Fax Number: N/A I certify that I am the legal owner of this property and I authorze the gr ing associated with this ermit. IWNERSlGNATURE: Øff j( DATE: Civil Engineer: Howes, Weiler & Associates/ Walter Brown Address: 2888 Loker Avenue East Suite: 218 City: (rlsh1 State: CA Zip: qnip Phone Number: 760-929-2288 x-405 e-mail: wbrown@hwplanning.com Fax Number: N/A Soils Engineer: CTE, Inc. Address: 1441 Montiel Road Suite: 115 City: Escondido State: CA Zip: 92026 Phone Number: 760746955 Fax Number: 760-746-9806 Grading Contractor: Not selected at this time State License No.: City Business License No.: Address: Suite: City: State: Zip: Grading Quantities: cut 352 cy fill 77 cy import o cy remedial 0 cy export 275 cy Qualified contact person trained in NPDES requirements: to be determined Phone Number: Basis of Permit Fees: 352 cy Total Permit Fees: $ Verified By: Balance Due: $ 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 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. Applicant Name: Brig Black Address: 600 B Street Suite: 2480 City: San Diego State: CA Zip: 92101 Phone Number: 619-230-8885 Fax Number: N/A APPLICANT'S SIGNATURE: le. Ø/3 C &< 7 , DATE: Ii ç E-24 Page 1 of 1 REV 07114