HomeMy WebLinkAboutPD 15-12; SDG&E EROSION TOWER REPAIR; Engineering Application(7-' (, city of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
PERMIT NUMBER: GR 15-38 I
Project Name: SDG&E Erosion Tower Repair Project Number: PD 15-12
Project Location: n/a Drawing Number: DWG 490-9A
Assessor Parcel Number(s): 167-090-31-00
Project Description:
Owner: 54 1V 01 &O (,4S /rlV9 LC'1724C 47.
Address: tI7L)1ty Pm2-1 (-T. C-P 52. (è Suite:
City: 54.4 4 if 2.j 2.3 State: (e7 Zip: 72.12.3
Phone Number: é 12 , C YI 5 Fax Number:
I certify that I am the legowner of this prerty(and l)authorize the grading associated with this permit.
OWNER SIGNATURE:, \ .c .. DATE: 4... -
Civil Engineer: (l C- f ft/i 11...LIf.
Address: ' 3 16 7i)'21/ P4iZ./c CT, P çz. Ct Suite:
City: 4Dj(ro State: C4 Zip: 'j2..12.
Phone Number: Fax Number:
Soils Engineer:
Address: f'J / A Suite:
City: I State: Zip:
Phone Number: Fax Number:
Grading Contractor: /4. Y't. 05r,3 COftJ Jrp-t'(,ri oi) State License No.: A '1% 3(1
City Business License No.: _________________________
Address: 1612.S C,41V,ItL RD. Suite: 9 2.010
City: State: .4 Zip:
Grading Quantities: cut 3, / cy fill ..5. ' cy import ~er cy
remedial Ar cy export 3 1 . .5 cy
Qualified contact person trained in NPDES requirements: ARE AW) o
Phone Number: ((00' 77- 5o7.
Basis of Permit Fees: ,44- cy Total Permit Fees: $ 32. '1X7
Verified By: 4'çy1 C#-uo, 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: 54/U Pi e&o 64i -,4) cJ2-1?24c Co.
Address: /, iu,zs.f P4114e- i-f. (.f (2. & Suite:
City: j State: (4 Zip: Q (2.3
Phone Number: 5t) 1-t.A- Fax Number:
APPLICANT'S SIGNATURE: Jçj . DATE: -
IN
E-24 Page 1 of 1 REV 07/14
PP g'-f2
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(City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information. Write N/A when not applicable.
Project Name: _ TO 1)16 050(J (PA 'A Date:/ - 3 7 - /5-
Project Description: D1460 (A4Pi20V ,V4AITJ ,+,I9 oo') fJXP,90Z f/V
Iucnz.Ic4L r,e4,vsiwssiô,J &s6r&'etur
Project Address: A) 04) (
LotNo(s).: / Map No.: APN(s): 167 -09 0 -31-00
Number of Lots:I Number of Acres: S. 9 Miles of Trails: /V /4
Owner: 50 & Applicant: 519
Mailing Address: Aa.øI Mailing Address: M Ot o
ui 7)th o 1 W g/z
Phone Number: Phone Number:
Fax Number: Fax Number:
E-mail: E-mail: p-,f/ev 4&? pr41eII'fi~
I certify that I am the legal owner and that all the above
information Is true and correct to the best of my knowledge.
Signature: Date: SignaturiTjiLL LL_-.Date:lcl)z Ll
Civil Engineer: RICh cI14 4 E/ Soils Engineer: __________________________
Firm: Firm: _________________
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-mail: E-mail:
State Registration Number: State Registration Number:
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
0 Carlsbad Municipal Water District 0 Olivenhain 0 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
cut cy fill _______ cy remedial cy import cy export cy
E-23 Page 1 of 2 REV 07/14
(City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Comulata all annrnnriatn Infnrmatlnn Wrifa WA whn nnf nnUthIc
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Project
I.D.
Drawing
Number
Deposit /Fees
Paid
Comments
O Adjustment Plat (ADJ)
O Certificate of Compliance (CE)
O Dedication of Easement (PR)
Type:
Type:
Encroachment Permit (PR)
F-1 Final Map (FM)
Grading Plancheck (DWG) 14 f -2
O Improvement Plancheck (DWG)
Parcel Map (PM)
LI Quitclaim of Easement (PR)
Type:
D Reversion to Acreage (RA)
El Street Vacation (STV)
El Tentative Parcel Map (MS)
Certificate of Correction (CCOR)
Covenant of Easement (PR)
O Substantial Conformance
Exhibit (SCE)
O Trails 0 <mile 0 > mile
L] Other
APPLICATION ACCEPTED BY:
DEC 09 2015
ENGINEERING
E-23 Page 2 of 2 REV 07/14