HomeMy WebLinkAboutPD 16-21; NORTH COUNTY PLAZA DRAINAGE; Engineering Application(City f APPLICATION
Development Services
Carlsbad GRADING PERMIT Land Development Engineering
1635 Faraday Avenue
E-24 S 760-602-2750
www.carlsbadca.gov
PERMIT NUMBER: GR 2016-0007
Project Name: NORTH COUNTY PLAZA Project Number: PD16-21(DEV2016-0004)
Project Location: 1810-1884 MARRON RD Drawing Number: 497-8A
Assessor Parcel Number(s): 156-301-16-00
Project Description: MINOR GRADING TO FIX DRAINAGE ISSUES
Owner: FlL t4D LOW%%1 42.4 14
Address: 7,%P S. t p.oc.c. D.JjC. Suite:
________________
City: \jtSk4, State: C,P Zip: g,tt
Phone Number: (1100) 111 %007. Fax Number: (,Ub) 11.1 %4'30
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: Srt"t, W*(-t4. DATE:
Civil Engineer: C..ilbec'ty\
Address: El 2i t 1 Suite: :2O'k.
City: ke— State: J1- Zip: gos'
Phone Number: S-SLI Fax Number: (it4 -
Soils Engineer:
Address: Suite:
City: State: Zip:
Phone Number: Fax Number:
Grading Contractor: oi'rto C nrrrYvmr State License No.:
i City Business License No.:
Address: Suite:
City: VCW __ State: Zip: oCM
Grading Quantities! cut -V1 cy fill cy import 0 cy
remedial 0 cy export 49A AIA cy
Qualified contact person trained in NPDES requirements:
Phone Number:
Basis of Permit Fees: 431 cy Total Permit Fees: $ 1990
Verified By: CHUA Balance Due: $ 1990
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: Pfrpç 1 I EosIn4
Address: Suite: cqpk
City: 4o.y State: cJ\ Zip: ccoC13
Phone Number: ' Fax Number:
APPLICANT'S SIGNATURE: _- —__ii bTE:
E-24 Page 1 of I REV 07/14
(o
o
ATKINS
S
Atkins America, Inc.
3570 Carmel Mountain Road, Suite 300
San Diego, California 92130
Telephone: +1.858.874.1810
Fax +1.858.259.0741
www.atkinsgiobal.com/northamerica
PROJECT PLAN REVIEW COMPLETION
The following project plans have been reviewed and are recommended for approval:
Project Name: North County Plaza Drainage
Project No.: PD 16-21
Dwg. No.: 497-8A
Sheets No.: 1-18 - 18 OF 18
DECLARATION OF RESPONSIBLE CHARGE
I hereby declare that I have exercised responsible charge over the plan review of this project as defined in
Section 6703 of the Business and Professions Code to determine that the plans are found to be in
substantial conformance with applicable codes and standards.
Plan review of these project drawings does not relieve the Engineer of Work of the responsibilities for project
design under state and local ordinances.
qSigne 02/22/2017
RCE 71261 Exp. 12/31/17 Date
çOFESSiQ
S.
No. 7261
1e. EXP.