HomeMy WebLinkAboutCDP 13-20; WALLACE RESIDENCE; Engineering Application(City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
PERMIT NUMBER: (4/fl.- 0O/
Project Name: Wi Project Number: COP t3 -2b
Project Location: Lj9155 S'y Oc Drawing Number: t5()7 I A
Assessor Parcel Number(s):
Project Description:
Owner ('',1-in? 1YWc. 4 uiid Fkr
Address: 15h Pi , (\ \J2 Suite:
City: ({t' State: ( Zip: 9X
Phone Number: L-tc5 Fax Number: NA
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: JCJ)Lt Q.) DATE: Iti L2L7
Civil Engineer: ç-'ftMaQ63E~k L;tR
Address: f'c' 2 Suite:
City: Vc*o.... State: CA Zip: 9 IOV3
Phone Number: (7kg) cj Fax Number:
Soils Engineer: flo S(Itou 00010 P
Address: ()2JJ +(r-\ Q -4 Suite: •
City: State: ('4 Zip: y- a
Phone Number: &'-) -7IUt Fax Number
Grading Contractor: -\uJ'i$e cr1e . Sc a.r State License No.: 77 3(g 2_
City Business License No.:
Address: 75 CE) Cam-en-)n Dr. Suite:
City: State: CA Zip: 9 2..L5 1--L4 ___
Grading Quantities: cut 0 cy fill I t o cy import p cy
remedial 2.f) cy export 0 cy
Qualified contact person trained in NPDES requirements:
Phone Number:
Basis of Permit Fees: 0 ( I cy Total Permit Fees: $ '
Verified By: I V.J Balance Due: $ 7
I hereby acknowledge that I have read thjapplication and information provided is correct. I gfe to comply with all
federal, state, and city laws, ordinances, regulations and policies relating to excavation arjgrading 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:
Address: A-i Suite:
City: C-ocv-' State: (A Zip: 92tus
Phone Number: fl(f3 L4c5._22)C) - Fax Number: t k j I 112-0 t7
APPLICANT'S SIGNATURE: 1P(,tJ ('Z c!.J DATE:
E-24 Page 1 of 1 REV 07/14
(City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information. Write WA when not applicable.
Project Name: Wallace Residence Date: 8-14-17
Project Description: Minor Grading Permit
Project Address: 3935 Syme Drive Carlsbad, CA 92008
Lot No(s).: parcel 2 Map No.:1557 APN(s):206-262-40-00
Number of Lots:1 Number of Acre129 Miles of Trails:N/A
Owner: Christine Wallace Applicant: Christine Wallace
Mailing Address: 7330 Ramona Ave. Mailing Address: 7330 Ramona Ave.
Rancho Cucamonga, CA 91730 Rancho Cucamonga, CA 91730
Phone Number: (760) 845-3230 Phone Number: (760) 845-3230
Fax Number: Fax Number:
E-mail: wallace5thgrade@yahoo.com E-mail: wallace5thgrade@yahoo.com
I certify that I am the legal owner and that all the above
information is true and Qorrect to the best of my knowledge.
signatur1icQ.evc.& Date:8-1 4-17 Signature: Q)JO LQafC..Q.) Date:8-14-1 7
Civil Engineer: Richard Keith Morton Soils Engineer: Mamadou Saliou Diallo, RE
Firm: Firm: East County Soil Consultation and Enginnering
Mailing Address: 30181 State Street Mailing Address: 10925 Hartley Road Suite I
Hemet, CA Santee, CA 92071
Phone Number: (951) 925-3944 Phone Number: (619) 258-7901
Fax Number: Fax Number: (619) 258-7902
E-mail: E-mail: mduncan2000@hotmail.com
State Registration Number: 24922 State Registration Number: 2704
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
W Carlsbad Municipal Water District Olivenhain E 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 130 cy fill 124 cy remedial 0 cy import 0 cy export 0 cy
E-23 Page 1 of 2 REV 07114
(city of
Carlsb ad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Develooment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Comniete all anoronriate information. Write N/A when not anolicable.
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Project
I.D.
Drawing
Number
Deposit /Fees
Paid
Comments
LI Adjustment Plat (ADJ)
-0061
LI Certificate of Compliance (CE)
LI Dedication of Easement (PR)
Type:
Type:
LI Encroachment Permit (PR)
LI Final Map (FM)
Grading Plancheck (DWG) CE) yot--t j (A7 6jR20r
LI Improvement Plancheck (DWG)
LI Parcel Map (PM)
LI Quitclaim of Easement (PR)
Type:
LI Reversion to Acreage (RA)
LI Street Vacation (STV)
LI Tentative Parcel Map (MS)
LI Certificate of Correction (CCOR)
LI Covenant of Easement (PR)
LI Substantial Conformance
Exhibit (SCE)
LI Trails LI < mile LI> mile
LI Other
APPLICATION ACCEPTED BY: DATE STAMP
APPLICATION RECEIVED
- -
E-23 Page 2 of 2 REV 07/14