HomeMy WebLinkAboutCDP 15-17A; 6125 PASEO DEL NORTE; Engineering ApplicationAPPLICATION Development Services City of GRADING PERMIT Land Development Engineering
E-24 C.~-rlsbad 1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER: GR 16-06
Project Name: 6125 PASEO DEL NORTE Project Number: CDP 15-17A
Project Location: 6125 PASEO DEL NORTE Drawing Number: 40-56
Assessor Parcel Number(s): 211-040-25-00 & 211-040-26-00
Project Description: PARKING LOT ON VACANT PORTION OF LAND
Owner: 6125 PASEO DEL NORTE L.L.C.
Address: 6183 PASEO DEL NORTE Suite: 180
City: CARLSBAD State: CA Zip: 92011
Phone Number: 760-494-9201 Fax Number:
I certify that I am the legal own his property and I authorize the grading associated with this permit.
OWNER SIGNATURE: DATE: ? I j z.. f I
Civil Engineer: BRIAN C REGAN
Address: 3156 LIONSHEAD AVE Suite: 1
City: CARLSBAD State: CA Zip: 92101
Phone Number: 760-692-4016 Fax Number:
Soils Engineer: . Jj o+ee ci,vieerc
Address: 5-19-7 1 Sea Lt't)r Pt. ct-i I O 9 Suite:
City: (p v-5\,-)J State: A- Zip: q 20 I
Phone Number: -(Q (02 -bI Fax Number:
Grading Contractor: f. 3. 1.AJ i IL° Y--k- State License No.: 4t 2- 4R- T
City Business License No.: Q2_2_5
Address: ) S(i f.t tITyoW\4 A ye. Suite:
City: CtiVi ck-zA State: (ç Zip: 110111
Grading Quantities: cut cy fill (5 0 cy import p cy
remedial cy export ( fl cy
Qualified contact person trained in NPDES requirements: g\GIc\
Phone Number: 7-(,(3 (o(2 401 fl: 7-() 44-
Basis of Permit Fees: "f, p5 '3 cy Total Permit Fees: $ 2.3 18. 'ro
Verified By: 4,1 it (Ap Balance Due: $
I hereby acknowledge that I have Vead 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: BSD BUILDERS
Address: go 2 5 2p J-J \- /_ Suite:
City: ,17, 'ç State: Zip: ? I -1
Phone Number: Oçg Ye C Fax Number:
APPLICANT,S SIGNATURE: - J /7 /- - DATE:
M/
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Pl5-R-A
APPLICATION
( Development Services City.of
ENGINEERING Land Development Engineering
carlsbad PLANCHECK 1635 Faraday Avenue
760-602-2750 E23 www.carlsbadca.gov
Complete all appropriate information. Write N/A when not applicable.
Project Name:Paseo Del Norte Date:1-5-16
Project Description: grading for proposed parking lot
Project Address: 6125 Paseo Del Norte
Lot No(s).: Map No.: APN(s):211-040-26
Number of Lots:1 Number of Acres: Miles of Trails:_______________________
Owner: 6125 Paseo Del Norte, LLC Applicant: Hofman Planning & Engineering
Mailing Address: 6183 Paseo Del Norte, Ste 180 Mailing Address: 3156 Lionshead Ave, Suite 1
Carlsbad, CA 92011 Carlsbad, CA 92010
Phone Number: 760-494-9201 Phone Number: 760-2-4019
Fax Number: Fax Number:
E-mail: scottsurgeryone.com E-mail: rochoa@hofmanolannina.com'
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
-
SignatureQ_'(.*- .Q.M Date: \ - r- '- . Signature: (Lt1e)41v\1_(9 CL-5'i Date: . '5—t to
Civil Engineer: Haixin Li Soils Engineer:
Firm: Hofman Planning & Engineering Firm:
Mailing Address: 3156 Lionshead Ave. Suite 1 Mailing Address:
Carlsbad, CA 92010
Phone Number: 760-692-4016 Phone Number:
Fax Number: Fax Number:
E-mail: hli@hofmanplanning.com E-mail:
State Registration Number: C59064 State Registration Number:
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
LI Carlsbad Municipal Water District U Olivenhain U 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(j'Ocy fill (S cy remedial Z,'o2..cy import _______cy export (jte'Vcy
E-23 Page 1 of 2 REV 07/14
0
C 1, of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Develonment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
rnmnlato all annrnnriatp infnrmtinn Writ N/A whn not annIieabI
APPLICATION FOR
(check all that apply)
-
- FOR CITY USE ONLY
Project
I.D.
Drawing
Number
Deposit /Fees
Paid
Comments
LI Adjustment Plat (ADJ)
LI Certificate of Compliance (CE)
LI Dedication of Easement (PR)
Type:
Type:
LI Encroachment Permit (PR)
LI Final Map (FM)
[I Grading Plancheck (DWG) COP IS- I71
LI Improvement Plancheck (DWG)
0 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
Other 51/Vpep
APPLICATION ACCEPTED BY: R, z fz k,-.E rC T'R~ T T 71 D
JAN 142016
LAN 1) DEVELORM
ENGIOEERIAG
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