HomeMy WebLinkAboutDEV 2016-0070; DEMPSEY RESIDENCE; Engineering ApplicationOr- 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 N/A when not applicable.
Project Name: Dempsey Residence Date:______________________
Project Description: Single family residence
Project Address: Bolero St & Candil P1
Lot No(s).:46 Map No.: APN(s):215-491-36-00
Number of Lots: 1 Number of Acres: Miles of Trails:_________________________
Owner: John Dempsey Applicant: Same as owner
Mailing Address: 1835 Aston Ave Mailing Address:
Carlsbad, CA 92008
Phone Number: (760) 480-5671 Phone Number:
Fax Number: Fax Number:
E-mail: jd@dempseyconstruction.com E-mail:
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: Signature: Date:
Civil Engineer: Mel Landy, PE Soils Engineer: Dan Math, GE
Firm: CTE, Inc. Firm: CTE, Inc
Mailing Address: 1441 Montiel Rd Mailing Address: 1441 Montiel Rd
Escondido, CA 92026 Escondido, CA 92026
Phone Number: (760) 746-4955 Phone Number: (760) 746-4955
Fax Number: Fax Number:
E-mail: Mel@cte-inc.net E-mail: Dan@cte-inc.net
State Registration Number: No. C081085 State Registration Number: No. 2665
Additional Comments:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District 0 Olivenhain fl 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
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(7 Development Services
41L City
APPLICATION
ENGINEERING Land Development Engineering Carlsbad PLANCHECK 1635 Faraday Avenue
760-602-2750 E23 www.carlsbadca.gov
Comolete all aonronnate information. Write NIA when not annlicable.
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Project
I.D.
_________ Drawing
Number
Deposit /Fees
Paid
Comments
Adjustment Plat (ADJ)
17-uI(0
O Certificate of Compliance (CE)
O Dedication of Easement (PR)
Type:
Type:
O Encroachment Permit (PR)
O Final Map (FM)
KjGrading Plancheck(DWG) Dzos-o Dj(,. o).-94 GR.Zi
Improvement Plancheck (DWG)
O Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:
El Reversion to Acreage (RA)
0 Street Vacation (SW)
O Tentative Parcel Map (MS)
O Certificate of Correction (CCOR)
El Covenant of Easement (PR)
0 Substantial Conformance
Exhibit (SCE)
O Trails 0 < mile 0 > mile
Other
APPLICATION ACCEPTED BY: DATE STAMP
APrQN ECEEV D
MAR 21 2017
LAND DE'.LLOPMEN
ENC,rING
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(City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER:
Project Name: Dempsey Residence Project Number: t t V ).OI 0070
Project Location: Bolero Street & Candil Place Drawing Number: S 0 . - f -
Assessor Parcel Number(s): 215-491-36-00
Project Description: Single family Residence
Owner: John Dempsey
Address: 1835 Aston Ave Suite:
City: Carlsbad State: CA Zip: 92008
Phone Number: (760) 480-5671 Fax Number:
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: DATE:
Civil Engineer: Mel Landy, PE. Constuction Testing & Engineering, Inc
Address: 1441 Montiel Rd Suite: 115
City: Escondido State: CA Zip: 92026
Phone Number: (760) 746-4955 Fax Number:
Soils Engineer: Dan Math, GE. Construction Testing & Engineering, Inc
Address: 1441 Montiel Rd Suite: 115
City: Escondido State: CA Zip: 92026
Phone Number: (760) 7464955 Fax Number:
Grading Contractor: State License No.:
City Business License No.:
Address: Suite:
City: State: Zip:
Grading Quantities: cut cy fill cy import cy
remedial cy export cy
Qualified contact person trained in NPDES requirements:
Phone Number:
Basis of Permit Fees: 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: John Dempsey
Address: 1835 Aston Ave Suite:
City: Carlsbad State: CA Zip: 92008
Phone Number: (760) 48cK52,? Fax Number:
APPLICANT'S SIGNATURE: 7 DATE:
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INTERNATIONAL
5050 Avenida Encinas
Suite 260
Carlsbad, CA 92008
PROJECT PLAN REVIEW COMPLETION
The following project plans have been reviewed and are recommended for approval:
Project Name: Dempsey Residence
Project No.: DEV20I7-0070
Dwg. No.: 502-4A
Sheets No.: 1 —6 OF 6
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.
Signed 07-24-2017
Date
RCE 58089 Exp. 6/30/18