HomeMy WebLinkAboutDEV 2017-0089; ST. JOHN GRADING PLAN; Engineering ApplicationCity of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER: (eZfl
Project Name: ST ON RoJctL Project Number: [)p \1 OIrI. roC)
Project Location: 3j5 9 MoN tOa 3i16eT Drawing Number: 504 - i A Assessor Parcel Number(s): 00 6 - 30 -. 13
Project Description: 6 Y15-1 lNG HOUSe,eGiAo F/OJ 90 IL1 A Wtav) 460St
Owner: Son RICK 51, 410H tJ
Address: 3f7 MOW ROLE <,TtT Suite: -
City: AT) State: CA Zip: t7)2oOS
Phone Number: 760 445 - 1414 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: ( <3OK
Address: L13Z. '3A, Z COI - IT PLACG Suite:
City: cATL'S State: 4QA Zip: ' 0 008
Phone Number: 7( 0 .- SO 7 - (vv) Fax Number:
Soils Engineer: Ca cHh1(C,L )cPLOkKiIOJ jtic. (G Z")
Address: '7.4 ij 's-i rsr / Suite: •-
City: SAt'.J p IC- co State: CA Zip: '37j/
Phone Number: S,5b 5 - '1Z2Z. Fax Number:
Grading Contractor: fpw. (.4'Ty2-c-11 State License No.: Y 5(
City Business License No.: -
Address: •37D 0 - $- 3, 'j Suite: .
City: State: c Zip: 5 G'
Grading Quantities: cut 60 cy fill ii J cy import cy
remedial 000 cy export cy
Qualified contact person trained in NPDES requirements: j2,0E kT so (U P
Phone Number: 7,Ø -
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: 03
Address: 3((7 M09 ROE JT Suite: —
City: CAR 3 State: c-A Zip: Oj ZOO
Phone Number: 4c 4 A N 4 1 eli Fax Number:
APPLICANT'S SIGNATURE: \ç4çk'j/V VVI 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 N/A when not applicable.
Project Name: GRADING ?LA N Date: s/4) II
Project Description: 1?SMQ\flF L-YIST IN G N OOSE ,Ovc. N EW PA ID #6O c/
MPO 1
Project Address: (7 I'(OIJ 1O'.
Lot No(s).:10_T{t-' ... Map No.: ___I APN(s):2.05 3()
Number of Lots: I Number of Acres: Miles of Trails: N A
Owner: *_USk ' Applicant: BOR 'UKU
Mailing Address: 3i,6"1_MOJR0 5TE 1 Mailing Address: I3ZZ -SRI G.Wc 1LAc
CA-1A _CA )ZOO -.
Phone Number: 7cO-41 -44 14 Phone Number: i1U- &tY1__6PJ3
Fax Number: Fax Number:
E-mail: OSE-0E1C E-mail: __
ST'Jt° COV" I certify that I am the legal owner and that all the above
information is t e and correct to the best of my knowledge.
____I1 Signature :'_)ttAA4_L&1U Date:t4/_I Signature: _Date:
Civil Engineer: &T SuK'JP Soils Engineer: -1kW1 _CE(O
Firm: fl4E __AGi_C'AW'( Firm: ECPLRfr1W,
Mailing Address: '13t A _VLAC2 Mailing Address: -14Z13 1A1I
icA O)Zoo8 S)oi.cc. CA c92 I2.J
Phone Number: '1c1_BOI-'°)O'?'8 (r Phone Number:
Fax Number: -
J
Fax Number: 2SA-_l''
E-mail: 30(1)-Pe _CO lei E-mail: GOTiCI-\( eEI_3D.co
StateRegistrationNumber: 2. State Registration Number: gC2_2.
Additional Comments:
IMPROVEMENT VALUATION
What water district is .the proposed project located in? (check one)
Carlsbad Municipal Water District F1 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, pub
(median) landscape and irrigation, and drainage improvements (if applicable)? $ N /\
GRADING QUANTITIES
cut 66 cy fill ItO cy remedial 200 cy import cy export cy
E-23 Page 1 of 2 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
Comolete all aooronriate information. Write N/A when not annfleahip
(check all that apply)
-
APPLICATION FOR
FOR CITY USE ONLY
Project
I.D.
Drawing
Number
Deposit /Fees
: :-Paid.
Comments
LI Adjustment Plat (ADJ)
a
LI Certificate of Compliance (CE)
LI Dedication of Easement (PR)
Type:
Type:
LI Encroachment Permit (PR)
LI Final Map (FM)
Grading Plancheck (DWG) EYI1.4 909 -16 g ii-oc
LI Improvement Plancheck (DWG)
LI Parcel Map (PM)
LI Quitclaim of Easement (PR)
Type:
LI Reversion to Acreage (RA)
LI Street Vacation (STy)
LI Tentative Parcel Map (MS)
LI Certificate of Correction (CCOR)
LI Covenant of Easement (PR)
LI Substantial Conformance
Exhibit (SCE)
[I Trails LI <mile LI > mile
Fif Other
APPLICATION ACCEPTED BY: C> DATE STAMP
APPLICATION RECEIVED
REC'!VED
AY 04 2017
LAND DtVcLOPMENT
ENGIEERING
E-23 Page 2 of 2 REV 07114