HomeMy WebLinkAboutCDP 2017-0009; SCHIFF RESIDENCE; Engineering Application{_ City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Developmen t Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
-I PERMIT NUMBER:(.~ t""X{,) IC'\, --l JI'..,
Project Name: ~Cl-l\\:'i=-R~"S\t)Sl'-JC'c-G88Dll~Ci f1.,,8t~ Project Number: ...c_ () p e(} 1'7 -(Jll O °}
Project Location: ZZ l h\O fUv\Ah.\ D ;i LANS: Drawing Number: 5o°>-cA
Assessor Parcel Number(s): 2,,.0 3 · O 2 ~ -I~
Project Description: fs'2.G f:!.a,l)E. A 1\1(::. \A J PA fl AFTCR 7'~~ rx. n ~(1tl.S-£ l~ i<~YltJ\IED
Owner: DEP r /!. "' c:.\-\ I FF
Address: ___k&_? (,, EiATlG \JrTC:5 DR.· Suite:
City: C:A~LS'f,AD State: _cA, Zip: 3.201 1
Phone Number: '15 l -23~-018L! Fax Number:
I certify that I am the legal owner of this property and I authorizeJtie orading associated with this permit.
OWNER SIGNATURE: :z>~.,,..,....__ J,-/4-<t(' DATE: July 16, 2018
Civil Engineer: '!-<-:t&~ RT S\ 1 t' \ 1P ~--·
Address: ~~-Z.C: ':EJ\ lo KlGt:,1 91.AC-t Suite:
City: Cf::. & LS-~ I~ D State: rt Zip: OJZ,0()?; -Phone Number: 10.0-$1~1-02O0a (c\ Fax Number:
Soils Engineer: ~A.s--( Dau 1,i -r'.1 ~01c · C,J~_sllL'T[:,··nO!-:. 8 1JC1 SNG ;/j'E,l;::dR! 1--!~ IH C..
Address: f 6'.:2Z5 +\ARTLEY KOAD Suite: 'T
City: ~/-\!✓"T E.::. State: C-A. Zip: <7JZ07f
Phone Number: lalC;-2.-Srf.-t-:°lo I Fax Number: 6\0-2:zPr '1902-
Grading Contractor: QM BUiLD!NG IHC. State License No.: C'J ;03 C::,()
~2./\Ge:.-:r;IE.. \JJ A 'i
City Business License No.:
Address: 3 SZ.◊ Suite: _130
City: ()c.~A~ ~ \ :C~ State: cA Zip: ~e-066
Grading Quantities: cut 0 cy fill so cy import 2:io cy
remedial 8-S cy export -e cy -
Qualified contact person trained in NPDES requirements: /--C)ri:!.C~T <::;, 1 k'1 1..p
Phone Number. 7ln-Bo7 -00~8
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
Permil requirements for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to
this application.
Applicant Name: iNC..
' n
Dl~ f3VlLDING --Address: ~~20 ~EAGATS WAY Suite: l '2;0
I r .. A. Zip: 0 2os0 City: 0 CE:,/... N ~ \ Q'C,.. State:
Phone Number. '7(aO-Id 4~ Fax Number: -r -=:::.:::: DATE: ·; rib-Iv? APPLICANT'S SIGNATURE:
RECE1v · ·)
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