HomeMy WebLinkAboutPD 2020-0008; CHURCH RESIDENCE; Engineering Application-1
Ccityof
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: Church Residence Project Number:
Project Location: Adams Street (vacant lot) Drawing Number:
Assessor Parcel Number(s}: 206-200-04
Project Description: Grade site to accomodate construction of sinale familv residence on vacant lot.
Owner: Barry A. Church and Shanna L. Church
Address: 1072 Wiegand Street Suite:
City: Encinitas State: CA Zip: 92024
Phone Number: (760) 613-2224 Fax Number:
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: a~ Cl>, ro: .. ,l,~ DATE: tJ..--, '7-... A ">/)
Civil Engineer: Randy R. Brown, Sowards & Brown Engineering, INC
Address: 2187 Newcastle Avenue Suite: 103
City: Cardiff State: CA Zip: 92007
Phone Number: (760) 436-8500 Fax Number: (760) 436-8603
Soils Engineer: Clifford W. La Monte
Address: 7840 El Cajon Blvd. Suite: 200
City: La Mesa State: CA Zip: 91942
Phone Number: (760) 743-1214 Fax Number: (760) 739-0343
Grading Contractor: State License No.:
City Business License No.:
Address: Suite:
City: State: Zip:
Grading Quantities: cut 359 cy fill 893 cy import 534 cy
remedial 634 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: RA a_(l v /.J _ ~t-uJ t2...,-J _
Address: lQ.22 W 128~.blb sr. Suite:
City: e"' ~ 11.i i:nt~ State: c;.i, Zip: 9 .i O ').'-/.
Phone Number: '7bC,-t>l3"" 2.')..~af Fax Number:
APPLICANT'S SIGNATURE: AA l. u £1...,.. ('\Q J • ~ J DATE: Ji.-:> g-11) 'j,,0
E-24 Page 1 of 1 REV 07/14
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CCityof
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all aooroprlate Information. Write N/Awhen not aoollcable.
Project Name: Church Residence Date: December 19, 2019
Project Description: Grade site to accomodate construction of single family residence on vacant lot.
Project Address: Adams Street (vacant lot)
Lot No(s).: Portion Lot 6 Map No.: 2152 APN(s): 206-200-04
Number of Lots: 1 Number of Acres: 0.49 Miles of Trails: 0
Owner: Barry A. Church and Shanna L. Church Applicant: Barry A. Church
Mailing Address: 1072 Wiegand Street Mailing Address: 1072 Wiegand Street
Encinitas, CA 92024 Encinitas, CA 92024
Phone Number: (760) 613-2224 Phone Number: (760) 613-2224
Fax Number: Fax Number:
E-mail: bcsurfer@aol.com E-mail: bcsurfer@aol.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.
Signature: ,&m. CV.~ Signature: g~ 4. /'O.. ~ ~ Date: tf-j.j-~o"l,D Date: J../. -Jg~:Jt,;,~
Civil Engineer: Randy R. Brown Soils Engineer: Clifford W. La Monte
Firm: Sowards & Brown Engineering, Inc. Firm: C.W. La Monte Company Inc.
Mailing Address: 2187 Newcastle Avenue, Ste 103 Mailing Address: 7840 El Cajon Blvd., Suite 200
Cardiff, CA 92007 La Mesa, CA 91942
Phone Number: {760~ 436-8500 Phone Number: (619) 462-9861
Fax Number: Fax Number: (619) 462-9859
E-mail: rbrown@sowardsandbrown.com E-mail: Clamonte@Flash.Net
State Registration Number: RCE 36190 State Registration Number: G.E. 0495
Additional Comments:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
~ Carlsbad Municipal Water District D Olivenhain □Vallecitos
2. 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 359 cy fill 893 cy remedial 634 cy import 534 cy export cy
E-23 Page 1 of 2 REV 07/14
CCityof
C'Arlsbad
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/Awhen not aoollcable . .
APPLICATION FOR FOR.crrv use ONL v
Project Drawing De~if/Fees comments ( check all that apply) kO,. Number . • Paid .·
D Adjustment Plat (ADJ)
j4' i,Certificate of Compliance (CE)
~ Dedication of Easement (PR) Tl.\D MlGl6-00 (Q
Type: Street Dedication
Type: Encroachment Agreement
Ii] Encroachment Permit (PR) SAA-RE~ 'l.o .... 0-0011
0 Final Map (FM)
~ Grading Plancheck (DWG) 6-Rl-610-()G 15 DwG-~1 4-b,1-
W Improvement Plancheck (DWG) Row2616-o' '(. '1 i>IN0-5 l,i ., -(.
D Parcel Map (PM)
D Quitclaim of Easement (PR)
Type:
D Reversion to Acreage (RA)
D Street Vacation (STV)
D Tentative Parcel Map (MS)
D Certificate of Correction (CCOR)
D Covenant of Easement (PR)
LJ Substantial Conformance
Exhibit (SCE)
D Trails D < mile D > mile
D Other
II APPLICATION ACCEPTED By:
DATE STAMP
· APPLICATION RECEIVED
·RECEIVED . '. ,. . .
•••• MAY 04 2G2D
~~rNiTit ~~iNiENT
E-23 Page 2 of2 REV07/14