HomeMy WebLinkAboutCT 2019-0002; MADISON FIVE; Engineering Application( City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all aooropriate information Write NIA when not aoolicable
Project Name: Qals file□ue a□d Madiss:m Street Date: 211112019
Project Description: Develoement of five townhomes on two vacant earcels.
Project Address: SQ!,!11:!es1lzt Q2rner Qf Qs!k 8ve□Ye s1□d Madi§Qn Street
Lot No(s).: 15 AND 16 Map No.: 775 APN(s): 204-031-01 and 204-031-02
Number of Lots: 2 Number of Acres: 0.18 Miles of Trails: NIA
Owner: Michael Kootchick Applicant: Mh:;1:!s1el Ko21QtJi!;ls
Mailing Address: P.O Box 2671 Mailing Address: P.O Box 2671
Carlsbad, CA 92018 Carlsbad, CA 92018
Phone Number: (619) 804-3417 Phone Number: (619) 804-3417
Fax Number: Fax Number:
E-mail: mk@landshirehousing.com E-mail: I mk@landshirehousing.com
I certify that I ar the legal owner and that all the above
information is t' e and correct to the best of my knowledge.
Signature: M,.. -Date: S--l-3-I'1 Signature: ~ .1'\/\.A.. ~ Date: 5 ,z3 -1 &l
l Mellor Land:t Soils Engineer Jaime A. Cerros Civil Engineer:
Firm: Howes Weiler Land~ Firm: Geotechnical Exploration, Inc
Mailing Address: 2fH!e LQk~r Avenye Es1l2t. Syite 217 Mailing Address: 7 420 Trade street
Carlsbad, CA 92010 San Diego, CA 92121
Phone Number: {760~ 929-2288 Phone Number: (858} 549-7222
Fax Number: (760} 929-2287 Fax Number: (858} 549-1604
E-mail: mel@hwl-12e.com E-mail: geotech@aei-sd.com
State Registration Number: 81085 State Registration Number: RCE 34422 I G.E. 2007
Additional Comments:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
IX! Carlsbad Municipal Water District D Olivenhain D 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 120 cy fill 10 cy remedial cy import cy export 110 cy
E-23 Page 1 of 2 REV 07/14
• { City of
Carlsbad
APP LI CATION
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 aoolicable.
APPLICATION FOR
(check all that apply)
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE)
D Dedication of Easement (PR)
Type:
Type:
D Encroachment Permit (PR)
0 Final Map (FM)
IX] Grading Plancheck (DWG)
jj] Improvement Plancheck (DWG)
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)
U Substantial Conformance
Exhibit (SCE)
D Trails D < mile D > mile
D Other
II APPLICATION ACCEPTED BY:
E-23
Project Drawing
I.D. Number
c7 211lflf •OdO.l. !ill-6ff
Page 2 of 2
FOR CITY USE ONLY
Deposit /Fees Comments
Paid
6-f( J. CJ( q -0 CJ~ ~
DATE STAMP
II 'R~t11'~¥~D
JU~J O 3 2019
LAND DEVELOPMENT
ENGlN::ER!NG
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 aooropriate information. Write N/A when not aoolicable.
Project Name: Qak Ave□ue a□d MadiSQ□ Street Date: 2/11/2019
Project Description: Develoement of five townhomes on two vacant earcels.
Project Address: $Qutheast QQrner of Oak Avenue ang MadisQn Street
Lot No(s}.: 15 AND 16 Map No.: 775 APN(s}: 204-031-01 and 204-031-02
Number of Lots: 2 Number of Acres: 0.18 Miles of Trails: N/A
Owner: Michael Kootchick Applicant: Micbael KoQtcbick
Mailing Address: P.O Box2671 Mailing Address: P.O Box2671
Carlsbad, CA 92018 Carlsbad, CA 92018
Phone Number: (619) 804-3417 Phone Number: (619) 804-3417
Fax Number: Fax Number:
E-mail: mk@landshirehousing.com E-mail: mk@landshirehousing.com
I certify that I i m the legal owner and that all the above
information is rue and correct to the best of my knowledge.
Signature: I\ --../ Date: f3lt'1 IM Signature: I\ --_,,/ Date: e/ /Lj I'"
V
Civil Engineer: Mellor Land~ Soils Enginee : Jaime A. Cerros
Firm: Howes Weiler Land~ Firm: Geotechnical Exploration, Inc
Mailing Address: 2888 Loker Avenue East, Suite 217 Mailing Address: 7 420 Trade street
Carlsbad, CA 92010 San Diego1 CA 92121
Phone Number: (760) 929-2288 Phone Number: (858} 549-7222
Fax Number: {760} 929-2287 Fax Number: {858} 549-1604
E-mail: mel@hwl-ee.com E-mail: geotech@gei-sd.com
State Registration Number: 81085 State Registration Number: RCE 34422 / G.E. 2007
Additional Comments:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one}
IX] Carlsbad Municipal Water District D Olivenhain D 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 183 cy fill 5 cy remedial cy import cy exp_Q~ j78u--, ft
E-23 Page 1 of 2
( City of
Carlsbad
-
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
om e ea a ro na e m orma 10n. C 1D1 t II PP IP • t • f: f Write N/A when not aoolicable
APPLICATION FOR
( check all that apply)
O Adjustment Plat (ADJ)
O Certificate of Compliance (CE)
O Dedication of Easement (PR)
Type:
Type:
O Encroachment Permit (PR)
I ~inal Map (FM)
0 Grading Plancheck (DWG)
O Improvement Plancheck (DWG)
~--·
O Quitclaim of Easement (PR)
Type:
O Reversion to Acreage (RA)
O Street Vacation (STV)
O Tentative Parcel Map (MS)
O Certificate of Correction (CCOR)
O Covenant of Easement (PR)
LJ Substantial Conformance
Exhibit (SCE)
0 Trails O<mile O>mile
0 Other
II APPLICATION ACCEPTED BY:
E-23
Project Drawing
I.D. Number
C'rrTJ\Cl-mr I) YY1r, D ::
Page 2 of2
FOR CITY USE ONLY
Deposit /Fees
Paid
~1C, -Q('{.")?(
11
Comments
DATE STAMP
APPLICATION RECEIVED
REV 07/14
_____________ ,.
(_ 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:
Owner:
Address:
City: State: CA
Phone Number: Ct, Fax Number:
-~ .......... -~~~'----+,-~--------
I certify that I am the leg perty and I authorize the grading associated with this per
OWNER SIGNATURE: DATE: /a J'()
Address:
City:
Phone Number:
Soils Engineer: (__
Address:
City: ~A'l---' 'of ~o State: C)c
Phone Number: ~~ 5'-t 2.22---Fax Number:
Grading Contractor: _____ T.........,, .....,"Q.,.__ _________ State License No.:
City Business License No.: -----------1
Address: Suite: ---------I
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. 11 . _
Applicant Name: l,\1JLl)/~~~ _.YtJ L ,_ ~rte_~•
Address:
City: CA:
Phone Number:
APPLICANT'S SIGNATURE:
E-24 Page 1 of 1
.. , ,"."'\
" ,,_, 'I l _) ,,'t,)
Suite:
---------1
Zip: ---+-''--"<---'----"'----~
REV 07/14