HomeMy WebLinkAboutCDP 2020-0007; TERRA BELLA DEVELOPMENT; Engineering Application,.( CiD~CEIVEJ.9>PLICATION
'--•JLU-GRADING PERMIT
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Carlsbacl!N 11 20 2, E-24
LOPMENT
ENGINEERING
I PERMIT NUMBER: (~V<.,tr JJJ-I ii) /J '-0
Project Name: Terre Bella Development Project Number: GAli!828-0038
Project Location: 6479 Surfside Lane Drawing Number: 528-SA , . vr "IA) lL'·-C{
Assessor Parcel Number(s}: 214-021-11
Project Description: Single Family Residence on pre-graded lot.
Owner: Terra Bella Develooment LLC
Address: P.O. BOX 232458 Suite:
City: Encinitas State: CA Zip: 92023
Phone Number: 646-290-0811 Fax Number:
I certify that I am the legal owner ~t"r/._CfjJ-~ rt~~and I aul horize the grading associated with this pe~it. _ /
OWNER SIGNATURE: DATE: , .) 2-(
Civil Engineer: Mel Landv. P.E.
Address: 2888 Loker Ave East Suite: 217
City: Carlsbad State: CA Zip: 92010
Phone Number: 760-929-2288 ext 407 Fax Number:
Soils Engineer: Geotek
Address: 1384 Poinsetta Ave Suite: A
City: Vista State: CA Zip: 92081
Phone Number: 760-599-0509 Fax Number:
Grading Contractor: Robert Sheffield State License No.: 492236
City Business License No.: f'lLOC.., \2 ij.lJ.l.fl ,--.
Address: 1323 San Elijo Ave Suite:
City: Cardiff State: CA Zip: 92007
Grading Quantities: cut 792 cy fill 26 cy import -cy
remedial 280 cy export 766 cy
Qualified contact person trained in NPDES requirements:
Phone Number:
Basis of Permit Fees: cy Total Permit Fees: $ _ .. _.
Verified By: Balance Due: $ I/
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.
Robert Sheffield Applicant Name:
Address: 1323 San Elijo Ave Suite:
City: Cardiff State: CA Zip: 92007
Phone Number: 818 515 5546 // // ,., _/] ,, / ,,-:,"// // Fax Number:
APPLICANT'S SIGNATURE: _/!,L,J;.;.__y-./(2 . ...-z/~--;p~~,/ DATE:
Ccityof
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/Awhen not applicable.
Project Name: Terra Bella Development Date: 12/10/2020
Project Description: Single-family residence on pre-graded lot
Project Address: 6479 Surfside Lane
Lot No(s).: 5 of Block 24 Map No.: 2013 APN(s): 214-021-11
Number of Lots: 1 Number of Acres: 0.106 Miles of Trails: 0
Owner: Terra Bella Development LLC Applicant: Jack Bian
Mailing Address: P.O. BOX 232458 Mailing Address: 1620 S Bentley Ave, 302
Encinitas, CA 92023 Los Angeles, CA 90025
Phone Numt>_er: 646-290-0811 Phone Number: 475-201-2029
Fax Number: Fax Number:
E-mail: Mengxusd@outlook:com E-mail: jack.l.bian@gmail.com
I certify that I am the legal owner and that all the above
information is tru~'ft~~t best of my knowledge.
jlbian Dec 10/2020 Signature: ' '-Date: 12/10/2020 Signature: Date:
Civil Engineer: Mel Landy, P.E. Soils Engineer:
Firm: HWL Firm: Geotek
Mailing Address: 2888 Loker Ave East, Suite 217 Mailing Address: 1384 Poinsetta Avenue, Suite A
Carlsbad, CA 92010 Vista, CA 92081
Phone Number: 760-929-2288 Phone Number: 760-599-0509
Fax Number: Fax Number:
E-mail: mel@hwl-pe.com E-mail:
State Registration Number: 81085 State Registration Number:
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 792 cy fill 26 cy remedial 280 cy import cy export 766 cy
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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
ComDlete all annropriate information Write N/Awhen not aDDlicable
APPLICATION FOR Project (check all that apply) 1.0.
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE)
D Dedication of Easement (PR)
Type:
Type:
D Encroachment Permit (PR)
0 Final Map (FM) ~DPua.r/YJJ
[H"Grading Plancheck (DWG)
D 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)
LJ Substantial Conformance
Exhibit (SCE)
D Trails D < mile D > mile
D Other
II APPLICAT~N ACCEPTED BY:
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DraY41'1Q
Number
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Page 2 of2
FOR CITY VSEONL Y I .,
Deposit /Fees
Paid
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II
' Comments
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DATE STAMP
mATION RECEIVED
CEIVED
DEC 18 2020
LAND DEvc.LOPMENT
ENGINEERING
REV 07/14