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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 E-23 Page 1 of 2 REV 07/14 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: E-23 DraY41'1Q Number I> ::J r::; 2.~A' Page 2 of2 FOR CITY VSEONL Y I ., Deposit /Fees Paid 1 ...... 14 .-,..;--.. -...... -iio-1,~ II ' Comments ' swfff ""t,· -tr ~. ~rJ~r~ ~., ~ DATE STAMP mATION RECEIVED CEIVED DEC 18 2020 LAND DEvc.LOPMENT ENGINEERING REV 07/14