HomeMy WebLinkAboutCDP 2017-0043; FRANCIS RESIDENCE; Engineering Application,.
(City of
Carlsbad.
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
licable.
Project Name:--'E:..__-'-'-............ ........:-'=-...__...;;;._~"""'""''----<----='--'------
Prh7~ ••
Project Address: / S: 'T,g,1 -
LotNo(s).: ________ Map No.: 20 ?('8'0
Number of Lots: / Number of Acres: , / 9 APN(s): ·-;)., 15--az0 -,5J -00
Miles of Trails: IA
Owner: Applicant:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number: NIA
E-mail: E-mail:
I certify that I am the legal owner and that all the above
information is true and correct to the best of my zwledge.
Signature: c Date: q S-/! 7 Signature:<= a & D
Civil Engineer: /Jl}/JIY) B/2-QW# Soils Engineer: ~O 11V :·~ Y
Firm: C/4/Y}fe,,.J £Al6-t/vU;lll'{r Firm:W/L.-5J/Vc, 7
Mailing Address: :ri€;!~=.:--# /00 Mailing Address: ~m~~O/ O
Phone Number: '7?() -51),:). -W 2 Phone Number: 7b0 -'f3fl ► 3 / s::::S--
Fax Number: 2QJ -C/7'1 -/1.JLJ Fax Number: 760 -93/-(f}J51f:
E-mail: AEILQw;v1'1(&IYlffl'lc/116;t4fllri:l/J,i E-mail: .D5Kf(~v& 6tf-.,SDJt5Jt£, (1)fr1
State Registration Number: P£ s?S-1 <1: S-State Registration Number: :ai..r7
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
~ 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)? $
cut 3) cy fill '-/8/ cy
GRADING QUANTITIES
remedial cy import l/'I ~ cy export cy
E-23 Page 1 of 2 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 appro_p_riate information Write N/A when not aoolicable.
APPLICATION FOR
(check all that apply)
0 Adjustment Plat (ADJ)
O Certificate of Compliance (CE)
O Dedication of Easement (PR)
Type:
Type:
0 Encroachment Permit (PR)
0 Final Map (FM)
!)a' Grading Plancheck (DWG)
0 Improvement Plancheck (DWG)
0 Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:
0 Reversion to Acreage (RA)
0 Street Vacation (STV)
0 Tentative Parcel Map (MS)
O Certificate of Correction (CCOR)
0 Covenant of Easement (PR)
O Substantial Conformance
Exhibit (SCE)
D Trails 0 < mile O > mile
D Other
II APPLICATION ACCEPTED BY:
E-23
Project Drawing
I.D. Number
(' _,bf ;n,-\-cn-f,'2.
Ge&b\1-n :J5lo Dt..C
Page 2 of 2
FOR CITY USE ONLY
Deposit /Fees
Paid
~ 507-S_i
II
Comments
r,-
DATE STAMP
APPLICATION RECEIVED
REV 07/14
'-C11JI~ -, f~~ I \7 EcDt.ADING PERMIT
.. ,... • ~ APPLICATION
Carlsb 1 1 2am E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ENGINEERING
I PERMIT NUMBER: f.LV;;_Jr )17-f Y'\~I n
Project Name: Francis Residence Project Number: CDP2017 -0043
Project Location: 1585 Triton Str. Carlsbad, CA 92011 Drawing Number: 507-5A
Assessor Parcel Number(s): 215-070-51
Project Description: Construction of two-story single-family residence with attached garage
Owner: Mark D. Francis
Address: 3385 Blod!;lett Drive Suite: -
City: Colorado Springs State: CO Zip: 80919
Phone Number: (719) 339-9011 Fax Number:
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: DATE:
Civil Engineer: Erin Rist -Engineering Design Group
Address: 2121 Montiel Road Suite:
City: San Marcos State: CA Zip: 92069
Phone Number: (760) 839-7302 Fax Number: (760) 480-7477
Soils Engineer: David W. Skelly -GeoSoils, Inc.
Address: 57 41 Palmer Way Suite: -
City: Ca[lsbad State: CA Zip: 92010
Phone Number: (760) 438-3155 Fax Number: (760) 931-0915
Grading Contractor: UBJ...i=.. NOtJ:2€.S State License No.: 7'if£7~
City Business License No.:
Address: ;).-:;...~ J.3 ~-A,..; \/JC£r/T£ R..0 Suite:
City: f?_A fVI ofrfJ State: Cf!1 Zip: q )(!)65'
Grading Quantities: cut 35 cy fill 420 cy import 385 cy
remedial 200 cy export 0 cy
Qualified contact person trained in NPDES requirements: Cl) f>L-,= J.l()tvJ£5
Phone Number: <c ,q_ q,:,_3 -79 /0
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: Mark D. Francis
Address: 3385 Blodgett Drive Suite: -
City: Colorado Springs State: co Zip: 80919
Phone Number: (719) 339-9011 Fax Number:
APPLICANT'S SIGNATURE: ~ ~:.:::-,,··· --> DATE: ~/11J/?C)Jf5'
E-24 Page 1 of 1 REV 07/14