HomeMy WebLinkAboutPD 2020-0042; 4100 SUNNYHILL DR; Engineering Application.---------_,,..-•, __________ _
(Cityof
Carlsbad
,.. ✓
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Efflineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER: I
Project Name: Project Number: --------Project Location: Drawing Number: ---~----......... -~--+-'......_______________ --------
Parcel
Project ••
SoilsEngineer: £Z;~~~:...&,.lL/t;z._~~.,t_~~~:::!::::..S:.!!~~~J--::£.~~----,------1
Address: ,z:£.....::3~'--_,,.."""-"'=.a,__-=----=---~'-"""~....._--------
City: e.,{d:r: <::t&✓ State: &A
Phone Number: 7 ~ tCJ -3 t -I-7 Fax Number:
Grading Contractor: ,~ state License No.~B ---------------City Business License No.:
~= ~3 £3~ k?LL m'~/1/d.eA!.AZI( _Su_tte ____ ===========
City: /&#/4 ;4 ~ State: .... C.-'d----Zip: --~~....::;~--=&;...._ __
Grading Quantities: cut _z. s-cy fill -dt~/ ___ cy import __ a ___ cy
remedial "tD cy export t:'J cy
Qualified contact persQn ~ in NPDES requirements:
PhoneNumber: "&;-<) bS~-~70
Basia of Pennlt Fees: '7 S--cy Total Permit Fees: $ ---------11
Vertfiect By: Balance Due: $
I hereby acknowledge that I have read the application and information provided is correct I agree to comply with au
federal, state, and city laws, ordinances, regulations and policies relating to excavation and grading including, but not
limited to, the Federal Endangered Species kt of 1973 and any amendments thereto. I will also comply with OSHA
Pennit requirements for trenches over five feet deep and the provisions and conditions of any permit issued pursuant to
this application.
Applicant Name: ;:gh/ ~ -,A,,; /V It?
Address: & rs: e.~, e--·s::.d 11g.,
City: CilV~M✓ State:
Phone Number: 7 ~ d-~/-3,,,z, 7 mber: ---------APPLICANT'S SIGNATURE:
E-24 Page 1 of 1 REV07/14
ityof
shad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all aPPf'OPriate information. Write NIA when not applicable.
Project Name: ___ C._/_e _~_l'h_.t1_11n_-';q~i<.....:...' 'd;......;.t ,4.{'.....,~:::;..;;.._______ Date: ____ _..../1-+/_f~/......._J.<;, ____ _
Project Description: __ 3_C'_'' ......._n1-/i~' 1 ..... t~i,.,~t:-,7.__1"""'..; __ 1_,_! f_,_i--_ _.,{..,_1.,,.'l/...:..T_.,t1µ.t1,._,, ..,,,"""1'-J -'-1. _/ i_,, __ ,,7;r---_5=-~::;..·..:...i>2=fJ'-'!7J~h"-'-'-, '-1-l ,_l _,f?"--,,,...,_i_,1-'--v __ _
Project Address:_-::--'t ..... , ..... c_" ___ r __ .,,.,..,'---,,,-c'!Jr-'ld....._,...:..'/,'-/-"C_,y:.__ __ ---:,--,.---------~---------
Lot No(s).: _____ ~_r.---,-.____ Map No.:. __ "2_~_7--_,{____ APN(s):_---"'--t,,_c_7....___0_.'Q"--"'1._,,._(!..._(' __ _
Number of Lots: I Number of Acres:
Owner:
Mailing Address:
Phone Number:
{r .. -1[ I: h r 4" (z I <-rma 1111
ti o 5 $k<1J h 'a< Jt.1().
Fax Number. --.-----------
E-mail: ,?-,la.~n~"Pirac' ~\ • .__,,,
I certify that I am the legal owner and that all the above
Miles of Trails: -
Applicant:
Mailing Address:
Phone Number:
Fax Number:
E-mail:
information is ~~nd corr:~to the best of my '°Jowf~ge.
Signature: ~, ~ Date: II { 1 ·2. / u Signature~ L-<-_;-~ Date:// -/ 3-.,2c;)
Civil Engineer: f d wf C:.. trln ('(
Firm: A Ji J✓, )<Q ~,?Q_z'm:tf.,,.•a~ Lr:"-
Mailing Address: "2 f,1-?/ Q}i,} lc1-vh F-./,:;:l:>i
Jf'?.:c ~ Ro,e pl,16,(13: 9-1,,5"q11
Phone Number: g < I --5 '87 · ].,, C' 7A:
Fax Number:
Soils Engineer.
Firm:
Mailing Address:
Phone Number:
Fax Number: -E-mail: fl,~..-,./ ,4/Jc/tt'}te.,tf: /?rl
State Registration Number: c 5q I 7../
E-mail: /!:1.A✓l4:: k.l>~.-, .,1fv>-~"1?'fld>,,;., ,o,,..
State Registration Number: c.... s c 4./ f? t3
Additional Comments: _______________________________ _
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
0 Carlsbad Municipal Water District D Olivenhain D Vallecitos
2. If in the Car1sbad 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 '2 S cy fill 2 5 cy
GRADING QUANTITIES
remedial cy import cy export cy
E-23 Page 1 of 2 REV 07114
( City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
land Development Engineering
1635 Faraday Avenue
760-602-2750
www .ca rlsbadca .gov
Complete all appropriate information. Write N/A when not applicable.
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)
□ Final Map (FM)
~ 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 APPLICATION ACCEPTED BY:
E-23
Project Drawing
1.0. Number
r02~lo ~ Q~l R ~20:
Page 2 of 2
FOR CITY USE ONLY
Deposit /Fees Comments
Paid
f:) -00 °'!>'-/
II DEC O 4 2020
LAND DL: v c.L.UPMENT
ENGINEERING
REV 07/14