HomeMy WebLinkAboutPD 2018-0027; GEE RESIDENCE; Engineering Application{ 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: m:bt "'t-(00~ <
Project Name: GEE RESIDENCE Project Number: PD2018-0027
Project Location: 3800 ALDER AVENUE Drawing Number: i:.?n-~A
Assessor Parcel Number(s): 207-063-24-00
Project Description: Gradina the oronertv
Owner: CHARLES P. GEE & DEE ANN GEE
Address: 3800 ALDER AVENUE Suite:
City: CARLSBAD State: CA Zip: 92008
Phone Number: Z6Q,Z12.6540 20 Fax Number:
I certify that I am the le~al o~~e~this pro~ert1Y_J;ncd I authori.ze the {!radinlr;sociated with this permit.
OWNER SIGNATURE. ! _ --'~-----_f),,,_ ,:::> 1,1 ~ /:-0 tJ;.... (Li,,· DATE: /t•A-h.o -Civil Engineer: !=rin r::lict
Address: 2121 Montiel Road Suite:
City: San Marcos, CA State: CA Zip: 92069
Phone Number: 760.839. 7302 Fax Number:
Soils Engineer: Erin Rist
Address: 2121 Montiel Road Suite:
City: San Marcos, CA State: CA Zip: 92069
Phone Number: 760.839.7302 Fax Number:
Grading Contractor: OW~EB Bl Ill DEB SEE ABO~LE State License No.:
City Business License No.:
Address: Suite:
City: State: Zip:
Grading Quantities: cut 11Q cy fill 1030 cy import 920 cy
remedial ?10 cy export 0 cy
Qualified contact person trained in NPDES requirements: CHUCK GEE OWNER
Phone Number: 760.712 R~40
Basis of Pennit 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: CHARLES P. GEE
Address: 3800 ALDER AVENUE Suite:
City: CARLSBAD State: CA Zip: 92008
Phone Number: /1 /1 .,.. ,,, ; Fax~mber:
APPLICANT'S SIGNATURE: /' //_ y_ f/_n,,~ (5_.) .1. (i A, , ; ,,m DATE: ,·/) I' 2... I 2-0
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