HomeMy WebLinkAboutCDP 16-26; TABATA RANCH; Engineering Application-··•·~
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(cityof
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
! PERMIT NUMBER: CJt. ::1.) \ F t t ) L3
Project Name: Lot 4-Tabata Ranch Project Number: CDPlb-26
Project Location: 6764 STRAWBERRY PLACE Drawing Number: 471-9F
Assessor Parcel Number(s): 214-631-26
Project Description: Single Family Residence
Owner: T/9&-,11-~N'II¼ r~&l-sr
Address: is,G,7'7 he Mf);./ ¼F l),/1... Suite:
City: ~~~4P. State: M Zip: 9,}&)1/
I
Phone Number: (._71,o) Kot-7-f.~ Fax Number:
I certify that I am the legal owne ~f this pro•~e y'J:i1hauthorize the grading associated with thi~ermV:·.
OWNER SIGNATURE: I DATE: -1 .-/ f
Civil Engineer: Rancho CR ast.il Engineering and Surveying, Inc.
Address: 310 Via Vera Cruz Suite: 205
City: San Marcos State: CA Zip: 92078
Phone Number: 760-510-3152 Fax Number: 760-510-3153
Soils Engineer: t:J r£ ,,..;(!.... I /1.DPlf!ev ./6),.£.s
Address: 1..~../1 /llfoA!n& . ..K.v. I Suite: /16
City: /-1,e,p,.,/iJ/ PQ State: t:!..1_ Zip: ,9 1-◄/
Phone Number: z6o z~-~6i >< ;.t,;7 Fax Number: 7~ 7/jl,-1/<;.?;
Grading Contractor: Gff,4/V/ ,£ ~ r"A,fa.T~,L Se/Vt~ State License No.: "'1~7'53'/
City Business License No.:
Address: /7?0. Be 2S, 1;5~ Suite:
City: ~Ir:, $4-~r,f l'L State: bl-Zip: 9~1
Grading Quantities: cut ?l/ cy fill ,SD cy import /'//,t(_ cy
remedial L<l'/A
,
cy export ~ cy
Qualified contact person trained in NPDES requirements: /3Ap:r Jt/.cC J.14
{ 7k>'> ~7/-5t7k
-~,
Phone Number:
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: uh/~ ~.b/£M-L ~Alr..zAt!T~7 /,.,/e,.
Address: 7M> c;~~ Id~ ,u: Suite: ~o
City: £~~.(/IY1:_i State: tJ4 Zip: ~,,_ .. J
Phone Number: "7/,o ;7/-~t,7/,__ YJ/J Fax Number: 7/,0 6,~t; -907 I/
APPLICANT'S SIGNATURE: /~/Y ,,-~ / . DATE: K"h~ /18" ' L----V
E-24 Page 1 of 1 REV 07/14
(Cityof
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Project Name: To.b.k ~,.,..J, Tr11st S FR Date:. _ _:..:::::z...:..::..L....:...L-------
Project Description: f.11110..-G'fY' .P.r £FR
ProjectAddress: Sh4,.,.,.l:,ura Pfttce
Lot No(s).:. _ __._4:_______ Map No.: J 5180 APN(s): Z tlf-b 31-2 C
Number of Lots: Number of Acres: O. '1-<f-Miles of Trails: NIA
Owner: Applicant:
Mailing Address:
Cv/s:&.tP, CA 12ol8
Mailing Address: As
Phone Number:
Fax Number:
lf,o-~o.3 -2~27: N/1
Phone Number:
Fax Number: Owner
E-mail: E-mail:
I certify that I am the legal owner and that all the above
information is true and corr to the best of my knowledge.
Signature: Date: J 2 n .. Signature: Date:
Civil Engineer: Do'tJ.,l E f-0 fAo
Firm: &oc4o Cou +""/
Soils Engineer:
Firm:
MailingAddress: "3/a S. Tv," c>ak5 V<>./h Mailing Address: l<ftl tloafic f R.J.. I'= ') S"
U • Jo~-2'.'<~-~-lwc.os M E..n:.o,,&:~o , c A 0, zo 2.. C
Phone Number: KO -5 /o -31 S' "2.. Phone Number: -:{(o -r'-1(; --,.q 5"S
Fax Number: Fax Number:
E-mail: Pov.j (i) R.CEsv. c-<:tl"\ E-mail:
State Registration Number: C 6 State Registration Number:
Additional Comments:. ________________________________ _
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)? $
GRADING QUANTITIES
cut 5 0 cy fill z; 0 cy remedial -0--cy import -9 cy export -0-cy
E-23 Page 1 of 2 REV 07/14
CD-P
{ City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Compe ea a ro a e n orrn I t II pp1 •Pri t i f ation Write N/Awhen not aoolicable .
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
Page 2 of2
FOR CITY USE ONLY
Deposit /Fees
Paid
II
Comments
DATE STAMP
APPLICATION RECEIVED
RECEIVED
DEC 18 2017
LAND DEVELOPMENT
I= !\Ir, i t-':,.l ;::-:-=-.: Ii,!:--::;
REV 07/14