HomeMy WebLinkAboutCDP 15-20; FLORA REMODEL; Engineering Application4(cityof
C'Mlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Project Name: Fv0f2.A RE t\OVG:L-Date:-..,..:.1..;;;;'Z.......,_;z.....------
Project Description: REl'lt()pE_L,., OF E'I-\STJN G ~OlJS~ V CQt..\SJRUC"T a NE.LU GARAGE
Phone Number:
Fax Number: -
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 knowledge.
Signature: Date:
Civil Engineer: J?ore RT s V Ku p
Firm: :rt\~ se.A "Btl\lo\-\:1 COMPAt,lV
Mailing Address: 4 32 2 SE,A JSR) G. It( rLAC~
CARl~~AI)~ CA 4)l008
Phone Number: 7,0-8~~:58(f'v'\ j
Fax Number: ____ ,,___,__-,--..,..........,...,----
E-mail: 'S\lK\J:f EtROADtvNi\tRa Cb'ft\
State Registration Number: 2.8 30 2
Fax Number: -E-mail:
Signature: ··B lZlb ,•
Soils Engineer: IALLO
Firm:
Mailing Address:
Phone Number:
Fax Number:
E-mail:
State Registration Number:
Additional Comments: ____________________________ _
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? ( check one)
~arlsbad 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 4~ANTITIES
cut 20 cy fill cy remedial l.--cy import cy export W cy
E-23 Page 1 of2 REV07/14
Ccityof
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ComDleta all annroDrlate Information Write N/A when not annllcable .
APPLICATION FOR
( check all that apply) Project to.
0 Adjustment Plat (ADJ)
D Certificate of Compliance (CE)
D Dedication of Easement (PR)
Type:
Type:
D Encroachment Permit (PR)
0 final Map (FM) , " fia' Grading Plancheck (DWG/ ~l)Jb~ K:DPf5-2D
D Improvement Plancheck (DWG) -
0 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)
U Substantial Conformance
Exhibit (SCE)
D Trails O<mile O>mile
CilOther SNrPF
APPLICATION ACCEPTED BY:
E-23
Drawing
Number
I
<::f, ;;l..l 5. 1
190-~
II
~'65(o
SN \\o-;
Page 2of2
FORCITY USE ONLY
Deposit /Fees
Paid
f;[)
sA
.00
,'70
Comments
~\nOY Gl ta.&,~
f .ets ~ct rd C5Y\
GRl0-3'7
~c:n~ f C \ Y>
tu-\\
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t{J\U'J.r~ C7lt\b-; • -"---rom\ of ~ 4?> '-ro)
~,~-~~500
DATE STAMP
APPLICATION RECEIVED
RECEIVED
AUG 15 2016
AND DE\ii::LOPMENT
f.:f\!r'•;\ICr
REV07/14
CCityof
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER: ( crf< ~ I la. -rn 4?.
Project Name: 1:)-QQ..A. B,~MQOE-L Project Number: r{)P l5-7C\
Project Location: l 55 W8 l..~ U \ AyBN\,Jb Drawing Number: Ll~b-&A
Assessor Parcel Number(s): -:Jo~ -I Z. \ -\ 3
Project Description: R~Mntl~L ~~\::rf ING r-\t\lJS'c. CofJ<ff, t--.\~IA) 0A(l.A 6e • {)yl)J Y
Owner: Rc-Pe12.i-l=L,Ml~
Address: '2,. 7.,Ci ~ -iE.A~ ~~OOk fZ-OAD Suite:
City: \/ p.s It>-. State: CA Zip: tJJZoPJI
Phone Number: E>5'o -Cj~ 5, 012c) 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: -g_~BE.R.7" SUKUP
Address: L1 ?i z:2.. ~"c.A. ~R\G\·\7 fl-1'..C.'e, Suite:
City: C-l<RL~ '2,A. 0 State: cA Zip: "'20() r)
Phone Number: --, w-eo1-c1JoO)g Fax Number:
Soils Engineer: ,-:;-AST co\.Jt.J T'I SOIi S
Address: I a G) i S' B ~ (L, ~ 'c, + 1<,0A 'O Suite: T
City: "S ~~-n~ .. 6 State: 'C.A Zip: tJJZ01 I
Phone Number: t,,\OJ -Z c;,e-700! Fax Number: ,
Grading Contractor: State License No.:
City Business License No.:
Address: Suite:
City: State: Zip:
Grading Quantities: cut 2,0 cy fill cy import cy
remedial ~z. cy export 20 cy
Qualified contact person trained in NPDES requirements:
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: °i<oll.SR'T VWR-A
Address: 1.~0~ e,A s, '6 ROO \<'.. Rt\A 0 Suite:
City: ~, ~ '5TA State: C'.A Zip: q;:(OR I
Phone Number: 95~ -~ 35 -0'1 Z() Fax Number:
APPLICANT'S SIGNATURE: DATE:
E-24 Page 1 of 1 REV07/14