HomeMy WebLinkAboutSDP 2018-0011; GOMEZ RESIDENCE RENOVATION; Engineering ApplicationCcityof
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information. Write N/A when not aoolicable.
Project Name: GOMEZ RESIDENGE RENOVATION Date: 10 APRIL 201'i
Project Description: DEMOLITION OF THE SINGLE STORY RESIDENGE, SLAB 4 FOUNDATION AND GON5TRUGTION
OF A 2-STORY RESIDENGE ~ITH ATTACHED GARAGE
Project Address: 315'i B MADISON 5TREET, GARL5BAD, GA 'i200B
Lot No(s).: 25 Map No.: 115 (AMENDED) APN(s): 204-054-05
Number of Lots: 1 Number of Acres: 0.0B Miles of Trails: 0
Owner: MIGHAEL GOMEZ Applicant: RONIE DEMA-ALA
Mailing Address: 315'i B. MADISON 5T. Mailing Address: 166 MATl5SE GIRGLE
GARLSBAD, GA 'i200B ALISO VIEJO, GA 'i2656
Phone Number: (160) B6B-1244 Phone Number: ('i4'i) 305-B'i20
Fax Number: Fax Number:
E-mail: stranix151@gmail.c.om E-mail: rld@dzne.net
I certify that I am the legal owner and that all the above '1---information is true~;tn correct to the best of my knowledge.
Signature: /Jf/.. Date: 'i "2.2. /1"'1. Signature: ' -Date: ~·/cf <:I . I
Civil Engineer: RONIE DEMA-ALA Soils Engineer:
Firm: DZNE, ING. Firm:
Mailing Address: 166 MATl5SE GIRGLE Mailing Address:
ALISO VIEJO, GA 'i2656
Phone Number: ('i4'i) 305-B'i2O Phone Number:
Fax Number: Fax Number:
E-mail: rld@dzne.net E-mail:
State Registration Number: G54061 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
cut
water and reclaimed water improvements, sewer (for Carlsbad Municipal Water District only), street, public
(median) landscape and irrigation, and drainage improvements (if applicable)? $
u'I lo GRADING QUANTITIES
cy fill cy remedial loo cy
Page 1 of 2
import ~ cy export ~I
RE(~F.:l\lEO
APR 2 2 2019
REV 07/14 LAND DEVELOPMENT
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Ccityof
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all appropriate information Write NIA when not aoolicable.
APPLICATION FOR Project (check all that apply) 1.D.
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE)
D Dedication of Easement (PR)
Type:
Type:
D Encroachment Permit (PR)
□ Final Map (FM)
!if Grading Plancheck (DWG) f5CP ~()1x, (1
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)
U Substantial Conformance
Exhibit (SCE)
D Trails D < mile D > mile
D Other
II APPLICATION ACCEPTED BY:
E-23
i
Dra\Ving
Number
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Page 2 of 2
FOR CITY USE ONLY
Deposit /Fees Comments
Paid
1'517-9A
II
~ "o01,-oo,~
DATE STAMP
APPLICATION RECEIVED
RECfflVED
APR 2 2 2019
lAND DEVELOPMENT
....... ,0'. ".__.__,"\., '\,\.:,1
REV 07/14
___________________________ .,.,.,_ __________ _
{city of
Carlsbad
Owner:
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER:
Address: 31S'1~ f3 ?Y)at.dJ:Son Sf_ Suite:----------
City: Ca.rl~had State: {1g_ Zip: ---~o_o ___ _
Phone Number:{ 7G::to) cro B -C/'2.l 'L _ _ Fax Number: /7___,,'r--..__...,__-=I LM-r-----t
I certify that I am'the legal owner of thi A operty and I authorize the grading associated lrAth this permit.
OWNER SIGNATURE: DATE: II-I-I
Civil Engineer: lJ . t5" ....:..j!-=-.LL:'-=--'=-=--=....._......,..___,,,.,......,. _____ .L.-=---------------------1
Address: _ _./'--"(p..__(p"---7!J~,....,g;~J_.1_,,"',5~-S..._,,,<,;_-_-_C-..i....__G__.c_,-l.._.e, ________ -=-------Suite: ______ _
City: A I ; oo ; • State: C (k,... Zip
Phone Number: Fax Number: q
-State: Co.-
Fax Number:
Grading Contractor: State License No.: -----------------City Business License No.: -----------1 Address: Suite: ---------1 State: City: -------Zip: ------~--1 Grading Quantities: cut cy ------fill ------cy import ------cy
remedial cy export cy
Qualified contact person trained in NPDES requirements:
Phone Number:
Basis of Permit Fees: cy Total Permit Fees: $ ------------------------1 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 poiicies 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:
Address: Suite:
--------,!
City: State: Zip: --------Phone Number: Fax Number:
-------------1 APPLICANT'S SIGNATURE: D ATE:
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