HomeMy WebLinkAboutPD 2022-0007; HAGUE RESIDENCE; Engineering ApplicationProject Name: HAGUE RESIDENCE
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
I PERMIT NUMBER: GR
Project Number: PD2022-0007
Project Location: CYNTHIA LANE. CARLSBAD. CA Drawing Number: GR2022-0011
I
Assessor Parcel Number(s): -=1!::5~6-~2::t.:.31~-~10~-0~0::!,__ ________________________ --t
Project Description: PROPOSED NEW SFD
Owner: JEFF & ASHELY HAGUE
Address: 3019 VIA DE PAZ Suite: --------
City: CARLSBAD. State: CA Zip: _9~2=0;.:10=-----------11
Phone Number: 858.735.5972 -JEFF HAGUE Email: it:sffh """2i;tru t,,!.!.m~•::a.!!.:il.~rnm!.!..-____ __.,
I certify that I am the legal own~r of tt is property and I authorize the grading associated with this permit.
OWNER SIGNATURE: /(~ 1" , ,, DATE:
'u • // -Civil Engineer: STEVEN NORRIS
Address: 2121 MONTIEL ROAD Suite: --------
City: SAN MARCOS State: CA Zip: 92069
Phone Number. 760.839. 7302 Email: STEVEf@DESIGNGROUPCA.COM
Soils Engineer: STEVEN NORRIS
Suite: Address: 2Ul MONTIEL ROAD
City: SAN MARCOS State: CA Zip: _a~-,n1"-L,:;:o;;z__ _____ _.
760,839 7302 .-=-;;;--E.mail: STEVE®DESIGNGROUPCA.COM
~r/4·,1 i/J~ '-An(,~ .. ;· O :Jfvl ~; J,~tate License No.: ~ '>~~--------;;;;;f
Phone Number:
Grading Contractor:
L ; A I ~f C:: City Business License No.:
Address: '; ~ ~ C, 5 e.tA_ D t?t-rC: VV4 t.1 .../ , { ?-v 7 -S-ui-te-: -.-~-e, ____ _.
City: i J 1/-' ~v1 S ,: "'-'-'-State: L (-+ Zip: e,, ~~ D Sf:;
Grading Quantities: cut '-> cy fill '.!, 2 Z: cy import _3~::....:10=------cy
remedial fv.'l L' cy export O cy
Qualified contact person trained in NPDES requirements:
Phone Number: Email:
Basis of Perrr1it 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 policies relating to excavatjon 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' ~1/ C e,u ~ ct e lllL
Address: 3D ltf 1v ,~9t '-'f2C-: \.. ,iJotz:_
City: C. t7I / s ~ .~; I ,,__ State: C~~
Phone Number: ~~ c;-g, )> ~ ~ -~ ~ Email:
APPLICANT'S SIGNATURE:' / ).VJ/Iii , I/
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