HomeMy WebLinkAboutMS 2018-0012; THREE ON CHERRY; Engineering Application( City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
II PERMIT NUMBER: GR 2021 -0011
Project Name: Three on Cherry Project Number: MS2018-0012
Project location: 160 Cherry Avenue, Carlsbad, CA 92008 Drawing Number: 530-4A
Assessor Parcel Number(s): 204-231 -07 -00
Project Description: Grading/Improvement plan for 3-unit multi-family residential project
Owner: Cherry KMA LLC
Address: 6026 Wenrich Place Suite:
City: San Diego State: CA Zip: 92120
Phone Number: 619-572-0237 Email: dmmezz1@amail.com
I certify that I am the legali 7Je:~this roperty and I authorize the grading associated with this permit.
OWNER SIGNATURE: ./ DATE: / -/0 2-3
Civil Engineer: Antony K. Christenser?"cihri~erisen Enoineerinq & Survevinq
Address: 7888 Silverton Avenue Suite: J
City: San Diego State: CA Zip: 92126
Phone Number: 858-271-9901 Email: ceands@aol.com
Soils Engineer: Toro lnternational-Hantoro Walujono
Address: 1 League Suite: 61614
City: Irvine State: CA Zip: 92602
Phone Number: 949-559-1582 Email: -.,_r,om " "'
Grading Contractor: /Ylt l-"l::_ C "2~~ s.± ! <.., .;., 4 I O ~ State License No.: {/730 I ~o
00c..{;;-City Business License No.: B\ o~ od-1 /s.v~ 02. ··26.2.
Address: Lv ('. Vl -R..l c ~ ~ IC-t Cf' Suite:
City: Sc,. "'-0 le~ a State: C111 Zip: q:;, i 2 o
Grading Quantities:C:t 191 cy fill 14.5 cy import 0 cy
remedial 393 cy export 176.5 cy
Qualified contact person trained in NPDES requirements:
Phone Number: Email:
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: David Mezzacappa
Address: 6026 Wenrich Place Suite:
City: San Dieao State: CA Zip: 92120
Phone Number: 619-572-0237 ~fl Y--./\ Email: dmmezz1@gmail.com
APPLICANT'S SIGNATURE: !lY-d fJ ~ DATE: J -10 -23
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