HomeMy WebLinkAboutMS 05-10; EUCALYPTUS LANE; Engineering Application(_ City of
Carlsbad
APPLICATION
GRADING PERMIT
E-24
Development Services
land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I PERMIT NUMBER:
Project Name: Eucalyptus Lane -GP Project Number: MS 05-10
Project Location: Eucalyptus lane, Carlsbad, CA 92008 Drawing Number: 512-5A
Assessor Parcel Number(s): 208-040-12
Project Description: Grading Plan for 3 Parcel Subdivision per MS 05-10
Owner: Summit West Real Estate, Inc.
Address: 5027 Patra Way Suite:
City: Oceanside State: CA Zip: 92056
Phone Number: 760-579-9852 Fax Number:
I certify that I am the legal owner of this property and I authorize the grading associated with this permit.
OWNER SIGNATURE: ~,w1 /"JL . DATE: 7-27-2021
Civil Engineer: David Yeh C..---\
Address: 9555 Genesee Avenue Suite: 200
City: San Diego State: CA Zip: 92121
Phone Number: (858) 587-8070 Fax Number:
Soils Engineer: Yoqi Pirathaoan
Address: 41655 Reagan Way Suite: E
City: Murrieta State: CA Zip: 92562
Phone Number: (951) 894-6464 Fax Number:
Grading Contractor: J.C. Grading Inc. State License No.: A783001
City Business License No.: BLOS1243716
Address: PO Box 2202 Suite:
City: Valley Center State: CA Zip: 92082
Grading Quantities: cut 1,600 cy fill 1,600 cy import 0 cy
remedial 0 cy export 0 cy
Qualified contact person trained in NPDES requirements: r::11v flliver
Phone Number: 760-579-9852
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: Guy Olrver
Address: 5027 Patra Way Suite:
City Oceanside State: CA Zip: 92056
Phone Number: 760-579-9852 Fax Number:
APPLICANT'S SIGNATURE:~ / )J_. DATE: 7-27-2021
c..---
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