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HomeMy WebLinkAboutPD 2021-0045; 3880 WESTHAVEN DRIVE; Engineering Application E-23 Page 1 of 2 REV 07/14 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov APPLICATION ENGINEERING PLANCHECK E-23 Complete all appropriate information. Write N/A when not applicable. Project Name:________________________________________________ Date:______________________________ Project Description: ________________________________________________________________________________ ________________________________________________________________________________________________ Project Address:___________________________________________________________________________________ Lot No(s).:_______________________ Map No.:__________________ APN(s):____________________________ Number of Lots:___________________ Number of Acres:____________ Miles of Trails:_______________________ Owner: ____________________________ Applicant: ___________________________ Mailing Address: ____________________________ Mailing Address: ___________________________ ____________________________ ___________________________ Phone Number: ____________________________ Phone Number: ___________________________ Fax Number: ____________________________ Fax Number: ___________________________ E-mail: ____________________________ 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: ______________ Signature:____________________ Date:_____________ Civil Engineer: ______________________________ Soils Engineer: ______________________________ Firm: ______________________________ Firm: ______________________________ Mailing Address: ______________________________ Mailing Address: ______________________________ ______________________________ ______________________________ Phone Number: ______________________________ Phone Number: ______________________________ Fax Number: ______________________________ Fax Number: ______________________________ E-mail: ______________________________ E-mail: ______________________________ State Registration Number: _____________________ State Registration Number: _______________________ Additional Comments:_______________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) Carlsbad Municipal Water District Olivenhain 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 QUANTITIES cut _______ cy fill _______ cy remedial _______ cy import _______ cy export _______ cy 3880 Westhaven Drive 11/12/2021 The project proposes to remodel the exiting single-family residential structure, ADU, and art studio. Also proposed are new hardscape and landscape improvements. 3880 Westhaven Drive, Carlsbad CA, 92008 13 3019 207-053-29 1 0.33 0 Daniel Caldwell 3880 Westhaven Drive Carlsbad, CA 92008 760-420-8758 Daniel Caldwell 3880 Westhaven Drive Carlsbad, CA 92008 760-420-8758 dannycaldwell@mac.com dannycaldwell@mac.com 11/12/2021 11/12/2021 John Van Ryn Van Ryn Engineering 16766 Bernardo Center Dr., Ste 213 San Diego, CA 92128 858-692-9746 omar@vanryneng.com C80667 Todd M. Page GeoSoils, Inc. 5741 Palmer Way Carlsbad, CA 92010 760-438-3155 2083 x 170 180 200 10 0 □ □ □ E-23 Page 2 of 2 REV 07/14 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov APPLICATION ENGINEERING PLANCHECK E-23 Complete all appropriate information. Write N/A when not applicable. APPLICATION FOR (check all that apply) FOR CITY USE ONLY Project I.D. Drawing Number Deposit /Fees Paid Comments Adjustment Plat (ADJ) Certificate of Compliance (CE) Dedication of Easement (PR) Type: ___________________ Type: ___________________ Encroachment Permit (PR) Final Map (FM) Grading Plancheck (DWG) Improvement Plancheck (DWG) Parcel Map (PM) Quitclaim of Easement (PR) Type: ___________________ Reversion to Acreage (RA) Street Vacation (STV) Tentative Parcel Map (MS) Certificate of Correction (CCOR) Covenant of Easement (PR) Substantial Conformance Exhibit (SCE) Trails < mile > mile Other APPLICATION ACCEPTED BY: DATE STAMP APPLICATION RECEIVED ____________________________________________________________ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ II 11 Project Name 3880 WESTHAVEN DRIVE ProJect Location 3880 WESTHAVEN DRIVE -Assessor Parcel Number(s) 207-053-29 APPLICATION GRADING PERMIT E-24 D I m '1t Land Deve lopment Engineering ]fii'i F;ir;:id;:iy AvPnllP 442 339 2750 www ca rlsbadca.gov I PERMIT NUMBER: GR GR2021-0046 ProJect Number P02120-0045 Drawing Number. 535-3A - Project Descrrpt1on Remodelina of ex1stina residence construction of new ADU and art studio. Owner· nANNY CAl DWfl I - -Address 3880 WESTHAVEN DRIVE Suite. -City CARLSBAD State. CA Zip 92008 Phone Number 760-420-8758 Email danni'.caldwell@mac.com I certify that I am the legal owner of this property and I authorize the grading associated with this permit OWNER SIGNATURE: DATE: C1v1I Engineer JOHN VAN AYN Address. 16766 BERNARDO CENTER DR. Suite· 213 City: SAN DIEGO State-CA Zip 92128 Phone Number: 858-521-8100 Email: john@vanryneng.com Soils Engineer. STEPHEN COOVER Address: 5741 PALMER WAY Suite City: CARLSBAD State: CA Zip: 92010 Phone Number: /oU-4::H:l-::J 1 Sb Ema1i: sc.:ouver@geusuiis1nc.:.c.:um Grading Contractor: C1--11:_g..l-1 ir 15. 'I!:!:~ c..:r:o ~ State License No .. 5'17 S"~ I City Business License No.: Address: 38~0 W fi...S7H1 V ►.,._,/ ~{L-Suite: City: Cdn.</4~!1:~ State: C. It Zip: q ?..<.:>c;, <;? Grading Quantities: cut Z..5"o cy fill 70 cy import 0 cy remedial Zc>o cy export Ill() cy Qualified contact person trained in NPDES req uirements: 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, regu lations 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: JA-N\ Q.. L 4L-.t;> ,___,Fi.--'-'- Address: 3~ao Wa.-~'T t l!'h'.'.~N 'i) fL Suite: City: G-h i..~ '2> ~ 9 State: C...14 Zip: q c..,OD R -Phone Number: ?,0-4~0-R 7 C:.~ -Email: 0ANN'( C4LC:.f.J tt.--L l r.) M,q.C. C.c., APPLICANT'S SIGNATURE: "--" ~ ---~ ---/' __;--7 DATE: B/2-c:>/z..o.z. '2.. --- E-24 Page 1 of 1 REV 02/22