B22-1147 - 26391 CALLE ROLANDOFINAL
06/11/24
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GRADING PERMIT APPLICATION
FOR OFFICE USE ONLY
TARGET DATE:
P&3.*5 #:
SUBMITTAL DATE:
HYDROLOGY:YES NO
A P P L I C A N T I N F O R M A T I O N
APPLICANT/COMPANY NAME
ADDRESS CITY ZIP
CIVIL ENGINEER/ARCHITECT
ADDRESS CITY ZIP
COMPANY NAME
PHONE
GEOTECHNICAL FIRM
ADDRESS CITY ZIP
PHONE
LICENSE#
ENGINEERING GEOLOGIST
GEOTECHNICAL ENGINEER
LICENSE#
ADDRESS CITY ZIP
PHONE
CONTACT
EMAIL
LICENSE#
RESIDENTIALCOMMERCIAL
YES NO
ACREAGE
HYDROLOGY INCLUDED
DESCRIPTION OF WORK
ENCROACHMENT ITEMS
YES NO
TYPE
RELATED OR PREVIOUS CASE NUMBER(S)
BY SIGNING BELOW, I CERTIFY THE ABOVE INFORMATION TO BE TRUE AND CORRECT.
SIGNATURE OF APPLICANT DATEPRINT APPLICANT NAME
OWNER
PROJECT ADDRESS GRID NUMBER
TRACT NO.LOT NUMBER ASSESSOR'S PARCEL NO.
CROSS STREETS
PERMIT TYPES APPLIED FOR
PRELIMINARY GRADING PERMIT PRECISE GRADING PERMIT COMPLETE AN ITEMIZED ENGINEERING COST ESTIMATE
P R O J E C T I N F O R M A T I O N
CONTACT
PHONE
YES NO
Muller Rolando, LLC
Calle Rolando
Alipaz Street
Daneri Tract Por. Lot 1 668-421-02
Grand Knight Engineering, Inc.June Reyna
24881 Alicia Parkway E-243 Laguna Hills 92653
949-228-1570 engineering@grandknight.com
Brandon Muller
32551 Azores Road Dana Point 92675
949-456-0297
Gil Evangelista Grand Knight Eng'g Harrington Geotechnical Engineering, Inc
24881 Alicia Parkway Laguna Hills 9265 1590 N Brian St.Orange 92867
949-228-1570 C32512 714-637-3093
Joseph Welch GE2239
0.939
Construction of a Storage/Office Building
1-Storey (6,100 SF)
JR Digitally signed by JR
DN: cn=JR, o, ou, email=engineering@grandknight.com, c=US
Date: 2022.08.24 12:00:12 -07'00'June Reyna 8/24/2022
26391 CALLE ROLANDO
B22-1147
08/30/2209/21/22