B22-0580 - TRACT 18148 TRACT04/30/24
GRADING PERMIT APPLICATION
DEVELOPMENT SERVICES
Building and Safety
FOR OFFICE USE ONLY
TARGET DATE:
PERMIT #:
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
LS-San Juan LLC
7525 Irvine Center Drive Suite 200
949-345-8097
Shannon Whittaker
Irvine 92618
swhittaker@landseahomes.com
LS-San Juan LLC
7525 Irvine Center Drive Suite 200 Irvine
Shannon Whittaker
92618
949-345-8097
Tim Lawson, LGC Geotechnical 2626
Shannon Whittaker 4/27/22
TM18148
production precise grade plan for the two amenities areas on site
X already approved
B22-0580
04/28/22