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HomeMy WebLinkAboutPD 00-12; TABRIZI RESIDENCE; Engineering Application0- 0 CITY OF CARLSBAD - ENGINEERING DEPAR011 DWG 392-3 A APPLICATION FOR ENGINEERING PLAN CHECK OR PROCESSING Complete all appropriate information. Write N/A when notapplicable. PROJECT NAME Lot 269 CT 85-35 Map No 12412 DATE PROJECT DESCRIPTION'-. PROJECT ADDRESS Lot NO(S). 269 :. MAP NO.: 12,412 f APN(S).: 215-611-17-00 NO. OF DWELLING UNITS:: 1 LFMP ZONE: # LOTS: # ACRES, OWNER:4'IV/JA4__77V3€izi Mailing Address: (_ Phone Number: (7t)4D —/ç-tO I certify that I am the legal owner and that all the above information is true and orrec to e best of my knowledge Date CIVIL ENGINEER: Bartolce_J.Pas-tor Firm: Alta Consultants Mailing Address: 4901 MorenaBlvd.,#409 San Diego_, CA 92117 Phone Number: (858) 581-6101 State Registration Number: R.C.E. _38606 APPLICANT ( Mailing Address: 21gi Ce7 _ Phone Number: (7(61ic10 Signature Date. SOILS ENGINEER: Work D Hetherinq:ton Firm: HetheringtonEngineering._Iiic Mailing Address: 5205AvenidaEncinas,Suite A Carlsbad_ (A Phone Number: 176 ) 931-1917 State Registration Number: CE30488, GL_ 397 LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS: Firm: Mailing Address: Phone Number: State Registration Number IMPROVEMENT VALUATION 1. What water district is the proposed project located in (circle 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 (if applicable)? $ 3. What is the total cost estimate, including the 15% contingency fee, for sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? 4. What is the total cost of landscape and irrigation improyements on private pOperty (if $ applicable)? : GRADING QUANTITIES cut (9'{)_L/ cy fill (O-4 cy . remedial cy . import/export cy DOCSIMISFORMSIAPPLICATION ENG PLANCHECK OR PROCESSING - - - REV. 6/10/97 S . APPLICATION FOR: (/ all that apply) FOR CITY USE ONLY Plancheck Number Type Drawing Number Project I.D. Deposit/Fees =_Paid • Adjustment Plat ADJP • Certificate of Compliance COC • Dedication of Easement Type: DOE Type: • Encroachment Permit ENCROACH • Engineering Standards Variance ESV • Fin.LMap FM 'adipPIancheck GRPC fofr-t_ 1Oi71 • Grading GRADING U Improvement Plancheck PC U Landscape Plancheck LPC LI Parcel Map PM 0 Quitclaim of Easement QUITO Type: Type: LI Reversion to Acreage RTA • Street Vacation STV • Tentative Parcel Map MS LI Certificate of Correction CCOR LI Covenant for Easement COVE 11 Substantial Conformance Exhibit SCE APPLICATION ACCEPTED BY: MASTER PROJECT ID: RECEIPT NUMBER: PRELIMINARY SIERRA SYSTEM INPUT INITIAL: SIERRA SYSTEM INPUT INITIAL: R:BASE INPUT INITIAL: MASTER FILE NUMBER: F U OTHER: R2criv Noy C 2 2000 bpfff Q DATE STAMP APPLICATION RECEIVED OOCSIMISFORMS!APPLICATION ENG PLANCHECK OR PROCESSING REV. i/10I97 I PROJECT REVIEW COMPLETION The following project has been reviewed and is recommended for approval: Project Name: Thbrizi Residence Project NO.:, PD 00-12 Document No.: Dwg. 392-3A Sheets No.: Through: DECLARATION OF RESPONSIBLE CHARGE I hereby declare that I have exercised responsible charge over the review of this project as defined in Section 6703 of the Business and Professions Code and have found the project to be in substantial compliance with applicable codes and standards. Review of this project does not relieve the Land Surveyor or Engineer of Work of the responsibilities with state and local ordinances. V~OFESS CO ' ( No. C57649 Exp._12-31-01 ) * P/ 4 tVP OF CAL2.- PBS&J 175 Calle Magdalena Encinitas, CA 92024 (760) 753-1120 Signed ('LL I 'U' kt,- Date ,8/L?1 /0/ Charles R. St. John, ACE C 57649 Expiration Date 12/31/01 PROJECT REVIEW COMPLETION.doc