HomeMy WebLinkAboutPD 01-10; PETRI RESIDENCE; Engineering Application0 .
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: PTR1 1E DEJJ DATE: I01
PROJECT DESCRIPTION: ,jGL fA tA I L1 L-0t NE
PROJECT ADDRESS: 213,11 NoPTh Zp B T
LOT NO(S).: MAP NO.: APN(S).: J5~5O 3
NO. OF DWELLING UNITS: LFMP ZONE: # LOTS: J # ACRES:
PTJ ,OWNER: APPLICANT: "Bom 5oK..uP
Mailing Address: 37 CA5A GRAN Mailing-Address: I3Zt 10,&ftf R.
L..A. cALs)34 1 CA 'ThOo
Phone Number: ( ) Phone Number: (%) (ZO
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 J
_
0 sate ii//O /
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CIVIL ENGINEER: 5Or-UP SOILS ENGINEER: DAN APLP
Firm: fl4( B.RUT COMPAN Firm: orRN cPLj
Mailing Address: 13ZZ SELEN GW F1,805 Mailing Address: 6ZO RDAL 5iRAi'
CARLsl:56_0 1, CA 02W08 1A, N D107,0 1 CA 0) Z1 ZQ
Phone Number: (%O) 17,0,- 0095 Phone Number: 'Z 43Z/
State Registration Number: 'C 3,OZ State -Registration Number RC' 307
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (circle one)
Carlsbad Mufiicipal Water District Olivenhain 'Vallecitos
2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 1'5%,
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 improvements on private property if applicable)? $
GRADING' QUANTITIES
cut - cy' fill cy remedial cy 'import/export cy
H:WORD/DOCS1MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING -
REV. 10/08/99
.
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APPLICATION FOR:
(/ all that apply)
FOR CITY USE ONLY
Plancheck 1
Number j Type
Drawing
Number Project I.D.
Deposit/Fees
Paid
U Adjustment Plat ADJP
U Certificate of Compliance COC
• Dedication of Easement DOE
Type:
Type:
• Encroachment Permit ENCROACH
U Engineering Standards Variance ESV
U Final Map FM
trading Plancheck GRPC Dui 0 • Grading GRADING
• Improvement Plancheck PC
U Parcel Map PM
U Quitclaim of Easement QUITC
Type:
Type:
U Reversion to Acreage RTA
• Street Vacation STV
• Tentative Parcel Map MS
U Certificate of Correction CCOR
U Covenant for Easement COVE
U 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:
RECEIVED
OV 16 M0 1
ENGINEERING
DEPARTMENT
DATE STAMP
APPLICATION RECEIVED
DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV. 10/06/99
I Pt' o\ -uo
PROJECT REVIEW COMPLETION
The following project has been reviewed and are recommended for approval:
Project Name: Petri Residence : I
Project No.: PD 01-10
Document No. DWG 398-2A
Sheets No.: 1 Through: 5
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 Professioiis 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
PBS&J
175 Calle Magdalena
Encinitas, CA 92024
(760) 753-1120
Signed (LL L L '-L----- Date 7/io /
Charles R. St. John, RCS C57649
Expiration Date 12/31/05
Nb. C57649
Exp. 12-31-0
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PROJECT REVIEW COMPLETION.cloc