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HomeMy WebLinkAboutMS 05-19; HEMLOCK CONDOMINIUMS; Engineering ApplicationAOL CIWOF CARLSBAD - ENGINEERING DEPARTWNT APPLICATION ENGINEERING PLAN CHECK Complet&all appropriate information. Write N/A when not applicable. PROJECT NAME: J/e(flh(Y1k DATE: 2/c9/O1.J PROJECT DESCRIPTION: ;2 1)li+ (/ff1' [Y'(jee 1rrôIh jsh AL64LY-e PROJECT ADDRESS:' I 7) 1-leni )ork AV LOT NO(S).: La+/.pB?Ic MAP NO.: 1741 APN(S).: 264 - Z) - (LO NUMBER OF LOTS: I NUMBER OF ACRES: O, 13 14, OWNER: hcnj rnhJrf APPLICANT: Eā€¢4 fl't1Jr2 Mailing Address: k 1arnr&-* ,9y. Mailing Address: 2'D 4-10 Hcô )S q S1) ( g?B Phone Number: } I fr12g (pj2.. Phone Number: (er iri o-nZZ Fax Number: 1C) T2O33 Fax Number: () Lon) ' 4 -4ffl E-Mail: ā€” E-Mail: Qyf'flft(LTX4\C)( I certify that I am al owner and that all the above information is e a the best of my knowledge. Signature: Date:'0( Signature: ,t'(,,&-' Date:-f 6 CIVIL ENGINEER: SOILS ENGINEER: yj\ 8m -W FIRM: f2F+c +cy'i* FIRM: _________________ Mailing Address: 42p)\ fl('en\\yI4(Ft Mailing Address: POPr c1 3211 -1 c12O4c _LrAl Phone Number: - Phone Number: Fax Number: - (j 13 P) Fax Number: (D1 - 4A3 - cxRCD E-Mail: 1E-Mail: State Registration Number:(f (jJ)OU) State Registration Number: PCE Z\\3() ADDiTIONAL COMMENTS: rPbr1 IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) Municipal Water District []Olivenhain []Vallecitos 01 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)? $ 261 (DOO GRADING QUANTITIES cut Z/OOcy fill cy remedial _ cy import cy export <Zi oD SEE REVERSE SIDE H:IDEVELOPMENT SERV10ESIMASTERSIAppIication for Engineering Plan Chad, Revised 1114102 I CIT&F CARLSBAD - ENGINEERING DEPART WT APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information. Write N/A when not applicable. FOR CITY USE ONLY APPLICATION FOR PROJECT I DRAWING I DEPOSIT/FEES I COMMENTS (,all that aDDIv) I I.D. NUMBER PAID O Adjustment Plat (AD)) LI Certificate of Compliance (CE) [J Dedication of Easement (PR) Type:_______________ Type:______________ Type:______________ O Encorachment Permit (PR) O Final Map (FM) [] Grading Plancheck (DWG) O Improvement Plancheck (DWG) Parcel Map (PM) [] Quitclaim of Easement (PR) Type:______________ Type:______________ Type:__________________ [] Reversion to Acreage (RA) Street Vacation (SW) [] Tentative Parcel Map (MS) [] Certificate of Correction (CCOR) [] Covenant of Easement (PR) O Substantial Conformance Exhibit (SCE) 9 Other APPLICATION ACCEPTED BY: RECEIVED FEB 08 2006 ENGINEERING DEPARTMENT DATE STAMP APPUCATON RECEIVED H:IDEVELOPMENT SERVtCES1MASTERSJApplicalion for Engineering Plan Ched Page 2 Revised 1/14102 CIRIF CARLSBAD - ENGINEERING DEPARTUIT APPLICATION ENGINEERING PLAN CHECK Complete itill appropriate information. Write N/A when not applicable., PROJECT NAME: 44en ((1i5 4''fl'i DATE: PROJECT DESCRIPTION:2 Dnl-1 (Or?4O ?vojec4. PROJECT ADDRESS: )O 7'7'Cfll J/)ck LOT NO(S).: (J1j3/(y1k MAP NO.: J247 APN(S).: 2e' '5/Ot..o NUMBER OF LOTS: I NUMBER OF ACRES: Ô /3 43reâ RJ Je44.ā€” APPLICANT: Ed rnbr' Mailing Address: 15o 7'c.rk fliP Mailing Address: 2&98ho Pi co OL?i1j CJ q zOce Phone Number: )fi,i -? 2'7 -06 9 2, Phone Number: (?' fl-012 1 Fax Number: 7 -221-046 33 Fax Number: (7L0M 44 -40 E-Mail: Ed(3fl1O)Lvi(bfl1ii n,Iii1 161 E-Mail: I certify that I am the legal owner and that all the above information is true nd correct to the best of my knowledge. Signature: '(k" Signature: ' Date: 7 1 CIVIL ENGINEER: 713{k) lotTIe. k)y SOILS ENGINEER: eP'*' .fl4L1h FIRM: i(bcH-2rr3 FIRM: Mailing Address: 9nJY'en Mi Mailing Address: P(?yjX flg5 'to Loi c?zo4O Phone Number: -5\- (\tj Phone Number: L9\- 443-OOUO Fax Number: t, 7 5 P _5I\- I V& Fax Number: - 4'3 -(Y)°O E-Mail: E-Mail: State Registration Number:j 'i(fiO[O côm State Registration Number: ADDITIONAL COMMENTS: /bo OwenHH -ô/e iO/bPO5-zs IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) P'arlsbad Municipal Water District f101ivenhain flVallecitos 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)? $ 24 coO GRADING QUANTITIES cut 2/Oo cy fill cy remedial ā€” cy import cy export -21 6b cy 2 SEE REVERSE SIDE HJDEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1/14/02 - CITY OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information. Write N/A when not applicable. APPLICATION FOR (1 all that apply) FOR CITY USE ONLY PROJECT I.D. DRAWING NUMBER DEPOSIT/FEES PAID COMMENTS [J Adjustment Plat (AD)) [] Certificate of Compliance (CE) Dedication of Easement (PR) Type:__________________ Type:______________ Type:__________________ O Encorachment Permit (PR) LI Final Map (FM) Grading Plancheck (DWG) Oj9mWc6ment Plancheck (DWG) Parcel Map (PM) fl103 (') Quitclaim of Easement (PR) Type:__________________ Type:______________ Type:_______________ Reversion to Acreage (RA) LI Street Vacation (STy) [J Tentative Parcel Map (MS) LI Certificate of Correction (CCOR) Covenant of Easement (PR) LI Substantial Conformance Exhibit (SCE) [J Other APPLICATION ACCEPTED BY: DATE STAMP APPUCATON RECEIVED ft/DEVELOPMENT SERV10ESIMASTERS/Applicatfon for Engineering Plan Check Page 2 Revised 1/14/02