HomeMy WebLinkAboutPD 08-03; VANDERPOL RESIDENCE; Engineering ApplicationCIlll CARLSBAD - ENGINEERING DEPAENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: VA" >IL DATE: !> -. L -eC PROJECT DESCRIPTION: L- P'-t s-*_,4 .-
PROJECT ADDRESS:
~3. p2L CA LOT NO(S).: . MAP NO.: APN(S).: 2..i 5 _L.j L9_I I. NUMBER OF LOTS: i NUMBER OF ACRES: b. ly 2... MILES OF TRAILS:
OWNER: 1 VAP j.. APPLICANT: E L1EAj\JJ.JFDJCIDL Mailing Address: z:IZ. Mailing Address:
-12..L Ad h £A '722
Phone Number: 7L..b -4 . L.—'
- Phone Number: 7b- -4 ).b Fax Number: 10.-'j2L Z. L4 L4 Fax Number: 44 E-Mail: 5,y, fAJJ E-Mail: 15A4 - I certify that I am the)9gI owper and ha,t1all the above
information is true
,6corre'to theij6f my knowledge.
Signature: ,'( J,/" / Date: Signature: Date: 3.-Sl -i
CIVIL ENGINEER: M4'z-- Fr-s j., SOILS ENGINEER:
. FIRM: 9' FIRM: Mailing Address: c..- L' Mailing Address: P. L. 2..77
A' Sj '. t4 I'2i 6b Phone Number: 7L - — Phone Number: 1... ik - - Fax Number: - 01 4 d. - 73 4 Fax Number:
- - I ) E-Mail: E-Mail:
State Registration Number: SL IL-I L State Registration Number: 2.
ADDITIONAL COMMENTS: U
r2--v #IQ iti 1j- i L. E c r i.# /U&i /3
S ) C-b T DLJ. -j—' .. -r -t- tTh4 Li
IMPROVEMENT VALUATION
What water district is the proposed project located ir.? (check one)
0 Carlsbad Municipal Water District DOvenhain OVallectos
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 irrigtion, and drainage improvements (if applicable)? $
GRADING QUANTITIES
cut 10 cy fill Sez cy remedial ,6 cy import 774 cy export 0 cy
SEE REVERSE SIDE
hI IDE VELOPMENT SERVICES/MASTERS/Applicalon for Engineering Plan Check
05/01/07 I'L'
CITW CARLSBAD - ENGINEERING DEPAöENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
( v'.all.that;appl.y) ..
FOR CITY USE ONLY.
PROJECT 'bRAWthG
[NUMBER
DEPOSIT/FEE
PAID •
COMMENTS
O Adjustment Plat (ADJ)
', -:A• -. .
,. -, -• . ;-- '. -''
--•
,.,*•\; ,.r_-.'\
,::-. ' .-
O Certifiat àf Compliance (CE)
Dedication of Easement (PR)
Type: . '•. .
TyPe:'-. .1 .
__________ ________ ..
Type:,
... - ' -.
[J Encorachmnt Permit (PR)
fl FipiFM)
ce3 51ç
O Improvement Plancheck (DWG)
O •ParceJ Map (PM)
- -.
Type: .
,,______
O Quitclaim of€asern,ent(ER)
Tye__________
Type:
.
=_____
'. .
.-
O Reversi9ntoAcreage'(RA)
treet4iacation (STy)
O Tentative Parel_Map (MS)
.
(CCOR)\,- __.... '---,-' ______ --'...\'.
O Covenant ofEasemen.(P.R) .
fl Certificate of Correction......
--
Exhibit (SCE): ___
.
O Subtth,tiältonforthahcè
.. _ :
O Trails D<milefl>mile
Other
APPLICATION ACCEPTED BY:
C)
DATE STAMP - APPLICATON RECEIVED
H-/DEVELOPMENT SENVICES/MASTERS/Applicahon for Engneenng Plan Check Page 2
Revised 05/01/07