HomeMy WebLinkAboutPD 09-05; COVELLI/BELLON RESIDENCE; Engineering ApplicationF NO ENGINEERING ,c ..• . '- \. -
4 - ' APPLICATION ,
ENGINEERING PLAN CHECK),
.- Complete all appropriate informätlón; Write N/A when
PROJECT NAME: CQJe-JI( /&(Lí.. 14'M( DATE:
PROJECT DESCRIPTION: / 42 I e - -P1 1€I1 M4'( aiil ..a&
I\bw /&1 1'11,, (AIt4(($
PROJECT ADDRESS:
LOTNO(S).:MAPNO.: APN(S).:
NUMBER OF LOTS: NUMBER OF ACRES: MILES OFTRAILS:
OWNER: •A4(AQ\(c4& APPLICANT: #lItsLe i7g4,n,1 _J'&7
Mailing Address: (4/_Vl2',v" _fA(J.- Mailing Address: .S
Olk( Lc4/CØ_ 'a-iL_Ca
Phone Number: 76-_ -I.(# — Phone Number: 1(190-4S( MKO
Fax Number: Fax Number: 6-4S7
E-Mail: E-Mail: lo?b c hills
I certify that I am the legal owner and that all the above
information Is true and correct to the best of my knowledge.
Signatur : __________________Date: Signature: Date:_______
CIVIL ENGINEER: 561V1v-'PV1v4.iA1 SOILS ENGINER: 14W Oi,yi_C~j1t%,.
FIRM: j' i4&-v'v._/ FIRM: !1e1l"-6,t.
Mailing Address: 2,1,1 CA-wi;tA Mailing Address: / 5
J
Zc5_fcj&vi111q
Phone Number: LI O(-I Phone Number: ';!bD
Fax Number: 'b)-i?,i ((9 - Fax Number: 'X -
E-Mail: 11% E-Mail:
State Registration Number: 78 State Registration Number: c_-
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one) —
Carlsbad Municipal Water District DOlivenhain UVallecitos
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)? $ _-€)
GRADING QUANTITIES
cut cy fill cy remedial _______ cy import :cy export cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check p Revised 05/01/07
CITY JWRLSBAD - ENGINEERING DEPARTT
APPLICATION
ENGINEERING PLAN CHECK
- Complete all appropriate Information. Write N/A when not applicable.
FOR CITY USE ONLY
APPLICATION FOR PROJECT 1. DRAWING DEPOSIT/FEES COMMENTS
(v all that apply) I.D. NUMBER PAID
Adjustment Plat (AD))
D Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:__________________
Type:_________________
Type:__________________
U Encroachment Permit (PR)
O Final Map (FM)
Grading Plancheck (DWG) f1 09-ON-
Improvement Plancheck (DWG)
O Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:__________________
Type:_____________
Type:_______________
O Reversion to Acreage (RA)
Street Vacation (STy)
Tentative Parcel Map (MS)
[] Certificate of Correction
(CCOR)
o Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
O Trails O<mile J> mile
Other
APPLICATION ACCEPTED BY
DATE STAMP
ft/DEVELOPMENT SERVICESIMASTERS/Applicatlon for Enlneerina Plan Check Pane 2
APPLICATON RECEIVED