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HomeMy WebLinkAboutPD 2018-0030; STOLLER LOT LEGALITY; Engineering ApplicationkCity of Carlsbad APPLICATION ENGINEERING PLANCHECK E-23 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Complete all appropriate information. Write N/A when not applicable. Project Name: Date:_________________________ Project Description: CE Pc4TJ &1 C/v2I/41fcj 150f2 7704' ô'f 42ct Project Address: Jcfjo Lot No(s).:____ Map No.: .4/4 APN(s):47&O Number of Lots:/ Number of Acres: -/7 Miles of Trails:_ IV 11-51 ____________________ Owner: 1w1*4P -IMP S7' Applicant: Mailing Address: g qj2_724i2AZ,€,*é _/éi'. Mailing Address: a2csgi c,9.2-0 0, Phone Number: -_7/ 7_'7.','7 23 Phone Number: Fax Number: Fax Number: E-mail: E-mail: I certify that I am the legal owner and that all the above information is true and corre t to the best of my knowledge. Signature: _.<'i_(4 _Date: //J/12 Signature:Date: eivll Engtneer:P1'S i,111,4 7dcA Soils Engineer: Firm: R4'tL _SILt'fyfc Firm: Mailing Address: ? _4i.(- Mailing Address: 0 (i9r/s 'J? £,. Phone Number: '76C _6'-9o 7 Phone Number: Fax Number: Fax Number: E-mail: '7 (_,gZSg1j4Y,_J1ghe E-mail: State Registration Number: 4 StateRegistrationNumber: Additional Comments: IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) E Carlsbad Municipal Water District fl Olivenhain El Vallecitos 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 I K E-23 Page 1 of 2 REV 07/14 PPlOI-Q(e2 ~x) (Cityof Carlsbad APPLICATION ENGINEERING PLANCHECK E-23 Develooment Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Comniete all anoronriate information. Write N/A when not anolicable. APPLICATION FOR (check all that apply) FOR CITY USE ONLY Project 1. D. Drawing Number Deposit /Fees Paid Comments LI Adjustment Plat (ADJ) Certificate of Compliance (CE) 0018- 0030 Coc: (fg ..00(-p LI Dedication of Easement (PR) Type: Type: Encroachment Permit (PR) LI Final Map (FM) Grading Plancheck (DWG) LI Improvement Plancheck (DWG) LI Parcel Map (PM) LI Quitclaim of Easement (PR) Type: LI Reversion to Acreage (RA) LI Street Vacation (SW) LI Tentative Parcel Map (MS) U Certificate of Correction (CCOR) LI Covenant of Easement (PR) LI] Substantial Conformance Exhibit (SCE) LI Trails LI < mile [I] > mile LI Other APPLICATION ACCEPTED BY: DATE STAMP i!rT CVf NOV 04 2018 D DEVELOPMENT ENGINEERING lj~ E-23 Page 2 of 2 REV 07/14 S 5050 Avenida Encinas Suite 260 Carlsbad, CA 92008 INTERNATIONAL CERTIFICATE OF COMPLIANCE REVIEW COMPLETION The following certificate of compliance has been reviewed and is recommended for approval: Project Name: Stoller Lot Legality Project No.: P02018-0030 Certificate No.: C0C2018-0017 Sheets No.: I - 2 OF 2 DECLARATION OF RESPONSIBLE CHARGE I hereby declare that I have exercised responsible charge over the certificate review of this project as defined in Section 6703 of the Business and Professions Code to determine that the map is found to be in substantial conformance with applicable codes and standards. Review of this project certificate does not relieve the Engineer of Work of the responsibilities for project design under state and local ordinances. Signed 12-17-2018 Date RCE 77512 Exp. 6/30/2019 I P, s8-3O