HomeMy WebLinkAboutCUP 04-14; NORTH ISLAND CREDIT UNION; Engineering ApplicationCITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: ?,AP /T'!OPt liSW'C'*JD C-T U tJ Ot\J DATE:
PROJECT DESCRIPTION: st--j ?U7'
PROJECT ADDRESS: 7(rf 0 vM24-s_e4\fc,W1oc
LOT NO(S).: 10 _MAP NO.: (SI_7 __APN(S).: 11__430— 2
NUMBER OF LOTS: I NUMBER OF ACRES: ,3 /Q
OWNER: tNcthA kfl&%eef. APPLICANT:
Mailing Address: OO /'* Mailing Address:
CfJ1PrtM(
Phone Number: (7(4}1( Phone Number:
Fax Number: (7t')'SO—
I L" Fax Number:
E-Mail: 00 E-Mail:av
I certify that I am the legal owner and that all the above
information i true and correct to the best of my knowledge.
Signature: Date:
CIVIL ENGItEERA.-OQ,AYJ SOILS ENGINEER:
FIRM: . YQAYCOJ,5L/LTA"7 hJC FIRM:
Mailing Address: 27/0 LoPcEg_ Ave WET
SuiTE '00 NzLsPAp_A 67Op
Mailing Address:
2
Phone Number: 6/60) 6131 _-7700 Phone Number: 444_Vo(O
Fax Number: (7c'O) 9I,10 Fax Number:. (7Jç)444 .t'40
E-Mail: lom ooru I0r4$.aO E-Mail:
State Registration Number: 272/4 State Registration Number: (si.
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 /461 cy fill /41 cy remedial cy import cy export cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1/14/02 Cu L9r
C CARLSBAD - ENGINEERING DEPARIIT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
( V all that apply)
FOR CITY USE ONLY
PROJECT
I.D.
DRAWING
NUMBER
DEPOSIT/FEES
PAID
COMMENTS
U Adjustment Plat (ADJ)
Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:___________________
Type:__________________
Type:__________________
LI Encorachment Permit (PR)
Final Map (FM)
Grading Plancheck (DWG) 4'jyçi çfl3 _4 75'O
Improvement Plancheck (DWG)
Parcel Map (PM)
Quitclaim of Easement (PR)
Type:___________________
Type:___________________
Type:__________________
Reversion to Acreage (RA)
Street Vacation (STV)
Tentative Parcel Map (MS)
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
El Other
ACCEPTED BY:
2Oo
ENQ!N
DATE STAMP
APPLICATON RECEIVED
ft/DEVELOPMENT SERV10ES/MASTERS/Applicafon for Engineering Plan Check Page 2 Revised 1/14102