The URL can be used to link to this page

Home My WebLink AboutCDP 2020-0017; SAREM RESIDENCE; Engineering Application E-23 Page 1 of 2 REV 07/14 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov APPLICATION ENGINEERING PLANCHECK E-23 Complete all appropriate information. Write N/A when not applicable. Project Name:________________________________________________ Date:______________________________ Project Description: ________________________________________________________________________________ ________________________________________________________________________________________________ Project Address:___________________________________________________________________________________ Lot No(s).:_______________________ Map No.:__________________ APN(s):____________________________ Number of Lots:___________________ Number of Acres:____________ Miles of Trails:_______________________ Owner: ____________________________ Applicant: ___________________________ Mailing Address: ____________________________ Mailing Address: ___________________________ ____________________________ ___________________________ Phone Number: ____________________________ 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 correct to the best of my knowledge. Signature:________________ Date: ______________ Signature:____________________ Date:_____________ Civil Engineer: ______________________________ Soils Engineer: ______________________________ Firm: ______________________________ Firm: ______________________________ Mailing Address: ______________________________ Mailing Address: ______________________________ ______________________________ ______________________________ Phone Number: ______________________________Phone Number: ______________________________ Fax Number: ______________________________ Fax Number: ______________________________ E-mail: ______________________________ E-mail: ______________________________ State Registration Number: _____________________ State Registration Number: _______________________ Additional Comments:_______________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ IMPROVEMENT VALUATION 1.What water district is the proposed project located in? (check one) Carlsbad Municipal Water District Olivenhain Vallecitos 2.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 Sarem Residence April 14, 2021 Single Family Residential Development w/ Pool 4005 Skyline Road, Carlsbad, CA 92008 Portion Lots 24 & 25 2647 207-072-17 N/A 0.572 N/A Scott & Kyra Sarem 6684 Lemon Leaf Drive Carlsbad, CA 92011 (760) 533-2470 scott@everydayenergy.us Same as owner Caleb Rios Toal Engineering, Inc. 139 Avenida Navarro San Clemente, CA 92672 (949) 492-8586 crios@toalengineering.com RCE 57587 Grayson R. Walker Petra Geosciences, Inc. GE 871 40880 County Center Drive, Ste M Temecula, CA 92591 (951) 253-4458 X 3,378.00 150 1,695 1,000 1,545 N/A □ □ □ E-23 Page 2 of 2 REV 07/14 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov APPLICATION ENGINEERING PLANCHECK E-23 Complete all appropriate information. Write N/A when not applicable. APPLICATION FOR (check all that apply) FOR CITY USE ONLY Project I.D. Drawing Number Deposit /Fees Paid Comments Adjustment Plat (ADJ) Certificate of Compliance (CE) Dedication of Easement (PR) Type: ___________________ Type: ___________________ Encroachment Permit (PR) Final Map (FM) Grading Plancheck (DWG) Improvement Plancheck (DWG) Parcel Map (PM) Quitclaim of Easement (PR) Type: ___________________ Reversion to Acreage (RA) Street Vacation (STV) Tentative Parcel Map (MS) Certificate of Correction (CCOR) Covenant of Easement (PR) Substantial Conformance Exhibit (SCE) Trails < mile > mile Other APPLICATION ACCEPTED BY: DATE STAMP APPLICATION RECEIVED ____________________________________________________________ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ II 11