HomeMy WebLinkAboutCUP 02-03; NATIONAL UNIVERSITY; Engineering ApplicationOF CARLSBAD ~ ENG1'4EERING D TMENT
, .• , APPUCAUOH
.. Et4GINEEIUNlf P~N CHE(:K ,
Complete al! appropri~b! 111torn-.ati6ft:•·write N/A when '10t ct.PPOtablt,,
PROJECT NAME: NA.:JJ'at:JA-L UtJhl~iT( C:Yf 02, .. 03 DATE: q. l<2·P2=
PROJECT DESCRIPTION: Ci.Jf ~ :fe.NMCC lt::11"!:0/f'.HeN:13 f SIJ2-ifit-.14 ~"'-'
@1!.. A\JeN~PA e'.N'1NA$
PROJECT ADDRESS: 705 tA,y;>Mp..yz.. A.~1'2-fOl!I ~ :lZ&?a'l
LOTNO(S).: -MAPNO.: ______ APN(S).: Z-I0 -Joo-I~
NUMBER OF LOTS: NUMBER OF ACRES:
OWNER: APPLICANT:
Mailing Address: ..Lk.::2..-I~:12.t::fQl!::..,j~~E::J......f:j.-li Mailing Address:
N,-.:rtoNAc.-IJN•'~OZ?ta:
111-~ tJ. T«'ffe:t fi'N§.~
1 + Jpl.+..A. , CA 9za::> 7
Phone Number: 438-AZA2.. Phone Number: ~) ktZ,--fJS93
Fax Number: 7b0 Fax Number:
E-Mail: E-Mail:
I certify that I am the legal owner and that all the above
informatio tr a d c•rHt,>rtJt·r1111ie best of my knowledge.
Signatur • -..-.. ' Date: '1{2~01.... Signature~ d ~ Date: \. 0/2jo '2...
OVIL ENGIN ER: W{U;,a,J SOILS ENGINEER·
ARM: FIRM: _,~~-----------------------~-1----------Mailing Address: ~
o.~, CA 4zmts
Phone Number: -1~ :150 47t:2-q192
Fax Number: 760 '1:74? ... qJ 2 f,
E-Mail: #JT· -------------
State Registration Number: • ~2..5'"~2.
ADDIDONAL COMMENTS:
M a iii n g Address:
Phone Number:
Fax Number:
E-Mail:
State Registration Number:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one) ti\~
Qearlsbad Municipal Water District Oolivenhain Ovallecitos
2. If in the Carlsbad Municipal Water District, what is the total cost estimate, induding the 15%
contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Munidpal
Water District only), street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUANTITIES
cut ___ cy fill ___ cy remedial ___ cy import __ _ export __ _
SEE REVERSE SIDE
Revised 1/14/02
CITY QARLSBAD -ENGINEERING DEPARTcrT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate informati9n .. ·Wrl~ ,.//4 when not applicable.
APPLICATION FOR
( ✓ all that apply)
□ Adjustment Plat (ADJ)
□ Certificate of Compliance (CE)
□ Dedication of Easement (PR)
Type:
Type:
Type:
□ Encorachment Permit (PR)
□ Final Map (FM)
□ Grading Plancheck (DWG)
~ 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)
□ Other
APPLICATION ACCEPTED BY:
PROJECT DRAWING
I.D. NUMBER
L( {) t-1.
FOR CITY USE ONLY
DEPOSIT /FEES
PAID
\, "2.,\'l ,r
COMMENTS
DATE STAMP APPLICATON RECEIVED
Revised 1/14/02