HomeMy WebLinkAboutADJ 179; EYMANN; Engineering ApplicationCITY .CARLSBAD -ENGINEERING DEPAeMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Complete all appropriate information. Write NIA when not applicable.
PROJECT NAME: ....;:CAfl..:::.:....::...:.:;I..:=$-=:eA;.;.-. ...:;.O--=8::...;~;;..;V:....;:O:...-• ..:./-10..:..:::....:..:1 EO=_ :.:..'-______ DATE: 4·ZO· q8 ~ ..
PROJECT DESCRIPTION: Ce:JZ.r,pl ~ /I!!!:.. oP CA>/ZIZe~T1.q.J
IN A c:e;u-, FICA 77: OF
PROJECT ADDRESS: 1..1 ~ _" ~a40
LOT NO(S).: foil.. I)l./~ 5 MAP NO.: _7,;;....7_5' ___ _
NO. OF DWELLING UNITS: ___ LFMP ZONE:
OWNER: C4K't.S8AO 8c.t/O· ~Ti::L. 6:iNL IP'APPLICANT:
Mailing Address:(%~ ..JOSfl#O~4rI, //0 WE$r "e (I Mailing Address:
#. . "/900 $l!., .SlIIIE _ $.0. CA. qZl()/ ,
Phone Number: ("/1 ), Z" ... ~-z.55 Phone Number:
the legal owner and that all the above
Signature ________ Date ___ _
CIVIL ENGINEER: lfehlld O. H.tr.v,o/t~. /fl.$.
Firm: /Jude/<.., A S"SOCl~ ~ 1110 ,
SQILS ENGINEER:
Firm:
Mailing Address: tet>S TIllnt' ~ Mailing Address:
/!!nce/ll.@S, Q4 qUV/-
Phone Number: (1btJ) 94e-614=1 Phone Number:
State Registration Number: State Registration Number: L.:5 5 Z. 9 Z. -----~--~-
LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS:
Firm:
Mailing Address:
P.hone Number:
State Registrqtion Number:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in (circle one)?
Carlsbad Municipal Water District 9livenhain 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 (if applicable)? .
3. WhCjt.irtbe total cost estimate, including the 15% contingency fee, for sewer (for Carlsbad
Municipal Water District only), street, public (median) landscape and irrigation, and
drainage improvements (if applicable)?
4. What is':the total cost of landscape and irrigation improvements on private property (if
applicable )? . ,
GRADING QUANTITIES ~
$
$
$------
cut ____ cy fill ____ cy remedial ____ cy import/export _____ ---.;._ cy
OOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV. 6110197
FOR CITY USE ONL Y
APPLICATION FOR: Plancheck Drawing Deposit/Fees
(.I aI/ that apply) Number Tvpe Number project 1.0. Paid
. '. '\ \ ' ¥ • o Adjustment Plat ADJP
o Certificate of Compliance
, ' ' '. -
, , cop
, , o Dedication of Ease'ment DO~
'. > ~ . ,
Type: , ..
Type: " , , '
.
o Encroachment Permit " ,f=Ng~qAP.1i ' . ' ' '. " .
o EnQineerinQ Standards Variance ' ESV' .' . . . . '.' .
o Final Map FM ,I, ' " \t~, .
o Grading Plancheck . GRPC'
o GradinQ GRADING
o Improvement Plancheck IPC
o Landscape Plancheck LPC
o Parcel Map PM
o Quitclaim of Easement . QUITe"
Type:
Type: . -I
o Reversion to AcreaQe RTA
o Street Vacation STV
o Tentative Parcel Map MS
.)( Certificate of Correction CCOR --o Covenant for Easement COVE
o Substantial Conformance Exhibit seE
:
I APPLICATION ACCEPTED BY:
,
1 I MASTER PROJECT ID: I
I
I RECEIPT NUMBER:
I ,
II PRELIMINARY SIERRA SY,STEM INPUl INITIAL: RECEIVED
I SIERRA SYSTEM INPUT INITIAL: APR 27 1998
I
R:BASE INPUT INITIAL:
I MASTER FILE NUMBER: F
ENGINEEj~ING
DEPARTMENT
I ' '
o OTHER: DATE STAMP
I APPLICATION RECEIVED
I
DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV,6/10/97
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