HomeMy WebLinkAboutCDP 03-12; KELLY RESIDENCE; Engineering Applicationcr_,F CARLSBAD -ENGINEERING DEPA-ENT .
· APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Ytriffi! N/ A v,,h~n not appH~l>le.
DATE: PROJECT NAME: ;;jfµL Pe I J/e 5F/L.
PROJECT DESCRIPTION: 6/t/h:Jr1v b <;/: e/Z-65'(C'/'v (lr10[/'U!c
____ ........ ......____.,___
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PROJECT ADDRESS: /7 Mi p,e,1 //~ . U(hel--LS/'x+J]
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LOTNO(S).: __ ....;.._ __ MAPNO.: /2-T13 APN(S).:
NUMBER OF LOTS:
OWNER:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
CIVIL ENGINEER: @ClltffL // 6ltt[l4
NUMBER OF ACRES:
APPLICANT:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
Signature:
SOILS ENGINEER:
FIRM: 0/1.JZ
Mailing Address:
PcA0-,l Rri--
ARM: 7la: ~
MalllngAddress: ~2&~~
C;(,'6{\rD{/JQ -· q---v::i Zf'
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Phone Number: 6(£, -z(Y-z.s10 Phone Number:
Fax Number: 05/3 --ZS7 ~ 9 'V/ 7 Fax Number: '7h0 -73? ,. 6343
E-Mail: $/Uc~-) TJIE(!//-1~/IJI m .(trh E-Mail:
State Registration Number: J6e-E 65 O 9 O State Registration Number:
ADDillONAL COMMENTS:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
Ocarlsbad Municipal Water District Oolivenhain Ovallecitos
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 1° k cy fill 1,,, ::;V cy ~ 770 remedial '2b7:> cy import_~_·cy export ___ cy
SEE REVERSE SIDE CP p C9-r-\'2.,
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check f;l (_ -tt \ /2... Revised 1/14/02
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APPLICATION FOR
( ./ all that apply)
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE)·
D Dedication of Easement (PR)
Type;;...: ------,-....---
Type;...: ______ _
Type:
D Encorachment Permit (PR)
D FilJ.GII Map (FM)
g/4rading Plancheck (DWG)
D Improvement Plancheck (DWG)
D Parcel Map (PM)
:D Quitclaim of Easement (PR)
Type;;...: ______ _
Type_: ______ _
Type:
D Reversion to Acreage (RA)
D Street Vacation (STV)
,0 Tentative Parcel Map (MS)
D Certificate of Correction
(CCOR)
D Covenant of Easement (PR)
D Substantial Conformance
Exhibit (SCE)
D Other
,,,
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· · . . .. ' · · .. ,., . · 'FOR CITY USE ONLY . .:: . ' . ,
. PROJECT' .. · DRAWING . r J;>EPQ~1T/,FEE'$,: :c;:o:t.,M~!'ffS .. ·.. ·J:,P.<': ::._ , .. Nu~seR · ·.PAll)·i> · · · _
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H:/DEVELOPMENT SERVICl:S/MASTER~ApplfcaUon for Em1lneerfnA Plan Check PaQe 2 , Revised 1/14/02
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~ .-• ·, J. --PROJECT PLAN REVIEW COMPLETION
The following project plans have been reviewed and are. recommended for approval:
Project Name: . p tf ~ ( ,0,... Ii<,:_ rr,_ te ~:,
Project No: __ C~D;..._P~.....:o~·--~~--l ..... 2 __ _
Drawing No: _____ ----4,3/_2c::,__3 __ 8.;.._A ____ _
s~:~~s No. . ( through ___ 3-'--------
-DECLARATION·OF RESPONSIBLE CHARGE
i ~ere~y d~fare that· I have exercised responsible charge over the plan· rsview of this
project as defined in Section 6703 of the Business and Professions Code to determine
that the plans are fol.!nd to be in substantial compfiance with applicable codes and
standards. Up, .... co,..p/,e,.-1,-"' Dr_,fe-..,.5. J'~e_l,V"-0, plH_ cf~...,t lf1-4.
Ptan ,r~view of these project drawings does not relieve the Engineer of Work of the
-responsibilities for the project design.
(seal)
Firm: Berryman & Henioar
Address: , 1590 W. Bernardo Court. Suite 100
San Dieoo. CA 92{ 27
Telephone:_4=5 .... 1 -__ 6 __ 1 __ 00 ________ ......-____ _
By: ~/.e,," f.1tv-l....° r
P.E. (Civil) No: jJ '-(21..-
Date: _____ _
Expiration:
F:\USERS\RALLE\WPOA.TA\PLANREV.6&H
Rev. 2/8/96