The URL can be used to link to this page

Home My WebLink AboutCDP 04-58; KOKOPELLI RESIDENCE; Engineering ApplicationCTrvOF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION ENGINEERING PLAN CHECK ConpIete all appropriate information. Write N/A when npapplicabj. IL PROJECT NAME: .A.:DATE Ob PROJECT DESCRIPTION C' I PROJECT ADDRESS: ô—' Cctcicôct 'c1 E :.LOTNO(S). // T7 MAP. NO.:'. (.r. '. APNS:. .,.IO-. ii (- Q'• :. NUMBER OF LOTS NUMBER OF ACRES OWNER U€oc-c&. 1QAJ Jt' APPLICANT Mailing Address (nj. Mailing Address- Phone Number (dlt4(fl 6 -7()L, Phone Number-' umber (qqq go —7O -I 6 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 ect to the best of my knowledge Signature Date -Z -O. Signature Date CIVIL ENGINEER [ J SOILS ENGINEER k Cc" FIRM: FIRM:71 Mailing Address c-' O Mailing Address tz7Lj / Jjj 111 ct4) C th7 WJAcL)4 V Phone Number:: :phone Number' Fax Number Fax Number - 0115 .E-Mail: E-Mail: State Registration Number: '(737 -' Stath Registration Number: ..j ti ADDITIONAL COMMENTS 1 / I . - .. * . IMPROVEMENT VALUATION. . . . • 0 1 What water district is the proposed project located in? (check one) Carlsbad Municipal Water District -DOiivenhain []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 ' ii . . ,. . S cut_2lc'/ "fill, _IL)OCY remedial 570 cy 'import cy export cv SEE REVERSE SIDE1 4:/DEVELOPMENT SERVICES/MASTERS/Applicalioi for'Enginéering Plan Check • . ' - -. --- Re1sed 1/14/02 Ot? khi( Jt COF CARLSBAD - ENÔINEERTNG DEPAWE1 APPLICATION .. ENGINEERING PLAN CHECK Coinpiet all appropri it information. Write N/A when not applicable. FOR CITY USE ONLY. PROJECT DRAWING DEP0SIT/FEES CdMMENTS APPLICATION FOR (v' all that apply) - pj NUMBER PAD . JjIjL Adjustment Plat (ADJ) . . . Cyrtificate of Compliance (CE) DedicaUonof Easement (PR)i .' . . ... Type_______ Type__________________ • Te:. . •. .•. • • . . Encorachment Permit (PR) Final Map (FM) Grading Plancheck (DWG) Improvement Plancheck (DWG) - Parcel Map (PM) Quitclaim of Easement (PR) - . . • Type: - .•• . S Type__________________ Type: - ... ..• . :.. . - S . . . . .. . .• . Reversion to Acreage (RA) Street Vacation (SN) - Tentative Parcel Map (MS) [J Certificate of Correction (CCOR) .•. '- . .: . . • ... Covenant of Easement (PR) Substantial Conformance - Exhibit (SCE) El Other -. . .•• - -. • . -' - 4 - 1/DEVELOPMENT SERVICES/MASTERS/Application for Engrneenng Plan Check Page 2 Revised 1/14102 . -.• - - . - - - . . . C•OF CARLSBAD - ENGINEERING DEPMENT APPLICATION- ENGINEERING PLAN CHECK Complete all appropriate information Write N/A when not appl i c a b l e PROJECT NAME: R, rue DATE: t/5 23 PROJECT DESCRIPTION: PROJECT ADDRESS: n Cô., irvL IiAcl. LOT NO(S).: MAP NO.: APN(S).: )- /j/— OS NUMBER OF LOTS: NUMBER OF ACRES: OWNER: A Inton y APPLICANT: mU Mailing Address: Address: 02 A,*i btcytCaj k Mailing Address: kb &r)- t2n. Phone Number: Phone Number: r.ç— 7119 Fax Number: Fax Number: E-Mail: I certify that I am the legal owner and that all theabove E-Mail: information is true and correct to the best of my knowledge. Signature: Date: Signature: j7)OZ14/hT Date: CIVIL ENGINEER: SA SOILS ENGINEER: FIRM: i-1-L A FIRM: Mailing Address: cçtt _7q / Mailing Address: CA Phone Number: Q- Phone Number: Fax Number: Fax Number: E-Mail: 5oe.y vdsd E-Mail: State Registration Number: State Registration Number: ADDITIONAL COMMENTS: IMPROVEMENT VALUATION What water district is the proposed project located in? (check one) _ []Carlsbad Municipal Water District DOlivenhain -; 9Vallecitos If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 1 5 % 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 SEE REVERSE SIDE CDP 04-SY 14:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Chec k 41142 CC OF CARLSBAD -ENGINEERING DE•TMENT APPLICATION ENGINEERING PLAN CHECK Complete all appropriate information. Write N/A when not applicable. APPLICATION FOR ,'all that apply) FOR CITY USE ONLY PROJECT I.D. DRAWING NUMBER DEPOSIT/FEES PAID COMMENTS O Adjustment Plat (AD)) O Certificate of Compliance (CE) O Dedication of Easement (PR) Type:_________________ Type:_________________ Type:__________________ U 'Ecorachment Permit (PR) U ffinal Map (FM) Grading Plancheck (DWG) p0(-5g %I35/ V1 TP O Improvement Plancheck (DWG) O Parcel Map (PM) Type: 9 Quitclaim of Easement (PR) Type:__________________ Type:_________________ 0 Reversion to Acreage (RA) - O Street Vacation (STV) O Tentative Parcel Map (MS). O Certificate of Correction (CCOR) O Covenant of Easement (PR) O Substantial Conformance Exhibit (SCE) O Other BY: RECEIVED V JUN 16 2005 ENGINEERING DEPARTMENT DATE STAMP APPLICATON RECEIVED ftJDEVELOPMENT SERVICESJMASTERS/Aoolication fnr Fnninn.. P). f9'. An employee-owned company PROJECT REVIEW COMPLETION The following project has been reviewed and is recommended for approval. Project Name Kokopelli Residence Project No.: CDP 04-58 •.. ... .• '.. Document No.: ' PR 05-112, Exhibits A &B .. -. 1 .' - . ; DECLARATION OF, PROJECT REVIEW . . - • •- . • • -' .1- •'. - '. . I hereby declare that I have reviewed these documents in conformance with Section 6731.2 of the Business and Professions Code and certify that these documents are found to be in substantial compliance with applicable codes and standards.. Review of these documents does not relieve the . Land Surveyor or --Engineer in "responsible charge of work" of their responsibilities with state and local ordinances. :T '. ,• :••- •. ..... E.P1 12-31-0 Cl V1 4 C ••... ; Signed Date I 07 Charles R. St. John, RE57649 •-''' Expiration Date 12/31/07 • •'• . • • • i;, :-. - - • - • • - H:\Public Works'082 Cartsbad's62082 I Carlsbad Dcv Review\49, Kokopelli Res., CDP 04-58WR 05-112 project completion letler.doc 9275 Sky Park Court Suite 200 • San Diego, California 92123 Telephone: 858.874.1810 9 Fax: 858.514.1001 .,www.pbsj.com . PBS61 An employee-owned company PROJECT REVIEW COMPLETION The following project has been reviewed and is recommended for approval: Project Name: Kokopelli Residence Project No.: CDP 04-58 Document No.:--------Grading Plan, Dwg. 432-5A Sheets No.: 1 Through: 5 DECLARATION OF RESPONSIBLE CHARGE I hereby declare that I have exercised responsible charge over the review of this project as defined in Section 6703 of the Business and Professions Code and have found the project to be in substantial compliance with applicable codes and standards. Review of this project does not relieve the Land Surveyor or Engineer of Work of the responsibilities with state and local ordinances. ------- ( No. C576 9SR.s:; 'P clvt~v OF CAL' e_/ Signed (LgJ4 L. Date Charles R. St. John, R E C57649 Expiration Date 12/31/07 H:Public Works'J82 Carlsbad\620821 Carlsbad Dev Review\49. Kokopelli Res.. CDPO4-52\432-5A PROJECT COMPLETION.doc 9275 Sky Park Court• Suite 200 • San Diego, California 92123-4386• Telephone 858.874.1810' Fax 858.514.1001 'www.pbsj.com .c_ Ok-SS