HomeMy WebLinkAboutCDP 05-21; KELLAS RESIDENCE; Engineering ApplicationCITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: o- DATE:
PROJECT DESCRIPTION: occa (r&
PROJECT ADDRESS: _2axt'civj _4-1f,4 12-'_
LOT NO(S).: g MAP Nd.: ?M 11'- APN(S).:
NUMBER OF LOTS: I . NUMBEROFACRES:
OWNER: 1)1-k.4t,A b$tit, APPLICANT: - Loci
Mailing Address: &JA f>QJ1afPSS kV65Mailing Address:
(i3AiY q
Phone Number: '71oq 51La5t74 Phone Number: fosio- S 167—
Fax Number: Fax Number: to -
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: 14UL4L/'j 4!/42g te:iZ-4 -04 Signature: Date:
CIVIL ENGINEER: LO(,k.AQ SOILS EN R: 'R.
FIRM: i FIRM: (s (s
Mailing Address: t;2-.. tJ eu atM. Mailing Address: (fl(0
J (A
Phone Number: 7-(x) - lO Phone Number: Liq) i-St •f2 2A
Fax Number: I&C —90 - Fax Number:
E-Mail: j..u,et,. ,r E-Mail:
'State Registration Number:C '1- State Registration Number: C..&- No \231-
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water.District Do1ivenhain Vallecitos
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 25c cy fill '5( cy remedial cy import cy - export cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERSFApphcalion for Engineering Plan Check Revised 1/14/02
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