HomeMy WebLinkAboutCDP 06-16; MATSUBARA RESIDENCE; Engineering ApplicationCITY CARLSBAD - ENGINEERING DEPAR1tJT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: t1ATS113ARJ\ c1PjthI11 FLtk DATE:
PROJECT DESCRIPTION: (2,RADI Nk(a FORA 5It\t CLE ITh iL/ )JOOE
A N D DILIAOISieD GRA
PROJECT ADDRESS: CI1IsJU4PjtJ
LOT NO(S).: PORJ1O4 I11V Z'IZ MAP NO.: ( I APN(S).: Z O( - - I
NUMBER OF LOTS: 1 NUMBER OF ACRES:
OWNER: MATU8APA APPLICANT: 3 Su UP
Mailing Address: 35 (/pLf)g jD Mailing Address: '131 II 1 \T FL.
I CARLS AO J CA 9ZOO Phone Number: 77,t.3 72'/ -g73.2
Fax Number:
Phone Number: 7O- 7Z0 (')O?5
Fax Number: 1O- 71.0 0095
E-Mail: E-Mail: EBJGWOK UAbELM1)A.)J
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: /7 Date: (3) ôy W9 Signature:
L~=(I) L4Jjte: 5-19
CIVIL ENGINEER: S(JK\)4' SOILS ENGINEER: 3EAU k18PH04 FIRM: 1i Z3J\ OM1*N FIRM: ¶ B 1tNRj N Mailing Address: '4372. SE!\ R\(T Mailing Address: 16d -A S. MELKMUZ2
cALAcc4zcog 'ILTJ\)CA 08I- s
Phone Number: %O - 770 Phone Number: '7O- 4S - 3),5 0
Fax Number: 'O -7Z10 - OO Fax Number: 7W 945
E-Mail: E-Mail:
State Registration Number: Z337_ State Registration Number: RCE 323 STEPI41 I
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District f101ivenhain flVallecitos
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 it EX'ZS (.,oT ON ThRiAE
cut 341 cy fill E)4 cy remedial ) 7O cy import _______ cy export _______ cy
ii
1L
71
SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check O OL 1/14/02 I v