HomeMy WebLinkAboutCDP 06-25; HAGEY RESIDENCE; Engineering ApplicationCITY (WARLsBAD.-. ENGINEERING DEPARTPT :1.. .
APPLICATION
ENGINEERING PLAN CHECK
Complete allapprippriate information Write N/A when not applicable
PROJECT NAME: ez I OeCe DATE:
PROJECT DESCRIPTION: 114L'f 410rt&i
PROJECT ADDRESS: YAT3T LOT — J1L'i r.
LOT NO(S).: ytht. TWT4 3 MAP NO.: 11 APN(S).: i
NUMBER OF LOTS: NUMBER OF ACRES: MILES OF TRAILS:
OWNER: ew, W ei' APPLICANT: 9,kmf'b IP-i 11d
Mailing Address: eq. fI - &) Mailing Address: 1034 166oJ9 9.
C,4) Qi U. 11161 levAA4116-f-a l CA .°1024
Phone Number: Wa ( j- k2.4" Phone Number: 11 I 431 er
Fax Number: Fax Number: 1(jii [J,74
E-Mail: E-Mail: (Oikj' cf i?,i.S&. 4
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: Date: Signature:
/
. Date: 17
CIVIL ENGINEER: cA.,4Q J4-1Jb i C SOILS ENGIlIEER: f'
FIRM: y(p\( c,!L4b FIRM:
Mailing Address: 1034 4j. Mailing Address:
Ok.al dvrpec,i\• 'i'o 4 ___________________
Phone Number: 16O 1 43't Phone Number:
Fax Number: I 42.1, cPi Fax Number:
E-Mail: 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 f101ivenhain DVallecitos
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 _______ cy fill _______ cy remedial cy import cy export cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 05/01/07
CITY (WARLSBAD - ENGINEERING DEPARTT
APPLICATION '
ENGINEERING PLAN CHECK'
Complete all appropriate information. Write-N/A when not applicable.
APPLICATION FOR
( / all that apply)
: '. CITY USE ONLY
PROJECT
I.D.
DRAWING'
.
-
NUMBER'...
DEPOSIT/FEES
',.PAID".,:
cOMMENTs 0
. ' ,'•• .
O Adjustment Plat (ADJ)
'
•
Certificate of Compliance (CE)
Type: • • '
fl Dedication of Easement (PR)
Type:__________________
___________ ___________ ____________
.Type:__________________
Encroachpt Permit (PR)
i: at1p(FM)
"Gra'ding Plancheck (DWG) PoC-." ?.'I -s 'q'
Improvement Plancheck (DWG)
Parcel Map (PM) ' • ' '
Type: • ' '
Quitclaim of Easement (PR)'
' ' '
Type:
Type:__________________
Reversion to, Acreage (RA)
U Street Vacation.(ST'J) '
Tentative Parcel Map (MS) ', '
Certificate of. Correction •
(CCOR)
' . •
Covenant of Easement (PR) .
Substantial Conformance
Exhibit (SCE)
.
O Trails , D<mile J> mile
Other
APPLICATION ACCEPTED BY: '
••
"
1
,
• DATE STAMP
APPLICATON RECEIVED
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2 Revised 05/01/07
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APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(1 all that apply)
Adjustment Plat (AD])
El Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:-
Type:______________
Type:______________
O Encroachment Permit (PR)
Final Map (FM)
O Grading Plancheck (DWG)
Improvement Plancheck (DWG)
O Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:______________
Type:______________
Type:______________
O Reversion to Acreage (RA)
O Street Vacation (SN)
O Tentative Parcel Map (MS)
Certificate of Correction
(CCOR)
o Covenant of Easement (PR)
O Substantial Conformance
Exhibit (SCE)
Trails D<mile 0> mile
Other
ACCEPTED BY:
Ii.