HomeMy WebLinkAboutCT 85-07; LA COSTA ALTA; Engineering ApplicationEl'
SUBDIVISION LOG
SUBDIVISION NO. DATE RECEIVED_________________________
OWNER LIfoLp..I V i21'I oAt ENGINEER
ADDRESS - -g' c ADDRESS 1'i -"Aff SEE
S4-212-. PHONE
(4
1ir) -444,g
UTIL/MAINT. V
K __
PARKS 11 L SENT
REQUIREMENTS:
PLANNING REPORT FOR DATE TO DCC_____________________
DATE TO P.C. ACTION: 0 APPROVED 0 DENIED
DATE TO C.C. ACTION: 0 APPROVED 0 DENIED o STREET DEDICATION____ DEED NO. RECORDED_____________________
O FUTURE IMPROVEMENT AGREEMENT. TO C.C. 0 APPROVED
0 OTHER
C.C. CONDITIONS:
IMPROVEMENT PLANS TENATIVE PARCEL MAP
• PROJECT NO. DRAWING NO._________
PREL11NINARY TI REPORT 1st Check IN_____ OUT
GRAD1ING PLAN 2nd Check IN Out— OUT_____
LIIC FACI T ES FEE GR EMENT PUB
3rd Check IN
EIGhT COP S F TEN TIV PARCE I PC SIGNED BY C.E.____________________________
3O' RAID S AP • SIGNED "AS-BUILT"_________________________
P PER OW ER'S 1ST ENV P
E VIR MEN AL I PACT SSES EN GRADING PLANS
CHO AN SE R LE ER / GRADING PERMIT NO._______ IM EXT SI AGRE MEN / fr' 1st Check IN OUT_____
1• CHE N OUT / I 2nd Check IN OUT_____
D CHE K IN OUT I / 3rd Check IN OUT_____
RD CH C IN OUT / SIGNED BY C.E._____________________
APPROVED I PE.RMIT IS5UD
DEPOSITS REQUIRED
ITEM AMOUNT PAID.
/
FINAL OR PARCEL MAP
1st IN_____ OUT .iuecI.. TENT. NMI, FEE Li
OUT_____
PARKS-IN-LIEU FEE 0 n Check IN
3rd Check _____
uUi GRADING PERMIT FEE
FINAL MAP FEE 178 —
SIGNED BY C.E. IMP. PLAN CHECK FEE
TO CITY CLERK INSPECTION FEE 0 ________________________________ RECORDED _______________________________ WATER CONNECTION DEPOSIT 0
COPIES RECEIVED , STREET SIGN DEPOSIT 0
*STREET TREE DEPOSIT
GRADING PLAN CHECK FEE
ci
ci •
STREET.LIGHT ENERGY FEE -. 0
ENGINEER'S ESTIMATE
$______________________ DUPLICATE TRACING FEE I5c - d1)
AMOUNT
FAITHFUL PERFORMANCE ________
IN
DRAINAGE AREA FEE 0
MATERIALS & LABOR
• Q REVISED PLAN CHECK FEE Q GRADING& EROSION 13 MONUMENTATION
0
•
IMPROVEMENT AGREEMENT 0 TOTAL DEPOSITS $
BONDING CO. COMMENTSORPROBLEMS
REPORTS •
IN REQUIRED
TITLE REPORT 0 0
SUBDIVISION GUARANTEE 0 0
SOILS REPORT 0
ENGINEER'S ESTIMATE 0
TRAVERSE CALC. • 0
0 ' 0
O 0
________________________________________________ • -•
CITY OF CARLSAD
ENGINEERING DEPARTMEN1,)
FEES AND DEPOSITS WORKSHELL
. .. . . ., . PREPARED BY:______________
PROJCT NAME DATE -
TENTATIVE PARCEL MAP FEE . . . .
. MAP FEE ( LOTS)(PARCEL MAP/FINAL MAP NO OF LOTS
(EXPEDITED/NOT EXPEDITED)
PARCEL MAP EXTENSION FEE . . . . . . .
IMPROVEMENT PLAN CHECK FEE
DEPOSIT WITH SUBMITTAL RECEIPT NO
71 IMPROVEMENT 'CRIPTION BONDED VALUE
..w:24+-4. -:.• . . . ...
,
pip
7o
- (3 -70 °-
TOTAL X
-. . . : . . . .. PERCENTAGE .
IMPROVEMENT INSPECTION FEE
VALUE
la A4 a
s lee 7o - z.940 0
TOTAL X
S. .:. . . . PERCENTAGE . 0
PARK-IN-LIEU FEE (CIRCLE ONE)
DWELLING TYPE-:: OR DUPLEX .MF.(.4 UNITS) MF(> 4 UNITS.) MH
o
-
NUMBER OF UNITS X
.AREA FEE/UNIT
-STREET LIGHT ENERGIZING: -: •:- •- . : ... . . S
5.800 LUMEN . AT 8100 .. . S
9.500-LUMEN •. .1 AT .i.11.06
1,000 LUMEN -. - 15210
20000 LUMEN.. ' . . S . 169.38
\ TOTAL: •-- . . S. = f/I
GRADING PLAN CHECK FEE DEPOSIT . .. - RECEIPT NO.
55 .. . ... (EXPEDITED/NOT EXPEDITED)
GRADING PLAN CHECK FEE (46,4(( CUBIC ARDS) (
GRADING CASH DEPOSIT
S 5•55 . •55 00 DUPLICATE TRACING FEES. . . . •.-.. •-.: • --. . • . .; . • .. .-.. .. • . - 12
STREET SIGN DEPOSIT
S AT - •=..: S
AT
.5 . . AT
TOTAL
'STREET STRIPING DEPOSIT. .. . . .. .................
FRONT LINE OR AREA FEES (TYPE _______) . S • • . . .' -. • ..
5 5
DRAINAGE AREA FEE (AREA NO. _____ ..j. •.•. . . .:.............. S
S TOTAL ACRES: X.' S S - S • S f
'AREA FE S
. ..LESS VALUE OF MASTER DRAINAGE IMPROVEMENTS S
ASIICTED f4-MASTER RAINA(E PLAN DOCUMENTS
5
5 . MULTIPLTE.D. BY CURENT INFLATION FACTOL,. S
LINE VALUE- X FACTOR = . AM.OUff • S - • - :..
X
X
TOTAL
DRAINAGE FEE DUE:
ADDITIONAL FEES
TYPE:'
TYPE
TOTAL FEES AND DEPOSITS .
ON ADDITION. A GRADING PERMIT FEE OF
IS DUE UPON ISSUANCE OF THE GRADING PERMIT.I
/
- - Ci tv of Carlsbad
Engineering Department',1.
2075 Las Palmas Drive
Carlsbad, CA 92009-4859
(619) 438-1161
APPLICANT PLEASE PRINT
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COMPANY NAME TELEPHONE NUMBER ~4 9(,%--7SM—
ADDRESS S. 24 HOUR TELEPHONE NO.
ODJECT(S) TO BE MOVED Cfri (7
HEIGHT (6D WIDTH LENGTH O tO
IEIGHT PER AXLE AND/OR AXLE GROUP 1 70o
ORIGIN OF TRIP t La Co Li5 DESTINATION _S! j
ROUTE TO BE TAKEN THROUGH CARLSBAD -t-ez .- L ca t
CL 1Qck - ( Fo e
MOVE DATE THROUGH CARLSBAD /i _3/( BEGIN TIME: END TIME:
INSURANCE CARRIER /ur4 _banki 6_
COVERAGE AMOUNT
S
SURETY COMPANY (FOR HOUSE MOVING ONLY)
BOND AMOUNT : BOND NUMBER___________________
PLANNING COMMISSION DETERMINATION NO. AND FEE $__________________
PERMIT VALID CNLY ON THE APPROVED DATES(S) INDICATED ABOVE. IF THE PERMIT IS NOT USED ON APPROVED DATE
N
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F
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GINEERING DEPARTMENT. APPLICANT SHALL DELIVER A COPY OF PERMIT TO CARLSBAD POLICE DEPARTMENT.
TiS PERMIT COVERS ONLY THAT PORTION OF MOVE ON STREETS MAINTAINED BY THE CITY OF CARLSBAD. FOR STATE, C
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C:TIE, PERMITS MUST BE SECURED FOR TRAVEL ON STREETS UNDER THEIR RESPECTIVE JURISDICTION.
PERMITTEE S:ALL INDEMNIFY, HOLD HARMLESS, AND DEFEND THE CITY OF CARLSBAD CR ITS OFFICERS OR EMPLOYEES
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GM:.G OR LIABILITY TO PERSONS OR PROPERTY ARISING F?CH OR CAUSED BY ANY ACTIVITY OR WORK DONE PURSUA
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UNLESS T:E DAMAGE OR LIASILITY WAS CAUSED BY THE SOLE ACTIVE NEGLIGENCE OF T:E CITY OR ITS OFFICERS CR
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S C;A UR E OF AP?L I CANT DATE______________________________
CITY COM1ENTS OR REQUIREMENTS :'oijR.t_tTETo E.e.s._up _(—AI}1
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City of Carlsbad
Engineering Department
2075 Las Palmas Drive
Carlsbad, CA 92009-4859
(619) 438-1161
APPLICANT PLEASE PRINT
COMPANY NAME _e+ TELEPHONE NUMBER
ADDRESS 24 HOUR TELEPHONE NO'. $a
OBJECT(S) TO BE MOVED
HEIGHT ic WIDTH _ LENGTH____________________
IEIGHT PER AXLE AND/OR AXLE GROUP #1 #2 #3 O(000
ORIGIN OF TRIP DESTINATION Sco E
ROUTE TO BE TAKEN THROUGH CARLSBAD E(
aL
k
HOVE DATE THROUGH CARLSBAD /I \O ° BGIN TIME: END TIME:________
INSURANCE CARRIER
COVERAGE AMOUNT
SURETY COMPANY (FOR HOUSE MOVING ONLY)
BOND AMOUNT ' ' BOND NUMBER__________________
PLANNING COMMISSION DETERMINATION NO. AND FEE S__________________
?ERMIT VALID CNLY ON THE APPROVED DATES(S) INDICATED ASOVE. IF THE PERMIT IS NOT USED ON APPROVED DATE NOTIFY THE
ENGI?;EERING DEPARTMENT. APPLICANT SHALL DELIVER A COPY OF -PERMIT TO CARLSBAD POLICE DEPARTMENT.
T:-ils PERMIT COVERS ONLY THAT PORTION OF MOVE ON STREETS MAINTAINED BY THE CITY OF CARLSBAD. FOR STATE, CJNTY AND
O
T
H
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c:TIES, PERMITS MUST BE SECURED FOR TRAVEL ON STREETS UNDER THEIR RESPECTIVE JURISDICTION.
?ER.MITEE SNALL INDEMNIFY, HOLD HARMLESS, AND DEFEND THE CITY OF CARLSBAD CR ITS OFFICERS OR EMPLOYEES FROM ALL CLAIMS,
OAMAE CR LA5ILITY TO PERSONS OR PROPERTY ARISING FROM OR CAUSED BY ANY ACTIVITY OR WORK DONE PURSUANT TO THIS
P
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UNLESS TNE DAMAGE OR LIABILITY WAS USED BY THE SOLE ACTIVE NEGLIGENCE OF TM CITY OR ITS OFFICERS OR EMPLOYEES.
S TURE OF APPLICANT— ' DATE
CITY COMMENTS OR REQUIREMENTS: "Hug5 Li tTED 7o EcLDE gA
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C,qR. RJIR.D A/c?- ,QurHo,.1zEc'
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APPLICANT PLEASE PRINT
City of Carlsbad
Engineering Department
2075 Las Palmas Drive
Car'sbad, CA 92009-4859
(619) 438-1161
I eF3
COMPANY NAME : TELEPHONE NUMBER____________
ADDRESS _ 24 HOUR TELEPHONE NO.
OBJECT(S) TO BE MOVED (T
HEIGHT WIDTH LENGTH_________________
WEIGHT PER AXLE AND/OR AXLE GROUP #1 #2 466-76-o _ #3
ORIGIN OF TRIP t (s4ki DESTINATION ccOE(_
ROUTE TO BE TAKEN THROUGH CARLSBAD c,, csAz_( _
HOVE DATE THROUGH CARLSBAD __3\ BEGIN TIME: END TIME:
INSURANCE CARRIER (
rid
COVERAGE AMOUNT 1, OOb, OOO -
SURETY COMPANY (FOR HOUSE MOVING ONLY)
BOND AMOUNT BOND NUMBER
PLANNING COMMISSION DETERMINATION NO. AND FEE $
PERMIT VALID CNLY ON THE APPROVED DATES(S) INDICATED ABOVE. IF THE PERMIT IS HOT USED ON APPROVED DATE
N
O
T
I
F
Y
T
H
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ENGNEERING DEPARTMENT. APPLICANT SHALL DELIVER A COPY OF PERMIT TO CARLSBAD POLICE DEPARTMENT.
TXS PERMIT COVERS ONLY THAT PORTION OF HOVE ON STREETS MAINTAINED BY THE CITY OF CARLSBAD. FOR STATE, CCUNTY AND OTHER
c:riss, PERMITS MUST BE SECURED FOR TRAVEL ON STREETS UNDER THEIR RESPECTIVE JURISDICTION.
PERMITTEE SHALL INDEMNIFY, HOLD HARMLESS, AND DEFEND THE CITY OF CARLSBAD CR ITS OFFICERS OR EMPLOYEES FRCM
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D,MAE OR L..A3ILITY TO PERSONS OR PROPERTY ARISING FRCM OR CAUSED BY ANY ACTIVITY OR WORK DONE PURSUA
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P
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UNLESS THE DAMAGE OR LIABILITY WAS CAUSED BY THE SOLE ACTIVE NEGLIGENCE OF THE CITY OR ITS OFFICERS OR EMPLOYEES.
S:GNATURE OF APPLICANT DATE
CITY COM1ENTS OR REQUIREMENTS: 7H0VS3 L tn1E-P 7 E.e._UDE 6
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