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HomeMy WebLinkAboutPD 01-05; ZIMMERMANN RESIDENCE; Engineering Application-S CITY OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION FOR ENGINEERING PLAN CHECK OR PROCESSING Complete all appropriate information. Write N/A when-not applicable. PROJECT NAME crw DATE rct.T,0t PROJECT DESCRIPTION: S Or r4.e ark dprc PROJECT ADDRESS L ' LcJ ci di o o -LOT-NO(S).: MAP NO.:- hsc APN(S).: -oo — NO OF DWELLING UNITS LFMP ZONE # LOTS # ACRES: .OWNER: APPLICANT: - Mailing Address: V107 cLn -c.c.L - - . Mailing Address: - • . '72M - - __- Phone Number: ( ) O( - - -Phone Number: I certify that I am the legal, owner and that all the above- information is true and cprretto the best of -my knowledge - - Signature Date qqcL Signatur6 • ; Date - -. - CIVIL ENGINEER SOILS ENGINEER Arm Su'e _tEc_q&tt Mailing Address 9i t Mailing Address 2220_t-c c.i e_- Phone Number (7G,d_ Phone Number (t1 _)_220L(-( State Registration Number State Registration Number ADDITIONAL COMMENTS __ 41b __O/6 r_/ ç//ivg.e.q___7() -d7 Me,ef7.4) - -, IMPROVEMENT VALUATION -- - - I. What water 'district is -thpropsed project located in? (circle one) - - - Carlsbad MuniciaiWater District -. Oliyenhain - - Vallecitos - - I i3Y --..- . .L - 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 (if applicable)9 3 What is the total cost estimate, including ,the 150/d contingency fee for sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)9 improveents on private property (if applicable)7 4 What is the total cost of landscape and irrigation m GRADING OUANTITIE8 cut 1/0 • cy - -fill "Yc cy, : -, -remedial - - cy - poe port c2© _- Cy H:WORD/DOCSFMiSFORMS/APPLiCATiON ENG PNCHECK OR PROCESSING FP 0 1 0.6 - R. 10106/99 - APPLICATION FOR: all that apply) I FOR CIUSE Ø!LY [Ia nnclheclk Nuber Type Drawing Number Project LD. Deposit/Fees Paid = U Adjustment Plat ADJP E) Certificate of Compliance COC C] Dedication of Easement DOE Type: Type: D Encroachment Permit ENCROACH LI Engineering Standards Variance ESV LI Final Map FM 'Grading Plancheck GRPC LI Grading GRADING LI Improvement Plancheck PC LI Parcel Map PM LI Quitclaim of Easement QUITC Type: Type: • Reversion to Acreage RTA • Street Vacation STV LI Tentative Parcel Map MS LI Certificate of Correction 000R LI Covenant for Easement COVE LI Substantial Conformance Exhibit SCE APPLICATION ACCEPTED MASTER PROJECT IQ RECEIPT NUMBER: PRELIMINARY SIERRA SYSTEM INPUT INITIAL: SIERRA SYSTEM INPUT INITIAL: R:BASE INPUT INITIAL: MASTER FILE NUMBER: F LI OTHER: L- I RECEIVED MAR 16 2001 ENGINEERING DEPARTMENT DATE STAMP =APPLICATION RECEIVED H:WORD/DOCS/MISFORMSIAPPLICATION ENG PLANCHECK OR PROCESSING REV. 10/06/99 . PROJECT REVIEW COMPLETION The following project has been reviewed and is recommended for approval: Project Name: Zimmermann Residence Project No.: PD 01-05 Document No.: Dwg. 394-8A Sheets No.: 1 Through: 3 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 Ehgineer of Work of the responsibilities with state and local ordinances. PowelliPIBS&J 175 Calle Magdalena Encinitas, CA 92024 (760) 753-1120 Signed. £L-L I Date Charles R., St. John, CE C57649 Expiration Date 12/31/01 (<9 '? A. (f No.C5764g9 Exp.. 12-31.01 / * OF C PROJECT REVIEW COMPLETION.doc ¶110 / 01