HomeMy WebLinkAboutPD 02-05; OUELLETTE RESIDENCE; Engineering ApplicationOF CARLSBAD - ENGINEERING DRTMENT
APPLICATION
ENGINEERING PLAN CHECK
Iff 4: Complete all appropriate Write N/A when not applicable information
PROJECT NAME: (qpi(etk. 'Lci.J DATE: 9 -(0 —C) er PROJECrDESCRIPTIOF1: ( - (LQ
PROJECT ADDRESS: CA7O
LOT NO(S).: MAP NO.: APN(S).:
NUMBER OF LOTS: NUMBER OF ACRES:
OWNER: (Iflj4
APPLICANT: ø 0 e ( -
Mailing Address: (CIE' u'e-' SMailing Address: L7 ci- 'e. ' C V'i €r -S
17c C,Y7(
Phone Number: O ( 3 q -((3 , Phone Number: O' 4176 - q (f
Fax Number: 76 O- 94 5 - Fax Number: cc 9O
E-Mail: 4 E-Mail:
I certify thati am le a etan&that all the above
Sign ie: Date.
CIVIL ENGINEER ' SOILS ENGIN R:S (-(u
FIRM: 2T S3,t'/c,Au FIRM: Stu S(-(y
Mailing Address: 12 (. v7 90 Mailing Address: 4'OS (o--\
S GA q2(( ( 9?-60 8
Phone Number: Ot9 - 9-3 $- 6 ç( f Phone Number: t0 2- 2$ / (
Fax Number: 6(9 '- 03 c'9 Fax Number: 760 - - sq6 6
EMail: - :EMail:
State Registration Number: $9&S State Registration Number: -
ADDITIONAL COMMENTS:
- - T33 C' U I
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
arlsbad Municipal Water District fJolivenhain OVallecitos
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, sewer (for Carlsbad Municipal
Water District only), street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUANTITIES
cut29 6 cy fill cy remedial cy import cy export .=6 cy
SEE REVERSE SIDE ,flCrr f,.. Ph,n Chk Revised 1114102
CITY •ARLSBAD - ENGINEERING DEPARTf#T
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable,
APPLICATION FOR
(V all that apply)
FOR CITY USE ONLY
PROJECT
ID.
DRAWING
NUMBER
DEPOSIT/FEES
PAID
COMMENTS
[] Adjustment Plat (AD))
[] Certificate of Compliance (CE)
[] Dedication of Easement (PR)
Type:_________________
Type:_________________
Type:_________________
E] Encorachment Permit (PR)
Final. Map (FM)
X Grading Plancheck (DWG) >c$l cis -A
Improvement Plancheck (DWG)
IJ Parcel Map (PM)
[] Quitclaim of Easement (PR)
Type:_____________
Type:______________
Type:______________
E] Reversion to Acreage (RA)
El Street Vacation (STV)
[J Tentative Parcel Map (MS)
[] Certificate of Correction
(CCOR)
Covenant of Easement (PR)
O Substantial Conformance
Exhibit (SCE)
J Other
APP CATION ACCEPTED BY:
I 0 2002
ENGINEERING
DEPARTMENT DATE STAMP
APPUCATON RECEIVED
Fl-lfl%II APUtJT PII( iMATcpq!AnnIfrtjno fnr Fnnjn..flnn Plan C.hp,'J( Pnp 2 ' Revised 1/14/02