HomeMy WebLinkAboutPD 02-09; POST RESIDENCE; Engineering ApplicationOF CARLSBAD - ENGINEERING D{TMENT
APPLICATION
ENGINEERING PLAN CHECK
Completea!l appropriate information. Write N/A when not applicable.
PROJECT NAME: 1(M Y 4+ 1Z€. DATE:
PROJECT DESCRIPTION:DESCRIPTION: 6*4L rv fGV t 'F 1Z.
PROJECT ADDRESS: U 0 0 bt
LOT NO(S).: MAP NO.:'I APN(S).:
NUMBER OF LOTS: 1 NUMBER OF-ACRES: C, 2- 5 t
OWNER: LA, 1POT APPLICANT:.' PPUCANT:
Mailing Address: T76 0 1a4c1.0 a1/fA Mailing Address:
Phone Number: g g4 z4 Phone Number:
Fax Number: 1 4 0-1q4-6 -71-7 Fax Number:
E-Mail: U441O P(J E-Mail:
I certify that I am the legal owner and that all the above
information is tr and corr to the Pest of my kno1 edge .
Signature: Date:I Signature: _____________________ Date:
CIVIL ENGINEER: P(JL-A, L,44 SOILS ENGINEER: 471Th{U (2- 3412)
FIRM: L44 FIRM: P2 4'Z-4
Mailing Address: 11— , CA-kV WQ 7Z4i. Mailing Address U-.A --& M4(vo%11-rv.
r#4 qz;O3
Phone Number: 0 510 —31 57_' Phone Number: I U .- qqç I 523
Fax Number: 1 G ?O- 3('5 3 Fax,Number: 7ØLf5. LfZ7(
E-Mail: { log E-Mail:
State Registration Number: e-31 State Registration Number: 1 2--7
ADDITIONAL COMMENTS: -
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
[]Carlsbad Municipal Water District DOlivenhain UVallecitos
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
cut cy fill cy remedial _______ cy import cy export cy
SEE REVERSE SIDE
D b'2.oct
HJDEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1/14102
l OF CARLSBAD - ENGINEERING DE•TMENT T F1 APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
USE ONLY
APPLICATION FOR VPROJECT DRAWING
(v all that apply)
DEPOSIT/FEES COMMENTS
O Adjustment Plat (ADJ)
O certificate of Compliance (CE)
O Dedication of Easement (PR)
Type:_______________
Type:___________
'Type:.
O Encorachment Permit (PR)
O Final Map _(FM)
Q-Grading,Plancheck (DWG)
O Improvement Plancheck (DWG)
O Par ap (PM)
Q
Quitclaim-of Easement (PR)
Type:
-' .Type:
Type:________________
O Reversion to Acreage (PA) '
O Street Vacation (STV) '
O Tentative Parcel Map (MS) '
O Certificate of correction
(CCOR)
O Covenant of Easement (PR) '
O Substantial Conformance '
Exhibit (SCE)
0 Other
H:/DEVELOPMENT SERVICES/MASTERSIAppIicatiofl for Engineering Plan Check Page 2 ' Revised 1)14/02
mall
An employee-owned company
PROJECT REVIEW COMPLETION
The following project has been reviewed and are recommended for approval:
Project Name: Post Residence
Project No.: PD 02-09
Document No.: DWG 408-5A
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 Engineer of Work of the
responsibilities with state and local ordinances.
FESSlo
65)
(. No. C57649
..'
Exp. J°!j *
4.ClV':,' '-
Signed CLIL V. Date -+ / /03
Charles R. St. John, RE C57649
Expiration Date 12/31/05
PROJECT REVIEW COMPLETION.doc
175 Calle Magdalena • Encinitas, California 92024 • Telephone: 760.753.1120 • Fax: 760.753.0730 • www.pbsj.com