HomeMy WebLinkAboutPD 05-08; SHAMSHOIAN RESIDENCE; Engineering ApplicationC _ . OF CARLSBA~ -EN~JNEER,ING D,:P .'.MENT
APPUCATION
ENGI~EERING-PLAN CHECK
Complete_ afl'-appropri~te information~ Writ~ N/AW~e,n not ~ppli~ble.
PROJECT NAME: ----.i'ii-"iJ.r1iH;,~-;/ fl. ~~ioer1_e e.s DATE: S,3/,0S
PROJECT'DESCRIPTION: /11:1!:" L'/_GW $µ6t,15 J;;a,/.L't,_ /f.E :f {IJ.6N4ES
PROJECT ADDRESS: /18'1' M-44:tJ""-'8 Av'-. ' LOT NO(S).: L..,. 2.. MAP NO.: P/1/73"12. APN(S).: io2.-: Z.ltJ -'-.q_+ "fs,
NUMBER OF LOTS: 2. NUMBER OF ACRES: ,. ,,
OWNER: .M/_.:l:J.AeL t:, . .L U~/4, $.lf!J.tt,SIJ,ol.tlfl APPUCANT: M.tGHA~'-+ Luei!J. ~lJJ:!.~i:t.DIA-NI
Mailing Address: //8'( /1M,N4L14 Av-· Mailing Address: //8'/ /t'Ji!J4;~D'-lil. .4vtr, ' LAAJ.S1JAt1, LA. • 92.0l>(i q18l£.IMR,, L/1. 9Zt>t>8
Phone Number: 859 .. Z.f.~. 6'12.l Phone Number: 8$8, 2.'fS. &1/2.L,
Fax Number: 1..'-0• 72. '1, .'}.S;J. Fax Number: 26tJ. 2z2. Z6:.S2
E-Mail: f HAWl{O(AH<§.S4e.~ BtU, · MIC E-Mail: SHA11Sht'1A.11S,;fBe (a.(?HA1.,,N{:r .
I certify that I am the legal owner and that all the above r·
information Is true and co~he 7r my knowledge.
Signatur~')(,L · -· ..., Date:6.,il, c.5 Signarure:;t!~~ JJ_ Date: s. 31. o,s
R1~t1.JlJ> w. fttgzt..e-t
V
CIVIL Ef'.JGINEER: SOILS ENGINEER: -:;/"o~ E.PH 6. 5;,,~rti!
FIRM: 5"~a r. A~~;~-n~s.. ~e.. FIRM: :5ot1=. Te:-sr6Rs_
. Mailing Address: 1/75 P1JJ,t1e,f1.e.r1ot:f. -STL Maiiing Address: /',{). Bo~ l.l.1..5
~d. /1-4.f!:.&~, il:CA 91.0'J..8 LA.k~::fll)" ~ C:.11 12..0'/0
Phone Number: 7&o. ta,, z.01.,0 Phone Number: 611. 1/'l 3. 0()/,()
Fax Number: 264. ?31,. ~"&" Fax Number: 6/"I, 'l'-/8,,, D9~3
E-Mail: '°41Jl a $'~it!J.8.~G -lf.ll.z E-Mail:
State Registration Number: ~ ce. 2.01..a'I State Registration Number: /fC.IE. 2./&5o
ADDIDONAL COMMENTS:
..
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
(3:tarlsbad Municipal Water District Qolivenhain '· 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
cut 600 cy fill 6()() cy remedial ,O cy import 0 cy export a. cy
SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Appllcation-for Engineering Plan C!ieck
C OF CARLSBAD -ENGINEERING DE TMENT
APPUCATION
ENGINEERING PLAN CHECK
Complete all appropriate Information. Write N/ A when not applicable.
APPUCATION FOR PROJECT DRAWING
( ./ all that apply) I,D,. NUMBER
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE) ·
D Dedication of Easement (PR)
•.
Type:
Type:
Type:
D Encorachment Permit (PR)
D final Map (FM)
lw" Gr~din9 Plancheck (DWG) QD '-laa-fA
D Improvement Plancheck (DWG)
D Parcel Map (PM)
D Quitclaim of Easement (PR)
Type:
Type: '
Type:
D Reversion to Acreage (RA)
D Street Vacation (SlV)
D Tentative Parcel Map (MS)
D Certificate of Correction
(CCOR)
D Covenant of Easement (PR)
D Substantial Conformance
Exhibit (SCE)
D Other
APPUCATION ACCEPTED BY:· .. ---~ . \ \_/
H:/DEVELOPMENT SERVJCES/MASTERS/AoollcaUon for Fnnln""rlnn l>lon l"hMS 0~~~ "
FOR CITY. USE ONLY
DEPOSIT /FEES
PAID
COMMENTS
.
RECEIVED
JUN O 2 200~
ENGINEERING
DEPARTMENT
DATE STAMP
APPUCATON RECEIVED