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CI CARLSB4D -.l;_NGINE~RING DEPA,R NT
APPUCA'n:otr.
ENGXNEEIUNG PLANt~:HECK ..
. . Complete all appropriate information. wt_ite N[A_When_not'_applicable •
. . &e. ~a~e~ Lo-\~-~ 'l. -oS PR0.JECT NAME: EJ\\\~ DATE:
l'r---~ £a_~. ( .
PROJECT-DESCRIPTION: -(el~A CL
PROJECT ADDRESS: "E3i E~ fu.2<h $~~,
LOT NO(S).: ~, MAP NO.: ~~o'L APN(S).: 2.iS ~-¥~i..-~ o _-co
NUMBER OF LOTS: NUMBER OF ACRES:
OWNER: . { ' -ti.& ' APPLICANT: M.KftA _ -~/;J./::1-,; Mailing Address: ~ ;J."J/4. V&:gizMC-:li cf' Mailing Address:
a 4£l ~BA:Pi ~A~Za'2~
Phone Number: (;Uti). '2 r2. 3 -8 ~2.J . -Phone Number:
Fax Number: (;;z.~tr). 6.tZ.3 -~ Z 'Z I Fax Number:
E-Mail, ,,.,.. f>do c O ~ Bee_! ,i, ,J. ' -'!~-Mail:
' ,
I certify that I am the legal owner and that all the a :Ve n;J
Information Is true and correct to the best of my knowledge.
Signature: Date: Signature: Date:
CIVIL ENGJNEER: 'SA~~~ s.f,,,;M~ n SOILS .ENGINEER:
FIRM: {.p.J dt!f!t'~ ~'<t~i#t~r FIRM: ·rH~}~f-l&n &i.11!,,tf~ . ~MJ'3 l1 A~
Mailing Address:· _v v· Mailing Address: 'L=cL= , E-L-c =lot O --
,#(d'{ OCG>elff S:/~-i . ; CA 92.059'
Phone Number: ":1£.c:, -rs.. l/ -'?l ~ l Phone Number:
Fax Number: '7-f;o -1-f''t..-J.( 'LO Fax Numb~r;
E-Mail: "SStf; £(!'1»!v'cD Ld-£'rf'.,een~ "'-tt,ail: _,
State Registration Number: 6. 'l. i 9 Y.. State Registration Number:
ADDmONAL COMMENTS:
...
IMPROVEMENT VALUATION
1. What water district is the propo~ project located in? (check one)
Otarlsbad Municipal Water District Oonvenhaln Ovalfecitos
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 Carlsba~ Municipal
Water District only), street, public (median) lanc:fscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUANttriES
Jt'Vcr°\l cut · t cy fin/ rrl'-J cy remedial cy import cy export cy
SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check
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CWF CARLSBAD· ENGINEEIUNG DEP-MENT
APPUCATION ·
ENGINEERING PLAN CHECK
Complete all appropriate information. Write .N/ A when not applicable.
FOR. CITY USE ONLY
APPUCATION FOR PROJECT DRAWING Dl;POSIT /FEE$ . COM,-tENTS
I
• ( ./ all that apply) 1.D • NUMBER PAID
D Adjustment Plat (ADJ)
:o Certificate of Compliance (CE)
D ! Dedication of .Easement (PR)
i
Type:
Type:
Type:
D Encorachment Permit (PR)
D Fi~Map(FM)
•L_Q/4rading Plancheck (DWG) t~3k~111 tJ bol-lo/ ~7AJJ-_,,,-
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 Correq:ion
(CCOR)
D Covenant of Easement (PR)
·o Substantial Conformance
Exhibit (SCE)
D Other
t APPUCA-110111 ACCEPTED BY: ·
H:/DEVELOPMENT SERVICES/fylASTERS/AonllcatlonJnr EnnlnAArinn PIAn r.h,.r.k P""" ?
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RECEIVED
NO\/ 22·2005
.ENG\NEER\NG
DEPARTMENT
DATE STAMP
1 APPUCATQN ~ECJ:JVl;Q
c,,.,,1.,...,..a ,tl-tAlrV\
• 1
• • PROJECT PLAN REVIEW COMPLETION
The following project plans have been reviewed and are recommended for approval:
Project Name: (A.,-\'\2.-.. ~c-~ . .\Dl~"---\U
Project No: __ -= .:...i:,_-l).;;;;;_ ...... .:=::O;...:~=· _-__;..\ 9_-_,,, ___ _
Drawing No: __ L-\...,;,....;;C>...;:. 8 ___ ,.... ____ \ ·_·A ____ _
,,. -~ .
Sheets No. \ through. __ L;_\ _____ _
-DECLARATION-OF RESPONSlBLE CHARGE
...... ~--. .· i hereby d~lare that I have exercised responsible charge over the plan rsview of this
project as defined in Section 6703 of the Business and Professions Code to determine-
that the plans are fou_nd to be in substantial compliance with applicable codes and
standards. · ·
Pfan r~view of these project drawings does not relieve the Engineer of Work· of the
. responsibilities for the project design.
Firm:· Berryman & Henioar ;· Pu\2..-e.Au '\.,} £.12--~,A ~
(seal)
Address: , 1590 W. Bernardo Court. Suite 100
San Dieao. CA 92{27.
Telephone:_4 __ 5 __ 1-__ 6 __ 1 __ 00 __ · ----~----,.---
By:. \\ ~A '-)o~\l..,
P.E. (Civil) No: L\boto·J
Date:
Expiration: \S f ~ \ I D lo
F:\USei=IS\RAU.E\WPOATA\PLANREV.S&.H
Rev. 2/8/96