HomeMy WebLinkAboutPD 331; LOMAS LOT 30; Engineering Application., • CITY OF CARLSBA~
PROJECT NA"E: PD > 3 l
ENG I NEER 1'16 DEPAR n.-ER T
FEES AID DEPo·s1rs VORKSHEEI
· PREPARED BYi 8, i=U.t1r2,./IJ 1.-ei 1 3 o c~~ ~~s EASf A TE= -------~~/~D.;;;...!!'f~/:µ:M:!:!..~ -I
I
TENTATIVE PARCEL MAP FEE t • t . I I I •• t • ' ' t ' t ' •• I ' • ' ' tJ/ 1ft, --....:..::..;.,.:;...,:__ __
~ .. MAP FEE ( ____ LOTS)(PARCEL MAP/FIN.AL MAP NO,. OF LOTS __ ), , , JJJ/A (EXPEDITED/NOT EXPEDITED) ------:..;;/:,.::,.~.---I
PARCEL MAP EXTENSION FEE .• I I • I I r,.1/~
It I I I I I I I I I I I It I ·-----,~Tr:...:... __
qQ/~43 IMPROVEMENT PLAN CHECK FElf
DEPOSIT WITH SUBMITTAtf is 'fD'J_ _ __ RECEIPT NO.
IMPROVEMENT DESCRIPTION ~ONPEP VALUE . I ·-I
. . . . .$ ;:.,1~
TOTAL:.
IMPROVEMENT INSPECTION F~E:
.1.Ill1.
TOTAL:
PARK-IN-LIEU FEE (CIRCLE ONE):
t.
. ~ C. t½D
_,) '
d; VALUE 6. J t;"D
.,,I'
I
lf 0 J .«;?)
\ .,r'
X ~(}*' ___ 0_~_
PERCENTAGE
X O,tJ~
PERCENTAGE
•
•
DWELLING TYPE: SF OR DUPLEX MF ·( < q UN I T S ) MF (> q UNITS) MH
AREA: 1 2 3 q
NUMBER OF UN ITS:
STREET LIGHT ENERGIZING:
5,800 LUMEN-----,--AT 81.00 • _:_~ ____ _
9,500 LUMEN AT 111,06 • -------
16,000 LUMEN AT 152,10 • --~---
20,000 LUMEN AT 169,38 • --~---
TOTAL: •
G~A0ING PLAN CHECK FEE DEPOSIT _____ RECEIPT NO, ____ _
f\.
¥ 307i~
J
(EXPEDITED/NOT EXPEDITED)
GRADING PLAN CHECK FEE ( ___ CU·BIC YARDS) I ' t • I ••••••• I SGr: Ff: 2,.81i,lt
GRADING cAsH oEPosir •••••••••••••••.•.••••••• Se! Pe 2,&1,Jfi
DUPLICATE TRACING FEE ' I • I I • I ' • I •• ' • ' I •• I I • • • • • ,-J/11--
STREET SI·GN DEPOSIT: /
_____ AT ____ • _______ _
_____ AT ___ •----------
-----AT ___ • _________ _
TOTAL: :s
STR~ET STRIPING DEPOSIT. I ' I • I I •• I I ' • I ••• I • I •• I ·--~~~'l.~~--
FRONT LIN~ OR AREA FEES (TYPE ___ ) •••• I I I I I •• I ••• ·---~~l'~~~--
DRAINAGE AREA FEE (AREA NO, _____ ), • I • I •• I •••••••••• ____ N'-+~--A:...---
TOTAL ACRES: ___ X ___ • ---------. /
VALUE · X FACTOR
X
X
X
TOTAL:
DOCUMENTS ..
•
•
•
0RAINAiE FEE DUE:
I I •-.:::..t-" /~l}~ZtZ4-i--t I sii r tf~
TYPE:_· ------------. • I • I • • • • • ' ' • • • ·--~N,..;-l=!>:'.:---TO TAL FEES AND DEPOSITS: I I • , ___ , _____ -:,,
I I I I I I I I I I I I I
(IN ADDITION, A GRADING PERMIT FEE OF see 'PF!t~,gti.Jc:t
IS DUE UPON ISSUANCE OF THE GRADING PERMIT,)
• SUBDIYISION LOG • s r Arr ENG JN EER 1 -~ , :r:;-LJ..L; .. (?,IN
SUBDIVISION N0.s______ SUBDIVISION NAHE, PD ~~H '_f\l t:?A
ffWNER /DEVEL OP ER, ____________________________ , ___ -• .:.,~.:;.•::;:,-.:;...::::..~:...:M"""!,""':;o-=-·· __....Yh~· -h-::....,l;;IC..;;;.:S:::.__...:/EA::::=t..l~rr::.+--
ADDRE S~~ ~ -------------------------------------------_______________________________ PHONE, _______ _
ENGINEER Of WORK1 ______________ _ r IRH1 ---------"-----------------ADDRESS, ----------------------------------------------------------------------------------PHONEt _______ _
TENTATIVE HAP APPROVALi__, ___ ___ 1ST EXTENSJON1 ____ _ 2ND EXIENSI0N1 -----
lHPROHHENT PLAN NO.t "3()(j-(.j ----... --GRADING PLAN N0.1. ~Q-g"fr
GRADING PERHIT NO. I p~ 1..., }?1, If
EROS[ON CONTROL PLANt • 500 .,.;_;re ..,
"AS BUILJS" APPROVEDi _____ _
AGREE:HEN T TITLE
,· ' ,,
BONDS AND AGREEMENTS
f A I J HfUL · LABOR & . HUNUHEN:.
EXPIRATION PERfORHANCE HATERIALS TATION
DATE . BOND AHT. BOND AHT. BONO AHT;
"'f11 lii\rr 1?rf!;t 10..\}
6~A,1) IN ? t]DtJ I) · !;
I
\ I /
SCTUR 11 Y
fYPE (CASH,
SURETY LOC}
, u..•
COHHENTS
SURE TY COHP ANY 1 ___________________________________ ,rg----:::Hf~"""'IJ ___ ~-=A---~--.---_
ADDRESS t·_. __________________________________ I ___ ,_~ __
CONTACT•---.:.-------------------------;(_. ____________ PHONE 1 _______ _
EA SEH·EH JS
USE. lOC,A 1 I ON R£CURONU.
REPORTS
TYPE or REPORT STATUS ([N, NIA} Cll(Cl<-£0 OY
' IN ee
I tJ
I.
IN
WATER O IS TR IC T 1 _____________ _ SEWER 0ISfRicr, ___________ _
SCHOOL DJSTRICTt ---------------PLANNING AR[A1-,.-______________ _
0 RAIN AGE AREA, __ __, ____________ _ SPtCIAL ZONES1(ASSESSH£Nf, THOROUGHfARE 1
PLANNING. ACTION1 __ -_______________ __ BRI.DGt 0-ISfRICf?: __________ _
COHH[NTSr ___________________________________________ _