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Home My WebLink AboutPD 460; KOOP RESIDENCE; Engineering ApplicationCITY OARLSBAD - ENGINEERING DEPARTMENT APPLICATION FOR ENGINEERING PLANCHECK OR PROCESSING Complete all appropriate information. Write N/A when not applicable. PROJECT NAME:4(co(D r1W2 DATE:___________ PROJECT DESCRIPTION: AJ(L2... Lt PROJECT ADDRESS: 17 LOT NO(S).: MAP NO.:__ APN(S).:- OWNER: Scry- A APPLICANT: . Mailing Addres: 17p ft1Ai/* Mailing Address: Phone Number: Cot g 4 4 - B / Phone Number: I certify that I am the legal owner and that all the above information I certify that I am the agent of the legal owner and that all information on is irue and, correct to bestof.my knowledge. this sheet is true and correct to the best of my knowledge. Signature f1L Date Signature Date - CIVIL ENGINEER: eh_—, Se SOILS -ENGINEER: . Firm: t24 Firm: p Mailing Address: O ~d . Mailing Address: /VIii 4-ô1. Pw ?Z, 6, s Phone Number: ( (,i'3 677-17903 Phone Number: State Registration Number: Lt/? State Registration Number: LANDSCAPE ARCHITECT__________________ ADDITIONAL COMMENTS:_____________________ Firm: Mailing Address: - Phone Number: I . State Registration Number: NO. OF DWELLING UNITS: LFMP ZONE: NO. OF LOTS:__ NO. OF ACRES:_____ _____________ IMPROVEMENTAtUATION?SéWer, water & reclaimed water: District Water District Olivenhain Vallecitos streets and drains ge _____ landscape __________________ 1/0 0 GRADING QUANTI11ES ir 5Db CY cut /OC) cy fill cy ! . remedial cy import/export cy PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE P:\DOCS\MISF0RMS\FRM00063 REV 04128195 0 - FOR c;USE ONLY 1 — APPLICATION FOR Plancheck Type Drawing Proiect Deposit/Fees (CHECK ALL THAT APPLY): • Number. Number lb. Paid OAdjustment Plat ADJ , ,. 0 Certificate of CompIiance OC O Dedication of Easement DOE •, . . '.5 5 5. .•. :. Type: • -.:::5çj - Type: •. 0 Encroachment Permit\ ENCROACH 0 Ehineerinq Standards Variance... ESV .0 Final Map . - . f ) - . - — FM _____ _________ _________ ____________ OGrading Plancheck iapulc EZ "Grading f42 .• O Improvement Plancheck - Ic . .5 • _________ ____________ O Landscape PIanchk O Parcel Map - PM 0 Quitclaim of Easement .'• (S c., QLJITC ... - s,j '. .,,j ; . ,... 5. .\ .1 • J . Type: •.•-. — ________ • • - .0 Reversion toAcreage PTA - -: O Street Vacation . SIV . . D Tentative Parcel Map •-. _______ _____..• - '-• - .-- O Certificate of Correction . * . cCR . -S .- .• - O Covenant for Easement 5 5 . COVE 0 Substantial Conformance Exhibit . APPLICATION-.A C-CEP7-EQ BY____•L ) .1 . .. . 5 • .5. . S I . .. . • 5 MASTER PROJECT ID_________________________ . -: . . . REcEIVED:-. . RECEIPT NUMBER 3 2- - - - - :.. PRELIMINARY SIERRA SYSTEM INPUT INITIAL,-- - SEP 23 1996 SIERRA SYSTEM INPUT INITIAL • .•. . -. . • . - R:BASE INPUT INITIAL ______.GINEERING :-. . DEPARTMENT •/ . S . .- MASTER FILE NUMBER:F 5 DOther:______________________. DATE STAMP • . 5 . . 5 APPLICATION RECEIVED P:\D0CS\M1SF0RMS\FRM00063 - ' - . - - - REV 04128195 CITY J06ARLSBAD - ENGINE ERINEPARTMENT APPLICATION GRADING PERMIT D 4I PROJECT NAME: PERMIT NUMBER:R?O(c_-ii: PROJECT LOCATION: - LYtfM ASSESSOR PARCEL NUMBER(S):_(ZO _(— PROJECT DESCRIPTION: Mc OWNER: . ADDRESS: (Ct 7 /l4/nc f,i- (5 bad PHONE NUMBER:________________________________ I CERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND I AUTHORIZE THE GRADING ASSOCIATED WITH THIS PERMIT. OWNER SIGNATURE— t /ri -- DATE: CIVIL ENGINEER: LA.-(Prr o0 ADDRESS: -CtoL PHONE NUMBER: 2/I( SOILS ENGINEER: ADDRESS: _23 0 I (Vt&'Lie _tcw çjj (L(, PHONE NUMBER: iN HO r67-1 GRADING CONTRACTOR: L*IZ(L _,Cilí,,J __&Yr'J STATE LICENSE NO.:_________ ADDRESS: 5SZTTh hc7kL_Lc1 ' : C_bC.t CITY BUSINESS LICENSE NO:_____________ PHONE NUMBER: g'gi_—Zó BASIS OF PERMIT FEES: WO cy GRADING QUANTITIES: cy cut 3g0 cy. fill 'TO cy remedial 5' o cy export/import VERIFIED TOTAL PERMIT FEES: BALANCE DUE: BY: I ha.bv .duiowudi that I hay. read dii apvbmm aid Wommmem proveded in caysct. I agres to con0v wroh d (id. atas. aid äty tows. adiiaica.. ,at,onq and ockcas ,datiig to aC.V.OaI aid griiiq mcludne. but not Wmed to. the Fofa ErWaverso Spuaus Act of 1173 aid avq thereto. 0514* P.w.t ,iatavusits to, trautiot OWN flyo itot d..o aid the p,oi.imi. aid caiàtiwis of avq pamt mmund pursue" to this sapkameru 5~ APPLICANT NAME_4 PHONE NO.___________ ADDRESS: I'f?O f'tQ.. /fr1 (y(rfr/. (, 27,7F3 APPLICANT'S SIGNATURE: DATE: / P:DOCS\MlSFORMSWRM000e5 7 REV. 12122193 CITY OFRLSBAD -ENGINEERING •PARTMENT APPLICATION FOR ENGINEERING PLANCHECK OR PROCESSING Complete all appropriate infomation. Write N/A when not applicable.. PROJECT NAME: _ko9 'I .QAU- eM-,1 DATE: .6-1 6 PROJECT DESCRIPTION: PROJECT ADDRESS J91 T-j4 i c LOTNO(S).: Y . MAP NO.:/•Z )i2 APN(S).:_____________________ OWNER ir A (- APPLICANT ( Mailing Address: (' 76 (fl Mailing Address: 1U1 . Phone Number: ( . 7 [, p) C( ,Ll -3'i 0 f • Phone Number: I certify that I am the legal owner and that all the above information I certify that I am the ag,pnt of the legal owner and that all information on is true and correct to the of my knowledge. this sheet is true and rrect to the best of my knowledge. Signature ___-( 1r Date Signature ___-4k' Date t 2'/ 7 CIVIL ENGINEER (.i. (2 s SOILS ENGINEER Firm Firm Mailing Address: 513sZ' —4- Mailing Address: Phone Number G cf f? 7/ (f( Phone Number State Registration Number; . L/ Lj 7 (O . State Registration Number: - LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS Firm: . * Mailing Address: . . . . . . . . Phone Number: State Registration Number: NO. OF-DWELLING UNITS: LFMP ZONE: NO: OF LOTS: NO. OF ACRES:._____ IMPROVEMENT VALUATION: sewer, water & reclaimed water: I . Water--District -(circle one): Carlsbad Municipal Water District Olivenhain Vallecitos streetsand dçaina landscape GRADING QUANTITIES' CY cut cy fill cy 'V remedial . - cy . import/export cy PLEASE CHECK OFF APPLICATION TVPES.ON REVERSE SIDE P:\D0CS\M1SF0RMS\FRM00063 REV 04/28/95 - -, - ••-' 11 -J ,111 . Ii FOR CITY USE ONLY APPU CATION FOR4 ' Plancheck - . - ._ ¼. I.._?..__._. Type Drawing Project Deposit/Fees 4 ' (CHECK ALL-T1.HAT APPLY) Number Number ID Paid I. (AdjutmntPIat ___________________________________________ O Certificate of CompIianc' 'edication of Easement 4 DOE Type __________________ U. V '(6O 1: Mi .Type: . Li.. .:::. O Encroachment Permit ENCROA8 U En ineerin Standards Variance ElFinalMa FM Eb}adin Plancheck __________________________________________________ ,[];Grading GRADiNG ' U Im rovernent PIanche O Landsca e Plancheck I. _______________________________________________________ _______________________________________________________ '4 UII Parcel Ma %PM ___________________________________________________ O Quitclatm of Easement aUTO .:-T.ype:__ ': Type:-- •'-:..-- -s.- - _________________________________________ O Rever1.sion to Acre1.age RTA ......... U Street Vacation Tentative Parcel'4Ma _____________________________________________________ Certificate of Correction O Covenant for Easement O Substantial Conformance Exhibit