HomeMy WebLinkAboutPD 99-04; NESSIM STREET IMPROVEMENTS; Engineering ApplicationCITF CARLSBAD - ENGINEERING DE$TMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: hT'e DATE:
PROJECT DESCRIPTION: Cc -, 9'izk / TrIvct4 ç 'i
"tv-f
PROJECT ADDRESS:
LOT NO(S).: MAP NO.: LI , APN(S).: 1%, JCIQ' 6
NO. OF DWELLING UNITS: I LFMP'ZONE: #LQTS:;/ #ACRES: ,
OWNER: APPLICANT:
Mailing Address:' qHQQ Mailing Address:
cot-00X_`3
Phone Number: (7O) 7q 'Phone Number:
I certify that I am the legal --owner and that all the above
information is true-and correct -to the best of my knowledge
Signature Date Signature Date
CIVIL ENGINEER: (ut 1 hom A A r, SOILS ENGINEER:
Firm: ' ' , Firm: ' ' oi k
Mailing Address:' 10 S i (a,%10 V,.JO Mailing Address: '
,Phone Number: (Thfci ) , ' Phone Numb '" '
State 'Registration Number: - ' ' State Règistratior
LANDSCAPE ARCHITECT:' ADDITIONAL I
Firm: -'
Mailing Address:
'Phone Number: ,( )
State Registration Number:
IMPROVEMENT VALUATION
1. What water district is the ro osédroect located in (circle one)?
arisbad Municipal' Water District Olivenhain
2., If in the Carlsbad Municipal Water District, what is the total cost estimate, ir
contingency fee,for water and reclaimed water improvements (if applical
3'. What is the total cost estimate, including the 15% contingency fee, for sew
Municipal Water District only), Street, public (median) landscape and ii
drainage improvements (if applicable)?
4. What is the total cost of landscape and irrigation improvements on private p
applicable)?
'GRADING QUANTITIES
cut fill cy remedial , c
OOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING
. .
APPLICATION FOR:
(/ all that apply)
FOR CITY USE ONLY
Plancheck
Number Type
Drawing
Number Project I.D.
Deposit/Fees
Paid
• Adjustment Plat ADJP • Certificate of Compliance COC • Dedication of Easement DOE
Type:
Type:
• Encroachment Permit ENCROACH • Engineering Standards Variance ESV • Final Map FM • Grading Plancheck GRPC • Grading _ GRADING
l-1improvement Plancheck Ptg 000 tI IPC -Pwh 371- 2- • Landscape Plancheck LPC
L• Parcel Map PM
f•Quitclaim of Easement QUITC
Type:
Type:
Ll Reversion to Acreage RTA - -
Q Street Vacation SN
0 Tentative Parcel Map MS
Certificate of Correction CCOR
IZI Covenant for Easement COVE
J Substantial Conformance Exhibit I SCE
APPLICATION ACCEPTED BY:
MASTER PROJECT ID: ?i)
RECEIPT NUMBER: 0 0 ()e
PRELIMINARY SIERRA SYSTEM INPUT INITIAL:
SIERRA SYSTEM INPUT INITIAL:
R:BASE INPUT INITIAL:
MASTER FILE NUMBER: F
fJ OTHER:
RECEIVED
FEB 04 1999
ENGINEERING
DEPARTMENT
DATE STAMP
APPLICATION RECEIVED
DOCS/MISFORMS/APPLICATION ENG PLANCHECI< OR PROCESSING REV. 6110/97