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Home My WebLink AboutPD 99-06; MADSEN RESIDENCE; Engineering Applicationa RECEIVED CITY - ENGINEERING DEPAR1ENT A APPLICATION DEC 271999 FOR ENGINEERING PLAN CHECK OR PROCESSING ENGINEERING Complete all appropriate information. Write N/A when not applicable. DEPARTMENT PROJECT NAME: Mk5eN '1C-- DATE: PROJECT DESCRIPTION: N rt —P&OIN PROJECT ADDRESS: 7 ( 4 Q 5 G jo i LOTNO(S).: MAPNO: 79 APN(S).:J Q(OO NO. OF DWELLING UNITS: LFMP ZONE: = # LOTS: # ACRES: OWNER: j-.- lA&;7ciL APPLICANT: -f12-— Mailing Address: (I 7Zo J'.j) P.-. e, Mailing Address: cp4 l9)O ?-Øç Phone Number: ..(70 ) 4-32.. 'j -) Phone Number; (760.) I certify that I am the legal owner andthat all the above information is true and correct to the best of my knowledge Signature. Date -Signature 4ZZI '44 rate ( 97 CIVIL ENGINEER: SOILS ENGINEER: Firm: Firm: Mailing Address: Mailing Address: Phone Number: ( ) Phone Number: ( State Registration Number: State Registration Number ADDITIONAL COMMENTS: pp/ 'A-- 0 OF Ci.- tfJA-i-- /i /-frfl 04 C IMPROVEMENT VALUATION 1. What water district isthe proposed project located in? (circle one) Carlsbad Municipal Water District Olivenhain Vallecitos 2. If in the Carlsbad Municipal Water District, What is the total cost estimate, including the 1% contingency fee, for water and reclaimed water improvements (if applicable)? 3. What is the total cost estimate, including the 15% contingency fee, for Sewer (for Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ 4. What is the total cost of landscape and irrigation improvements on private property (if applicable)? $ GRADING QUANTITIES cut cy fill cy remedial cy import/export _________ cy \/ DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING - REV. 10/06/99 NR-09--99 TUE 17:29 CITY OF ChRLSBcID COMM DE FhX NO. 4380894 R02 OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION FOR ENGINEERING PLAN CHECK OR PROCESSING ComDtete all arote rnfarmatlOn. Write N/A_ when not applicable. PROJECT NAME;* 1,4 i'I DATE - ?JL PROJECT pESCR1PTI6N: '2-C' 7w PROJECT ADDRESS LOTNO(S): MAP NO.: 737 APN(S).: -45 0-1 NO. OF DWELLING UNITS: J LFMP ZONE; ,- -/ LOTS: '# ACRES - .6 - - I - OWNER: . APPLICANT: Mailing Address: It 740 70. vi - pA-c Mailing Mthe: cjf4 f2-i -Phone-Number: (C-/ I? ç. ç1 -. P,oneNumber M.(7 4 o) -23 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 Date CIVIL ENGINEER /1- 1i1T - -SOILS ENGINEER øcc Firm: f,7pJ eY1 Firm: ço'n . -or (.u11( iijc Mailing Address: /J. 7 Vi / pjtLciL. Mailing Address: //34' P t4 CHO ae"Mvo ,QJ2 • ________________ c-A:-' g2Jz7 Phone Number: (6/) 79 - PhoneNumber: (I?). _c'37 State Regisratlon Number / I 47- State Registration-Number LANDSCAPE ARCHITECT- ADDITIONAL COMMENTS: Firm: - Mailing AUdress: Phone Number: State -Reqisu-auon Number: IMPROVEMENT VALUATION I. What water district is the proposed project located in (circle one)? Carlsbad Municipal Water-District Oliverthain Vatiecitos 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 (if applicable)? $ 3. What is the total cost estimate, including the 15% contingency fees for sewer-(for-Carlsbad Municipal Water District only), street, public (median) landscape and irrigation, and drainage improvements -(if applicable)? 4 What is the total cost ofiandscepe and irrigation improvements on private property (if $ -applicable)? - - - GRADING QUANTITIES cut REM. cy - flU 15r10 cy remedial cy - import/export cy OOUIS0RM,APPLJATI0N ENG PLACHEC1( OR PROCESSING - REV. 6110197 S APPLICATION FOR: (I all that apply) FORCITY -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: 0 Encroachment Permit ENCROACH Engineering Standards Variance ESV Final Map S FM l'radingPlancheck GRPC 371"- 11? ?DgfOtD J Grading GRADING O improvement .Planchëck PC 0 Lands8pe Plancheck LPC 0 Parcel Map PM 0 Quitclaim of Easement Type: QUITC Type: 0 Reversion to Acreage RTA Street Vacation SW Tentative Parcel Map MS • Certificate of Correction CCOR • Covenant for Easement COVE • Substantial Conformance Exhibit. SCE APPLICATION ACCEPTED BY: MASTER PROJECT ID: RECEIPT NUMBER: PRELIMINARY SIERRA SYSTEM INPUT INITIAL: SIERRA SYSTEM INPUT INITIAL: . . R:BASE INPUT INITIAL: . . MASTER FILE NUMBER: F 0OTHER: S ,. . DATE STAMP APPLICATION RECEIVED DOCSIMISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING S REV. 6110/97 NR-09-99 TUE 17:29 C:ITY OF CIRLSBhD COMM DE . FAX NO. 4380894 P.03 CITY OF CARLSBAD - ENGINEERING DEPARTMENT APPLICATION GRADING PERMIT ' PROJECT NAME: fl4p5tf( $/E,NCG PERMIT NUM 0 PROJECT LOCATION: E/c2 ASSESSOR PARCEL NUMBER(S): l5— / tq PROJECT DESCRIPTION: 71 t5o S. J _7iJ0 S 7/Z H-0 U OWNER ADDRESS: V /i 750 ZWCECL /J Prc-1 7,C'4. gv/3/' PHONE NUMBER. (,dr) 5' V V •V V CERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND 1 AUTHORIZE THE- GRADING ASSOCIATED WITH THIS PERMIT, OWNERSIGNATURE: Vh17 : VVVDAT CIVIL ENGINEER: PAIZ,,N c. 7—C) /V C,/N/2JN T'-MA- ADDRESS: ,1L6 77 "1* 'L k: PHONENUMBER: SOILS ENGINEER 50c) Tfr C.64',7" ) vi ClvG 1C 4, m ADDRESS: //J& i4-c /A-rU?o j2.Ø.. 1/3c2 I'.&4 PHONE NUMBER VI/') r, 7 ,5 - GRADING CONTRACTOR: V V V V STATE LICENSE NO.: ADDRESS: V V crrY BUSINESS LICENSE NO: PHONE NUMBER: VV V V BASiS OF PERMIT FEES: V V_CY GRADING QUANTITIES: cy cut cy fill cy remedial Cy export/import TOTAL PERMIT FEES: V BALANCE DUE:' VERIFIED BY: I hereby acknowledge that 1-have read the application and information provided is correct I agree to complywith aIitëderal, state, and city laws, ordinances. regutions and policies-relating to excavation and grading -including, but not limitedto, the Federal Endaflgered Species Act of 1973 and any amendments thereto. OSHA Permit requirements for trenches over five feet deep and the provisions and conditions of anypermit issued pursuantto this application. = APPLICANT NAME: P-iiPI7vZJO ,-4f--. PHONE NUMBER;( *3z- o3g ADDRESS: Sc. Ai Oflei,( P/- /03 i,/t'ipo c ?zoZ7 APPLICANT'S SIGNATURE - - - DATE 3 ? 21 WORDDøCSMSfORMSV3RADlNO PFRMIT APPt1 CATION- Signed Expiration PROJECT REVIEW COMPLETION he following project has been reviewed and are recommended for approval: Project Name: /74D7J El 7))U Project No.: PD Document No.: : SheetsNo.:cZ hgh4 DECLARATION OF RESPONSIBLE CHARGE I hereby declare that I have exercised responsible charge over the review of this project as defined in Section 8703 of the Buiness and: Professions Code to determine that the project is found to be in substantial compliance with applicable codes and standards. Review of this project does not reheve the Land Surveyor or Engineer Of Work of the responsibilities with state and local ordinances. Helming Engineering Co., Inc. 5962 La Place Court, Suite 245 Carlsbad,. CA 92008 (760)431-5999 Date -/S-T ° PROJE REVJEW COMPLETION doc PROJECT PLAN REVIEW COMPLETION The following project plan have been reviewed and are recommended for approval: Project Name: 5 Project No.: Dwg.No.:. \\9D — \/\ Sheets No.: 1 through DECLARATION OF RESPONSIBLE CHARGE Ihereby declare that I have exercised responsible charge over the plan review of this project as defined in Section 8703 of the Business and Professions Code to determine that the plans are found to be in substantial compliance with applicable codes and standards. Plan review of these project drawings does not relieve the Engineer Of Work of the responsibilities with state and local ordinances. Helming Engineering Co., Inc. 5962 La Place Court, Suite 245 Carlsbad, CA 92008 (760) 431-5999 23874 Date Expiration Date 12/31/01 L C23874 c J CI V