HomeMy WebLinkAboutPD 99-07; SAWH RESIDENCE; Engineering ApplicationAkr
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APPLICATION
-I
ENGINEERINGPLAN CHECK
-I 1
Complete all appropriate informatlon Write N/A when not applicable
PROJECT NAME: DATE:
PROJECT DESCRIPTION: 2.- 3 S
PROJECT ADDRESS: 7203 0 h €J s o Ci'crilc.
LOT NO(S).: '2. MAP NO.: _7 3 7 APN(S).: — Li i C
NUMBER OF LOTS: NUMBER OF ACRES: . 83
OWNER:
Mailing Address: 1p1tq rRV'2.
1.zq
Phone Number:
Fax Number:
E-Mail:
I certify that I am the legal owner and that all the above
Information is trüe,nd çQjrect to tJd best of my. knowledge.
Signature: I Date:f-/cioZ_
CIVIL ENGINEER: .
FIRM:
Mailing Address: 2 c-x .
1 0AN ot 1610
Phone Number: 2fl, — 104g
Fax Number:
E-Mail: —
State Registration Number: co 3 3 L456
APPLICANT: -vv iJ Ms\
Mailing Address:
SY' c ct w ec
Phone Number: 7O-"7(-o/3/
Fax Number: -
E-Mail: __
Signature: Date:
SOILS ENGINEER:
FIRM:
Mailing Address:
Phone Number: tgt3
Fax Number: (-3--o'133
E-Mail:
State Registration Number:
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
1. What wateT district is the proposed project located in? (check one)
[Carlsbad Municipal Water District DOlivenhain
0 Vallecitos
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 Carlsbad Municipal
Water District only), street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUANTITIES
cut 4 7 5' Cy fill 14 ' " cy remedial 0 cy import
0 C export 0 cy
SEE REVERSE SIDE
120 qqvo
Revised 1/14/02
• CI CARLSBAD - ENGINEERII
APPLICATION
GRADING PERMIT
MIT NU
PROJECT NAME: PROJECT NUMBER: 0007.
PROJECT LOCATION: 7203 08EL1S(2j) rR C1_E7 DRAWING NUMBER: '379- 3 A
ASSESSOR PARCELNUMBER(S): - '-&'.-o — oci
PROJECT DESCRIPTION: R-3
OWNER:
ADDRESS: SUITE:
Cm': STATE: Cj ZIP:
PHONE NUMBER: •—joq FAX NUMBER:
I CERTIFY THAT I AM THE LEGAL OWNER OF THIS PROPERTY AND I AUTHORIZE THE GRADING ASSOCIATED
WITH THIS PERMIT. g /
OWNER SIGNATURE: /: DATE: 8//L//02.
CIVIL ENGINEER: KJ-- \ vo.
--_j - ADDRESS: -92 SUITE:
CITY: - STATE: c ZIP: b
PHONE NUMBER: q017 3ctJJ1yjq FAX NUMBER: —j —j
SOILS ENGINEER: ,.9\ • - =
ADDRESS: - - SUITE:
CITY: STATE: ZIP:
PHONE NUMBER:(jd?) FAX NUMBER: 3933
GRADING CONTRACTOR: (T STATE LICENSE NO.:
ADDRESS:
-- :
-SUITE:
CITY: STATE: ZIP:
PHONE NUMBER: _FAX NUMBER:
GRADING QUANTITIES: cut fill Cy import cy
remedial cy expprt cy
BASIS OF PERMIT FEES: TOTAL PERMIT FEES: $______________
VERIFIED BY: BALANCE DUE: $___________
Ihereby acknowledge thati have read the application and information provided is-correct. I agree to comply with all federal, state, and
city laws, ordinances, regulations and policies relating to excavation-and grading including, but not limited to, the Federal Endangered
Species Act of 1973 and any amendments thereto. I will also comply with OSHA Permitrequirementsfor trenches over five feet deep
and the provisions and conditions of any permit issued pursuant to this application.
APPLICANT NAME:
ADDRESS: O4o ygc' SUITE:
Cm': STATE: ( ZIP:,'2/
PHONE NUMBER: 5'- '7- / o i./ FAX NUMBER:
APPLICANTS SIGNATURE: /' - DATE: /i'i/6 p
U.ire,Ci (%D*AIlT P%/t'1AA4 QTPC1AnnU.-.tk,n f,w (rinn PrmIf Revised 1/14102
CIT CARLSBAD -,ENGINEERING DEPØiMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Complete all appropriate information. Write :N/A when not applicable.
PROJECT NAME: DATE: 7-Z9
PROJECT DESCRIPTION:
7o kO Cx-.
PROJECT ADDRESS: LA T 6 Mv
LOTNO(S).: MAP NO.: 737 APN(S):
'NO OF DWELLING UNITS: LFMP ZONE: LOTS: " #ACRES:
OWNER: r1
Mailing Address: -'
"Ile /i 'fz/y7
APPLICANT: AA
Mailing Address 5'/O O-r
'
Phône Nfhber, '(&) : 'PhoneNumbSr: /"9 ) 2 -
I certify that I am the legal owner and that all the above
information is Zruend correct to the best of my knowledge
Signature __ Date Signature Date
CIVIL ENGINEER: UC SOILS tNEER:MLc4L A .('rII4
Firm: Firm:
Mailing Address: 44MI
. St1''1kIS jSo.3Th Mailing Address:
ek2O '
Phone Number: (4O9) (p7 J4-4-' -. -
State Registration Number: cO4 9'
Phone'Numbér: ( )
State Registration Number:
LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS: -
Firm:
Mailing Address:
Phone Number:
StateRegistration Number;
IMPROVEMENT VALUATION,-
1. What water district 'is the proposed 'project located in (circle one)?
Carlsbad Municipal Water District Olivenhain Vallecitos
2. If in the Carlsbad Municipal Water District, whet-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 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 frrigation improvements on private property (if ' $ applicable)?
.4' GRADING QUANTITIES.
cut cy fill cy remedial-1, cy , C~,M_p Wxport -,//--cy
DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING - ' REV. 6/16/97
APPLICATION FOR:
(/ all that apply)
=
FOR CITY USE ONLY
Plancheck
Number Type
Drawing
Number Project I.D
Deposit/Fees
Paid •
Adjustment Plat ADJP
Ll Certificate of Compliance COC
t•Dedication of Easement
Type:
DOE
Type:
• Encroachment Permit ENCROACH
L3 Engineering Standards Variance ESV
Ll Final Map FM
GradinQfancheck - - GRPC
Grading GRADING
C1 Improvement Plancheck [PC
l• Landscape Plancheck LPc
• Parcel Map PM
• Quitclaim of Easement QUITC
Type:
Type:
L3 Reversion to Acreage RTA
i Street Vacation SW
IJ Tentative Parcel Map MS
Certificate of Correction CCOR
Li Covenant for Easement COVE
Ll Substantial Conformance Exhibit SCE
APPLICATION ACCEPTD :
MASTER PROJECT ID:
RECEIPT NUMBER:
PRELIMINARY SIERRA SYSTEM INPUT INITIAL:
SIERRA SYSTEM INPUT INITIAL:
R:BASE INPUT INITIAL:
MASTER FILE NUMBER: F
D OTHER:
RECEIVED
MAR 16 1999
ENGINEERING
DEPARTMENT
DATE STAMP
APPLICATION RECEIVED
DOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING REV. I10/97
S
.
PROJECT PLAN REVIEW COMPLETION
The followiiigpi'oject plan have been reviewed and are recommended for approval:
Project Name: 0-S i c)
Project No
Dwg. No.:
Sheets No.: 1 through
DECLARATION OF RESPONSIBLE CHARGE
I hereby declare that I have exercised responsible charge over the plan review of this project as
defined in Section 6703 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.
Helmirtg Engineering Co., Inc.
200E. Washington Ave., Suite 221
Escondido, CA 92025
(760) 233-4900
Signed Date
Douglas L. Helming, RCE 23874
Expiration Date 12131/05
2387-4
OF GP~N