Loading...
HomeMy WebLinkAboutPD 99-07; SAWH RESIDENCE; Engineering ApplicationAkr : : s 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