HomeMy WebLinkAboutPD 99-09; KHANIJOW RESIDENCE; Engineering ApplicationNOV-2-98 MON 09:37
PROJECT NAME:
OWNER:
Mailing Address:
Phone Number:
CITY OF CARLSBAD COMM DE FAX NO. 438a8~ •. '
CITY OPCARL.SBAD • ENGINEERING DEPARTMENT . . .; .«' .'~ "~APpiIOATioN' . ." " ....
. FOR,ENGINEeRING PLANCH~CK OR PROCESSING
Complete allipprop~j* jnformltlpn. Writ! NIl, when not applicrable.
APPLICANT:
Mailing Address:
Phone Number.
P.02
I certify that I am the legal owner and that all the above
information is d eo ect to the best of my k'f~
Signature oate ___ ?J'~ Signature Mit ~.~ Date . 3(11)11,
SOILS ENGINJ;ER: __ -,~..=...,,;-~::;...;..,......--+ ____ _
Firm: Firm:
Mailing AdClress: Mailing Address:
Phone Num~r. Phone Numcer:
Stlte Registration Number: --~~~~------~
LANDSCAPE ARCHITECT: ADDItIONAL COMMENTS:
Firm:
Mailing Address:
Phone Number: ( ------------------------Stata Registra,tlon Number.
IMPROVEMENT VALUATION
1. Wnatw let Is tl'le proposea project lOCated in {circle one}?
. -Carlsbad Municipal Water Distric Olivenhain Vallecitos
2. If in the Carlsb8d Municipal Water District, what is the total cost estimate, including the 15%
contingency fee. for water and reC;lalmed watltr Improvements {If applicable}?
-. 3. What is the! total ClOst estimate, including the 15% contingency fee, for sewer (for C~rfsbad
MuniCipal Water District only), street, public (median) landscape and inigation, and,
drainage Improvements (If applicable)? .
4 •. What i$ tho totitl CQst Qf landscape end irrigiltlon Improvements on private property (if
applicable)?
GRADING QUANTITIES
cy remedial J"iO 0 cut J (57)i cy cy
$ $-.-........ -
. -f..
/·50.-.cy
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FOR CITY USE ONL Y .. I
APPLICATION FOR: Plan check Drawing Depositlt=ees
(./ all that apply) Number Type Number Project 1.0. Paid
a Adjustment Plat ADJP
o C!:!rtificate of Compliance COC
o Dedication of Easement DOE
Type:
Type:
o Encroachment Permit ENCROACH
Q Enoineerino Standards Variance ESV
tiFinal Map -FM
Q Grading Plancheck GRPC -~ading GRADING '3~ ... JA PD '99"9 l~c;O.a. cr'O.
a Improvement Plancheck iPC
a Landscape Plancheck LPC
Q Parcel Map PM ...
Q Quitclaim of Easement QUITC
Type: .-
Type:
Q Reversion to Acreage RTA
o Street Vacation STV
Q Tentative Parcel Map MS
o Certificate of Correction CCOR
..
Q Covenant for Easement COVE
Q Substantial Conformance Exhibit SCE
APPLICATION ACCEPTED BY: ~
MASTER PROJECT 10: Vo 9q~9 RECEIVED
RECEIPT NUMBER: APR 02 1999
PRELIMINARY SIERRA SYSTEM INPUT INITIAL: = SIERRA SYSTEM INPUT INITIAL:
R:BASE INPUT INITIAL:
MASTER FILE NUMBER: F
Q OTHER: DATE STAMP
APPLICATION RECEIVED
DOCSIMISFORMSIAPPLICATION ENG PLANCHECK OR PROCESSING REV. 6110197
. ev OF CARLSBAD. ENGINEERING ~PARTMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Comelete all aeeroeriate Information. Write N/A when not aeelicable.
-...... .
/
PROJECT NAME: , DATE: /'
.' / PROJECT DESCRIPTION:
/
PROJECT ADDRESS: / .. / LOT NO(S).: MAP NO.:, APN(S).:
NO. OF DWELLING UNITS: .. LFMPZONE: # LOTS: ,./ # ACRE$:
/
OWNER: APPLICANT: /
Mailing A!:ldress: . Mailing Addres "
Phone Number: ( ) Phone N ber: ( ) .
I certify that I am fhe·legalowher and that all the above
information is true and correct to the best of my knowledge
Signature Date ignature Date
CIVIL ENGINEER: V SOILS ENGINEER:
Firm: -; Firm:
Mailing Address: L Mailing Address:
/
Phone Numbt;lr: ( ) / Phone Number: ~ l
State Registra~ion Number: I '. State Registration Number:
,. f
LANDScApE ARCHITECT: / ADDITIONAL COMMENTS:
Firm: j'
Mailing Address: /
L ..
Phone Number: ( ) L
/ -
State Registration Number:
/ ,
IMPROVEMENT VALUATION'
1. What water district is, e proposed project located in (circle one)?
Carl$bad Mun' ipal Water District Olivenhain Vallecitos
2. If in the Carlsbad unicipalWaterDistrict, what is the total cost estimate, including the 15%
contingencY fee or water and reclaimed water improvements (if applic~ble)? $
3. What is 'the tot I cost estimate, including the 15% contingency fee, for sewer (for Carlsbad
,
Municipal W terDistrict Qnly), street, public (median) laridscape and irrigation, and
drainage i rovements (if applicable)? $
4. What is th total cost of landscape and irrigation improvements on private property (if $
applicabl ?
GRADING QUANTITIES
cut cy . fill cy remedial cy imporUexport
DOCS/MISFORMSIAPPLICATION ENG PLANCHECK OR PROCESSING REV. 6110197
..
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