HomeMy WebLinkAboutPE 2.93.22; CLENDENNIN POOL; Engineering Application-. . -• .
CITY OF CARLSBAD· ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PRO-C~-SSING·
Complete all appropriate information. Write N/A when not applicable. ----('?~~1~ PROJECT NAME: 4±~r:::::>~ IN f\j ~ DATE: \
PROJECT DESCRIPTION: ~IMMIN61 p~~
PROJECT ADDRESS: ~Ju ~A§U/.:.....PL= e
LOT NO(S).: ~ MAP NO.: ~Oj...-APN(S).: ~/~-~II= -I f:
OWNER: Nt=~H_k MAfZ,y ..... ...1 &"'~JINt-.. APPLICANT: &~e-~ OW~
Mailing Address: ~1~He=~~~. Mailing Address: , .
~fOl CJA· 4~ , -,(
Phone Number: ( (;..Iq l#l-~g Phone Number: , l
I certify that I am the legal owner and that all the above information I certify that I am the agent of the legal' owner and that all information on
is true and correct to the best of my knowledge. this sheet is true and-correct to the best of my knOWledge.
,Signature 1\ ...n~ .. -.~ . Date lz-~~ Signature Date_
C" ) U 1')1. '·0, r' O~ iI" -. .... -
CIVIL ENGINEER: ~N E:.. ~N SOILS ENGINEER: ,t;?~ ~L-I
Firm: f~~~ ""'3' ~IN~ l~' Firm: \Q 1\ 1 ~ ~. ~1'J1Y ~p~ciJ
~(N-e~~INEa INr~, .,
Mailing Address: l~ ~.~t;;{lX>~. Maili"j Address: p-,~.~~-~~
~Nt?tY.JO, CA. 1~~ ~OIJ2;2l ~ '4~03C:)
Phone Number: ( t!/ ('1 l .1 t:~-~:?!;t>2b Phone Number: ,e:;(1) ~o-l[llP _ •
LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS:
Firm:
, , -"1 _' Mailing Address:
.-, --, )
Phone Number: , l
NO. OF DWELLING UNITS: NO. OF LOTS: NO. OF ACRES:
IMPROVEMENT VALUATION: sewer, water & reclaimed water:
-streets and drainage: landscape: water district:
i "'70 -.] !
GRADING QUANTITIES: CY cut ~ cy fiU cy ,
remedial r:y import/export cy I
I
PLEASE CHECK OFf APPLICATION TYPES ON REVERSE SIDE
P:\DOCS\MISFORMS\FRMOOO63
APPLICATION FOR
(CHECK ALL THAT APPLy):
o Adjustment Plat
D Certificate of Compliance
o Dedication of Easement
•
Type: __________ _
Type:
D Encroachment Permit
o Engineering Standards Variance
D Final Map
~ Grading
D Improvement Plancheck
o Landscape Plancheck
D Parcel Map
D Quitclaim of Easement
Type: __________ _
Type:
D Reversion to Acreage
o Street Vacation
D Tentative Parcel Map
P:\DOCS\MISFORMS\FRMOOO63
•
REV 12/15/92
Q1Y OF CARLSBAD
LAND USE REVIEW APPUCATION " FORPAGE 1 OF 2
1) APPUCATIONS APPUED FOR: (CHECK BOXES)
o Master Plan
o Specific Plan
o Precise Development plan
o Tentative Tract Map
o Planned Development Permit
(FOR DEPT
USE ONLy)
f------i
o General Plan Amendment
o Local Coastal Plan Amendment
o Site Development ;lan
q Zone Change
o Conditional Use permit
G Non-Residential Planned Development W Hillside Development Permit
f--------I
0 Condominium Permit
0 Special Use Permit
0 Redevelopment Permit
0 Tentative Parcel Map
0 Ad.rninismi1ive Variance
2) LOCATION OF PROJEcr: ON nIE
" "
BE1WEEN
(NAME OF S1REET)
3) "BRIEF LEGAL DESCRIPTION:
4) ASSESSOR PARCEL NOeS).
5) LOCAL FACIUTIES
MANAGEMENT ZONE
8) EXISTING ZONING
11) PROPOSED NUMBER OF
RESIDENTIAL UNITS
o Environmental Impact Assessment
o Variance
o Planned Industrial Permit
o Coastal Development perniit
o
o
(NAME OF STREET)
AND ~-------'I-
(NAME O"F S1REET)
6 I 6) EXISTING GENERAL PLAN
Lo--...... -.-.. DESIGNATION
I P _c.... I 9) PROPOSED ZONIt:lG
"'I 12) PROPOSED NUMBER ~OFLOTS
I 7) PROPOSED GENERAL PLAN
Lo--_--' DESIGNATION
I Al,/C 110) GROSS SITE
ACREAGE "
I I
W
14) NUMBER OF EXISTING RESIDENTIAL UNITS I IJ 74 , TO"
[ 04 113) TYPE OF SUBDM~ION IN) t "'
(RESIDENTIAL 0
COMMERCIAL
INDUSTRIAL)
IS) PROPOSED INDUSTRIAL
OFFICE/SQUARE FOOTAGE
1J/4. [16) PROPOSED COMMERCIAL L.-..~ ... )~~_-J SQUARE FOOTAGE I AI!~ }
, . CITI OF CARLSBAD • LAND USE REVIEW APPUCATION FORM .' PAGE 2 OF 2
I to/A
'/
17) PERCENTAGE OF PROPOSED PROJECT IN OPEN SPACE
18) PROPOSED SEWER USAGE IN EQUIVALENT DWELUNG UNITS I I
" N?;i I ;
19) PROPOSED INCREASE IN AVERAGE DAlLY TRAFFIC
20) PROJECT NAME:
21) BRIEF DESCRIPTION OF PROJECT:
,r"\. 5<.:.>v-~
22) IN THE PROCESS OF REVIEWING THIS APPUCATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,
PLANNING COMMISSIONERS, DESIGN REVIEW BOARD MEMBERS, OR CITY COUNCIL MEMBERS TO INSPECT AND
ENTER THE PROPERTY THAT IS THE SUBJECT OF TIllS APPUCATION. !/WE CONSENT TO ENTRY FOR TIllS
PURPOSE .f> "-'~..12-~ " SIGN~
.,.--"
23) OWNER ~II C. \ ~V'-c::\ ~ 'I V\ Y'"'\. 24) APPUCANT t-A. \ :os"::> "I bY"'-. ?CC\s
NAME (PRINT OR TYPE) NAME (PRINT OR TYPE)
t0e...i \ C \ e..~ci~", ~ \f'\" ,V\\S~~~ ~\:s ,J Bt-v.:..c:..-e.. Se..0~
MAlUNG ADDRESS MAlUNG ADDRESS --.J
'Z...~\6 ~~\ .. ,o .. YO\I 15S ~" .~~V\.~ 6....~
CITY AND STATE ZIP <...J TELEPHONE CITY AND STATE ZIP TELEPHONE
~\sb~ C~, qL06~ ~3\~CC7(\ <2-'S~~c\O ~~'-~6-z...S C't'71.:z.bD£:
( CERTIFY TIiAT ( AM TIll! !£GAL OWNER ( CERTIFY TIiAT [ AM TIll! WlAL OWNER', RE:PRESENTA1lVl! AND
AND TIiAT AU. TIlE ABOVE (NFORMATION TIiAT AU. TIlE IIBCNI! lNl'OR¥ATION'!S TIW! AND OORRECl' TO TIll!
(5 TRUE AND CQRR£CT TO TIlE BEST OF BEST Of MY KNOWLEDGE.
MY KNOWLEDGE.
SIGNAroRE ,DATE
SIGNATURE DATE ~ ..... .". ~'" \-b~~
**************************************~**********************************************~***********************************
FOR CITY USE ONLY R"'';>C-I>''~~':\r-'i=1\''''' ~.C ~ ~~ ~ a:,U
FEE COMPUTATION:
APPUCATION TYPE FEE REQUIRED JA~ " '1">9' o t~~, 4 .~ .
!-fbI> C!t;-OL l LO.oo C fF"U''V' tC~ ~ .r· i1 ~~~ ~ :(~~ :~~ t~\ r~ • e: d~ \~?o·$'·':'U~L~w;g; ... ..J:l~"':.''';'··~"",":i.' "
'1 ~ 3 '~1). ft 5) ~ ~ -, ~ ..... ." ~-r" ""'" -,"',,''''J' . A: k~ .. ''',.~ ; iw.~· .. ~~ ,> ;f"h •• y:;t ~ t;:.,a""..\u 4f:~_ 3 '\'~AI U::u'~~ntll .. 0:
/ DATE STAMP APPUCATION RECEIVED
/
/ RECEIVED BY:
/ I V.~L I /
TOTAL FEE REQUIRED I I "LO. OeJ I
DATE FEE PAlO 1-6.-err RECEIPT NO. I .
'I