HomeMy WebLinkAboutPR 03-76; BUFFINI RESIDENCE; Engineering ApplicationSep 21 03 02:05p
l-4I\-Joan D. Buf'f'ini • 760-930-9457 •
CITY OF CARLSBAD -ENGINEERING DEPARTMENT
APPLICAll0N . ENGJN~E.uNG, PuN CHECK
Complete"all appropriate Information. Write MIA. when nat applicable.
PROJECf NAME: ~ ..... 4: jo~~ ih~~~ DATE: 9ll~I-r;3
PROJECT DESCRIPTION: iY.i"~~s:..~ ~~~~g,.
PR.OJECT ADDRESS; 2~2r ~M~ '5\-. l.c.-. Cgs\-o.. cA ~2.0oc, I LOT NO(S).: 5:1Z MAP NO.: «J..Q"::J.1. APN(S).: ~l5 -.32a -.a tJ:.
NUMBER OF LOTS: I NUMBER OF ACRES: 0 • .22
OWNER: .. ~ Om fL:.. ~ Qf4lQ &ffi n'l APPLICANT: s~~~ p~~
Mailing Address: ~g~X Q;U;,«iUA st Mailing Address: 7!,ttS Si\\lUD4Al~.
p.l
» c.e.as1a4td atq~o~ S-. J. 601 s...... d"~ c:A-q'2.\l. ~
Phone Number: ~~i!~ Phone Number: ffst! S!:::t"? bt2.Z2
Fax Number: Fax Number: [S'~ S!1, ~1:"~
E-Mail: jd@b@ptatc.QOO. COb-E-Mail: .
I certify that I am tlw! legal owner and that alilhe above eoY\dttct ~ 6~ information is true and cOlred to the best or my knowledge.
Signature: CrJ"tIIJI iJ B,J1L ~.Date:~-,:21-03 Signature: ~ Date: q hf1/ oj
CMlE~ ER: SOILS ENGINEER:
FIRM: FlRM:
Mailing Address; HaDIng Address:
Phone Number; Phone Number:
Fax Number: Fax Number:
E-Mail: E-MaD: .
State Registration Number: State Registration Number:
AOOmONAL COMMENTS:
IMPROVEMENT VALUATION
1. What water distrid: is the proposed project located In? (check one)
OCarlsbacf Municipal Water District OOilvenhaln ~a!lecitos
2. If in the Carlsbad Municipal Water District. what is the total cost estimate, includill9 the 15%
contingency fee, for water and reclaimed water improvements, "wer (for Carlsbad Municipal·
Water Dlstrict only), street, public (median) landscape and irrigation, and dralnilge Improvements
(if applicable)? $
GRADING QUANTI1tES
cut q fill . 01 remedial CV Import cy export CV
SEE REVERSE SIDE ".1)~~C.O!'.\4ENT ~ce$'I.IAS1'£A$I"""'...,ioft lOr 1!~f'lUI o..c, . _~IOI"UCll
~-a 9cc~ L~S 8S8 J 2ulnvd swe~$Rs dsono eo 8t dOtS
· , CITY ~,RLSBAD ~"~N~iNE~~:~G,\D~~~"''f.t
,~,·'APPI.:ICAIl,;ON ,! .'; ',; , ' " 'EN~£N:E'ERXN(;:'PLANiC~~CK ' , 'h' " , ,
Complete all apprOpri~te:Jri(orm.~~lo,n~, Wd,t~.N.JA-)WheJ1!np~,~ppl~ca~,I~;, , .
APPLICATION FOR
( ./ all that apply) o Adjustment Plat (AOJ)
o Certificate of Compliance (CE)
o Oedication of Easement (PR)
Type:..,.: _____ _
Type:..,.: _____ _
Type:
~ Encorachment Permit (PR) o Final Map (FM)
o Grading Plancheck (OWG)
o Improvement Plancheck (OWG) o Parcel Map (PM)
o Quitclaim of Easement (PR)
Type,;..: _____ _
Type;..: -,--____ _
Type: o Reversion to Acreage (RA) o Street Vacation (SlV)
o Tentative Parcel Map (MS)
o
o
o
o
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
Other
APPLICATION ACCEPTED BY:
P~OJECT' " ;DRAW~~G:' ;'DEPo~rrlfEE~: 'f'COM;.tEfns:' . ,:. ' .. ' '"
:. I,D.: ... ,!, '. ~NU,MBER "' ,".>,p.4Q;,!,~~,,:;!;.; ;:";'~'_".""", : .,., _ ... : ,:' :,
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,,' ", , ~ ... ,. < • •
H:JOEVELOPMENT SERVICESiMASTERSIApplication for Engineering Plan Check Page 2 'Revised 1114102
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