HomeMy WebLinkAboutPR 04-104; LOCKMAN RESIDENCE; Engineering ApplicationCITY O-'RLSBAD -ENGINEERING PEP.~RTM._~· ::~.>}~.~:~:~~;; ./ ... '~, ~~'l;~~~~f{:;1~.~
-APPLICATION' -. ~ > .... ;' r-'f-·~~·:t ;';>,:,;'l': ;,'
ENGINEERING ,PLAN' CHECK' . . , " ::'. (-\'~ \~~<: ti;i~"?;I~::;t~ Co~plete all, appropriate information'. Write NI'A Wh~~ n~t':a:li~!'i~j1~~ " , ,
PROJECT NAME: ' c.kmCWl B~5de0tV0 D~TE: _.t.(...:.....I..I. . ..::.."-lo.~ ___ _
PROJECT DESCRIPTION: repIQU~ e, t2> riVe-UJCJ <j fL 14)' Jm (1) +er (QcJ::;t0JJ rpOt-vee!? '
PROJECT ADDRESS: 7'5c& 'frqva staeJ--q Qac(-;lood •
LOT NO(S).: ·-;)..Cf MAP NO.: APN(S).:
. Q'aprp9·: -,'
~3 ,....,z,q3-1)..C),·
NUMBER OF LOTS: 1 NUMBER OF ACRES: .. , ~-f
OWNER: APPUCANT: t.g Iud!.? 4:!C£nxi' £)
Mailing Address: Mailing Address: ""7E;o9 1)mvoei:tPf:t:
cadShJd 9dCf29 CCtC(5mld 9;;600 q
Phone Number: '(IJO -753-Y-/te 3
Fax Number:
Phone Number: '7fRQ -::763-.q../tq~ .
Fax Number:
E-Mail: \lba (1?u..r:?'rCD yahOO' E-Mail:
I certify that I am the legal owner and that all the above <t?1?')
information is true and correct to the best of my knowledge. Signature:~~ A t~ ~ate: /J Io/Jit Signature: ~L ~gate:'f,t~@f
CIVIL ENGINEER: SOILS ENGINEER:
FIRM: FIRM:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-Mail: E-Mail:
State Registration Number: State Registration Number:
ADDmONAL COMMENTS:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
DCarlsbad Municipal Water District 12I0livenhain DVallecito~
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 ___ cy fill ___ cy remedial ___ cy import ___ cy export ___ cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1114102
.. OF CARLSBAD -ENGINEE~NG'I)E'.TMENT"
, APPLICATION' ,
, ' ENGINEERING PLAN CHECK
Complete all appropriate information. Write N,/A when not applicable. -,
'FOR CITY USE ONLY
_ APPLICATION FOR PROJECT DRAWING 'DEPOSIT IFEl;S COMMENtS
( -/ all that apply) 1.0. NUMBER ,PAID
0 Adjustment Plat (ADJ)
0 Certificate of Compliance (CE)
0 Dedication of Easement (PR)
Type:
Type:
~e:
, [Q/ Encorachment Permit (PR) 'PR, o4r-1 OL\-Pt<OLt-IO~ ~t ~~-I-
0 Final Map (FM)
0 Grading Plancheck (DWG)
0 Improvement Plancheck (DWG)
0 Parcel Map (PM)
0 Quitclaim of Easement (PR)
Type:
Type:
Type:
0 Reversion to Acreage (RA)
0 Street Vacation (SlV)
0 Tentative Parcel Map (MS)
0 Certificate of Correction
(CCOR)
0 Covenant of Easement (PR)
0 Substantial Conformance
Exhibit (SCE)
0 Other
H'/nFVFI ()PMF.NT SFRVIr.FS/MASTFRS/AnnllrJltlnn fnr Enolneerlno Plan Check Pace 2
RECEIVED
NOV 1 5 2004
ENGINEERING
DEPARTMENT
DATE STAMP
APPLICATON RECEIVED
Revised 1/14/02
,