HomeMy WebLinkAboutPR 05-84; ABREU RESIDENCE; Engineering ApplicationPROJECT NAME:
CARLSBAD -ENGINEERING ....... r' ... n.
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write NI A when not
DATE: -----------------------------------------------------------------PROJECT DESCRIP110N:, _________________ """l"'F:h9-~_._::__~r_r_--
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PROJECT ADDRESS: __________________________ _
LOT NO(S).: _____ MAP NO.: ______ APN(S).:
NUMBER OF LOTS: NUMBER OF ACRES:
OWNER:
Mailing Address:
cC!y-\~b"\<i, cc. 9d--ooq
,
Phone Number: ~(.,,~ .... q\ ~-,oc.)'S\
Fax Number: ;J("cI •
E-Mail:
I certify that I am the legal owner and that all the above
Information Is correct to the best of my knowledge.
V)-,'''-LA.. ___ r'\ .... ~: If. /~3 }Oti;
CIVIL ENGINEER: __________ _
FIRM:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
State Registration Number:
ADDmONAL COMMENTS:
Mailing Address:
~hone ,Number" • • Fax Number:
E-Mail:
Signature:
SOILS ENGINEER:
FIRM:
Mailing Address:
Phone Number: .
Fax Number:
E-Mail:
State Registration Number:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
Date:
~carlsbad Municipal Water District DOlivenhain Dvallecitos
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 1/14102
--------------- -------------------,~-----,-----.,..--,-----.,..-......
~ OF ~4.RL~B4.11 -ENGINEERING DEWi Mcn.
APPLICATION
ENGINEERING PLAN CHECK -.. ails .................... Information. Write N/ A when not applicable.
APPLICATION FOR PROJECf DRAWING
FOR CITY LJSE~Y
DEPOSIT/FEES COMMENTS
( .r all that apply) 1.0. NUMBER P~_l!
0 Adjustment Plat (AOJ}
0 Certificate of Compliance (CE)
0 Oedication of Easement (PR)
Type:
Type:
Type:
!J' Encorachment Permit (PR) . , • 0 Final Map (FM) •
0 Grading Plancheck (OWG)
0 Improvement Plancheck (OWG)
0 Parcel Map (PM)
0 Quitclaim of Easement (PR)
Type:
Type:
Type:
0 Reversion to Acreage (RA)
0 Street Vacation (STV)
0 Tentative Parcel Map (MS)
0 Certificate of Correction
(CCOR)
0 Covenant of Easement (PR)
"0 Substantial Conformance
Exhibit (SCE)
0 Other
APPLICATION ACCEPTED BY:
DATE STAMP APPLICATON RECEIVED
"