HomeMy WebLinkAboutPR 07-102; MORONG RESIDENCE; Engineering Application\
CARLSBAD -ENGINEERING
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/ A when not
PROJECT NAME: f174Y"~ ~
PROJECT DESCRIPTION~~+
PROJECT ADDRESS:.3S2'i U:d~b<L 8},~
LOT NOeS).: MAP NO.: .....,."'""", _____ AP,N(S).:
NUMBER OF LOTS: It NUMBER OF ACRES: •
OWNER; Q~~~.~
Mailing Address:j
4dJ:~M+ -:
Phone Number: (7~:].;:U'? -187:2 , '
Fax Number:
E-Mail:
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
phone ~\.,II:11ber: , .
Fax' Number:
E-Mail:
MILES OFTRAILS:
Signature Date:9!s/o') Signature: , . Date: f'/tlb7
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 DOlivenhain Dvall~dtos
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-Mun'i'cipal.: '
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'IDEVELOPMENT SERVICESIMASTERSIApplication for Engineenng Plan Check Reyised 05101107
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CARLSBAD -ENGINEERING' 01
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write Nt A when not applicable.
FOR CITY LJ~J')NLY
APPLICATION FOR PROJECT DRAWING DEPOSIT/FEES COMMEN1$
( ./ all that apJlly) NUMBER . PAIl) ~ 1.0. ..
0 Adjustment Plat (ADJ)
0 Certificate of Compliance (CE)
0 Dedication of Easement (PR) • f .
Type:
Type:
Type: '. 11 .,
~ Encorachment Permjt (PR) Re. O-r ,lID 12 6~ 6 .... ~
0
0
0
0
0
0
0
0
0
0
0
0
0_
Final Map (FM)
Grading Plancheck (DWG)
Improvement Plancheck (DWG)
Parcel Map (PM)
Quitclaim of Easement (PR)
Type:
Type:
Type:
Reversion to Acreage (RA)
Street Vacation (STY)
Tentative Parcel Map (MS)
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance·
Exhibit (SCE)
Trails D<mile 0> mile
other
H'/DEVELOPMENT SERVICES/MASTERS/Apphcalion for Engineering Plan Check Page 2
DATE STAMP
APPLICATON RECEIVED
Revised 05/01/07