HomeMy WebLinkAboutPR 07-70; BOSMIA RESIDENCE; Engineering ApplicationCITY OF CARLSBAD -ENGINEERING DEPARTMENT
APPUCATION
ENGINEERING PLAN CHECK· .. Complete all appropriate informati()ri~ Write NI A when not: appliCable •. ' ,." -"-~ . . -,_. -.
PROJECT NAME: _t:)<:!)SM( ~ l~ e> ( D tz:-f'l ~ f~ DATE: . C9 /,:1/1. (~ I
PROJECT DESCRIPTION: 0 f-COttA-Tl v (L V4.vfi-fL~ 01 LTH (rJ ,R ( ~.~-+:T -6) F -VJ~.
PRO] ECT ADDRESS: 5'-t CoC) CA(2,lS6i\O f5LV' (...)
LOT NO(S).: / :J..l/ / I:jP NO.: 53!;;' ""I{APN(S).: &0 -ttJ:. -b'/
NUMBER OF LOTS: ' I (6" Terv t/JIV'4Y (/~HMBER OF ACRES:
OWNER: A~f't\ ITA-t-(l..frb(K.. E;:50S(')l1 (.\ APPliCANT: 5ccoTt C:"";~D Ett,'
Mailing Address: ~gll AI-(€tJlC) 0J f\-'1 Mailing Address: Po g~~1 30e)~j
C!:cff.~rJ ~ (Of[ ~ Cit '(:lOS, C.A « "-~B ~ ~ CiA. :i 2e). ( 3
Phone Number: (7iDfS)) i'R.t -'i'SCt b Phone Number: (Jl!)O~ §4:S:-~~~ t
Fax Number: Fax Number: ( (Co 02 Q'3 (-Co e ~ ( ..
E-Mail: E-Mail: ~9ue,,-&ed <2.. o..~(. c...o "\
I certify that I am the legal owner and that all the above )J:(prr-0?f. information Is true and correct to the best of my knowledge.
Signature: k 8'~ ~ate:~ Signature: ~ / . Date: {P "2'{ ()
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 locat~ in? (check one)
Dca~lsbad 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 improvem~nts
(if applicable)? $
GRADING QUANTITIES
cut Of fill Of remedial Of import elf export Of
SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1114102