HomeMy WebLinkAboutPR 07-78; SACHS RESIDENCE; Engineering ApplicationCITY OF CARLSBAD -ENGINEERING DEPARTMENT' o I'd
APPUCATION: (/f(j;J 7 (J:) I CJ· "
ENGINEERING PLAN CHECI(, ,t I ~'l r
Complete all appropriate information~ Write N/A'when not'applieable. """ "': ,
PROJECT NAME: ________ ~----__ --~------------DA~:~~~-'a~5~1Jt~I-' __
PROJECT DESCRIPTION: New l)\O l!el.l!A(1 hl1If£b
PROJECf ADDRESS: 1 ~4:X '\f \ (t,\ ~ CA-S 11 U-A-WAtt .-tA1tI."c)IOJAV &it 'i,1609
LOT NO(S).: MAP"NO.: JAPN(S).:
NUMBER OF LOTS: 1f \ NUMBER OF ACRES:
OWNER: ~J{ iliQ J Sh.w-I· ~ APPUCANT:
Mailing Address: PZi1~~~@ 1 Mailing Address:
----------------,",
Phone Number: 109-fu 3 -;.., -q Zk I Phone' Number:
Fax Number: 1\09 -"" ~9--c;>..~ 13 -Fax Number:
SS'fMJ S ~, l'fuIgUL 1'ffiJ'1! ff1 ~~ E-Mail:
I certify that I am the legal owner and that all the above
inronnatlon • 'l~ and ";'4" the best of my ~& .
Signature: ,lll~ D II ilfll ;';\n Date: lp t Signature:
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)
Dcarlsbad Municipal Water District DOlivenhain
Date:
o Vallecitos
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 "h, '.
Water District only), street, public (median) landscape and irrigation, and drainage improvements
(if applicable)? $
GRADING QUANTITIES
cut ___ C'f fill ___ C'f remedial' ___ C'f import ___ C'f export ___ : 0/
SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1114102
CITY OF CARLSBAD· ENGINEERING DEPARTMENT' .
: APPUCATION'
• ENGINEERING PLAN. CHECK
Complete all appropriate Informatlon~ Write N/ A when not applicable.
. " , . FOR CITY'USE ONLY
APPUCATION FOR PROJECt:', D~~ING' 'DI;P051T IFE~ , CO..,MENT5:
( ., all that apply) : NUMBER" ' . I.D~; . > . P~D;' "
0 Adjustment Plat (ADJ)
0 Certificate of Compliance (CE)
0 Dedication of Easement (PR)
Type:
Type:
~: l2r Encorachment Permit (PR) I fR.n?Ob?1 ~
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 (STY)
0 Tentative Parcel Map (MS)
0 Certificate of Correction
(CCOR)
0 Covenant of Easement (PR)
'0 Substantial Conformance
Exhibit (SCE) ,
0 Other
.
',<0" ";""" .f ,.' ,
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..
!
. . ~ .
. ENGINEERING
DEPARTMENT
DATE STAMP
APPUCATON RECEIVED