HomeMy WebLinkAboutPR 08-09; LOPEZ RESIDENCE; Engineering ApplicationCITY RLSBAD -ENGINEERING DE
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/ A when not applicabl.e.
PROJECf NAME: DATE:
PROJECf DESCRIPTION:
OVUv.. lil-/oA.
..
PROJECf ADDRESS:. 3002-c,-,,\,c 130So s..T~ E.f;, CA'l4 £-5 .-;t~= 9z.oo or'
LOT NO(S):: Itt3 MAP NO.: 7¥S7 APN(S).: ~2.-L51J ... ~,3
NUMBER OF LOTS: NUMBER OF ACRES: MILES OF TRAILS:
OWNER: ,41/6//; l-t-o;O(;2-APPLICANT: ~/f7v<--/ . f-g r;<?e£ z-.
Mailing Address: ~O2 C....,.441(5c>5o ~~. Mailing Address:
C/14t-5 --S.l'lO CA 9'zao cr
;'
Phone Number: 7,,0 . '~2' 'i3 73 S phone Number:
Fax Number: • Fax Number:
. . E-Mail: tn l..-O /.) e.. ~ • C, . c "),et.-S/.JAO. CA. i;j E-Mail:
! certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge. ii71! Signature: ?..-C ~ Date: 2-/7/og Signature: ~ .. ~------Date:
....
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:
ADDITIONAL COMMENTS: .
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
Dearlsbad Municipal Water District [96iivenhain Dvall~itos
2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 1~%
contingency fee, for water and reclaimed water improvements, sewer (for Carlsbad Munic;ipal
Water District only), street, public (median) landscape and irrigation, and drainaQe improvements
(if applicable)? $
GRADING QUANTITIES
cut cy fill cy remedial cy import cy export cy .
SEE REVERSE SIDE
H-/DEVELOPMENT SERVICES/MASTERS/Application for Englneenng Plan Check Revised 05/01/07 •
CITY LSBAD -ENGINEERING D
APPLICATION
I.) ENGINEERING PLAN CH.ECK
Complete all appropriate information. Write NI A when not applicable.
FORCIT)' USEONL Y
APPLICATION FOR PROJECT DRAWING DEPOSIT I FEES COMMENTS
( .(' all that apply) 1.0. NUMBER PAID
-0 Adjustment Plat (ADJ)
0 Certificate of Compliance (CE) .
0 Dedication of Easement (PR)_
Type: -,
Type:
Type: :
0 Encorachment Permit (PR)
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 (STV)
--
0 Tentative Parcel Map (MS)
0 Certificate of Correction
(CCOR)
0 Covenant of Easement (PR)
0 Substantial Conformance
Exhibit (SCE)
0 Trails D<mile 0> mile
0 Other-
APPLICATION ACCEPTED BY:
H:/DEVELOPMENT SERVICES/MASTERS/Applicallon for Engineenng Plan Check Page 2
DATE STAMP
APPLICATON RECEIVED
Revlsed-05/0rJ07