HomeMy WebLinkAboutRP 04-26; SALMEN INSURANCE; Engineering Applicationo 'I. . ' .., ."\:
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OF CARLSBAD -ENGINEERING
APPUCATION
ENGINEERING PLAN CHECK
ENT
PROJECT NAME: ~!::!!::::t!Lc:d:~UJL:.2J.~:!:ll.:~I:::::..~~U~~~~..J-DATE: _I,-+---'-~~ __
PROJECT DESCRIPTION: GRApnJC,. AN P STIYtf?TIM P
. PROJECT ADDRESS: 255 G/lAND AVe'" VtE...
LOT NO(S).: MAP NO.: __ ......o-. _____ APN(S).: ~03"...3Z0-02.
NUMBER OF LOTS: 1
OWNER: PHIL-SAL-VA(;dO
Mailing Address: 255' G-f?4N D hY£...
CAJet..6SAt) , G,A: nooc& • Phone Number: 7l::>O ... 1z.o-111~3
Fax Number:
E-Mail:
I ~rtify that I am the legal owner and that ail the above
information is true and to the best of my knov'Iledcle.
Signature:
CML ENGINEER. (V)
FIRM: ~Af'Jft2 G;N&IN€EJ'?/AJtz J IJtJG
Mailing Address: {031 S E;J:;oI\Jt> 5T.
E~<j tV 1114$ , c,A 'lZOz.q
Phone Number: 1 G, 0 -13 G, ... OG, ~ 0
Fax Number: 5
E-Mail:
ADDmONAL COMMENTS:
NUMBER OF ACRES:
APPUCANT:
Mailin~ AddresS: rS5 G-fAtJD AvE... .
CA&LS6AI? \ q... CftoO g
Phone Number: 1fDO ---720 -71./3'3
Fax Number: :. or,
E-Mail: /I
SOILS DAVLOW, $J4E;LL..Y
FIRM: &eo SOIl-? ) INC.
Mailing Address: 574 l-PAiflIE:.iL ~ Y
C"(Z.LS'BAD, CACfZ-CQ$
Phone Number: 7foO-1t:'/6-3/S'S
Fax Number: 7 roo -'131 ... 09 15
E-Mail:
State Registration Number:
IMPROVEMENT VALUATION
1. Whatwater district is the proposed project located in? (check one)
~sbad 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, sewe)r (for Carlsbad Municipal
Water District only), streelf. public (median) landscape and irrigation, al'!d drainage improvements
(if applicable)? $ .3<6
GRADING QUANTITIES
cut /0 Of fill 1;.1.0 Of remedial ______ Of import 'Z/Q Of export ___ cy
~ ~ ... CITY OF CARLSBAD -ENGINEERING DWRTMENT J .' • 'x.., '"" e APPUCATION
ENGINEERING PLAN CHECK
Complete all appropriate infonnation. W~ NlA when· not IPpllcabie.
FOR CITY'USE aNi. Y
. APPUCATION FOR PROJECT DRAWING DEpOsIT jFEES 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:
D Encorachment Permit (PR)
0 Final Map (FM)
. Er' Grading Plancheck COWG) f(f>04--~ , .lfl8..fJ
gt' Improvement Plancheck (DWG)
0 Parcel Map (PM)
0 Quitclaim of Easement CPR)
Type:
Type:
Type:
D Reversion to Acreage (RA)
D Street Vacation (STY)
D Tentative Parcel Map (MS)
0 Certificate of Correction
(CCOR)
0 Covenant of Easement (PR)
0 Substantial Conformance
Exhibit (SCE)
0 Other
\' II 4Lt0-~
,
RECEIVED
JAN 17 2001
ENGINEERING
r)'COf\ PTl\ 1I~f\I""
DATE STAMP
. APPUCATONRECEIVEP