HomeMy WebLinkAboutRP 05-01; CORNER GRAND AVE; Engineering Application'-..
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PROJECT NAME:
OF CARLSBAD -ENGINEERING LlI:'""''''
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write NIA when not applicable.
PROJECT DE~CRIpnON :-I-~.l.o~~~t~....J.~~+6f-..u....:J..L.J.~""I-..,l".l.j!.A..f..L..l.:::'U-l-fJ-Jl-l..-I4o'f-J...~...i.looo~~---
PROJECT ADDRESS: __ ~~~.'-I-I....:...J,;~t...I.X..:..-. ____________ ---: ___ _
LOT NO(S).:1?x,troo 13-/LR MAP NO.: 'BlocK 62JtrBp5~PN(S).:
NUMBER OF LOTS: I Lof ' NUMBER OF ACRES:
OWNER: APPLICANT:
Mailing Address: 6adki lY\-1 hAA,hp if Mailing Address:
Phone Number: 1~~W8 Phone Number:
Fax Number: ---Fax Number:
E:Mail: --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.
Signature: Date: Signature: Date:
FIRM: FIRM:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-Mail: (e'3~) 6PJ-( p\ 6£\ E-Mail:
State Registration Number: 1<C.E a81 nOLi? State Registration Number:
ADDmONAL COMMENTS:
IMPROVEMENT VALUATION ,
1. What wat~istrict is the proposed project located in? (check one)
Ef~rlsbad 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 improvements
(if applicable)? $
GRADING QUANTmES
cut 1 eAb cy fill ___ CY remedial ___ cy import ___ cy export }b40 cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICESIMASTERSIApplication for Engineering Plan Check Revised 1/14102
RPOS-ol -H-I
j,!~ ., C~F CARLSBAD -ENGINEERING DEPARTWT
APPUCATION -
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/ A when not applicable. .
FOR -CITY-USE ONLY
APPUCATION FOR PROJECT DRAWING DEPOSIT/FEES COMMENTS -..
( " all that apply) 1.0. NUMBER PAID
D Adjustment Plat (AOJ)
D Certificate of Compliance (CE)
D Oedication of Easement (PR)
Type:
Type:
Type:
D Encorachment Permit CPR)
D ~al Map (FM)
Il( Grading Plancheck (OWG) ~O{;..o( 11(-9A ~Jt)S: -
D Improvement Plancheck (OWG) I
D Parcel Map (PM)
D Quitclaim of Ea!:!ement (PR)
Type:
Type:
Type:
D Reversion to Acreage (RA)
D Street Vacation (STV)
D Tentative Parcel Map (MS)
D Certificate of Correction
(CCOR)
D Covenant of Easement (PR)
D Substantial Conformance
Exhibit (SeE)
D Other
-
APPUCATION ACCEPTED BY:
H:IDEVELOPMENT SERVICESIMASTERS/Applicalion for Engineering Plan Check Page 2 Revised 1/14/02