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HomeMy WebLinkAboutRP 05-09; CASA COBRA; Engineering ApplicationPROJECT NAME: CARLSBAD -ENGINEERING APPLICATION NT ENGINEERIN(i PLAN CHECK Complete a'lI appropriate information. Write Nt A when npt ", PROJECT DESCRIPTION: Prit6i-~~~~~~~~~--~~--~~~~~~--~--------------- PROJECT ADDRESS: ~ I,'t &> ' O0<7G VI1J;...1' ~~ LOT NO(S):: . f 1rlttolf((f(~ I MAP NO.: 1112 APN(S).: NUMBER OF LOTS: 'I NUMBER OF ACRES: D . .z.4: I OWNER: APPLiCANT: Mailing Address: 407 'Ye.C.Sfc,. twt.· Mailing Address: ~o \(.\NA :SSU'Ic\.tCp.· 92075 Phone Number: 6Gg~ 7SS' -oS'~6 Phone Number: Fax Number: 8f'fS -10( '3~ • "l $ 3 '3> . Fax Number: E-Mail: J'~M: lk~1e6~"'OM E-Mail:" I certify that I am the legal owner and that all the above -~/'"",-fIrVI.~ ~ A",~ "ONNt::O ,~ , of my knowledge. ..... r/~ rrlc,.. f\ 7 c;..r-- Phone Number: Fax Number: E-Mail: '6IJ tl ~l'rK.' (eIr q ~'t4- 1f1O. 2~o·. ~()'2-S State Registration Number~1q51 ADDITIONAL COMMENTS: Signature: SOILS ENGINEER: FIRM: Mailing Address:' Phone Number.: Fax Number: E-Mail: State Registration Number: IMPROVEMENT VALUATION 1. What water district is the proposed project located in? (check one) , . , '~arlsbad Municipal Water District DOlivenhain 2, If in the Carlsbad Municipal Water District, what is the total cost estimate, inducting the 15% Date: DValiecitos contingency fee, for water and reclaimed water improvements, sewer (f9r Carlsbad Municipal Water'District only), street, public (median) landscape and irrigation, and draina,ge improvements (if applicable)? $ GRADING QUANTITIES I' cut ___ cy fill ___ cy remedial -'-__ cy import ___ cy ,export ______ cy SEE REVERSE SIDE 'H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineenng Plan Check :, :::, CI,.. CARLSBAD -ENGINEERING DEPAPtJ'NT . APPLICATION ., ;, ENGINEERING PLAN CHECK Complete all appropriate information. Write N/ A when not applicable~ . FOR CITY USE ONLY APPLICATION FOR . ___ ,I DRAWING DEPOSIT IFEES . \"vl"ll"lcn I;:) ( y' all that apply] , 1.0. NUMBER PAID 13' Adjli.strnent PI.at (ADJ) . &f()~-... o'7 4l';:)jo ~ ;.() I t I ~J- ·0 Certificate of Compliance (CE) .0' . . Dedication of Easement CPR), Type: Type: Type: 0 Encorachment Permit (PR) O· 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) O. $treet Vacation (S1V) " 0 Tentative Parcel Map (MS) '0 Certificate of Correction (CCOR) 0 Covenant of Easement (PR). 0 Substantial Conformance , Exhibit ("sCE) 0 ,rails D<mile 0> mile : o . Other' APPLICATION ACCEPTED BY: Lft· .'\ . DATE STAMP APPLICATON REC~lVED H'/DEVELOPMENT SERVICES/MASTERS/Applicalion for Engineering Plan Check Page 2 ReVised 05/01107 --.------, ,," , , ,' .. ~,:" . • ' !, , ,,! " ,I, , , -,-'. ~. ~ . , PROJECT NAME: C.A s4 Co e>J2. Pi- PROJECT DESCRIPTION: <; C>AI~1'~t:)~-r ,A NGOJ IL (!)I:) 0 PROJECT ADDRESS: 3 I ~ 0 R OOS~VELT S T LOT NO(S).: I MAP No.: ' 7? S-APN(S).:, NUMBER OF LOTS: , OWNER: tArt.~ Mfl6.C'\1tlt$ HAt.1 rlt-?N Maiiing Address: 408 PA.ctFlc.. AVe. A Phone Number: B~8-.34-4--~4 G"? Fax Number: E~Mail: , I certify that I am. the legal owner and that all th!,! above Information .Is true and correct to the best of my knowledge. Signature: Date: . CIVIL ENGINEER: eN biN l:!E.flJ f:I::. :PeSlG19 FIRM: .. Mailing Address: ~J2.J MONT"/e'L J2.~AP SAp !Y).fl.f2..t;os, CA.9'~~, Phone Number: ]foD ... 8'3 cr -1 ~t:Yz. Fax Number: 7G::D_ -4~-747.7 - E-Mail: e tJG P6 e AoL.· C.oJVt NUMaER OF ACRES: APPUCANT: t Mailing Address: Phone Number:: Fax Number: E-Mail: Signature: SOILS ENGINEER: FIRM: Mailing Address: . , Phone Number: Fax Number: E-Mail: DATE: . 2. "":" 2. _o~ Date: 2.·-2-~ ~-83' .. 7~z.._ , i~-~~74.?7 . . er/.€:..Pb e AOL • c..,O~ . State Registration Number: <CS /2.z, State Registration Number: . tP 5' , 2:2.. ADDmONAL COMMENTS: IMPROVEMENT VALUATION 1. What water district is the proposed preject lOCated in? (check one) jEGarlsbad Municipal Water District DOUvenhaih DValiecitos 2. If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 150/0 conting~ncy fee, for wat~r and reclaimed water improvements, sewer (for Carlsbild Municipal ° Water District. only), street, public (median) landscape and irrigation, and drainage improvements (if applicable)? $ GRADING QUA~TITIES clit.-.;·' __ Of fill ----'-__ cry remedial ___ Of import __ '_ Of , ' . . SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check '!(P 65 -OC;.iL oj!> Revised 1114102 . 71-If\. 1,:::,,>,,',"~:I"~":':';'."."""""i :"',"("" "'~~~!l:RA~, ,." •. :rNG",:,:" "":, "," "',.: ,'" ' .. :.," i',i';., ,.,: .APPUcAno,.,,: ,"';,," " ~i'>,':",: ':".;' '. 'I: i~'> c:':~ ( ,.',",: "i',"J :'; ,i~;;"~~".!~:!~!~~!:~:"~~.~~~ '.; i ;,~,',,:,,;; "',,:' ,"" "" ',' APPUCATION FO'R ( ./ all that 'apply) o Adj~stment Plat (ADJ) , , o Certificate of Compliance (CE) o Dedication of Easement (PR) Type: .. . . ; ~ " ' Type: . ~y~e!. 0 Encorachrtlen~ Permit CPR) 0 ,Final Map 'CFM) 0 ' Grading Plancheck (DWG) 0 Improvement Plancheck (DWG) 0 Parcel, Map (PM) 0 Quitclaim of.E~seme~t ,CPR) Type: . Type: ' , .Type: 0 Reversion to Acreage eRA) '0 Street Vacation (STY) , 0 Tentative Parcel Map (MS) 0 Certificate of Correction (CeOR) 0 Covenant of Easement (PR) 0 Substantial Conformance Exhibit (SCE) 0 Other ,; , ,~ H:lDEVELOPMENT SERYICESIMASTERSIAppilcaUon for engineering Plan Check Page 2 I' ,'r' ,t, .. ",,", --, ,,' " I, ' , , j' ',"', .. '" , .. • ,! ,',' -', . '. " ,I " .:;/ I • 'h j ".r'. ',: ' ,', , ',.' ,.,,; :" ' , i ~ _' , " ,I ',' >'1 ' Revised 1/14/02