HomeMy WebLinkAboutSDP 06-02; PALOMAR KOREAN CHURCH; Engineering Application0
cm' OF CARL G. SBAD.- ENGINEERINDEPARTMENt-
APPLICATION
-
ENGINEERING PLAN CHECK
- Complete all appropriate information. Write:N/Awhén:not applicable..
PROJECT NAME: tc.j4 f<,/t -4-iJ Ci1 DATE:
PROJECT DESCRIPTION:
PROJECT ADDRESS: Lg Of idd,
- f r/- C
LOT NO(S).: /,,03 MAP NO.: /_3$ /APN(S).: —60 o -/
NUMBER OF LOTS: 01) NUMBER OF ACRES: _3.4q MILESOF TRAILS:
OWNER: APPLICANT:AA IL
Mailing Address: _ J Mailing Address: iSCAt-
Phone Number: . -3 Phone Number: 3(0 _5èJ
Fax Number - 13t) - 0 Fax Number:
__ C&I E-Mail:jr E-Mail:
I certify that I the legal owner and that all the abovef' / information i and correct. e of my knowledg&T'f I )( O
tu 6Dar
... t t''06 Signature: Date: S/'tt_cl'
SOILS ENGINEER: CiVIL E)4'GINEER:
FIRM: (,- FIRM:
Mailing Address: 4b_pj, Mailing Address:
A-,.-)tUo Q'jtp
Phone Number: Phone Number: ç
Fax Number: ,((j 'ft _q Fax Number:
E-Mail: _ E-Mail: _kLrc
State Registration Number: 3 ç7 State Registration Number: 3
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District 00livenhain OVallecitos
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 QUANTITIES
cut 5'/C0 cy fill 5'/60 cy remedial &//? cy import ,Q49 cy export _cy
.ujc .M
SEE REVERSE SIDE
HJDEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 05101107