HomeMy WebLinkAboutPIP 05-19; BRESSI RANCH LOT 16; Engineering ApplicationCITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: £717C/7 ZQ1 DATE:
PROJECT DESCRIPTION: 47t /6 C -97-/c,
71?t' (p14rn,'tt (()rd,rnY./e ;,idX W 4< ,2i'iP(I < /39-o42
PROJECT ADDRESS: //7y
LOT NO(S).: / MAP NO.: /4"'d APN(S).: 2/3/cz0
NUMBER OF LOTS: NUMBER OF ACRES:
OWNER: /-77,z5 //j APPLICANT: 'I 7X5 Mr/i 2<
Mailing Address: 93 J)r. /'pJ
Siiea3(,4
Phone Number: )?-9 -32O Phone Number: (3) <
Fax Number: Fax Number:
E-Mail: / E-Mail:
I certify that I am,tbe-le iNF and that3H"the above
information is e estf my knowledge.
Signature: Date:72-22-c3 Signature: e:
CIVIL ENGINEER: ,2/v' (-/
FIRM: ///,3' P/v,>y qflly
Mailing Address: /593'& (,jkjiOp,
SOILS ENGINEER: ,foberJ 72a C
FIRM:
Mailing Address: /o?O /1'6L/) ,4pc571.
Phone Number: (68) 3/// Phone Number: (Z'L/)
Fax Number: Fax Number: (i) p
E-Mail: E-Mail:
State Registration Number: 16 94/9
Mailing Address:sk-
State Registration Number: cR 5s
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District DOlivenhain Dvallecitos
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 cy fill .0 1/2 cy remedial cy import Cy export cy
SEE REVERSE SIDE
H:IDEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check p vised?1
/14/02
j
CIF CARLSBAD - ENGINEERING DEPARNT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
( v' all that apply)
FOR CITY USE ONLY
PROJECT
I.D.
DRAWING
NUMBER
DEPOSIT/FEES
PAID
COMMENTS
O Adjustment Plat (AD])
U
Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:
Type:__________________
Type:___________________
Encorachment Permit (PR)
O Final Map (FM)
Grading Plancheck (DWG) /
Improvement Plancheck (DWG) 44-3 0
Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:___________________
Type:_____________
Type:__________________
Reversion to Acreage (RA)
Street Vacation (SN)
O Tentative Parcel Map (MS)
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
Other
APPLICATION ACCEPTED BY:
/
/b/O
DATE STAMP
APPLICATON RECEIVED
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2 Revised 1/14102
PB
An employee-owned company
PROJECT REVIEW COMPLETION
The following project has been reviewed and is recommended for approval:
Project Name: Bressi Ranch, Lot 16
Project No.: PIP 05-19
Document No.: Dwg. No. 440-3, Improvement Plan
Sheets No. Through: 3
DECLARATION OF RESPONSIBLE CHARGE
I hereby declare that I have exercised responsible charge over the review of this project
as defined in Section 6703 of the Business and Professions Code and have found the
project to be in substantial compliance with applicable codes and standards.
Review of this project does not relieve the Land Surveyor or Engineer of Work of their
responsibilities with state and local ordinances.
,FESSi
7ZcT
No. C57649
Exp. J10ij*
Signed C,f-.,,L Date 7//' /of
Charles R. St. John, RCE C57649
Expiration Date 12/31/07
H:\Public Works\082 Carlsbad\620821 Carlsbad Dcv Review\64, Bressi Ranch, Lot 16, PIP 05-19\1)wg 440-3, Improvement PIan440-3 PROJECT
REVIEW COMPLETION.doc
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