HomeMy WebLinkAboutPD 06-23; RANCHO PONDEROSA MEDIAN; Engineering ApplicationCITV OF CARLSBAD - ENGINEERING DEPAIENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate Information. Write N/A when not applicable.
PROJECT NAME: CO. P01V0LZ4 M6V1A DATE: PROJECT DESCRIPTION: _J1.&6 c,i-P /Vt60 4)S /3-P M/oOç t2tv
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PROJEcTADDRESS: eô- De& i4 (ç P/Pt'S £'(EZLc 7'
LOT NO(S).: MAP NO.: APN(S).:
NUMBER OF LOTS: NUMBER OF ACRES:
OWNER: M/CM P'$* tJoA APPLICANT:
Mailing Address: Address: cia C0,075 "4 A*' Mailing Address:
iô
hone Number: eD9• C#4 '1 ?1 Phone Number:
Fax Number: 3a zo Fax Number:
E-Mail: E-Mail:
I certify that I am the legal owner and tha all the a ye—
Information Is true and car t th of my knowledge.
Signature: 1A/'i7'3f Date:~±07 Signature: Date:
CIVIL ENGINEER: SOILS ENGINEER:
FIRM: FIRM:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: Fax Number:
E-Mail: E-Mail:
State Registration Number: State Registration Number:
ADDITIONAL COMMENTS: /.A)&&M ) o '2. ticu) ?i-' frg S
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IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
[]Carlsbad Municipal Water District
iaolivenhain 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 _______ cy fill _______ cy remedial cy import cy export cy
SEE REVERSE SIDE H:/DEVELOPMENT SEA VICES/MASTERS(Applicatlon for Engineering Plan Check 1 Revised 1/14I
CITY F CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION is
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(/ all that apply)
FOR CITY USE ONLY
PROJECT
I.D.
DRAWING
NUMBER
1 DEPOSIT/FEES
J PAID
COMMENTS
O Adjustment Plat (AD))
O _Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:______________
Type:______________
Type:______________
O Encorachment Permit (PR)
O Final Map (FM)
O Grading Plancheck(DWG)
El Improvement Plancheck(DWG)
ParcelMap(PM)
O Quitclaim of Easement (PR)
Type:______________
Type:______________
Type:______________
O Reversion to Acreage (RA)
Street Vacation (STV)
O Tentative Parcel Map (MS)
fl Certificate of Correction
(CCOR)
O Covenant of Easement (PR)
o Substantial Conformance
Exhibit (SCE)
Other
APPLICATION ACCEPTED BY:
DATE STAMP
APPLICATON RECEIVED
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