HomeMy WebLinkAboutADJ 06-19; CHADWICK RESIDENCE; Engineering ApplicationTY OF CARLSBAD - ENGINEERING DRTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write NIA when not applicable.
PROJECT NAME: £-I4't)W —L t{-C-€ DATE: a a6
PROJECT DESCRIPTION:L1Yr (4- A b) ST Nt T6 fM4 wr
fs' 1j 1\6L
PROJECT ADDRESS:
LOT NO(S).: 2_/ B MAP NO.: 15 APN(S).:
NUMBER OF LOTS: Z NUMBER OF ACRES: 0'5_0 2-. / o 3 5
OWNER:
Mailing Address:
APPLICANT: t
Mailing Address: 4'1 S. W' \b\, 22-
C4r'1 C'l '
Phone Number: Phone Number:
Fax Number: (76€') 7/7 Fax Number:
E-Mail: E-Mail: AA0 L? Vkt (PM
I certify that I am the legal owner and that all the above
Information is true 7ainorr to e b knowledge.
Date:
"5 DateSignature: Siqp'a :
CIVIL ENGINEER(I)AV 1) 1'S -CjLPT SOILS ENGINEER: / I
FI RM: k K i Wi ?—k K74 Ow Svtit47 C)9 FIRM: (7
Mailing Address: dt31 . tW'1 )0 J , -._o 1.. Mailing Address:
otJA YKAc4 Ci 'fZ9
Phone Number: '5 2-S cii Phone Number:
Fax Number: S'7)12.... Fax Number:
E-Mail: 01 u yJL, E-Mail:
State Registration Number: C 2- 4- State Registration Number:
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
[]Carlsbad Municipal Water District f101ivenhain 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 01 cy export
SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 1 1
CITY CWARLSBAD - ENGINEERING DEPART•T
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
FOR CITY USE ONLY
APPLICATION FOR PROJECT I DRAWING DEPOSIT/FEES COMMENTS
(1 all that apply) I.D. NUMBER
______
'fJ Adjustment Plat (AD)) 1A'$'] ((i-
O Certificate of Compliance (CE)
O Dedication of Easement (PR)
Type:___________
Type:__________________
Type:
O Encorachment Permit (PR)
O Final Map (FM)
O Grading Plancheck (DWG)
O Improvement Plancheck (DWG)
Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:_____________
Type:_____________
Type:______________
U Reversion to Acreage (RA)
O Street Vacation (SW)
Tentative Parcel Map (MS)
O Certificate of Correction
(CCOR)
Covenant of Easement (PR)
o Substantial Conformance
Exhibit (SCE)
Other
APP CA N ED BY:
RECEiVED
AUG 09 2006
ENGINEERING
DEPQTVMAP
APPLICATON RECEIVED
HJDEVELOPMENT SERVICESIMASTERS/Aoolicatlon for Enainp.pflnn PI.n C.h,'k Pn