HomeMy WebLinkAboutADJ 08-03; THE BLUE FAMILY TRUST; Engineering ApplicationI
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: 3'//Z — ,%15 t9A'esBrn 4ji DATE:
PROJECT DESCRIPTION:Ta. 1015 wr/' ,g5117,,.Ti)4L. IO/ID/A)&S
PROJECTADDRESS: 3/56 eL5a4p
LOT NO(S).: 78 MAP NO.:'/f APN(S).:
NUMBER OF LOTS: j... NUMBER OF ACRES: • MILES OF TRAILS:
OWNER: // iirov%J APPLICANT:
Mailing Address: 29 $'- Mailing Address:
Phone Number: 79L/73 Phone Number:
Fax Number: 7'7- T77 Fax Number:
E-Mail: jLev
I certify that I am egal ow 3 and at all the above
E-Mail:
information is true a cor Ct to' he best o my knoLlo.
Signature: /__Date: Signature: Date:
rE CIVIL ENGIERfi//4LAW SOILS ENGINEER:
FIRM: /it)ji 14 ,vg i e,-lm / 114e,
Mailing Addrss: ,l
FIRM:
Mailing Address:
6ffM'J
Phone Number: 7,/ pi/g ZZ- Phone Number:
Fax Number: 7 , 9'Jj2 Fax Number:
E-Mail: E-Mail:
State Registration Number: _2'J75 State Registration Number:
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District 00livenhain ElVallecitos
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 SERVICES/MASTERS/Application for Engineering Plan Check Revised 05I01/07
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• CI•F CARLSBAD - ENGINEERING DEPARNT
APPLICATION
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.
r DRAWING
NUMBER
DEPOSIT/FEES
PAID
COMMENTS
"Adjustment Plat (AD]) /1lY[ -O 3
O Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:__________________
Type:__________________
Type:__________________
O Encroachment Permit (PR)
Final Map (FM)
Grading Plancheck (DWG)
Cl Improvement Plancheck (DWG)
Parcel Map (PM)
Quitclaim of Easement (PR)
Type:__________________
Type:__________________
Type:__________________
Reversion to Acreage (RA)
Street Vacation (STy)
Tentative Parcel Map (MS)
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
Trails L<mile 0> mile
Other
APPLICATION ACCEPTED BY:
/
DATE STAMP
APPLICATON RECEIVED
H:/OEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2 Revised 05/01/07