HomeMy WebLinkAboutPR 07-27; JAVAHERI RESIDENCE; Engineering ApplicationCITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: DATE: / -0 4-c07
PROJECT DESCRIPTION: 2 6 Lc
PROJECT ADDRESS: 7/3 , 4t.1,'cil. ,r/sJiJ, ef,4
LOT NO(S).: 21/ MAP NO.: fi ifz.. APN(S).: 2 /'- c /0 —
NUMBER OF LOTS: NUMBER OF ACRES: ¼/.
OWNER: /0,A/Ie7' J441ti4' APPLICANT:
Mailing Address: *' 5'Z Mailing Address:
4_1z./a/
Phone Number: &1-%) p 3Q —'0z4t7 Phone Number:
Fax Number: 23O— 010 Fax Number:
E-Mail: J4eA /71)pl.ld )t 1eo/o/t ci 04, E-Mail:
I certify that I am the legal owner and that all the above
information is true nd corr to the best of my knowledge.
Signatu" Date: lZk 7/Signature: Date:
CIVIL ENGINEER: ,%<4sc4i'1 70/LA,e4 SOILS ENGINEER: jrni . Fan LIt't
FIRM: /-/, & FIRM: j•
Mailing Address: /c Mailing Address: r7i,L/
Acc tai/Lc./, 61
Phone Number: \'L- Phone Number: 7Lo4- !_3/SS
Fax Number: (ii1 2~a—/ L4S Fax Number: 13 1— O
E-Mail: 5P7YLô,/., #4d E-Mail: a/s i,ic-'
State Registration Number: e 2 47,3 State Registration Number: 13 40
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
[]Carlsbad Municipal Water District DOlivenhain 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 5(cy remedial •'ij cy import C) cy export D cy
SEE REVERSE SIDE H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check —
—rev
1/14/02
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(/ all that apply)
FOR CITY USE ONLY
PROJECT
LD.
DRAWING
NUMBER
DEPOSIT/FEES
PAID
COMMENTS
O Adjustment Plat (ADJ)
•
O Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:_________________
Type:_________________
Type:_________________
fl Encorachment Permit (PR)
O Final Map (FM)
E] Grading Plancheck (DWG)
O Improvement Plancheck (DWG)
LI Parcel Map (PM)
O Quitclaim of Easement (PR)
Type:__________________
Type:_________________
Type:__________________
0 Reversion to Acreage (RA)
0 Street Vacation (STy) -•
O Tentative Parcel Map (MS)
O Certificate of Correction
(CCOR)
O Covenant of Easement (PR)
0 Substantial Conformance
Exhibit (SCE)
O Other
APPLICATION ACCEPTED BY:
DATE STAMP
APPUCATON RECEIVED
HJDEVELOPMENT SERVICES/MA$TERS/Aoohcation for Enoineeflnn PI2n (hrk Pon*)