HomeMy WebLinkAboutPD 2020-0007; FUKUDA RESIDENCE; Engineering ApplicationCcityof
C'Mlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Project Name: ___ ~-------.......... ~~~--------
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Project Description: ---=;,:,,:.,,"'-'-"c...;.,;_......1o"'--~=---.....c....--=-"-"'---'<.....,;,,:::...£;;'--,L:...z:::IIC..l<...:c.+-------------
Project Address:__.,c______:-=-_.._____,'--=-..::.....:.-:..!.-=---:;,,c--=-..!...IL.~i----,:=r;..:..-=---------r:a~'--"T""::al"""T---:::a.......,1r----
Lot No(s).: ________ _
Number of Lots:
Owner: Applicant:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: ---Fax Number:
E-mail: E-mail:
Signature:
Soils Engineer:
Firm: Firm:
Mailing Address: Mailing Address:
Phone Number: Phone Number:
Fax Number: ~
E-mail: YOUb e,]?rsv;~
State Registration Number: ~ 'TU
Fax Number:
E-mail:
State Registration Number:
Additional Comments: ________________________________ _
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
)S Carlsbad Municipal Water District D Olivenhain D Vallecitos
2. 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)? $
,4 ll GRADING QUANTITIES /7 ri
cut IJ/V cy fill --cy remedial --cy import__,. cy export (.A.I cy
E-23 Page 1 of 2 REV 07/14
Ccityof
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
om eea c 1pl t II aDDropriate information Write N/A when not aoolicable.
APPLICATION FOR
( check all that apply)
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE)
D Dedication of Easement (PR)
Type:
Type:
D Encroachment Permit (PR)
0 Final Map (FM)
~ Grading Plancheck (DWG)
D Improvement Plancheck (DWG)
D Parcel Map (PM)
D Quitclaim of Easement (PR)
Type:
D Reversion to Acreage (RA)
D Street Vacation (STV)
D Tentative Parcel Map (MS)
D Certificate of Correction (CCOR)
D Covenant of Easement (PR)
LJ Substantial Conformance
Exhibit (SCE1
D Trails D < mile D > mile
D Other
II APPLICATION ACCEPTED BY:
E-23
Project Drawing
1.0. Num,ber
Pl)lo10-ooo 11 (,..itl•)a
Page 2 of 2
FOR cn:v USE ONLY
Deposit /Fees Comments
Paid
-0() l~
II
DATE STAMP
APPLICATION RECEIVED
RECEIVED
MAY 2 9 2020
LAND DEVEL UPMENT
ENGINEERING
REV 07/14