HomeMy WebLinkAboutRP 97-03; JOIN HANDS-SAVE A LIFE CENTER; Engineering Application-CITY OF CARLSBAD -ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLAN CHECK OR PROCESSING
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: Join Hands-Save a Li fe Center DATE:
PROJECT DESCRIPTION:
PROJECT ADDRESS:
LOT NO(S).: 27, 28 & 29 MAP NO.: 775 APN(S).: 204-081-08,
09L15L00
-09 & -1Q
NO. OF DWELLING UNITS: LFMP ZONE: # LOTS: #ACRES:
OWNER: Join Hands-Save a Life APPLICANT: Join Hands-Save g Life
Mailing Address: 3528 N\adison Street Mailing Address: 3528 l\t1adisQ□ S1cee1
Carlsbad, 0\ 92008-5034 Carlsbad, 0\ 92008-5034
Phone Number: ( 760 ) 720-0540 Phone Number: ( 760 ) 720-0540
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge
l
Signature 7 C.. ,::,..c,. ~ Date 9-IY-2 a::,,t,, Signature * {q Z" ~ Date '?-Ir;-. ? c-=..
1
CIVIL ENGINEER: Barto I ome J. Pastor SOILS ENGINEER:
Firm: Alta Consultants Firm:
Mailing Address: 4901 M:>rena Blvd., Ste. 409 Mailing Address:
San Diego, 0\ 92117
Phone Number: ( 858 ) 581-6101 Phone Number: ( )
State Registration Number: R.C.E. 38606 State Registration Number:
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (circle one)
Carlsbad Municipal Water District Olivenhain 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 (if applicable)? $
3. What is the total cost estimate, including the 15% contingency fee, for sewer (for Carlsbad
Municipal Water District only), street, public (median) landscape and irrigation, and
drainage improvements (if applicable)? $
4. What is the total cost of landscape and irrigation improvements on private property (if applicable)? $
GRADING QUANTITIES
cut cy fill cy remedial cy import/export cy
H:WORD/OOCS/MISFORMS/APPLICATION ENG PLANCHECK OR PROCESSING (Z f 11-REV.10/06/W ~5
C 0
FOR CITY USE ONLY
APPLICATION FOR: Plancheck Drawing Deposit/Fees
(✓ all that apply) Number Tvoe Number Proiect 1.0. Paid
!XI Adjustment Plat ADJP r'iCOL -2., ~~'r7roo.~ 76u~
0 Certificate of Compliance coc
0 Dedication of Easement DOE
Type:
Type:
0 Encroachment Permit ENCROACH
0 Enqineerina Standards Variance ESV
0 Final Map FM
O Gradina Plancheck GRPC
O Gradina GRADING
0 Improvement Plancheck IPC
0 Parcel Map PM
0 Quitclaim of Easement QUITC
Type:
Type:
0 Reversion to Acreaqe RTA
0 Street Vacation STV
0 Tentative Parcel Map MS
0 Certificate of Correction CCOR
0 Covenant for Easement COVE
O Substantial Conformance Exhibit SCE
APPLICATION ACCEPTED~ 4-dA s
MASTER PROJECT ID:
RECEIPT NUMBER: r:· ..... , •••• ,_ ----v'T"'D t<..Ll,,a:,.1 C.1
PRELIMINARY SIERRA SYSTEM INPUT INITIAL: SEiJ 2 5 2uUO
SIERRA SYSTEM INPUT INITIAL:
R:BASE INPUT INITIAL: i::.NGIM.:2Ril'JG
\ DEPARTMENT
MASTER FILE NUMBmRr F
0 OTHER: DATE STAMP
APPLICATION RECEIVED
•
DOCS/MISFORMS/APPUCATION ENG PLANCHECK OR PROCESSING REV. 10/06/99
PROJECT REVIEW COMPLETION
The following project has been reviewed and are recommended for approval:
Project Name: Join Hands Save A Life
Project No.: RP 97-03 --------------------------
Document No.: ADJ 00-13
Sheets No.: NIA Through: -----------------------
DECLARATION OF RESPONSIBLE CHARGE
I hereby declare that I have exercised responsible charge over the review of this
document as defined in Section 6708 of the Business and Professions Code to determine
that the document is found to be in substantial compliance with applicable codes and
standards.
Review of this document does not relieve the Land Surveyor or Engineer of Work of the
responsibilities with state and local ordinances.
Signed
PROJECT REVIEW COMPLETION.doc
John Powell and Associates, Inc.
175 Calle Magdalena
Encinitas, CA 92024
(760) 753-1120
RC WEIN8ER ·
C 26441
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