HomeMy WebLinkAboutCUP 02-23; LARWIN PARK; Engineering ApplicationCIT'_ ;F CARLSBAD -ENGINEERING DEPAaENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/ A when not applicable.
PROJECT NAME: L..MZ-~lb,,} EA-12-K. DATE: 5•,:1),0~
PROJECT DESCRIPTION: Cm.~dt.(tf]. al. ,t28Y~ !Md /J£~'tl~ ~~el'/:l. t£d
0/11,. i«.t.i~~-I t/u0vl/h< 5&d PROJECT ADDRESS: t'-I-44 I-37 LOT NO(S).: ~~ MAP NO.: /0/"2-/3 APN(S).: 1~7 .. ();Jo-4t~4'1.4e1~
NUMBER OF LOTS: ~ NUMBER OF ACRES: '2"2. ~
OWNER: C.io/!; o/. C&/~it.i.. APPLICANT: ~~A-6 Q_U)/.JefZ.
Mailing Address: 11.00 ,l!!~i:Jid 01/(;~ Dv. Mailing Address:
~~lit:&~~~
Phone Number: zt~ .. ~11.-~ 7~ Phone Number:
Fax Number: 2"2-!:l:,',24--2£~~ Fax Number:
E-Mail: 1 /t.e~ ~c;. a.-1:t.hii.: C<J. f/2 E-Mail:
I certify that I am the legal owner and that all the above
information is true and correct to the best of my knowledge.
Signature~A~ K_,Ll-nh~ Date: 5L1.,Lo2 Signature: Date:
□VIL ENGINEER: GlfJ.dl. '-. L(&-1 ~~ SOILS ENGINEER: e"J.·~ ::r. A lilfl. ,J,
FIRM: (a LIP C//116.111.E:.'-n~ FIRM: z-e.~:I,~ ~l>fL~ -:':>~ D1'~
Mailing Address: !;.2hq C-ldL~n Pl. Mailing Address: 20t!J5 CtdJ.~cf:/-. cf. '5k. lB.
Cli::t~kid cJ:. q_?OOS ~ Di~ CA ~'Zltl
Phone Number: 2~-zw-osoo Phone Number: 85f!. -2' 5 -s~oo
Fax Number: 21A?-2w-~·v2.ez Fax Number: ~~ -215:..-2/j_{O
E-Mail: ~ 1/ it!/l. i.,:/. c.&k/z.it..,i.. ~ E-Mail:
State Registration Number: CET 4t W1:.. State Registration Number: Ge -z~~s
ADDmONAL COMMENTS:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
~cartsbad Municipal Water District Oolivenhain Ovallecitos
2. If in the cartsbad 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 0/ fill 0/ remedial 0/ import 0/ export 0/
SEE REVERSE SIDE
r.==========•=· ··-·.. •• ..... ••• ... ··--==============;i qJ:l OF CARLSBAD -ENGINEERING DEP,-aliMENT
U APPUCATION '-,I
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/ A when not applicable.
APPUCATION FOR
( ✓ all that apply)
0 Adjustment Plat (ADJ)
0 Certificate of Compliance (CE)
Q Dedication-of Easement (PR)
Type: -------
Type: -------
Type:
0 Encorachment Permit (PR)
0 Final Map (FM)
~ Grading Plancheck (DWG)
0 Improvement Plancheck (DWG)
0 Parcel Map (PM)
D Quitclaim of Easement (PR)
Type: -------
Type: -------
Type:
0 Reversion to Acreage (RA)
D Street Vacation (STV)
□
□
□
□
Tentative Parcel Mall (MS)
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
0 Other I APPUCATION ACCEPTED BY:
PROJECT·
I.D.
FOR CITY USE ONLY
DRAWING DEPOSIT/FEES COMMENTS
NUMBER PAID
I
DATE STAMP APPUCATON RECEIVED
H:IDEVELOPMENT SER\/ICESIMASTERSIAoolication for Ennini>i>rina Plan C:tii>ck Pani> ?