HomeMy WebLinkAboutCDP 2020-0017; SAREM RESIDENCE; Engineering Application
E-23 Page 1 of 2 REV 07/14
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
APPLICATION
ENGINEERING
PLANCHECK
E-23
Complete all appropriate information. Write N/A when not applicable.
Project Name:________________________________________________ Date:______________________________
Project Description: ________________________________________________________________________________
________________________________________________________________________________________________
Project Address:___________________________________________________________________________________
Lot No(s).:_______________________ Map No.:__________________ APN(s):____________________________
Number of Lots:___________________ Number of Acres:____________ Miles of Trails:_______________________
Owner: ____________________________ Applicant: ___________________________
Mailing Address: ____________________________ Mailing Address: ___________________________
____________________________ ___________________________
Phone Number: ____________________________ Phone Number: ___________________________
Fax Number: ____________________________ Fax Number: ___________________________
E-mail:____________________________ 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:________________ Date: ______________ Signature:____________________ Date:_____________
Civil Engineer: ______________________________ Soils Engineer: ______________________________
Firm: ______________________________ Firm: ______________________________
Mailing Address: ______________________________ Mailing Address: ______________________________
______________________________ ______________________________
Phone Number: ______________________________Phone Number: ______________________________
Fax Number: ______________________________ Fax Number: ______________________________
E-mail: ______________________________ E-mail: ______________________________
State Registration Number: _____________________ State Registration Number: _______________________
Additional Comments:_______________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
IMPROVEMENT VALUATION
1.What water district is the proposed project located in? (check 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, 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
Sarem Residence April 14, 2021
Single Family Residential Development w/ Pool
4005 Skyline Road, Carlsbad, CA 92008
Portion Lots 24 & 25 2647 207-072-17
N/A 0.572 N/A
Scott & Kyra Sarem
6684 Lemon Leaf Drive
Carlsbad, CA 92011
(760) 533-2470
scott@everydayenergy.us
Same as owner
Caleb Rios
Toal Engineering, Inc.
139 Avenida Navarro
San Clemente, CA 92672
(949) 492-8586
crios@toalengineering.com
RCE 57587
Grayson R. Walker
Petra Geosciences, Inc.
GE 871
40880 County Center Drive, Ste M
Temecula, CA 92591
(951) 253-4458
X
3,378.00
150 1,695 1,000 1,545 N/A
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E-23 Page 2 of 2 REV 07/14
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
APPLICATION
ENGINEERING
PLANCHECK
E-23
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(check all that apply)
FOR CITY USE ONLY
Project
I.D.
Drawing
Number
Deposit /Fees
Paid
Comments
Adjustment Plat (ADJ)
Certificate of Compliance (CE)
Dedication of Easement (PR)
Type: ___________________
Type: ___________________
Encroachment Permit (PR)
Final Map (FM)
Grading Plancheck (DWG)
Improvement Plancheck (DWG)
Parcel Map (PM)
Quitclaim of Easement (PR)
Type: ___________________
Reversion to Acreage (RA)
Street Vacation (STV)
Tentative Parcel Map (MS)
Certificate of Correction (CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
Trails < mile > mile
Other
APPLICATION ACCEPTED BY: DATE STAMP
APPLICATION RECEIVED ____________________________________________________________
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