HomeMy WebLinkAboutPUD 88-04H; BERMAN POOL HOUSE; Engineering ApplicationFROM: FAX NO. :
CITY OF CARLSBAD • ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate Information. Write N/ A when not applicable.
PROJECT NAME: ' J DATE: • 5/ 05"
PROJECT DESCRIPTION:~~~~~:..i....~~:::::......i~-~~~~=..:.:..:::.i.~~~;-+-7~-:-:-:~
GR D G-.
NUMBER OF LOTS:
OWNER:
Malling Address:
Phone Number:
Fax Number:
E-Mail:
0 'Z. ·1:.t..~b
CAgcsMo.CA <?Jzoo,
'JW-G>3z?.. zzo~
I certify that I am the legal owner and that all the above
lnformaHon Is of my knowledge.
Signature:
CIVIL ENG! EER: R:'t U
FIRM: 1·tie 'Sc.A BR\Gt:\1 COMPANY
Malling Address: 4~'l,"Z. 'SEA 'BR_)(;tfT .. fk.
CAR,LS5AO ,cA 9-iooB
Phone Number: 1b()-1Z0-' QO~a
Fax Number: 760 .. 7ZP., 00';>2'
E-Mail:
State Registration Number: Kf..;,E. 2 8 3D Z..
ADDmONAL COMMENTS:
NUMBER OF ACRES:
APPLICANT:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
Signature:
SOILS ENGINEER:
FIRM: c:r: E
Malllng Address: j4g I MoN71EL KQA.Q tt:115
• GscctJDlDQ,: C9 IJJZIJZ,(,
760-7Lft;, -4'25S Phone Number:
Fax Number:
E-Mall:
State Registration Number: GG" # 2bb5
IMPROVEMENT VALUATION
1. What water di.strict is the proposed project located in? (ched< one)
Oeansbad Municipal Water District Oolivenhaln 0Vallecitos
2. If in the cartsbad Municipal Watet District, what is the total c.ost estimate, lndudlng the 15%
mntlngency fee, for water and reclaimed water improvements, sewer (for carlsbad Municipal
W•ter District only), street., public (median) landscape and Irrigation, and drainage Improvements
(if appr.eable)? $
GRADING QUANlITIES
cut Zf>" cy fill Z!].. cy remedial __ cy Import __ _
SEE REVERSE SIDE
C .F CARLSBAD -ENGINEERING DEPA
APPUCATION
ENGINEERING PLAN CHECK
ENT
Complete all appropriate information. Write N/ A when not applicable.
PROJECT NAME: Be.R.MAN POOL HOlJcSE. DATE: to 5
PROJECT DESCRIPTION: • L ... C, T~
GR.AD 1tAJOR.K._
PROJECT ADD •____:=.:::=;.....a..;=---=-..1..1..==-;;;...._.-&..;--..x.;~=........,........,~------------
LOT NO(S).: \01c-i MAP No.: l3(qs" APN(s).: z.55-3/Z-/7
NUMBER OF LOTS:
OWNER:
Mailing Address:
Phone Number:
Fax Number:
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:
OVIL ENGINEER: RbBE.R:T ~ 0 K.
FIRM: -n1e ~e.A BR\Gt\1 coMPANY
Mailing Address: ~ 3 Z -Z. ~eA BR.\GtfT Pl.
c,,AR.LS BAD. CA 9-iooB
Phone Number: 1flJ-TW-'oo~2
Fax Number: 760 -]ZJ)., 00<7~
E-Mail:
State Registration Number: R(.....,E. 2 B 30 Z.
ADDffiONAL COMMENTS:
NUMBER OF ACRES:
APPLICANT:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
Signature:
<-13Z l sf>. 8RIGtrf Pc.ACE
c;AR.L;s MP I CA '?ZOo8
~7f>0-JZO:, 00~8
SOILS ENGINEER: ..... D ... A ......... N ......... __._._........_...;.__ __ _
FIRM: CT E
Mailing Address: /441 MoN1!EL :ROAD #l15
Phone Number:
GscotJQU)(), 0\ "JZIJl/o
16()-74&~~4vJ55
Fax Number:
E-Mail:
State Registration Number: Gb # 2665
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
Ocarlsbad Municipal Water District Oonvenhain Ovallecitos
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 2f>'2 cy fill Z7 cy remedial ___ cy import ___ cy
SEE REVERSE SIDE
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check 'PUD B~-o4 fiie :trj_ r,2. Revised 1/14/02
Cit:,>F CARLSBAD -ENGINEERING DEPQMENT
APPUCATION
ENGINEERING PLAN CHECK
Complete all appropriate Information. Write N/ A when not applicable.
FOR CITY USE ONLY
APPUCATION FOR PROJECT DRAWING DEPOSIT /FEES COMMENTS
( ✓ all that apply) I.D. NUMBER PAID
□ Adjustment Plat (ADJ)
□ Certificate of Compliance (CE)
□ Dedication of Easement (PR)
Type:
Type:
Type:
□ Encorachment Permit (PR)
□ Fin~p (FM)
L}/4rading Plancheck (DWG) VLL {)~01//-J r 12"'4 J-'~J' -
□ Improvement Plancheck (DWG)
□ Parcel Map (PM)
□ Quitclaim of Easement (PR)
Type:
Type:
Type:
□ Reversion to Acreage (RA)
□ Street Vacation (S1V)
□ Tentative Parcel Map {MS)
□ Certificate of Correction
(CCOR)
□ Covenant of Easement {PR)
□ Substantial Conformance
Exhibit (SCE)
□ Other ..... -r:1"'\.T~D "@v P ~
APPUCATION ACCEPTED BY: J\}~ \ 0 1\\\)-l
ER\\'\-G ~NG\~€"'(Nit:-N1
rif;.?~R
DATE STAMP
APPUCATON RECEIVED