HomeMy WebLinkAboutMS 05-22; CARLSBAD AIRPORT HOTELS; Engineering ApplicationO
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: 4 'J /-/ DATE:
PROJECT DESCRIPTION:
PROJECT ADDRESS:\Ø(fot /(mia kiqri+ ¶R.o
LOT NO(S).3\ \ - MAP Nd.: tAlb 06-2,2. APN(S).: '2- cflo— Ø2E\
NUMBER OF LOTS: Z NUMBER OF ACRES: ti 14. MILES OF TRAILS:
OWNER: /Ao t..\.-c APPLICANT: ------_
Mailing Address: (ç tJaØ ('- Dr. It?41 Mailing Address: 41 tet.xçzw*
E72(4 (- ?jn(,O t'iOJJ9(Yr Ck ,IA ot uetoo
Phone Number: &it.cj jp ,0) Phone Number: i'kj (pO 2,00 t)
Fax Number: Qi\ Fax Number: '4C pO
E-Mail: E-Mail:
and that all the above I certify that I am the le I o ~
thre information is true a rre best of my knowledge.
Signature: Date: Signature: Date: i.si.o
CIVIL ENGINEER: 5 SOILS ENGINEER:
FIRM: 4_Cx okle 5 FIRM:
Mailing Address: _ Mailing Address:
Phone Number: 61I..at 4S1 540Lt Phone Number:
Fax Number: e-ip Fax Number:
E-Mail: Cow\ E-Mail:
State Registration Number: !=S State Registration Number:
ADDITIONAL COMMENTS:
IMPROVEMENT VALUATION
What water district is the proposed project located in? (check one)
Carlsbad Municipal Water District Olivenhain Vallecitos
If in the Carlsbad Municipal Water District, what is the total cost estimate, including the 15°Io
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
SEE REVERSE SIDE
ft/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Revised 05/01/07
Ms
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CITF CARLSBAD - ENGINEERING DEPAR1NT
V
APPLICATION
ENGINEERING PLAN CHECK
Complete all appropriate information. Write N/A when not applicable.
APPLICATION FOR
(/ all that apply)
FOR CITY USE ONLY
PROJECT
I.D.
DRAWING
NUMBER
DEPOSiT/FEES
PAID
COMMENTS V V
Adjustment Plat (AD))
0 Certificate of Compliance (CE)
Dedication of Easement (PR)
Type:__________________
Type:__________________
Type:__________________
Encroachment Permit (PR)
Final Map (FM)
V Grading Plancheck (DWG)
Improvement Plancheck (DWG)
Parcel Map (PM) ,//$ -
Quitclaim of Easement (PR)
Type:__________________
Type:__________________
Type:__________________
Reversion to Acreage (RA)
Street Vacation (STy)
Tentative Parcel Map (MS)
Certificate of Correction
(CCOR)
Covenant of Easement (PR)
Substantial Conformance
Exhibit (SCE)
El Trails E<mile 0> mile
Other
APPLICATION ACCEPTED BY:
RECEIVED
OCT 3 12008
ENGINEERING
Djç4NT
APPLICATON RECEIVED
H:/DEVELOPMENT SERVICES/MASTERS/Application for Engineering Plan Check Page 2 Revised 05/01/07