HomeMy WebLinkAboutPD 456; NELLCOR PURITAN BENNETT; Engineering ApplicationS
CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate lri(ormadon. Write N/A vd75n not applicable.
PROJECT NAME: t\).e//c'r Prl- DATE:
PROJECT DESCRIPTION:'ip-oveJ4e7 7L ç0 b€4111,7 O4VS iP&-i
C4rhbJ ,'5P4rc1- C.-/-t'v
PROJECTADORESS: 0O
LOT NO(S).: L.1 1L E MAP NO.: if I0 APN(S).: 2./2 - I 2.0 _?I 132
OWNER: P. p.hi.i - fr 4or.Dv-ir2cI.., APPLICANT: 5,4_M_E
Mailing Address: ?LO0 Pa ,-vJ A.v4'. Mailing Address:
c4,-/sb4 '?-008'
Phone Number ((0/17 _' 2 '- z' 000 Phone Number (
I certify that I am the legal owner and that all the above information I certify that I am the agent of the legal owner and that all Information on
Is true and Co ect to the beat of my knowledge. this sheet Is true and correct to the best of my knowledge.
Signature _/).A .JM 1730 Date Signature _Date__________
CIVIL ENGINEER: Cl-,4rAe .k'I,r SOILS ENGINEER: 'v:dLeqr
Firm: /, L._a,/Asso,c7'eg Firm: (.#ocok,
Mailing Address: 5600 rnic5 Mailing Address: Gq(,o plas.,hvs O,.
ba A ' 008 5a-' Lilt-go, /
Phone Number 4_)_43 00 - Phone Number (i_558—DO
State Registration Number CE 9'07 State Registration Number IF _2 7
LANDSCAPE ARCHITECT: ADDITIONAL COMMENTS:_____________________
Firm:
Mailing Address:
Phone Number
State Registration Number
NO. OF DWELLING UNITS: LFMP ZONE:________ NO. OF LOTS: NO. OF ACRES:_____
IMPROVEMENT 'VALUATION: sewer, water & reclaimed water LO 1,7 7$
-1
streets and drainage:j .)-28 landscape: water district: CMtd7
GRADING QUANTITIES: R, 'froc CV cut I (#4' 00 Cy fill CY
remedial cy importlexport 0 cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
a,. ata
FOR CITY USE ONLY
APPLICATION FOR Plancheck Type Drawing. Project Deposit/Fees
(CHECK ALL THAT APPLY): Number Number ID. Paid
EAdjustmentPlat ADJP
[I Certificate of Compliance COC
U Dedication of Easement WE
Type:___________________________
Type:
U Encroachment Permit ENCROACH
O Engineering Standards Variance _________
Final D . FM _Map
OGrading Plancheck GRPC
D GRADING Grading
improvement Plancheck
O Landscape Plancheck LPC
O Parcel Map -
PM
U Quitclaim of Easement OUITC
Type:
Type:
O Reversion to Acreage RTA
O Street Vacation SW
Tentative Parcel Map
Certificate of Correction
O Covenant for Easement COVE
O Substantial Conformance Exhibit SCE
APPUCATION ACCEPTED BY• D.
MASTER PROJECT ID_____________________
RECEIPT NUMBER_________________________CEIV
PRELIMINARY SIERRA SYSTEM INPUT INITIAL
SIERRA TE SYSM INPU T INITIAL
- SEP 091996
R:BASE INPUT INITIAL___________
MASTER FILE NUMBER: F -
DOther
- DATE STAMP.
APPLICATION RECEIVED
P:\DOCS\MISFORMS\FRM00063 - REV 04/28/95
., . CITY OF CARLSBAD - ENGINEERING DEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate Information. Write N/A when not applicable.
PROJECT NAME:N.e//cop- P4ri14a., eH DATE:____________
PROJECT DESCRIPTION:&ra4',.,1 P/-,. F- ie' b41/17
Ca r 15bJ ,'ç P4rc. C. -,
PROJECTADDRESS: 2QO A-v-ei-7c.1.. /
LOT NO(S).:l1iL 5 MAP NO.:/1 6>! 0 APN(S).:2-/2 /2-0 ?i ' 32
OWNER: P - rirn- //' APPLICANT: 5,4 M
Mailing Address: l-O0 Fa rdg AV-4'. Mailing Address: -
c,-/sLi
Phone Number: (&/1 221 -44OOC2 Phone" Number: (t
I
'¼ 1
I certify that am the legal owner and that all the above information I legal information I certify that am the agent of the owner and that all on
Is true and correct to the best of my knowledge. this sheet Is true and correct to the best of my knowledge.
-?(' Signature /M .ifl I7W Date Signature Date -
CIVIL ENGINEER:Cl-,4r/,r XQI,r SOILS ENGINEER: D4VSd Le4/1
Firm: !QLIP. aI Msociqie Firm: G-'ocoii
Mailing Address: 500 f'f Mailing Address: F laI9rs Or.
Codi Le/ CA OoS' S 5a-, Di o. CA
Phone Number: (,fq 438 Phone Number: ) 538 '9O0
State Registration Number: CR State Registration Number 5--17
LANDSCAPE ARCHITECT: •• ADDITIONAL COMMENTS:____________________
Firm: __________________________________ ___________________________________________________
RECEIVED Mailing Address
-
Phone Number: (
'AUG 19 1996
State Registration Number
DEPARTMENT
NO. OF DWELLiNG UNITS: /V/ LFMP ZONE: _5 NO. OF LOTS: NO. OF ACRES:_____
IMPROVEMENT VALUATION: sewer, water & reclaimed water:_________________
_-_f\ •
streets and drainage _i $P landscape water district CM WD
GRADING QUANTITIES: 00 CY cut / 44 't 00 cy fill 16, 'i00 cy
remedial cy import/export 0 cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE e L15,
P:\D0CS\MiSF0RMS\FRM00063 REV 12/10/93
APPLICATION FOR jchec
(CHECK ALL THAT. APPLY);
...
.....
Boundary djustment
O Adjustment Plat
::i Certificate of Compliance
O Dedication of Easement \ \
Type \.
Type: '
O Encroachment Permit4 .
Engineering Standards Variance
- O Final Map
now Grading - PD 4'%
O tmprovemnt Plancheck
O Landscape Plarccheck -.
O Parcel Map 's-s _
r
O QuItclaIióEasen?ent 'c- c
Type
Type i
O Reversion tAcag'ë
O Street Vacation -
C1 Tentative Parcel Map
Certificate of Correction
'r' ç O Covenant for 6-1
O Substantial Cfrniänce,Exhibit
P \DOCS\MiSFORMS\FRM00063
REV 12/16193