HomeMy WebLinkAboutPIP 94-04; BLACKMORE AIRPORT CENTRE; Engineering ApplicationCITYOF ORLSBAD ENGINEERING OARTIVIENT
APPUCATION
FOR ENGINEERINGPLANCHECK OR PROCESSING
Complelo ail appropnaft ktfmadon. Wilt. N/A ithsn not appflcab..
PROJECT NAME: Lot 18, Palomar Airport Centre DATE: 12-28-94
PROJECT DESCRIPTION: _Development of_ Lot _18_privateonsitimprnvPmPnts
of public water main.
PROJECT ADDRESS: Palomar Oaks Way
LOT NO(S).: 18 MAP NO.: 11287 APN(S).: 212-091-08-00
OWNER: BlackmoreAirport_Centre APPLICANT.' Andrew _J.Kann
Mailing Address: 12626High_Bluff_Dr.4440 MaillngAddrss.: 41R0_T. _.ir11 _Villg _flr_
SanDiego,_CA92130 To _.lnnR.('. _97037
Phone Number: (619_)_792-1212 Phone Number (_619)_552-0033
I certify that I am the legal 'owner and that all the above Information is true and corr to the.;r of n ge.
Signaturei kIl(_Dat/'? '95
I certify that I am the agent of the Isgal owner and that all Information on
this st.eet Is correct to the my knowledge.
Date
CIVIL ENGINEER: mark _,T_Rnwcnn SOILS ENGINEER: Mik _Stew,art
Firm: --Latitude 33 Firm: Leightcn_r'r'if ecz ,Tn
Mailing Address: 4180La Jolla village Dr.
#330
M.ilingAddrees: 3934Murohy Canyon Rd. #B205
La Jolla. CA_92037 SanDiego,CA92123
Phone Number: 619 )_552-0033 PhoneNumbec (_619)_292-0771
State Registration Number: RCE_30836 State Registration Number -CEG1349
LANDSCAPE ARCHITECT:N/A ADDITIONAL. COMMENTS:For 8" water main
Firm: construction.
Mailing Address:
Phone Number: ( -
State Registration Number.
NO. OF DWELLING UNITS: N/A LFMP ZONE:on - P NO. OF LOTS: N/A NO. OF ACRES: N/A IMPROVEMENT VALUATION: sewer, water & reclaimed water $17,372
streets and drainage: 17. ?- landscape: n water district: CMWD GRADING QUAN1TflES:0.0_'CV cut 0-0- Cy fill _ cy
remedial 0.0 Cy import/export 0.0 cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
) -
P:\3CS\MlSFORMS\FRMOoo63 REV 12/16/93
13
CITY OF cRLSBAD. ENGINEERING DARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate ,nfonnabon Write N/A when not applicable
PROJECT NAME: DATE
PROJECT DESCRIPTION:
PROJECT ADDRESS
LOT NO(S) MAP NO.:, APN(S)
OWNER APPLICANT:
Mailing Address Mailing Address
Phone Number: 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 Inforriation on
Is true and correct to the best of myknowiedge this sheet Is true and correct to the best of my knowledge 7
Signature Date Signature Date____________
CIVIL ENGINEER: SOILS ENGINEER:'
Firm: Firm:
Mailing Address Mailing Address
Phone Number: Phone Number: (
State Registration Number State Registration Number
LANDSCAPE ARCHITECT ADDITIONAL COMMENTS 1
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________________
,
streets and drainage landscape: water district:,
GRADING QUANTITIES:..,
4 1._________ CV cut Cy fill cy
-,..
remedial • cy, import/export-cy
- - - - -
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE - .ts -- • -. -• -
.•-*- - -.
oOcc?MISFORMs\FRMOOoe3 REV IVII6/93*
APPLICATION FOR
(CHECK ALL THAT APPLY):
0 Encroachment Permit
O Engineering Standards Variance ESV
O Final Map FM X.
Cl Gradinq
Plancheck
El Landscape Plancheck
El Parcel Map
O Quitclaim of Easement
O Reversion to Acreage
0 Street Vacation
P:OCS\MISFORMS\FRM00063 IV 1211?/93