HomeMy WebLinkAboutPR 2.3.119; PALOMAR TECH CENTER 2; Engineering ApplicationLL::Z1L7
CITY O4ARLSBAD - ENGINEERINEPARTMENT
APPLICATION
FOR ENGINEERING PLANCHECK OR PROCESSING
Complete all appropriate information. Write N/A when not applicable.
PROJECT NAME: P Ze, Ld, — 4L-tc4L 2 DATE: 1//2 j-,J9'
PROJECTDESCRIPTION:
PROJECT ADDRESS: 245)
Pix /
.JO!r NO().: Z _.MAP NO.: /0 9,5-~5 APN(S).:
OWNER: 1é9 APPLICANT:
Mailing Address: /17 __Y '' '5 77 Mailing Address: ---
Phone Number: (//5_)_7 ITIJ _/1.17 Phone NumbOr:
I certify that I am the legal, owner and that all the above information [certify that I am the agent of the legal owner and that all information on
is true and correct to the best of my knowledge. this sheet is true api core9t to the best- of my knowledge.
Signature __Date - Signature . Date
''-
CIVIL ENGINEER: SOILS ENGINEER: -
Firm: Firm: / V
Mailing Address: 72'J t-m-t-4t Mailing Address: 4' -
Phone Number: ( 12_9 41— c'70'— - Phone Number: ( -
State Registration Number: /'' (05 - State Registration-Number: -
LANDSCAPE ARCHITECT:__________________ ADDITIONAL COMMENTS:_____________________
Firm: -
Mailing Address: - -
Phone Number:
State Registration Number:
NO. OF DWELLING UNITS.: .. LFMP ZONE: NO. OF LOTS:________ NO. OF ACRES:-4,,5J_
IMPROVEMENT VALUATION: sewer, water & reclaimed water:____________ -
Water District (circle one): Carlsbad Municipal Water District i— Olivenhain - Vallecitos
streets and dràiñàge: - landscape:. - -
GRADING QUANTITIES:_________ CY cut cy fill - cy
remedial - . cy import/export - -. -- cy
PLEASE CHECK OFF APPLICATION TYPES ON REVERSE SIDE
PAD0CS\MISF0RMS\FRM00063 REV 04/28/95 -
Ah
FOR CITY USE ONLY
APPLICATION FOR Plancheck Type Drawing Project Deposit/Fees (CHECK ALL THAT APPLY): . Number Number ID. Paid
D Adjustment Plat . ADJP
O Certificate of Compliance . . . COO . . .
O Dedication of Easement . . . .. DOE . .:
Type '
....
Type:
O Encroachment Permit . H ENCROACH . . .
O Engineering Standards Variance . . ... SV . . .•. .
O Final Map
OGrading Plancheck 2
:.• •. QRPC . .
O Grading - . :: •. GANG . . .. ...
0 Improvement Plancheck 1°.: .•. IPO .
O Landscape Plancheck ':
LPC 0
O Parcel Map . .•
. .. :., •',.. . •0 • . • ____________
O Quitclaim of Easement
Type
Type: . :
O Reversion to Acreage
. ......
. ... •. RTA .: .•. , .
O Street Vacation SlY . . . .
o Tentative Parcel Map
El Certificate of Correction . DOOR. . . . .: ..
O Covenant for Easement . . .• . COVE . . ..
0 Substantial Conformance Exhibit
—17 -T SE
ACCEPTED BY ... ., : . .:
MASTER PROJECT ID______________________ REcEIVED
RECEIPT NUMBER
2 1S
PRELIMINARY SIERRA SYSTEM INPUT INITIAL_______
SIERRA SYSTEM INPUT INITIAL MNERI R BASE INPUT INITIAL_____________ pAgrM$T
MASTER FILE NUMBER F
Dather: . :.
DATE:STAMP . .
APPLICATION RECEIVED
P:\DOCS\MISF0RMS\FRM00063 REV 04/28/95