HomeMy WebLinkAboutPD 2021-0012; 5791 VAN ALLEN WAY; Engineering Application( City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ComDlete all appro0riate information. Write N/A when not aoolicable
Project Name: 5791 Van Allen Way Date: 2/12/21
Project Description: Water Easement for fire hydrant relocation
Project Address: 5791 Van Allen Way
Lot No(s).: 2 Map No.: 17971 APN(s): 212-130-45
Number of Lots: Number of Acres: Miles of Trails:
Owner: Mararisk LLC /RC Penney, Managing Partner Applicant: Michael Baker International, Inc.
Mailing Address: 3620 Penland Parkway Mailing Address: 9755 Clairemont Mesa Blvd
Anchorage, AK 99508 San Diego, CA 92124
Phone Number: 907-947-5949 Phone Number: 858-614-5029
Fax Number: Fax Number: 858-614-5001
E-mail: bobcpenney@icloud.com E-mail: bkoliver@mbakerintl.com
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: ~ ()~ Signature: Robert Pennet$:=-"":..-Date: 2/12/21 Date: 2/12/21
Civil Engineer: Brian Oliver Soils Engineer: N/A
Firm: Michael Baker International, Inc. Firm:
Mailing Address: 9755 Clairemont Mesa Blvd Mailing Address:
San Diego, CA 92124
Phone Number: 858-614-5029 Phone Number:
Fax Number: 858-614-5001 Fax Number:
E-mail: bkoliver@mbakerintl.com E-mail:
State Registration Number: C45045 State Registration Number:
Additional Comments:
IMPROVEMENT VALUATION
1. What water district is the proposed project located in? (check one)
~ Carlsbad Municipal Water District D Olivenhain D Vallecitos
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 N/A cy fill N/A cy remedial NIA cy import N/A cy export N/A cy
E-23 Page 1 of 2 REV 07/14
LL
,.,
( City of
Carlsbad
APPLICATION
ENGINEERING
PLANCHECK
E-23
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Complete all aooropriate information Write N/A when not aoolicable
APPLICATION FOR
( check all that apply) Project
1.0.
D Adjustment Plat (ADJ)
D Certificate of Compliance (CE)
IX! Dedication of Easement (PR) f7t7uri,1-
Type: Water Easement
Type:
D Encroachment Permit (PR)
□ Final Map (FM)
□ Grading Plancheck (DWG)
D Improvement Plancheck (DWG)
D Parcel Map (PM)
D Quitclaim of Easement (PR)
Type:
D Reversion to Acreage (RA)
D Street Vacation (STV)
D Tentative Parcel Map (MS)
D Certificate of Correction (CCOR)
D Covenant of Easement (PR)
U Substantial Conformance
Exhibit (SCE)
D Trails D < mile D > mile
11i<( Other CD Ni; 1l{u Cl) 0 Ni CHftNhJ1
II APPLICATION ACCEPTED BY:
E-23
Drawing
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Page 2 of 2
FOR CITY USE ONLY
Deposit /Fees Comments
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DATE STAMP
APPLICATION RECEIVED
REV 07/14