HomeMy WebLinkAboutCT 79-14; BIRTCHER BUSINESS CENTER; Engineering Applicationr
I
J • Appllco,;';n 10, G,&<lIn9 Pe,m;'
CITY OF CARLSBAD
ENGINEE~IN.G DEPARTMENT
1200 Elm Avenue
729-1181
Building Permit Plan Check No. ______ _ e, 7q-/Jf
FOR APPLICANT to FILL IN
Site Address
Phone
Address
Party responsible lqr oilerall supervision
Sur~ty Bond.
Surety Company
Surety Address
Date Filed
Ca'Shc;leposit
$
Bdnd No ..
Rec'd by
Rec'd by' Date filed
The following documents are required and shall becomt;l a part
of the grading permit when they are approved~
::;.. Grading plans L Specifications
__ Soil report Retaining Walls
-+ Drainage structures Other
V CompactJon .report
SPECIAL CONDITIQNSWHICH ARE MADE
A PART OF THIS PERMIT .. -
Authorized hours of operation:
. '" Proposed use of grade,she 7:00 AM to 5:00 PM, Monday -Friday.
.. '. Ll . T II-J[)Vs."Tf?tA.t. 13Lt>C¥S. Haul routes are to be approved by City Engineer.
"
Number of cubic yards
Cut ' Fill Import Waste
83,.tK.O 8~;tx:JO
Proposed Schedule of Start Finish
Operations (dates)
I hereby acknowledge that I have re~d the application and state that
the information I have provided is correct and agree to comply with
all City ordinances and State laws regulating excavating and grading,
:;::~;::::;:;::: oond2 ;;:;;;SSU,d pu~uan' to
Owner or authoJized agent (!)W)Jf5?.'S A..6e7JT
ENVIRONMENTAL CLEARANCE-
EIA Log No. 5?!, Date --""'-I---F--:----
By
Permit Is
by .".._ ............. ~~~~~~~~.-.:Iate ----l~_I_~~~~=--..,.J
Permit Expiration Date ~
Adequate provisions shall be madE;l for er.osion and siltation
. All slopes shall I?e planted per direction qf Parks &
Recreation Director ..
5. /AII fills to be compacted to at least 90% of optimum V density unless noted otherwise. . .
. -
INSPECTION DATE
Ground preparation
Rough grading
Compaction report rec'd.·
Planting &.drainage
Final certification rec'd.
Wor.k completed
Surety bond released
Copies: White-Office; Green-Building;
INSPECTOR'S
SIGNATURE
Yellow~lnspector; Pink-PE;lrmittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO 'tHE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
f:JP. Tt.