HomeMy WebLinkAboutPE 2.81.04; PALOMAR AIRPORT ROAD HELI-HANGAR; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541 -
Building Permit Plan Check
PE NO. p
Validation by Finance
Department
FOR APPLICANT TO FILL IN
Site Address Surety Surety Company Bond No.
______
Legal Description Map No.
44- - - i I Surety Address
AP o
Subdivision Name Date Filed .. Rec'd by
Owner Phone Cash deposit Rec'd by Date filed
16 2411
Owner's Address The following documents are required and shall become a part
t( S5O j(Yy1)iv1c pe. of the grading permit when they are approved.
Grading plans Specifications Plans by Civil Engf?,eer R.C.E.
14- _____ Soil report Geologic Report Address Phone
LV-Y-3S \J -O. )7i .
Drainage structures _____ Other
Compaction report Soil Engineer R.C.E. Phone
owiCk( Ep • -
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
(y-.,QC( (ç,j-. (Q. A PART OF THIS PERMIT
Address
L51c LOG. ko. Authorized hours of operation:
. 7:00 AM to Sunset, Monday - Friday.
Party responsible foroverall supervision
. Haul routes are to be approved by City Engineer. l.::'*-
Proposed use of grade site
Adequate provisions shall be made for erosion and siltation Number ofjbic yards
Cut ZCO Fill Import Waste
control.
All slopes shall be planted per City Code.
'ZOO 'aco
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) 2-1Z -.e7l 2_ -fj density unless noted otherwise.
I hereby acknowledge that I have read 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, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to LI REGULAR GRADING - City inspector will make inspections
this application. listed below. -
LI CONTROLLED GRADING- Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
Owner or authorized agent 1''" INSPECTION DATE INSP. SIGNATURE
'3i5 Initial - site prep.
— ENVIRONMENTAL CLEARANCE -
Date ____________________ Rough. prior to drains
09,f+_
IIdE
EIA Log No. N I - Final - slopes planted By _________________ .
Compaction reports rec'd. --
Grading permit fee $ Z. 'L. Plan check fee $
Private engr. cert. rec'd. Permit Issued . - -
by ____________________________________ Date '1 '- I Copies: White-Office; Green-Building;
Permit-Expiration Date -1 Yellow-Inspector; Pink-Permittee;, Goldenrod-Finance
Olc.
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED .4f
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD -