HomeMy WebLinkAboutPE 2.82.28; REVITZ; Engineering Application~. Builqing Permit Plan Check No .. ______ _
. FOR APPLICANT TO FILLIN
. ·Site Address·
Leg~t Descr~Ption ' .l.o 1 ~r r
Application for· Grading Permit.' •
city OF. CARLSBAD
ENGINEERING,D.EPARTMENT
1'200 Eim Avenue
438-5541
Surety Company
-Surety Ai;ldress .
. Date Filec;!
> Cash ,d~posit
:. $
PE NO. 2 ~'6J-. z-t
, , Validation~b/F!nanc~
. Department
Ill. ·~O. • .
'Rec'd by
... ·Rec'd by Date filed
; the following docurTIimts are,r¢qu(red andshai(becollle apart '. '. .' -f--;-,--.(,~"-..t..".,~----:---'---"G..!..-"'-=--+.f-L-.L-£..L-,---=-=-=:------~-.~; of the gr(l~ing permit when they are approved.,
Grading plans SpecifrcatiQi'lS
Soil report __ . -Gedlogic Report..
Di:(linage structures' ._,_'. Other' Pho'le ..'
tE-$"2.-5-'1·'-'
-»'-S-!
·CompCjction report.
Phone SPECIAL CONDITIONSWHICH ARE MADE ·.A PARrOF THIS PERMIT· .
. 1. Auth0rized hours of operation:
7:0Q'AM to Sunset, Monday: Friday.'
f-,-,:~':""""':~"'-""=-:--''--::''~if-1----''''---W-=,--=-..:!-.,..::<--,---,=--:..::::.:..:...:.~,-,--,l::=-'~1 t 2. Hau I:routes are to be a pprQved by City ·EnQi n eet ...
Fill
Proposed Schedule of
Operati 0!1s( gates).
Import
Start
Waste
Fini$h
(hereby acknoiNiedge that I halle read the application and state that
the information I have provided is correct and agree to comply with r.." -f
·all.CitYordinanceslmd State. laws regulating e?,cavating and grading,
a-nd the provisions and cq 'tioos of any permit issued pursuant to
.. this application.
Signatljre Of Pern;iit.tee
Owner or authori~ed a
3. Adequate provisions shallpe made for erosio.n and siltation
control. .
4. . All slopes sha.llbe planted per City Code.
: 5. All fills to Pl:1 compacta!:! to. at least 90% of opi:imum
der:lsity 'unless n.oted otherwise:.
-,---,
-Under CityCbde .Sec. ~ 1.0S i 70 this' grading is: .
·0 REGULAR GRADING -City inspector will make insp~cti9ns
listed below. " -. _ . o CONTRbLL~D GRADING -Private grading engineer sh~H •
observe worl<,cQordiriat~tests, make r.eport$. . . ,
lNsPECTION DATE IN$P. SrGNATliRE
h-_~ ____ --'-_~ ______ -#-'-'jI-+---,-____ ---,-...,t.·llnitial -!:lite ·prep.
\\. ENV:RONMENT0 ~;;ANCE.
EIA Log No. .
\Pe~mjt Issued
'?y
\
I--~~--~----~~~~~~~~--~----~~---'---~
Date ________ _ Rough. prlor.to t1r?"ins
By Final -slopes planteq
(1(;;0' .. Comp~ction J~ports rec'q. -·Private engr.-cert .. recfd ..
Date -...L.f'=-7-'--------"---' Copies:' White~Office; Green-Bujlding;
\ermit ExpiratLon Date . ...,.,-_"--_______ -,,-____ ,---\ .. -.
Yellow-Inspector: Piok-Permittee;~oldenrod-Finance
, . \ THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO TH-E WORK DESCRIBED
. ·THIS PERMit IS VALI[HOR A SIX (Si MONTH PERIOD, ,: . ~