HomeMy WebLinkAboutPE 2.83.05; GALLAGHER RESIDENCE; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
I.
PENO.______
Validation by Finance
Department
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
Legal Description Map No. Surety Address
Subdivision Name
lie—
Date Filed Rec'd by
Owner Phone Cash deposit Rec'd by Date filed
-6 $
Owner's Address The following documents are required and shall become a part
of the grading permit when they are approved.
Plans by Civil Engineer . R.C.E. Grading plans Specifications
Soil report Geologic Report Address ,-' Phone Drainage structures ______ Other
Compaction report Soil Engineer R.C.E. Phone
9el
Grading Contractor - Phone I SPECIAL CONDITIONS WHICH ARE MADE
- A PART OFTHIS PERMIT
Address - Authorized hours of operation:
7:00 AM to Sunset, Monday. Friday. Party responsible for overall pervision
Haul routes are to be approved by City Engineer. '7 Proposed use adesite
- Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import Waste All slopes shall be planted per City Code.
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) _c::(3'/._3' _--5 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 0 REGULAR GRADING - City inspector will make inspections
this application, listed below.
0 CONTROLLED GRADING- Private grading engineer shall Signature of Permittee observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE Owner or authorized agen
Initial - site prep.
ENVIRONMENTAL CLEAFNCE
- Rough to drains - prior _____________________ Date ______________
EIA Log No. Final . slopes planted By __________________
Compaction reports rec'd. Grading permit Plan check fee $ ,5_-0_....
Private engr. cert. rec'd. Permit ,.1d7 (( J.11-) (?J /1
'"
Copies: White-Office; Green-Building;
Permit Expiration Date Yellow-Inspector; Pink-Permittee; 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