HomeMy WebLinkAboutPE 2.84.66; LIPSON RESIDENCE LOT 483; Engineering ApplicationPlans by Civil Engineer
Address
Soil Engjnee_r
V4 ?A91 lei
GMji - ng Controo I r - I
R.C.E.
Phone
R.C.E. Phone
Phone
-77 'V-4Z - J -7
Application for Grading,'Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
Pv& 7 1200'Elm Avenue
438-5541
Building Permit Plan Check.No.
Validation by Finance
Department
FOR LL IN
Site Address Surety Company Bond No.
Legal. Description Map No. Surety -Address
Subdivision Narfie Date Filed Rec~di by
Phone Cash deposit Rec'd by Date filed kr~l - 7" ,PWA) )~A) _7 . $ J
The tollawing documents are required and shall becorne a part
of the ading permit when they are approved.
VZGrading plans Specifications
]~~
oil report Geologic Report
rainage structures Other
CCF_ompactiorj report
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
1 . Authorized hours of operation,
7:00 AM to Sunset, Monday - Friday.
2. Haul routes are to be approved by CityEngineer.
3. Adequate provisions shall be.made for erosion and siltation
control.
4. All slopes shall be plan.ted per City Code,.
5. All fills to be compacted to at least 90% of optimum
density unless noted othervvise~.
for ove.ral) supervision
Proposed use of grade
Number of cubic yards
Cut Fill Import Waste
D'6 4f Z ~RIQV C_ Z I ~;We v I —
Proposed Schedule of Start F 1 n i,.sh
Operations (dates)
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,Uty oruinances anu State jaws regulating excavating and grading, Under City Code Sec. 11.06 170 this grading is: and the provisions and,conditio f any permit issued pursuant to ~~G
U
LAR GRADING - City inspector will make inspections
this application. isted below.
CONTRO LLED GRADING - Private.grading engineer shall
Signature of ~Permitiee observe Work, coordinate, testsi. maike reports.
Owner or authorized agent
I INSPECTION DATE INSP. SIGNATURE
ENVIRONMENTAL CLEARA166 -
Initial - site prep.
EIA'Log No.
Date Rough - prior to drains
By Final - slopes planted
Compaction reports rec'd. Grading permit fee $ (~ (3, 00' Plan check fee $ AJV
Permit I sued Private engr. cert. rec'd. S_ C . I / 17r_0 A by Date _J
AI Copies: White-Office; Green-Bj. ing
Permit Expiration Date 47"—/ -7 — S!1~? Yellow-inspector; Pink-Permii ee; Gol nrod-Finance
THIS FORM WHEN PRO PERLY VALIDATED IS A PERMIT TO DO THE WORKDESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD