HomeMy WebLinkAboutPE 2.85.15; ACACIA APARTMENTS; Engineering ApplicationApplication for Grading Permit PE NO. 2 8-5-' /-5-
L. 4f4.
Building Permit Plan Check No.
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CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541 Validation by Finance
Department
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FOR APPLICANT TO FILL IN
Site Address
7 Acoc(o.4UCvUQ
Surety Company Bond No.
Legal Description Map No.
Ptr, Le4 20 Sik P hop 1747
Surety Address
4 -775 Ji-r 7'
Subdivision Name I
e.. s
Date Filed Rec'd by
'7 —/0 —S.j-
Owner Phon(714.) 1743S
S
Cash deposit Rec'd by Date filed
Owner's Address The following documents are required and shall become a part
of the grading permit when they are approved.
plans Specifications
t'Soil report Geologic Report
Drainage structures ______ Other
L"Compaction report
Plans by Civil Engineer R.C.E. Z66 71
hi Grading bifcLrtv.. CLI'VL
Address Phone 743- t3
Soil Engineer R.C.E.32147. Phone Z8 -43 2.1
Grading Contractor Ph6e SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address 1. Authorized hours of operation:
7:00 AM to Sunset, Monday Friday. Party responsible for overall supervision
I 2. Haul routes are to be approved by City Engineer. Proposed use of grade site
Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
7SD 7g0 - -
Proposed Schedule of Start Finish
Operations (dates) .\pr; I.
/
M1 ic
All fills to be compacted to at least 90% of optimum
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,
and the provisions and condito s of any permi issued pursuant to
this application.
Signature of Permittee
Owner or authorized agent
Under City Code Sec. 11.06 170 this grading is:
LI REGULAR GRADING . City inspector will make inspections
listed below.
LI CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep. rn ENVIRONMENTAL CLEARANCE
- Date ______________________
EIA Log No. ____________ Final -slopes planted
By
Rough -prior to drains
Compaction reports rec'd.
Grading permit fee $ Plan check fee
Permit Issued A # - ,, - .' - I / -
Private engr. cert. rec'd.
oy '-'— - uaie / '' ' 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