HomeMy WebLinkAboutPE 2.86.04; KENNETH MOZGA PROPERTY; Engineering ApplicationA/
7'5:c7 /0 77 S Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT S72$A4Z7 PL44VS 1200 Elm Avenue
438-5541
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
PE NO. t*572 8c,. O'
Validation by Finance
Department
I Ti6'/o6 183 *11-40
ibd' 83 j7•,
Site Address Surety Company Bond No.
Legal Description Map No. Al / —032. Surety Address
Subdivision Name Date Filed Rec'd by
Owner Phone Cash dep Date filed /C;;;4&9 -
Owner's Address
3 7/ The following documents are required and shall become a part
of the grading permit when they are approved.
_____ Grading plans Specifications
_______dby
Plans by Civil Engineer R.C.E.
4e-'-91 ,z'
_____ Soil report Geologic Report Address Phone
'''7?- 7z ari Drainage structures _____ Other
Compaction report Soil Engineer R.C.E. Phone
.-,/'-••~ ___________________________________
Grading Contractr# Phone
...Z2',v SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
993/ Authorized hours of operation: ,'d9,1/,%42_ )? 1L4kE/Z.7E! 7:00 AM to Sunset, Monday - Friday. Party responsible for overall supervision
Haul routes are to be approved by City Engineer. Proposed use of grade site
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) 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 conditions of any permit issued pursuant to Under City Code Sec. 11.06 170 this grading is:
REGULAR GRADING - City inspector will make inspections this application. listed below.
U CONTROLLED GRADING - Private grading engineer shall Signature of Permittee observe work, coordinate tests, make reports.
Owner or authorized age INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLE
_______________________ Rough - prior to drains
EIA Log No.
By
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ Plan check fee $
Permit lssuf)1j,. Private engr. cert. rec'd.
oy 7f' '- uate _________________ Copies: White-Office; Green-Building;
Permit Expirion Date / / Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS.FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD