HomeMy WebLinkAboutPE 2.90.06; BODJANAC RESIDENCE; Engineering Applicationp3io
Application for Grading Permit PE NO.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive
438-3634 Validation by Cashier Project Engineer Initial____________________________
Assessors Parcel No. 2. 1 ILI O l
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address ' .
(Go' KL04W cl LV4 -rew AD DATE INITIAL
Secured Agreement Rec'd.
Legal Description Map No. Cash Deposit Receipt No.
Project Name -
'0 DA'1 IrC—_12 9e4&9 Drawing No.',Building Permit Plancheck No.
Owner
- 3 o - General Permit Requirements:
All grading and erosion control work shall be done in accordance with
City Ordinances,
Authorized hours of operation: 7:00 am. to Sunset, Monday through
4 Friday,' excluding city recognized hlidays.
Grading work shall not commence until after the pre-construction
conference has been held with the City Inspector
All off-site haul routes require separate approval by the City Engineer
A right-of-way permit is required for all work done in the city right-of-
way.
-
Owner's Add r
-i qX J i sô 4-s-ri
Plans by Civil E gineer Phone
. 4 4i- 414
Addre Phon -. 4,ç 5 LJ44/7r.f' '
Soil Engineer ACE. Phone •
KiCj-to &42__2_(Zh1 ' A-4If 3
Grading Contractor • . Phone
24 Hr. Phone
Special Requirements: Address
- - Party respqnsible for overall supervision ic-t1ui-i'i E11C . .
Proposed use of grade site
TO LA) 4 OL/5-155 .
Number of cubic yards
Cut Fill Import Waste
I I I D Under City Code Sec. 11.06.170 this grading is:
0 Regular Grading - City Inspector will make inspections listed below.
0 Controlled Grading - private grading engineer shall observe work,
coordinate tests and make reports
Proposed Schedule of A Start Finish
Operations (dates) 'j— I —10 -1 -10
I hereby acknowledge that 1-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 y per iss ed pursuant to
this application.
Signature of Permittee
Owner or authorized agnt_________________________________________
5
Inspection Date Insp. Initial -
Initial - Site Prep.
Rough - Grade
Final -Slopes Planted
Compaction Reports Read
ENVIRONMENTAL CLEARANCE -
- Date
EIA Log No. -•
By
-
Private Engr. Cert. Rec d.
O.K. For Release
Grading permit fee $ Plan check fee $ . S
Copies:
White - Office; Yellow - Inspector; Pink - Permittee
Golden Rod - Finance; Green - Building
Permit Issued ,
by • Date
Permit Expiration Date - . .
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD OR UNTIL THE EXPIRATION DATE SPECIFIED ABOVE