HomeMy WebLinkAboutPD 205; JEFFERSON HOUSE; Engineering Application• Applic;ation for Grading Permit • PE NO. -+-_~ __
CITY OF CARLSBAD
ENGINEERIN,G DEPARTMENT
1200 Elm Avenue Validation by Finance
Department
Building Permit Plan Check,No. 8 J '-J:3 Cj
FOR APPLICANT TO FILL IN
Site Addr~ss
North corner of Jefferson & Oak
tegal Description IDts 1-8 in BlOCk 57 Map No. 775
of the cit of C'bad Coon of SD State of CA
Subdivision Name
Jefferson House
Owner
Jefferson House
Phone
729-4987
438·5541
Surety Company
IVS. c!c> ~ cPr rH£
, Surety Address
Date Filed 'Rec'd bi
Owner's Address , The following doc;:uments are required and shall become a part
'1-3~'O~8~8~P~1.",,· o::!-:P~l.",,· co~....:Dr~~. -!::!,~==:'~~"'---'~""-=~~"'---'''''''''~~''''"''''---ii of the grading permit when'they are approved.
co : --Grading plans
!-=-==~=====~=--'---~~--=~:::'------II' __ Soit"report
, __ ' _ Sgeqifications
, ~OI09iC Report Address Phone sarre a$ amer Same as owner "':-..Drainage,structures _,_~_ r. CnQrmpaction report
' __ Other' '
Soil Engineer R.C.E. Phone,
Claude B. Parker 18987 741-2592
Grading Contractor Phone
Plaza Inc. 483-8'02'0
, Address
2926 Arcola Av
Party responsible for ,overall supervision
SPECIAL CONDITIONS WHicH ARE MADE'
A PART OF TH!S PERMIT
1. Authorized hours of operation:
7:00 AM to Sunset, Monday· Friday.
~~o......l,;&I..,II!;j.&.I~o;;;..I,...I.UI~I.d.L.L-_______________ I'\ 2. Haul routes are to be approved' by City E:ngineer.
Fill
2'0'0 86'0 '
Proposed Schedule of
Operations (dates)
Import
,660 '
Start
1 l' 84
Waste
Finish
: ,'6'3'0 8'4
I herel;>y acknowledge that l 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'
this application.
Signature of Permittee
3. Adequate provisions shall be made for erosion and sil:tation
control.
4. ,All slopes shall be planted per CityCode~
; 5. All fills to be compacted to' at least 90% of optimum
density unless noted otherwise.
/ Under City Code Sec. 11.06 170 this grading is: '
!J2(REGULAR GRADING -City inspector will make inspections
listed below. o CONTROLLED GRADING -Private grading engineer shall
observe work, coordinate tests, make reports. '
INSPECTION Owner or authorized agent -C~~~~::..--~~~~~':!!J-~
I-_-------~----_-------__l~----Ilnitial . site prep.
ENVIRONMENTAL CLEARANCE -
EIA'Log No.CU (J-a/~
Grading permit fee $ -V I .. ~' 0
Permit Issued .
By
Plan check fee $ I b"", ~O
by ~w~ Date' ... 0-
Permit Expiration Date ~ -:3~ ~ 8? ~ "
Rough -prior to drains
Final· slopes planted
compaction reports rec'd.
. Private engr. cert. rec'd.
'. Copies: White-Office; Green-Building;
Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM Wf:iEN P,ROPERLY VALIDATED IS A PERMIT TO DO THE WORK DE;SCRIBED
TH'IS PERMIT IS VAliD rOR A SIX (6) MONTH PERIOD