HomeMy WebLinkAboutPD 371; OLIVENHAIN ROAD; Engineering Applicationfl
Project Engineer Initial____________________________
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive
438-3634
PE NO
Validation by Cashier
Assessors Parcel No
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address Olivenhain Road between El Cainino Real DATE INITIAL
and Rancho Santa Fe Road Secured Agreement Recd.
Legal Description Map No. Cash Deposit Receipt No.
Not Applicable
Project Name Drawing No. I Building Permit Plancheck No.
Olivenhain Road
Owner Phone General Permit Requirements:
Fieldstone/La Costa Assoc. 931-1677
Owner's Address All grading and erosion control work shall be done in accordance with
P.O. Box 9000-266 Carlsbad, CA 92009 City Ordinances,
Plans by Civil Engineer Phone Authorized hours of operation: 7:00 am. to Sunset, Monday through
Project Design Consultants 235-6472 Friday, excluding city recognized holidays.
Address Phone Grading work shall not commence until after the pre-construction
1010 Second Avenue, Suite 500 S.D., 92101 conference has been held with the City Inspector
Soil Engineer ACE. Phone All off-site haul routes require separate approval by the City Engineer
Geocon 22527 558-6900 A right-of-way permit is required for all work done in the city right-of-
Grading-Contractor I Phone way.
24 Hr. Phone
Address Special Requirements:
Party responsible for overall supervision
Fieldstone/La Costa Associates
Proposed use of grade site
4-lane roadway
Number of cubic yards
Cut - Fill Import Waste
Under City Code Sec. 11.06.170 this grading is:
Proposed Schedule of Start Finish 0 Regular Grading - City Inspector will make inspections listed below. Operations (dates) CATT) D Controlled Grading - private grading engineer shall observe work,
coordinate tests and make reports
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with Inspection Date Insp. Initial
all City ordinances and State laws regulating excavating and grading,
and the provisions and conditions of any permit issued pursuant to Initial - Site Prep.
this application.
Rough - Grade Signature of Permittee ______4 -4
Owner or authorized agent_ Final - Slopes Planted
Compaction Reports Read
ENVIRONMENTAL CLEARANCE -
Date ___________________________________ - Private Engr. Cert. Rec'd. EIA Log No.
By
O.K. For Release
Grading permit fee $ Plan check fee $
Permit Issued Copies:
by Date White - Office; Yellow - Inspector; Pink - Permittee
Permit Expiration Date Golden Rod - Finance; Green - Building
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.