HomeMy WebLinkAboutPE 2.10.32; HOSP EUCALYPTUS; Engineering ApplicationS Applicatiàn for Grading Permit
5
PE NO.
cur OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
79 1181 Validation by Finance
- Department
Building Permit Plan Check No. 795008 2 3,OO 9P
FOR APPLICANT TO FILL IN
Site Address
MA690M Pb - (FTU Tho(oL Surety Bond Bond No.
Legal Description Map No. Surety Company
Subdivision Name Surety Address fr(oSp oiypt c
Owner Phone Date Filed Rec'd by
I'lr/ croi€s cAlofpJ;IV6 c'ruc 7 1-97?-139
Owner's Address Cash deposit Rec'd by Date filed
/073 tt. Pico L,-)c 4/V6Lii C/I $ ._—
Plans by Civil Engineer R.C.E. The following documents are required and shall become a part
&OWy/koi1i- SO C- / 1/75 / of the grading permit when they are approved.
$'- Grading plans Specifications
Soil report Retaining Walls
Address Phone
4/t&145
) Soil Engineer R.C.E. Phone Drainage structures ______ Other
Compaction report - Grading Contractor Phone
.Address SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party responsible for overall supervision Authorized hours of operation: 's oiN 40CK41-F1_LOJ 1 7MSscz /127- 7c11) 7:00 AM to 5:00 PM, Monday - Friday. Proposed use of grade site
Haul routes are to be approved by City Engineer. -.
Tockp.z:L,
Number of cubic yards
Adequate provisions shall be made for erosion and siltation
control.
Cut Fill . Import Waste
O,OOO
. All slopes shall be planted per direction of Parks &
Recreation Director. Proposed Scheduleof atart Finish
Operations (dates) f1L,
All fills to be compacted to at least 90% of optimum
I hereby acknowledge that I have read the application and state that density unless noted otherwise.
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. . . . INSPECTOR'S INSPECTION DATE SIGNATURE Signature of Permit-tee
Ground preparation
Rough grading Owner or authorized agent
ENVIRONMENTAL CLEARANCE - Compaction report rec'd.
~•ee, C1 Ma Y Date ____________
EIA Log No. ______
Planting & drainage
Final certification rec'd. By
Grading permit fee $ - 3 0 - Work completed
Permit Issue c9g Surety bond released
by Date Copies:. White-Office; Green-Building;
Permit Expiration Date /( cJi J.A . 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