HomeMy WebLinkAboutPE 2.81.07; MORROW/GOODMAN; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO.
Validation by Finance
Department
Building Permit Plan Check No,
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
-7 Li -;755 fiA, c2057-A
Legal Description Map No.
_a .TS '&75c6 Surety Address
Subdivision Name Date Filed Rec'd by
4 esY4 Soil iW- i
Owner Phone
)4g7 It, &vc ti4 755fcçL3 Cash deposit Rec'd by Date filed
$
Owner's Address The following documents are required and shall become a part
'/Nh4OLS . id7L, of the grading permit when they are approved.
Plans by Civil Engineer R.C.E.
&,jATZx:G Grading plans Specifications
_____ Soil report Geologic Report Address Phone I 1A61 _____ 2 hs So. #A),/ /0/ SarrA /O/ zxiiii
Drainage structures _____ Other
___Compaction report Soil Engineer / R.C.E. Phone
7oZ'f P,NE HSUL--rI H& 4i$
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
Haul routes are to be approved by City Engineer. 3J/
Proposed use of grade site
.,i-,'ili'' L__Nt7e'1•1l/•1//.//13 Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut Fill '7'j 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, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to D REGULAR GRADING - City inspector will make inspections
this application, listed below. E CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee ___________________________________________ observe work, coordinate tests, make reports.
INSP. SIGNATURE
INSPECTION DATE Owner or authorized agen
Initial - site prep. /71
ENVIRONMENTAL CLEARANCE
Date ____________________
Rough - prior to drains
EIA Log No. ____________ Final . slopes planted
By
Compaction reports rec'd.
Grading permit fee $ Plan check fee $
Private engr. cert. rec'd. Permit Issued .
by Date Copies: White-Office; Green-Building;
Permit Expiration Date 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