HomeMy WebLinkAboutPE 2.81.08; PALOMAR AIRPORT BUSINESS PARK; Engineering Application0
Application for Grading Permit
0 CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
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Building Permit Plan Check No
FOR APPLICANT TO FILL IN
Site Address
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Surety Company Bond No.
Legal Description ap No.
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Surety Address .._-- /1/k
Subdivision Name
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Owner Phone Cash deposit Rec'd by Date filed
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Owner11.tridress - LA , 1cO1!
The following documents are required and shall become a part
of the grading permit when they are approved.
Grading plans Specifications
_____ Soil report Geologic Report
______ Drainage structures ______ Other
Compaction report
Civil Engineer R.C.E. Plans
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Addres Phone 175 c7JJvoJr
Soil- Engineer R.C.E. Phone T
Gradigg Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
/.. A PART OF THIS PERMIT
Address
[[A Authorized hours of operation:
7:00 AM. to Sunset, Monday Friday.
Party re;ponsible for overall supervision
Haul routes are to be approved by City Engineer.
Proposed use of grade site
14— oF AMRlCA Adequate provisions shall be made for erosion and siltation
Icontrol. Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
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All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Proposed Schedule of Start Finish
Operations (dates)
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,
and the provisions and conditions of any permit issued pursuant to
this application.
Signature of Permittee
Owner or authorized agent
Under City Code Sec. 11.06 170 this grading is:
'REGULAR GRADING - City inspector will make inspections
' listed below.
0 CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE
- Date ______________
EIA Log No. '''
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Rough - prior to drains
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ 9 Plan check fee $
Private engr. cert. rec'd. Permit Issued ,/ Th,T.4 LJI 1 °
by Date ''f 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