HomeMy WebLinkAboutPE 2.81.09; FAIRWAY SOUTH; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PENO.2—?.O7
* Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN -2/O I16.UU al
Site Address WWWI/O 'd No. Il6.0 TL Surety Company - -
Legal Description M No
/ 9/
Sub di
. Surety Address
~*n Name Date Filed Rec'd.by
Owner Phone q 2c i; a-,a '/ r/2 2
Cash deposit Rec'd by Date filed
$
Ow1'ie's Address\J(_.) ,-_..
fO i ftc.)
The following documents are required and shall become a part
of the grading permit when they are approved.
Grading plans ,>3 Specifications
_____ oil report Geologic Report
ctructures other
Compaction report
Plans by ivjl Engineer R.C.E.
1
C
Address Phone
7Z8 22_-L.C)
ineer R.C.E. 'Phone Soil
Grading Qractor Phone CONIT_ctnii-iiri-i '\R CIL
HIS PERMIT
Address
-
Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday
Party respore3Ie for overall supervision
Haul routes are to be approved by City Engineer.
/ Proposed use of grade site
('J-2.) 4è10 3 3. Adequate provisions shall be made for erosion and siltatio
,_.'
control. Number of cubic yards
Cut Fill Import Waste
All slopes shall be planted per City Code.
_______ 3yee,ocH H'crüo
Proposed Schedule of art Fyiish
Operations (dates) -.1L_ All fills to be compacted to at least 90% of optimum
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,
and the provisions and y permit issued pursuant to
this application.
Signature of Permittee ___________________________________________
Owner or authorized agent
' Under City Code Sec. 11.06 170 this grading is:
U REGULAR GRADING . City inspector will make inspections
listed below.'
C CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
I nitial . site prep.
ENVIRONMENTAL CLEARANCE.
Date
EIA 'Log No.
Rough . prior to drains
-
Final . slopes planted
Compaction reports rec'd. 00
Grading PIC1 'Ck fee $
Private engr. cert. rec'd. - Permit/7k (t)(
... .
-
, y I —- 'J ' Copies: White-Office; Green-Building;
Permit Expiration Date .57/ ( 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 -