HomeMy WebLinkAboutPE 2.81.42; PALOMAR OAKS; Engineering Application4
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
Building Permit Plan Check No. -
PE NO.''. 9!, 47'
Fi ance 639 00 BP
1MI 900 L'i
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
A wr ftVo,g5 /.ìç. C o. /Q7 7O
Legal Description Map No. Surety Address $
SubsIvision Name #wc Date Filed - He 7 / ?( A-3 , Owner Phone
-' ,I3-'r9e' ?/-8Y1 Cash deposit Rec'd by Date filed $
Owner's Add sc .4 following documents are required and shall become a part
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The
of the grading permit when they are approved.
Grading plans Specifications
_________________ Plans hy Civil Engin
) Soil report Geologic Report ) Drainage Address Phone
7/ structures ______ Other 77 )t' Compaction report Sa.il EngiQeer .- Phone
Gradin C ntrac,., I Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday. Friday.
sib for II sup rvision
Haul routes are to be approved by City Engineer. Proposed use of grade site
Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
f7 Cut Fill - Import Waste
All slopes shall be planted per City Code.
Proposed Schedule of Start Fi isv, 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 U REGULAR GRADING - City inspector will make inspections
this application. listed below. ''CONTROLLED
X,
GRADING - Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE Owner or authorized agent
Initial - site prep.
ENVIRONMENTALCLEARANCE -
Rough - to drains prior Date
ElALog
By Final - slopes planted
Compaction reports rec'd. 1 Grading permit fee $ 4.5_.- Plan check fee $ /00
Private engr. cert. rec'd. Permit Issued A T"4 11 (I_ Dy &-.-L1 1 I Q of. 'f Copies: White-Office; Green-Building;
Permit Expiration Date A 01 LQ' 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