HomeMy WebLinkAboutPE 2.81.46; PAPAGAYO BY THE BAY; Engineering ApplicationFOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
&,Ff-Q-SO'J_A-V_Ck-J'JQVA-?IA./
Legal Description Map No. Surety Address
Subdivision Nam r T1fr-1---
Date Filed Rec'd by
Owner Phone Cash deposit Rec'd by Date filed
PAQA-rVo &iTC-iZPaS" 7
Owner's Address The following documents are required and shall become a part
of the grading permit when they are approved.
Plans by Civil Engineer LI UV R.C.E. Grading plans Specifications V g
____ Soil report Geologic Report Address Phone Drainage structures ______ Other /0
Soil Engineer R.C.E. Phone Compaction report
C
Grading Contractor r Phone SPECIAL CONDITIONS WHICH ARE MADE (& Veto 41,1J7(j, A PART OF THIS PERMIT
Address
309c S -r,frb sr ( 1. Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
2. Haul routes are to be approved by City Engineer. Proposed use of grade site
Adniita -rovisions ch211 be made for erosion and cflt2t1nn
Number of cubic yards -
Cut Fill Import Waste
- control.
All slopes shall be planted per City Code.
Proposed Schedule of
Operations (dates) —3 Start Finish
/0 .- 1
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] 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.4y permit issued pursuant to
this application. 446
Signature of Permittee
Owner or authorized agent A
-- Under City Code Sec. 11.06 170 this grading is:
REGULAR GRADING - City inspector will make inspections
El listed below.
El CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial . site prep.
ENV IRONMENTALCLEARANCE -
EtA Log No. c1' 1Z -13 Date!4t
By __________
Rough. prior to drains
Alt- Final . slopes planted
Compaction reports rec'd. Grading permit fee $ Plan check fee $
Permit IssA?cN 7oT- 4 14•
by Date
Private engr. cert. rec'd.
Copies: White-Office; Green-Building;
Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
_______________________
Permit Expiration Date J44_.
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD