HomeMy WebLinkAboutPE 2.81.49; CARLSBAD RESEARCH CENTER; Engineering ApplicationBuilding Permit Plan Check No.
'01
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO. 8!. '1-1
-41
Validation by Finance
LO ZCQ iirti9 17IO0 BP
Di 172100 TL
FOR APPLICANT TO FILL IN
Site Address
5 72/ -7/Ah7 15546
Surety Company Bond No.
S4%co /vf C'o
Legal Description Map No.
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Surety Address
Su blivision Name c Rec'd,,.y Date Filed /0 (
Phone
Z5'3e7
&Sk deposit Rec'd by Date filed
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Owner's Address
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The llowingocuments 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
ZP1 by Civil Engineer R.C.E.
#?Ctc
Address Phone
W Engineer R.C.E. Phone
,ew4' yeks
Grading Contractor Phone
'e4&/A97AJ 74491,.4'
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
/6 2 Z/Ah:31 h024 L.
1. Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
- sib e for overall supervision
2. Haul routes are to be approved by City Engineer. _________________________________________________________
Proposed use of grade site
Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
7IO,a ZdX2
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Proposed Schedule of Start Finish
Operations (dates) /O''/
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,jeulating excavating and grading,
and the provisions and condij. o'f any permit issue
this application.
Signature of Permittee
Owner or authorized agent
— Under City Code Sec. 11.06 170 this grading is:
L REGULAR GRADING - City inspector will make inspections
listed below.
'CONTROLLED GRADING - Private grading engineer shall
/ bbserve work, coordinate tests, make reports.
INSPECTION DATE I INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE
- Date 1o//'
EIALog No. io3
By
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ /39i_.. Plan check fee $ '4 /_-__
Private engr. cert. rec'd. Permit Is\ 77-4 1. 172_S,.22.
by Date i6FZ_f b Copies: White-Office; Green-Building;
Permit Expiration Date 6 fr19.,14 .w.. 41.OJ.P Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED U&K
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD