HomeMy WebLinkAboutPE 2.82.14; NORTH COUNTY PLAZA; Engineering ApplicationBuilding Permit Plan Check No.
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. ______
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FOR APPLICANT TO FILL IN
Site Address 6A7r OF I"7iRDt'.J RD /'ttiD 'JE$ Surety Company Bond No.
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Legal Description I1-Zo M4? 1I3 Map No
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Surety Address
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Subdivisio/i Name Date Filed Rec'd by
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Owner Phone Cash deposit Rec'd by Date filed
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Owner's Address
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The following documents are required and shall become a part
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,il,47;E-'4,4
Grading pians Specifications
____ Soil report Geologic Report
Plans by Civil Engineer R.C.E.
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Address t\lcL:T€ ASC. Phone
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_____ Drainage structures _____ Other
Compaction report Soil Engineer R.C.E. Phone
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9jading Contractor
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/Phone
(1a7 - 3o SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address I (7Sz oR-,_rrb b. '1 at 2... ( vut Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
4 R.r Pi 3tU -ca Haul routes are to be approved by City Engineer.
Proposed use of grade site Co "1 A .AC...i 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.
All fills to be compacted to at least 90% of optimum Proposed Schedule of Start Finish
Operations (dates) /0 -8 S 6 gt density unless noted otherwise.
I hereby acknowledge that I have read the application and state that /f Y7 Ft4' '?l , 7E//,# L.
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.
\ U CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
INSPECTION DATE I INSP. SIGNATURE
Owner or authorized agent Q 0 Initial - site prep.
ENVIRONMENTAL CLEA\J\NCE -
Date irif I / Rough - prior to drains
-
EIA Log No. Final - slopes planted
By _____________________
Compaction reports rec'd.
- Grading permit fee $ Plan check fee $
Private engr. cert. rec'd. Permit Ijued - -
by L''- Date ''''' Copies: White-Office; Green-Building;
jV IV
Permit Expiration Date L —le"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
Application for Grading Permit 0
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
Building Permit Plan Check No,
FOR APPLICANT TO FILL IN
PE NO.
Validation by Finance
Department
9/2 I 2,00 MC
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Site Address EAST OF M44COW 4e0. AAJi) JEFF5St?1itI Surety Company Bond No. r V757711 f) Dj-fl Legal Description Map No.
07 Zg,AP89S, 4675 29-3 t(4P//34
Surety Address
Subdivision Name ,4$Ø$? OCLcJP7'JS e4g6MP 74dT 7(,—/ I FDg - c rr,o 4
Date Filed Rec'd by
Owner Phone /4oc/ /AVs7M,1T (7M-)75-95I
Cash deposit Rec'd by Date filed .s 9-ooO
Owner's Address A*V 'r The following documents are required and shall become a part 7100 OZPOATE P/24 C./. of the grading permit when they are approved.
____ Grading plans > Specifications > Soil report Geologic Report )C Drainage structures ______ Other
Plans by Civil Engineer R.C.E.
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ddressG ,UOL.7E 1 SS Phone 'o 95 4V& c sA
Soil Engineer R.C.E. Phone - _) Compaction report
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Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday. Party responsible f r overall supervision
Haul routes are to be approved by City Engineer. 70A._-r AQe
Proposed use of grade site
(20 MRC cMME %L_ Adequate provisions shall be made for erosion and siltation Number of cubic yards 0 control.
Cut Fill Import Waste .
All slopes shall be planted per City Code. -
-
Proposed Schedule of Start Fin 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 EJ REGULAR GRADING - City inspector will make inspections this application, listed below.
3ONTROLLED GRADING - Private grading engineer shall Signature of Permittee ____________________________________ ' observe work, coordinate tests, make reports.
Owner or authorized agent INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE - /ô Rough to drains . prior Date 71 EIA Log No.
By
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ 2.. Z4 Plan check fee $ vlo
Permit Issued("), j,,j.... T0Pt '('Z 8+ Private engr. cert. rec'd.
uy (_" L - LJdL ' '!
Permit Expiration Date "1bi+5
Copies: White-Office; Green-Building;
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