HomeMy WebLinkAboutPE 2.82.17; YOUNG ROBERT; Engineering Application~..s&J;: ~eS Jk~/.
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uilding Permi.t Plan c;kNo. ~ 2,..-~ 7J
FOR APPLICANT TO FILL IN
Subdivision Name
Application for Grading Permit
CITY OF CARLSBAD
ENGlNEERING DEPARTMENT
1200 Elm AvenLle
438·5541
Surety Company
I Surety Address
Date Filed
, PE'NO. 4'·fJl.IZ
3D~
Validation by Finance
Department .
Rec'd by,
~ Owner Cash deposit Rec'dby Date filed'
~kJ~~~~U~'~ __ ~~~~~~ __ ~$ ________ ~ __ ~~~ ____ ~
\ \ Owner's Address The follpyving documents are required and shalL become ~ part
ll' ~S~ (U'Y,L\'L. /Z-(t11~ fZ.t:) ,~i:ltItMA).J OAJG. LA t. ~ t4o~ 1, of the grading permit when they are approv,ed. ,~~~~~--------~~~~--~----~--~I R.C.E.
~~~~~L-~~~~~~ ____________________ ~ _______ II Specifications
Geologic -Report
Other
tE>
VI5T;. Co, t:f~O'O
'Vtoi Party responsible for overall supervision
Waste
rQ ~ Number of cubic yards ~. _ \ Cut Fill Import
~~.----~------~--------~------------II
1.
1 2.
3.
4.
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Haul routes are to be approvedby'Gity ·EnQineer.
Adequate provisions s'h;;tllbe,mC!de for ,erosion and siltation'
control.
All slopes shall be pianfed per City Code.
\ q '?~S ~~p-ro-p-o-s~ed--scJh-e-Q~U~le~'o~f~--1--------S-ta-r-t-1-------F-i-n-iS~h------·":~5~.--~A~I~lf:il~ls-t-o~b-e~c-o-m~p-a-ct-e~d-to-,-at~l~e~aS-t:9:0~%-o~f~o~p~ti~m-u-m-. --~~
~ Operations (dates) ...lUHt-tp£:/\. ( 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 conditions of any permit issued pursuant to
this application.
Signature of Permittee
Under City Code Sec. 11.06 110 this gra<:ling is: o REGULAR GRADING· City inspector will make inspections
listed below. o CONTROLLED GRADIN~ -Private grading engineer shall
observe work, coordinate tests,' make reports.
INSPECTION
Owner or authorized agent --r"'~;=:~~~~~+------
I-o---------------------\---+---------H--t-------------Ilnitial . site prep~
ENVIRONMENTAL CLEARAN
1
EIA Log No.
Date _____________ _ Rough -prior to drains
Final.-slopes planted
Compaction reports rec'd ..
Private engr. cert. recid.
Copies: White-Office; Green-Building; ,
Yell ow· I nspector; Pi n k -Per-in iHee'; Gol denr09"F i (lan~e .
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DOTHE WORK DESCRIBI;P
THIS PERMIT IS VAllO FOR A SIX (6) MONTH PERIOD