HomeMy WebLinkAboutPE 2.82.29; GRASSI; Engineering ApplicationI, •
Bl,iilding Permit PI~fl Check No. --4/'-l-1-?-=----
FOR APPLICANT TO FILL IN
Sit~Addi-ess
Application for Gradjng .Permit ,e .
CITY OF CARbSBAD
EN~INEERING·D'EPAR.TMENT
1200 .Elm Avenue
438·5541
Surety Company
Vaiidation by FinCjr:lce
Department
~/Q,iI62~lil:l ~ , ... "--" .. --
Bon:d No.
Legal Description . ," Lb./ Map No. Surety Addre.ss
" Supqivision·:j'-Jame Date Filed
Cash deposit .
,,$
Date~filed
'. The following documents are required and shaH become apart
: of"the grading permit when they are approved. . I-P~(a-'n-~'-b~y"-C-i-vi-I -E~ng-i-nel-.e...J.r-=-.J!L-----'--!...-=---=-~R"".C"--.E-. '=":-'-L-,-~w.,...---II: '7 . . , ..
. '---!.-Graping plans '.. _ .. _. _ Specificatiqtls· ,..,.·-A....,Ct-i-·d~r"-es-s~-------------P-h-on-e-------II: -+ . SQil.report. ~ -:/l, .. G~0.I()gic:Repor.t .
__ • Drainage structures Other ~I-~"",;--'--~----------~---'---------I: ---Z-Compaction report --. Q(~S~'o_IJ~'~_.n_g~in_ee_r+J~~=-~~R~.~C~.E~.~~~p~h_on_e_4~G~7~'4'~L()~_I~ __ ~~~ ______ ~~~~~~~~~~~ __ ~
SP.ECIALAC~:~+:'ci~~~~~I~~J)~E MAD.E
('IS
1. AllthqFized hows of op~raj.i0n,
7:00 AM to Sunset; Monday -Friday. :.'
G)o 12. Haul routes are to be appn;>ved by City EtlQineer: ~I-P-r-QP-o-s-ed~u~se-.o-f-g-ra-d-e-s-it-e----~~~~~~~~~-~---I
~ ~--~~.----~---=+",--~~~,~. --~,~~ ...... I-,---'-_------~.-.~-"-..e:..~------_-__,.--I, 3. Adequ~te provisions shall be made for,erosidn a.nd siltation 1 . Number of .cubic yards I control.
Waste ¢... "Cut Fill Import I----'-'--~'-'---.---'----,----,------,---;__------'----+-I . 4. All slopes shall"be planted per City C9de ..
5. All fills to be compacted to at least 90% of optimum
~r-~ __ ~_~-------------------I~ ___ d_en_s_it~y_'U_n~le~s_s~no_t,-e~d_o_th_~_rw~.~is~e.~~--,-__ +-~~---, __
h I herel;>yC!cknowledge that I have read the application and ~tate that ~. the.infor~ation I hav~ provided is correct and agree to com'ply with
all City ordinances ~n(.:l State ·Iaws regulating excavating and (irading, Under.Ci~y Code Sec. 11.06 FO this grading is:
ano the provisiqns.and conditions of any permit issued pursuant to [] REGULAR GRADING -City inspector will.make .inspections·
this allPlication. ,t:r /_ r ./' // ~ listed below: ~ -v r, 0 CONTROLLED GRADING -Private grading ehgjileer shall
• Signature of Permittee observe work, coordioate tests, m~ke rep()rt~:.. . ~ 7 II'>JSPECTION DA-]E. . I t:Js p. •. $IGNATURE .. Owner ,.or ,authorized agent .!.~~-~=:!.... ... "'"'o::---------
I-_---------"-'--'--'------~----------Ilnitial -site preP.
ENVIRONMENTAL CLEA~CE.
EIA'LogNo. 0 ~~ --------
Grading permit fee $ 2'1.II!?-
Permit Issued ~C).
by· ~~
Permit E><piration Date
By
Date _--I._--!"_~-"-__ -'
Rough -prior to drains
Final -slopes .planted
Compaction reports rec'd.
Pr.i~ate engt. cert. rec'd ..
Copies: White-Office; Green43aildih9;
Yellc;>w-Inspector; Pink-Permittee; qolderiFdd-Finance '
THIS.FORM WHEN PROPERLY VALIDATED IS A PERMIT TO Do THE WORK DESCRIBED
THIS PERM IT IS VAll O'FOH A SIX (6) MONTH PER I.oD .
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