HomeMy WebLinkAboutPE 2.82.32; DYNA INDUSTRIES; Engineering Application,
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Application for Grading Permit • , " ',' ""1 (12 2? PE NO:'k-,', 2""'''' :JJ..,.::.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438·5541
Buiiding Permit Plan Check No. _____ _
, FOR APPLICANT TO FILL IN
, Sit,e Address 6209 '(iJ££Pw P/U(/e:C;~&4I?a. . Surety Company
Legal Description '~'f/O Map'No. Su'rety Address
~7.S 13054-
Subdivision Name Date Filed Q~:BIf) ~dJ. 73-19
(:)w~ , Phone 'Cash deposit
" W,f /A(tXJ5TR/e5 4!J!J-Z!i// $
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yalidati9n by, ,finance
Department
I riO;) 1828132$ Iff • _ ;;'.' ,'I t:'i i,~_'
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, Bon<;l No;
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.. ~'ec;d bY.' ,-,
Rec:d ~y , Date filed ..
Owner's'Address "
'6-Z00 y#/, .. &W [Jib/lie C,f~o CA
' The following documents are requiredand shall QecomeC! part
: of the grading permi1; when tJley are approved.,
PI~~ Civii Engineer R.C.E. :, p~ :.:bR..tI/YfiAlb~· 6IJ6/NetilhfJ6, Z,,7..--/ : --Grading plans Specifications J;~
Address Phone --Soil repor1; , GeGlogicReport
'7tko I!t CI\lo/J' Bt-llb 46G-9148 --Drainage structures -"-" Other
I Compaction report Soil, Engineer R.C.E. Phone I ----
~' JoI.Ji./ VeuJoA/ Z/I"Z I 745~88C8 .
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Grading Contractor Phone , SPECIAL CONDITIONS WHicH ARE MADE
A PART OE THIS PERMIT " .. ,
Address , ..
1 . Authorized hours of 0per~tion: .. 7:00 AM to Suns~t, Monpay • Friday.
Party 'responsible for ,overall supervision " '.
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Haul routes are to be apprbve(\ by' City :Engineer." Proposed use of grade site ,-
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/1'VL>U'S77Z...IA L , ' ..
Number of cubiG yards i 3. Adeguate provisions shall be made for ~rosion, afld 'siltation
control.
Cut Fill Import Waste " , ,
, , 4. All slopes shall bepJanted'per, Oity Code.;
4700 ] 47"(71 1 ' .
Proposed-Schedule of Start Finish :; 5. All fills to pe ~ompactec! to at le,ast So% of,optimum .
(:)p~rations(dates) ., density'unless noted otherwise.
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,I he~eQY acknowledge that I have read the appl ication and state that . '~
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the information I have provided is correct and agree to comply with "
.. all City ordinances and StCite laws regulating excaVating and grading, .. ,
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:~~:~;~:;;~~~ns a~ns "f'J~Ued pursua~ Under City Code Sec., 11,06 170 this grading ,is: o REGULAR GRADING· Gityinspectotwill m~ke :in~pectlons
, listed below. o CONTROLLED GRADING· Private gr~ding, eng,ineer shall $ignatilre of Per-mittee~ ~~ ----' observe work" coordir:J~te tests;,>,make reports. , ~~"
Own'er or authorized agent ,.IE L~, ' ... L ,-" , "
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INSPECTION DATE INSP. SIG,NATURE
" ' \I' Initial· site prep.
ENVIRONMENTAL CLEARANCE· iLLq/g~ , . ,",-' .. ,
:'(~7 Date ' Rough -prior to drains
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EINLog No. ' ~al -slopes planted, '
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By " , " , ,
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Grading permit fee $, 10;2 ~Ian check fee $ ;z..a. eX!) .. Compaction reports rec'd. ' " .',
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'Permit Issued Private engr. cert. rec'd. , ,
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by Date Co p ies: W 'ite-Office' G een-Bulldin n r .g,
Permit Expiration Date Yellow-Inspector;' Pink-"F>erl'l'tiitee; Goldenrod·j:ina~ce
THIS FORM WHEN P~ROPERLY VALIDATEO IS A PERMIT TO 'DO THE WORK,DESCRIBE!)
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD