HomeMy WebLinkAboutPE 2.82.39; BLUEBERRY HILLS; Engineering ApplicationP11
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Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-6541 3S5O
PENO.1&Z.3?
Validation by Finance
Department
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
Site Address
0ç4. C4 L4J. 'Jzt //094 Surety Company J cS)'Y Bond N N/# .zie,'-'
Description
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Map No.
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Surety Addres(
Sudijsion Nam L& Date Filed Rec'd by ,/
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Owner
£.MAc.IA ) i ML1-14 A,J
Phone 73 O3 1
14 i'4iisf-e
Cash deposit Rec d by date fid s/5 8o7. 57)v' 'o/'/r
Owner's Address
10 q (V'I -T-eo EL., CA
The following documents are required and shaIl1,ecore a part
of the grading permit when they are approved.
Grading plans Specifications
1-"Soil report L" Geologic Report
Drainage structures Other -
Compaction report
Plp.s\by Civil Engineer R.C.E.
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Address 1 Phone
Soil Engineer R.C.E. Phone
PEvc rc
Grading Contractor Phone 72.3 81/4 SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
I-Z*V&7,_4 4v /2L8 . 9,ZO2.S Authorized hours of operation:
7:00 AM to Sunset, Monday- Friday.
Party erall supervision responsible for ov It
Haul routes are to be approved by City Engineer.
Proposed use of grade site FV L j is L Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards1
Cut Fill Import
Aui.. 1'U7E
/t/ 7&wastep/.24/S
),AII slopes shall be planted per City Code.
2/6 jsqO
5. All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Proposed Schedule of Start Finish
Operations (dates)
I hrehv aknnwldae that I have read the application and state that (~EE 4T kt18t ADI7ITIc&44L. )
the information I have provided is correct and agree to comply with
all City ordinances and State Ia s r ul g ex avating and grading, Under City Code Sec,. 11.06 170 this grading is:
and the provisions and co I o any e mi issued pursuant to L REGULAR GRADING - City inspector will make inspections
this application. )lsted below.
CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNq711JRE
Owner or authorized agent Initial - site prep. •/ig/q7
ENVIRONMENTAL CLEARANCE
Log No. 2•• Date o4-/g. Rough - prior to drains
EIA
By
Final - slopes planted 3)4/g7 ijJ
Grading permit fee $ Plan check fee Compaction reports rec'd 'k)
Perm
Date
Private engr. cert. rec'd.
by Copies: White-Office; Green-Building;
Permit Expiration DVa If4.YL.I2(dL,j Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
A SIX (6) MONTH PERIOD SPEnS VALID FOR
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