HomeMy WebLinkAboutPE 2.82.81; CT 81-23 WHITEY LANE; Engineering Application• Application for Grading Permit
?r~ CITY OF CARLSBAD \J0 ~J I ENGINEERING DEPARTM~ENT ft '* \ t -1{v).?' --n. __ ~ :2..-J5-G:,A . 1200 Elm Avenue
,,}fi'v-~ '=""'0 438·5541 Vali'dation~ by ,Finabpe '
Buil9ing Permit Plan Check No. ______ _
FOR APPLICANT TO FILL IN
Map N0'~3,
Owner's 'Address
Surety Address
Date Fiied
Cash deposit
$ 1~'Vt)
Department ~
Rec'd by
'/. . ~ Rec'd by ~ ~~~
The following, documents are requir-ed and shall become 'a' part
1---__ -'-_____________________ -11; of the grading permit when they a,re apPfovl;!d.
Phone
Phone
Phone
Grading plans
Soii report
Drainage structures
Compaction report
Specifications ~
Geologi'Q Report
Other.
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT, _ ~
~ Address 7 ~ _ t:"C 1. Authorized hours of operation: . ~ ~ I -.) 0 ~t 7:00 AM to Sl!nset, Monday -Frid~y.
J,'j..: ~ __ ---'==__=:;,_-__ ~-=.--------------=--_+-I\ 2. Haul 'routes are to be ap.proved by Ci:tY ,Engin!(!er.
I~
Proposed Schedule of
Operations (dates)
Import
Start
Waste
Finish
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 re~ulating excavating and grading,
and the provisions and conditions of any pear ~1Sst:re\i""!)tj-!;Suant to
this application.
,5. All fills to be compacted to at least 9Q% of optimum
density unless noted other-wise.
~ , "
Under City Code Sec. 11.06 1.70 this grading il?: o REGULAR GRADIN.G -City inspector w.ill make ihspectidns
, isted below. ~ ~
,Signature of --~~~~~~~~=====~-li~ CONTROLLED GRAD!NG -Private grading engineer shall observe work, coordinate tests, nia~e~ reports.
Owner or authorized agent _____________ _ INSPECTION DAtE' INSP. $IQNATl)RE
1--------------------------1 Initial -site prep.
:ENVIRONMENTAL CLEARANCE-
I
EIA'Log No.
Date _______ _
By
Rough -prior to' drains
Final -slopes planted
" Compaction reports rec'd.
Private engr. cert. rec~d.
Copies: White-Office; Green-Buildrlig;~ ~ ~
Yellow-I nspector; Pi n k -Perm ittee; Goldenr.od-Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORIS DESCRIBED-
THIS PERMIT IS VALID FOR A SIX (p) MONTH PERIOD