HomeMy WebLinkAboutPE 2.83.08; GREENBRAE; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO) or
Validation by Finance
Department
Building Permit Plan Check No,
FOR APPLICANT TO FILL IN
Site Address 1sso -S urety.tompany
.
Legal Description 4r/o'i Fcrf Map No. 61'1.3 4 Surety Address
___ /
Subdivision Name Date Filed R'd b yec ) Owner Phone
ii,c sbô ,tq — -c,
C h filed d aosit Rec'd by Date
ti
Owner's Address The follow1 d eiitrarerequiredaridihTf become a part
' c,/fE of the grad ingper.m.iLw en t ey are roved.
Plans by Civil Engineer R.C.E.
/ ding plans — Specifications
Soil report GeIgic Report Address Phone
/39 Drainage structures Other
)
Compaction report Soil Engineer R.C.E. Phone
rgo o S_ 31$'
Grading Contractor . Phone SPECIAL CONDITIONS WHICH-AñE MADE
7 2—'7 —A•PART-0FTF1i PERMIT
Address / q i -H. LAl Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday. Party responsible for overall supervision
Haul routes are to be approved by City Engineer. 1M -C__t'o '
Proposed use of grade site flrc... ie'sg ,'9&,',- 9—
SI D I. f" 7 14 C. i'o ci , Al o; Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import s— Waste
All slopes shall be planted per City Code.
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) /6 api 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, / Uncer City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to / U REGULAR GRADING - City inspector will make inspections
this application. listed below.
U CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee L
C/ obseie work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE Owner or authorized agent
Initial . site prep.
ENVIRONMENTAL CLEARANCE 7) /,72. Rough. to drains prior Date
Final - slopes planted EIA Log No. ____________
Compaction reports rec'd. Grading permit fee $ Z5"(',P4.111 check fee $
Permit 1s 11 A, SUOV U~r _ 4zo 3 Private engr. cert. rec'd.
'Y - Copies: White-Office; Green-Building;
Permit Expàtion .date— Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD