HomeMy WebLinkAboutPE 2.83.40; RESERVE AT CARLSBAD; Engineering Application. Application for Grading Permit PE
CITY OF CARLSBAD
TtA 4 ENGINEERING DEPARTMENT FE. 2.., s,,4<7
1200 Elm Avenue 'f'• 1 2? Validation by -.ZZ- p.EV15Et. 438.5541 Department Finance
Building Permit Plan Check No.
1"9n, nee
FOR APPLICANT TO FILL IN 11%L/
Site Address
1la
Surety Company/ - 'Bond No.
Map No. Legal Descriptio 7j Surety Address
Subdivision Name Date Filed Rec'd by
Own 'hone e
.
Cash deposit Rec'd by Date filed
$
Owner's Adds
£Z29'e..4k7#4'k!. 'L11J2Q?/O Jô7
The following documents are required and shall become a part
of the grading permit when they are approved.
'"Grading plans Specifications
Soil report Geologic Report
Drainage structures ____ Other
Z' Compaction report
Civil Engineer /F Ø.0 E. Plans
A26W_A,W & - jr.
Address Phone ,4,i
So Engineer R.C.E. Phone
/ Gradi gContractor __ Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
______
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:
Proposed use of grade site
5a66 Z4,.4 M Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code.
1at' cr1 Is9;L.s
i -' All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Start Finish Proposed Schedule of
Operations (dates) - J —,_$3
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 lajAs&-.gula713g excavating and grading,
and the provisions and con ion
this application. .
4ermit issued pursuant to
J Signature of Permittee
(1
Ownar-or authorized agent ____________________________
Under City Code Sec. 11.06 170 this grading is:
'cEGULAR GRADING - City inspector will make inspections
listed below.
fl CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial . site prep.
ENVIRONMENTAL CLEARANCE
- 7/2,..3
EIA Log No.
By 5i.
Date _______________________ Rough - prior to drains
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ t9gg Plan check fee $
Private engr. cert. rec'd. Permit Issued - - - -
_____________________________ Date ' ' Copies: White-Office; Green-Building; by 'f"
Permit Expiration Date -i 94' Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD