HomeMy WebLinkAboutPE 2.83.60; CARLSBAD BLVD PALISADES LOT Q; Engineering Application, r--WC7- Alo. 235-,Z.. I& Application for Grading Permit
0 0 1 T OF CARLSBAD
4&A ENGINEERING DEPARTMENT
1200 Elm, Avenue
438-5541
PE NO2- 9 34'60
Finance E:1'."o t1r- !
Building Permit Plan Check No. -
FOR APPLICANT TO FILL IN
Site A ddress Surety Company Bond No.
K73 6A9L4R240 A~15~05~_ Z03
Legal Description Map No. ,SurqX Address
A 1-777 .0~ 27-
Subdivision Name I Date Filed
C? VA
Recd by
Owner Phone
r-H,14. M,~iim-6 —
Owner's Address
?20 ?0 44-Ar-Pi MG Z-A r2L/--O.& Q 4--A.
Plans by Civil Engineer R.C.E'
30e)Z-7.
Address Phone
'~qo CA i< AVE. 6412 L-4 1~601 CA I
Soi I Engineer R.C.E!. Phone
WOWE;:
Grading Contractor fe- Phone I . I+A-,rA -
16T /'V
Address
Party res?Znsible for overall supervision
Proposed use of grade site c C_
(!~o " com I Ej I (A
Number of cubic yards
Cut Fill Import Waste
ro 1 0 1 . _0 ~rfo
Proposed Schedule of Start Finish
Operations (dates)
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,
and the provisions and conditions of any permit issued pursuant to
this application.
Signature of Permittee
Owner or authorized agent
ENVIRONMENTAL CLEXRANCE -
Date C;~A~
EIA'Log No.,"-
Ely
Grading permit fee $ Plan check fee $
Permit Issued
by — o4kf4!~IA g— Aiig&h Date
o, 0 8—glo Permit Expiration Date
Cash deposit Rec~d by Date filed
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
Compaction i-eport
SPECIAL CONDITIONS WHICH ARE MADE
APART OF THIS PERMIT
1 . Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
2. Haul routes are to be approved. by City Engineer.
I Adequate provisions shall be made for erosion, and siltation
control.
All slopes shall be planted per City Code.
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Under City Code Sec. 11.06 170 this grading is:
ETREGULAR GRADING - City inspector will make inspections
listed below.
El CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate, tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial
Rough - prior to drains 4F
Final - slopes planted
Compaction reports rec'd.
Private engr. cert. rec~d.
Copies: White-Office; Green-Building;
Yellow-inspector; Pink-Permittee; Goldenrod- Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
Tkis PERMIT IS VALID FOR A SIX (6) MONTH PERIOD