HomeMy WebLinkAboutPE 2.84.29; CARLSBAD INN; Engineering Application4g,.24t/-3
Building Permit Plan Check No.
Application for Grading Permit
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CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
RE NO. 2. 84.2,
Vabifto Finance 200 MC UJe par-tment' 3
FOR APPLICANT TO FILL IN
Site Address k'O'174L. I LJYS ..DVA'
w avo OF ELM ,r iiee.- ELm
Surety Company 000,56 1,oc4 No 32 00 TL
-•••• -
Legal Description Map No. 4,çzt APIV 7-03—Z5Z-I)Z Surety Address
Subdivision Name
CLAen _.Th/pj
Date Filed Rec'd by
Owner Phone W ,Aj,,es 6Rc1L Cash deposit Rec'd by Date filed
$ /2o/4-.
Owner's Address
5So on', O La 0..-Mnfe
: The following documents are required and shall faecomfe a part
of thejgrading permit when they ar7pproved.
Grading plans Specifications 7 So'report Geologic Report
.4cainage structures _____ Other
ji~Compaction report
fo&' 20-LL 3214-a Z8 3Z1
Plans by Civil Engineer R.C.E.Z7
t.1b /IT\.f 0
Address . 3 S/ Phonemm Or 73145
,
Soil Engineer R.C.E. Phone
Grading Contractor Phone
24. LiojRSc -r..1 Z 0I86830 SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address 3040 --- 51D Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
C. A. L_,44asa f",l Haul routes are to be approved by City Engineer. Proposed use of grade site
/.J4f(4.J 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.
c1740 I 4& —C2—
Proposed Schedule of Start Finish
Operations (dates) , j ,04 -7,1 -64 All fills to be compacted to at least 90% of optimum
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,
and the provisions and conditions of any permit issued pursuant to
this application.
Signature of Permittee
Owner or authorized agent ____________________ 4
- Under City Code Sec. 11.06 170 this grading is:
VRG ULAR GRADING - City inspector will make inspections
d below.
TROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION
Initial -site prep.
DATE INSP. SIGNATURE
EIA Log No. CI ic2 Date ___
ENVIRONMENTALCLEARANCE-
____W
fee
Rough - prior to drains
Final - slopes planted
reports rec'd.
By
Grading permit fee $ Pla e Compaction
Private engr. cert. rec'd. Permlssued
• LL L 4 - A
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uate / '.y ce r I
1 Copies: White-Office; Green-Building;
Permit Expiration Date 'I'4OItJ7#1,5 O^4 48e'i'G 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