HomeMy WebLinkAboutPE 2.84.78; PINE AVENUE APARTMENTS; Engineering Application7 .,
Application for Grading Permit
771/
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO. 2.34. 78
Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN nRCli / U•UU
Site Address , u1J I Surety Company
2LO - 2iZ i7
Legal Description Map No. Surety Address
Poe T- ftotot
Subdivisio n Name Date Filed Rec'd by
D
Owner Phone c14) Cash Poi.Y Rec'd by Date filed
Owner's Address
C0tJc7 0201. W47fzoLyr DEt...... tti'2.
The following documents are required and shall become a part
of tl,.,grading permit when they are approved.
",,/ Grading plans Specifications Plans by Civil Engineer R.C.E.
3O0tP- Soil report Geologic Report
_./Drainage structures ____ Other Address Phone
'5 L(U € zzao V Compaction report Soil Engineer '1R.C.E. Phone
____ is1- 22-2—O
G ding Contractor - C4ii-t€..Ltf Phone SPECIAL CONDITIONS WHICH ARE MADE (~iILYys,, A PART OF THIS PERMIT
Address eAp qzo0,p I ,
6A Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible foi'overalI supervision
Haul routes are to be approved by City Engineer. [4a wig,-7- t/iAe.Li-1 At
Proposed use 6f grade
Hit-mi2LE7 Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut -t-t3 Fill Import Wast---
All slopes shall be planted per City Code.
-Z,9 C)
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) 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, Under City Code Sec. 11.06 170 this grading is: f any per it issued and the provisions and con __________ GULAR GRADING - City inspector will make inspections jrsuat
this application.
A
ed below.
NTROLLED GRADING - Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
Owner or authorized agent
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
-~ I2E/4- 9 (f 7 Dat ______ _____
Rough - prior to drains
Final - slopes planted
ElALogNo.
By
Compaction reports rec'd. Grading permit fee $ 910 Plan check fee
Private engr. ceh: rec'd. Permit Issuq(1,., /1 n ,n.- 2 by 7ff' Date ____________________ White-Office; Green-Building;
Permit Expi4ion Date Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED ISA PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD