HomeMy WebLinkAboutPE 2.85.17; TWIN INNS; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PENO285 /7
Validation by Finance
,Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
Legal Description Map No Surety Address
Subdivision Name Date Filed Rec'd by
Owner Phone Cash deposit Rec'd by Date filed
71 /C1 Z 71 $
Owner's Address
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The following documents are required and shall become a part
130 .Iç /)25' t'4/&4- ~-h of the grading permit when they are approved.
Grading plans Specifications Plans by Civil Engineer R.C.E.
_____ Soil report Geologic Report Address Phone Drainage structures ______ Other
Compaction report Soil Engineer R.C.E. Phone
Grading Contractor 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
Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import Waste All slopes shall be planted per City Code. I I I
2 57J C7f
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 fills to be compacted to at least 90% of optimum
density unless noted otherwise.
all City ordinances and state laws regulating excavating and grading, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to LI REGULAR GRADING - City inspector wilImake inspections
this application. listed below.
LI CONTROLLED GRADING . Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
Owner or authorized agenteiLi INSPECTION ' DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE - .
____________________ Rough - prior to drains
Date ______________________
EIA Log No. .-16 es nInfr1
Grading permit fee $
Permit Issued
hi
Permit Expiration Date
By .
Plan check fee $ Compaction reports rec'd.
Private engr. cert. rec'd.
Date Copies: White-Office; Green-Building;
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