HomeMy WebLinkAboutPE 2.85.18; RDELCO APARTMENTS; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. 2•6.
Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address .3 Surety Company Bond No.
Legal Description Map No. Lb4_1•B i S_I_-. Mp 1 03 Surety Address
Subdivision Name Date Filed Rec'd by
Owner- Phone LC _____.•
Cash deposit Rec'd by Date filed
$
Owner's Address P 4 kfj. _E' ____ ,
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 report
PI s by Civil Enaineer R.C.E.
_______4jtA7On4._
Address Phone' fl \_/'_______• _3 .)3,g__1
toil Engineer R.C.E. '- Phdhe
GradinContracto( J
1.
Phone SPECIAL CONDITIONS WHICH AREMADE
A PART OF THIS PERMIT
Address
-
Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
P t re,sponsible for overall-supervision LC 0 Haul routes are to be approved by City Engineer. Proposed use of grade site
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.
Proposed Schedule of Start Finish
Operations(dates) __ -It Juif 5_Ij15 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 ° ny
this application.
Signature of Permittee
_armitissued
Owner or authorized agent
Under City Code Sec. 11.06 170-this grading is:
U REGULAR GRADING - City inspector will make inspections
listed below.
U CONTROLLED GRADING - Private grading egineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP.SIGNATURE
Initial . site prep.
ENVIRONMENTAL CLEARANCE -OW Date
EIA Log No.
Rough. prior to drains
By
Final . slopes planted
Compaction reports rec'd.
Grading permit fee $ Plan check fee
Private engr. cert. rec'd. Permit Issued
by Date Copies: White-Office; Green-Building;
Permit Expiration Date 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 •