HomeMy WebLinkAboutPE 2.85.20; JEFFERSON OFFICE BUILDING; Engineering Application0
Application for Grading Permit PE
CITY OF CAR LSBAD
- ENGINEERING DEPARTMENT
1200 Elm Avenue
Validation by Finance 4385541 Department
Building Permit Plan Check No. 8S '20 j 84'00 MC
0)01 3H1 H/fl/rir -
FOR APPLICANT TO FILL IN
Site Addressq0 _ç taf SeGonhi,aTTy Bond No.
Legal Description LO4 -f,(E , Map No.
Lock 53 YtLJtj44 a . To Ck W4AA
Subdivision
uv-AdJt3b3 — '6"- /'l/
'bate Filed Rec'd by Name NameO gç_lei 5—/7 2. Jt4.3jqS14
Owner ,3 5e5c.w Phone 4f3q...3 Cash deposit Rec'd by Date filed
A13 Opy's AJress ro €cr 14- 24iLs2,r1CJ, c1 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
report
Pla s by Civil Engineer R. V_. Lui_e.,
Address Phone
R.C.E. Phone '-ompaction
QI4cLL_ '2 310 41
G i ngCoIra SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
ress
12_ Authorized hours of operation:
St 7:00 AM to Sunset, Monday - Friday. PresPrlefQ.-werall supervision r
Haul routes are to be approved by City Engineer. Proç1se of grad.eie
(_#Mtt't_<_ t41l.JjLi1 Adequate provisions shall be made for erosion and siltation
control. Number of cubic y ds
Cut Fill Import Waste
All slopes shall be planted per City Code. lltiv L- 20
Proposed Schedule of Star Fi ish
Operations (dates) ps--.
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 exca ating and grading,
and the provisions and conditio
this application.
Under City Code Sec. 11.06 170 this grading is:
LI REGULAR GRADING - City inspector will make inspections
listed below.
Signature of Permittee Li CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
Owner or authorized agent INSPECTION DATE INSP./GNATURE
Jt; ig, Initial . site prep.
ENVIRONMENTAL CLEARANCE.
Date _______________________
EIA Log No.
By
Rough . prior to drains
A Ai
Final - slopes planted
IL A I
Compaction reports rec'd ,.#. Grading permit fee $ 9 Plan check fee $
-
Permitssued ,4-.X ii • . ._ 0-o Or-
Private engr. cert. rec'd.
°" '
- ," 7 "
Liale
' Copies: White-Office; Green-Building;
Permit Expiration 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