HomeMy WebLinkAboutPE 2.85.60; MITSUI - FUDOSAN, USA INC.; Engineering Application~:j}l'~'
pwG:II' 2{,2:.·-7 Application for Grading Permit •
CITY OF CARLSBAD
ENGINEERING DEPARTME'NT
1200 Elm Avenue
Building Permit Plan Ch~ck No. _____ _
FOR APPLICANT TO FILL IN
. Site Address
Legal Description'
LOT !?; C.T.· 80-'S4
Map No.
lo~~
729-1181
. Surety Address'
Date Filed
Cash deposit Rec'd by
$ :l.
The following documents, are requir!ld and sh~1I ecom a part.
. of the grading permit when they are apprqved .. r4~~~~~~~~~==~~~~-~Ph~o~n~e~~-------1 ~ .'
511-t.B --s.-Grading plans Specification$
Party responsible for overall su ervision . . ~
Number of cubic yards
Cut fill
Proposed Schedule of
Operations (dates)
Import
Start ~~SS;
.,
Waste --
'. I hereby acknowll;ldge th~t 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 authori:zed agent ________________ _
ENVIRONMENTAL CLEARANCE-
. EIA Log No. cr €ID-34 Date ....p,~-f--I-........,=--
By
~. Soil report . . RetainingWalis
~ Drainage structures Other
Compaction r!lport
SPECIAL CONDITIONS WHICH ARE'MADE
A ~ART OF THIS PERMIT
1. Authorized hours of operatioo:
7:00.AM to 5:09 PM, Monday -Friday.
2. Haui routes are to be approved by' CitY. Engineer.
3. Adequate provisions shall be made for erosion and siltation , '.. -
control.
4. . All slopes shall be plant~d per direction <;>fParl<s &
Recreation Oirector.
5. All fills to be cc:>mpacted to at least 90% of optimum
:density Unl.ess noted otherwise.
INSPECTION DATE . INSPECTOR'S SIGNATURE
Ground prepar(3tion
Rough grading
.. ' Compaction r!lPort rec'd:·
Planting & drainage:
Final certification rec'd.
Grading permiffee $ lo;2., ~ Work completed
per~it~ . Surety bond reieased
by ~f Copies: White,Office; Gree~-Buildf~g; .
'Permit xpiration Date '::::::':(p~~~~~~~~~~~~&~=:ol!l'J-~ ~lIow-lnspector; Piilk-Permittee~Gqldenrocl-Finl:lnce
THIS FORM WHEN PROPERLY VALIDATED IS A PERMITTODO THE WOR.K DE$CRIBEO
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD·
....