HomeMy WebLinkAboutPE 2.85.63; 3229 VALLEY M.D. O'ARA; Engineering ApplicationApplicatio,!l for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue ,
Validation by Finahce
Department
auilding Permit Plan Check No. ______ _
Si.t~ Ac;ldr!l,sS __ , ~ _. • • 1 " ~ <
Legal Description --~ .. ' .! ....
Subdivision Name ,;, .! -'"~.)
FOR APPLICANT TO FILL IN
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438·5541
Surety Company
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Surety Address
Date Filed
Cash deposit
$ ~-Ij..)-
Bond No.
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Rec'dby
Rec'd by Date filed ----~ "
Owner's Address : The following documents are required 'and shall become a part
1-_-__ -_' _·i_;'_.l_~_','_" __ '_:;_, .---=~~._. _'-'_' '_:_-'_': __ ' ___ ~ ________ -II' of the.grading permit when they are approved.
R.C.E. ... / l./' '.' Grading plans _ Specifications Plans by Civil Engineer ~.! :~" .. <1'" ~ • ", I ' . :... .-I -~;_ .. :
" Address Phone
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,Soil 'Engineer R.C.E. Phone
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Address I ", r :~ . ,'
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Party responsible for overall supervision ,
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Proposed use of grade site
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Number of cubic yar.ds .f
.O\Jt, IFill Import Waste
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" . Proposed Schedule ,Of Start Finish ...
Operations (dates)
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l~ \ t -l! ,-, ) .. ~ ~', ~-\ 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 Slate laws regulating excayating and grading,
and the prpvisions and co~dltions of any peq:nit/rssue~, py~suant to
this application. ~i' '", , l ' I ! " " . :,\'., / "...-
Signature of Permittee ;'. '" ( /,' i, .. 't ,:', , '
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~ Soil report --Geologic Report --
" --Drainage structures __ Other
~, --Compaction report
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SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Authorized hours of operation:
7:00 AM to Sunset, Monday -Friday .
Haul routes are to be approved by City Engineer.
Adequate provisions shall be made for erosion and siltation
control.
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All slopes shall be planted 'per City Code.
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All fills to be compacted to at least 90% of optimum
• density unless noted otherwise.
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Under City Code Sec. 11.06 110 this grading is: o REGULAR GRADING -City. inspector will make inspections
.listed below. ' '0 CONTROLLED GRA:DING -Private gradj[1g engineer shan
! observe work, coordinate te"it~make reports. ..
Owner or authorized agent --,-,;--_~_--:,'_' _--+ __ =--_--_¥ INSPECTION L DJ\TE:' INSP. SIGNATURE
1------,-------' -' ___ ---"-l ________ llnitial -site prep. '1/ Ie-J ~7 (! Jfl/ JI)
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ENVIRONMENTAL CLEARANCE.-~. L Tf 8 ... ·'1-,,/ ~1.-J' Rough -prior to drains I'; </-. fJ',--'.1' ,--Date -------<a//'i/X"?J '.AT" ,;_1'7 ~AW'I"/~ "
I ", -F-" I EIA Log No. _ Final _ slopes planted ~
By
. 'Compaction reports rec'd. ~~?'~7 Grading permit fee $ Plan check fee $ , ", »
Permit Issued. 4, , by i I. Date _..!.-_-'-_-'-_~_--'
Private engr. cert. rec'd. Yf1/f7'
White-Office, Green-BulldingV'
Permit Expiration Date 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' .