HomeMy WebLinkAboutPE 2.86.37; PACIFIC BELL; Engineering ApplicationApplication for Grading Permit PE NO.
ENGINEERING
CITY OF CARLSBAD
DEPARTMENT
1200 Elm Avenue
438-5541 Validation by Finance
Department
Building Permit Plan Check No. 850Q MQ ___87QT7 I g5r
FOR APPLICANT TO FILL IN
Site Address
217S CAMAID V, RO
Surety Company Bond -NO.
ME
Legal Description Map No. Surety Address
40-r IS- OF C-T, 73.-- 4t? INAP AM U411 T I
Subdivision Name
8V51;0j&"
Date Filed Recd by
AR'PoR 7: &Rr(
Owner
SP4-
Phone Cash deposit Rec.d by Date filed Rhc I Fle
Owner's Address -the following documents are-required-an"d shall become a part
of the grading permit when
_!!!1- ,Arading plans
&0' osoil report
Drainage structures
they are appr ved.'
Specifications
Geologic Report
Other
Plans by Civil Engineer R.C.E!
#6410" 9~urs. --JR10L AAPPrAR S-W9
Address Phone
1030 0C_&3AAA,.,QJ* &ab.0 q 3 c) —.33
Com'naction report Soil Engineer A.C.E.~ Phone
D. J4P_s-Pjm.L=R 2422Z (6 /!1) 4-5-3 - S%
Grading Contractor- Phone SPECIAL CONDITIONS WHICH ARE MADE
1q) i15-D 98- ao A PART OF THIS PERMIT
Address
()70- 01SOA'AR&I P/r-Ga CA -5A.V Authorized hours of operation:,j.
7:00 AM to Sunset, Monday ~ Friday.
Party responsible for overall fupervision
R 6 F_ JACM A DAt 32 Haul routes are to be approved by City Engineer.
Proposed use of grade site
Bul" a I T_J 6AI Adequate provisions shall be made for erosion and siltation Number of cubic yards cont
.
roi.
Cut Fill Import Waste All slopes shall be Olanted per City Code.
1210
Proposed Schedule of Start Finish All fills to be compacted to at, least 90% of optimum
Operations (dates) --density unless noted otherwise.
I hereby acknowledge that I have read the application andstate that
the information I have provided is correct and agreato comply with,,.
all City ordinances and State laws regulating excavating-and grading, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditionsof any permit issued pursuant to 'GR - City inspector will make inspections C3 REGULAR . ADING
this application. Iisted below.
El CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee observii work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE A . ,, Owner or authorized agent
Ini-tial - sl te prep. :
ENVIRO.NMENTAL CLEARANCE -
Da e & Rough - prior to diains
EIA Log No.. 16 - Final - slopes plaited By
Compaction, reports r c d. Grading permit fee $ Plan ch.eck~ fee $
Permit Issued Private enor. cert. rec'd.
by d~~ 'Date
da/te Permit Expiration c27—/--67
U Copies: White-Office; Gre-en-Building; .
Yellow-Inspector;- Pin k-Permittee; Goldenrod- F i nance
THIS FORMWHEN PROPERLY VALIDATED ISAPERMITTO DOTHEWORK DESCRIBED~ I THiS PERMIT ISVALI D FORASIX (6) MONTH PERIOD