HomeMy WebLinkAboutPE 2.87.21; RANCHO AGUA HEDIONDA; Engineering ApplicationApplication for Grading Permit 0 PE NO.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
4344 Lj!Lj ?S-TO Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No,.
1&Z2M,5F_r_711n4) 19P 09CCE6E AWOMAIA ~7
Legal Description Mdp No. Surety Address
Subdivi'sion Name Date Filed Rec'd by
Ow ner Phone Cash deposit Rec'd. by Date filed
:R1CU,PrQ-D PAT A271-elll !FYO -W .169 -$
Owner's Address
wA --wait /,4 (11,57A -, CA %?r9j
The following documents are required and shall become a part
of the gradi ng permit when they are approved.
Grading plans - Specifications
Soil report - Geologic Report
Drainage structures - Other
Compaction report
_01a -s'by ( 'ivil Engineer n
oe.
R.C.E.
rAddress f (a 7Z Phone
139 . X/4 a 10 0/ J" C4 714~1?Z-^Z
Soil Engineer R.C.E. Phone
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address 1 . Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.-
Party responsible for overall supervision
2. 'Haul routes are to be approved by City Engineer. I iv-
Proliosed use of grade.site /
INOMS-7ZA44— 607— '3. 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.
6-YO 7
Proposed Schedufe 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 and state that
the information I have provided is correct and agreeto comply with
611 City ordinances and State laws regulating excavating and grading,
and the provisions and conZpermit issued pursuant to
this application.
Signature of'Permittee
Under City Code Sec. 11.06 170 this grading is:
EJ REGULAR GRADING - City inspector, will make inspections
listed below.
0 CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
Owner or authorized agent INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
'Date Rough - prio , r to drains
E I A Log No.
By Final - slopes planted
Compaction reports rec'd. Grading permit fee $ Plan check fee $
Permit Issued Private engr. cert. rec'd.
Uy Copies: White-Office; Green-Building;
Permit Expiration Date Yellow-inspector; Pink-Permittee; Goldenrod- Finance
TH IS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS-VALID FOR A SIX (6) MONTH PERIOD