HomeMy WebLinkAboutPE 2.87.27; VON PACKARD; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2,075 Las Palmas Drive
438-3550 00.
Building Permit Plan Check NO.
PE NO. Z8
ee 1S5OO rt
FOR APPLICANT TO FILL IN
Site Address p'jtf Sure y Company . B ndNo.
15 i1MY14
Legal Description p14RcL i3 Map No..
Izz4 Surety Address
Subdivision Name Date Filed Aec'dby
Owner IA VoN P4ck'A-eD, Th Phone 43/oI3 Cash deposit Rec'd by Date filed
s3 '':
Owne ' Address •
Y CSI6b
The following,documents ie required and shall beomé a part
of the grading permit when -they are approved.
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Grading plans .- Specifications Plans by Civil Engineer RC:E.
OL p eologic Report Address Phone IR .,Z53f43 Dther--
Soil. Engineer R.C.E. Phone
G ding Contractor JjeRl-,g/MS
Phone - 315)
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address 1 Authorized hours of operation
7:00 AM to Sunset, Mond - ay Friday. - Party responsible for overall supervision )f:J7/JR
2. -routes are to be approved 0 by City' Engineer. . Proposed use of grade site .
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3. Ad\ate provisions- shallberriadeforerosi.onandsiltation — CoI1l. Number of cubic yards
6aste
PAID.
cv'ra Cut Fill Import — fl :- — yfQpes hall'be planted per City Code., ,O. _Cy l 4 C' 44
/Ali fills to be compacted to-at least 90% of bptimum Proposed Schedule of Start -F-inI ~
Operations (dates) ,4-PRfj.- 8 . Oei 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 reguja1ing excävating and'grading, . Under City Code- Sec. 11.06170 this radingi:
and the provisions and conditis oiy petssedfJ.1r.suant to D REGULAR GRADING --City, inspector will makeinspectiOn
this application; , F o// jj2ted below, -,
1CON1ROLLED GRADING--Private-grading-engineer shall
Signature of Permittee 'fJ (I " -observe work, coordinate -tests, make - reports..
/ I/li if' i71ifi/Aj) F'--l(1'1' Owner or authorized agent V-Of 1' INSPECTION - DATE INSP SIGNATURE -
— Initial . site prep.- :-. — --
ENVIRONMENTAL CLEARANCE .d11_.8 1t5 -Rough - t'o drains- prior Date
EIA Log No Final slopes planted
BY( —C4kt
0 . .4- Grading permit fee $
P,
at ch kfee-$ /J ~' r
Compaction reports rec'd. —
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— — Permit Iss ad -Private engr. cert. d; -- t er rèc' -- 0
-
- - by ate - Copies: White-Offic; Green-BuIlding;
Permit Expiration DatV /' —//€9R Yellow Inspector Pink Permittee Goldenrod Finance
XT&b 10 THIS FORM WHEN PROPERLY VALIDATED IS A:pERMIt10 DO THE WQA-K DESCRIBED - -- -
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i'1 THIS PERMIT-IS VALID FOR ASIX (6)-MONTH PER-IOD u 07,