HomeMy WebLinkAboutPE 2.89.16; GREEN VALLEY LOT 9; Engineering ApplicationI
Application for Grading Permit PE NO. Ito
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive
Project Engineer Initial . . 438-3634 Validation by Cashier
Assessors Parcel No. 17— Ih1Z4,?7
FOR APPLICANT TO FILL IN, FOR DEPARTMENT USE
Site Address /q g444 f/L~7 44.Q75'774..
. DATE INITIAL
Secured Agreement Recd.
L al Des ion . ' Map No. '' Cash Deposit Receipt No.
P7 L+ t iiO)35, -r ms
Project Nam , Drawing No. Building Permit Plancheck No.
JVAu(
Owr - . Phone - General Permit Renuirement - 2L (A 3 A 2-
Owner's Address
i2Qoi 4g 4-tQ9oriO. c44v 6-0
Plans y Civil Engineer . Phone
14.LIJbLo6(ES 'C6t) z -i t - c
Address I . PhonetLAr "
4o U"4ç 4D 'coi
Soil Engineer . R.C.E. Phone
AL4J'f iT)c tot
Grading Contractor Phone
24 Hr. Phone
Address . .
Party responsible for overall supervision
Proposed use of grade site
Number of cubic yards
Cut Fill Import Waste
1s1 .
Proposed Schedule of Start Finish
Operations (dates)
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 regulating excavating and grading,
and the provisions and conditions of any permit issued pursuant to
this application. 1
Signature of Permittee
Owner or authorized agent
ENVIRONMENTAL CLEARANCE -
Date
EIA Log No.
By
Grading permit fee $ Plan check fee $
Permit Issued
by Date
Permit Expiration Date
All grading and erosion control work shall be done in accordance with
City Ordinances,
Authorized hours of operation: 7:00 am. to Sunset, Monday through
Friday, excliding city recognized holidays.
Grading work shall not commence until after the pre-construction
conference has been held with the City Inspector
All off-site haul routes require separate approval by the City Engineer
A right-of-way permit is required for all work done in the city right-of-
way:,
Special Requirements:
Under City Code Sec. 11:06.170 this grading is:
D Regular Grading - aty Inspector will make inspections listed below.
0 Controlled Grading - private grading engineer shall observe work,
coordinate tests and make reports
Inspection Date Insp. Initial
Initial - Site Prep. -
Rough - Grade
Final - Slopes Planted
Compaction Reports Read
Private Engr. Cert. Rec'd.
O.K. For Release .
Copies:
White - Office; Yellow - lnspetor; Pink - Permittee
Golden Rod - Finance; Green - Building
' THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD OR UNTIL THE EXPIRATION DATE SPECIFIED ABOVE