HomeMy WebLinkAboutPE 2.89.40; CALAVERA HILLS VILLAGE T; Engineering Application' Application for Grading Permit PE NO.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive I I 438-3550 Validation by Finance I Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site 2ddress ep 44'.o
Surety Company Bond No.
Legal Description I. .w r//_F eO1417Y af..S"*v'Map No Surety Address -57N
N/64 )IY Ci7} 0A Q4_a454AJ'f,
Subdivision Name Date Filed Rec'd by vALi_
Owner Phone Cash deposit Rec'd by Date filed 7 t - ç'/ -/2 DO $
Owner's Address The following documents are required and shall become a part yll—Ile"r of the grading permit when they are approved.
Plans by Civil Engineer R.C.E.
b1o,,eit- '-/EJO&>.*rP-f .3 g7s7 Grading plans Specifications
Soil report Geologic Report Address Phone
/0/7dl ,41u VS - 2'sô o Drainage structures ___ Other
Compaction report Soil Engineer R.C.E. Phone
OurH4 £4 J?Ls 1-Tis4ibil6 -(ôor) ' - 2L
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday. Party responsible for overall supervision
Haul routes are to be approved by City Engineer. Proposed use of grade site
Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import Waste
All slopes shall be planted per City Code.
/ J/o0O / a,
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 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 Under City Code Sec. 11.06 170 this grading is: U REGULAR GRADING - City inspector will make inspections this application, listed below.
U CONTROLLED GRADING. Private grading engineer shall Signature of Permittee observe work, coordinate tests, make reports.
Owner or INSPECTION DATE INSP. SIGNATURE
Initial . site prep.
ENVIRONMENTAL CLEARANCE -
Date _____________________ Rough - prior to drains
ElA Log No.
permit fee $
Permit Issued
by
Permit Expiration Date
sl opes runau - suopes planted
By
Plan check fee $ Compaction reports rec'd.
Private engr. cert. rec'd.
Date Copies: White-Office; Green-Building;
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