HomeMy WebLinkAboutPE 2.90.01; BROOKS RESIDENCE; Engineering ApplicationApplication for Grading Permit PE NO
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive Validation by Cashier Project Engineer Initial . 438-3634
Assessors Parcel No. . .
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address
fl J il . \'L. . DATE INITIAL
Secured Agreement Recd.
Legal Description Ma No.
Lcgo' 7-0154- 9,
Cash Deposit Receipt No.
Project Name Drawing No. Building Permit Plancheck No.
Owner -
, . Phone - 3R1LbOCJ coocs 1 571T7 16 0 .
General Permit Requirements:
All grading and erosion control work shall be done in accordance with
City Ordinance
Authorized hours of operation: 7:00 am. to Sunset, Monday through
Friday, excluding 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.
Owner's Address -
)Is A -o
Plans by Civil Engineer I IPhone
Covi- Sv-' us- 'q - oqo Ir.
Address ' Phone
-'-- 1 &f—D E b -,
Soil Engineer R.C.E. Phone
i\t V &rQG-jiJ v L-
Grading Contractor Phone
24 Hr. Phone
Special Requirements: Address
Party responsible for overall supervision
SI-l-EL-bo& oOIC --
Proposed use of grade site
Number of cubic yards
Cut Fill Import - Waste
- 0
-
Under City Code Sec. 11.06.170 this grading is:
D Regular Grading - City Inspector will make inspections listed below.
0 Controlled Grading - private grading engineer shall observe work,
coordinate tests and make reports
Proposed Schedule of - start - Finish
Operations (dates) 1 o 2._/
-
- -
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 regulatin grading,
and the provisions and con s f any ed purs ñt to
this application.
Signature of Permittee
Owner or authorized agent : -
Inspection Date Insp. Initial
-
Initial - Site Prep:
-Rough - Grade
Final - Slopes Planted
-
-
-
Compaction Reports Read -
ENVIRONMENTAL CLEARANCE -
-
EIA Log No.
Date .
By - -
•
Pri ..
Private Engr. Cert. Rec, d. -
O.K. For Release
Grading pthmit fee $ - Plan check fee $ - -
Copies: - -.
White - Office; Yellow - Inspector; Pink - Permittee
Golden Rod - Finance; Green - Building
Permit Issued -
by - • Date
Permit Expiration Date - -
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.
DATE INITIAL
Secured Agreenent Rec'd.
Cash Deposit Receipt No.
DrawinNo. Building Permit Plancheck No.
General Permit Requirements:
1.-All grading and erosion control work shall be done in accordance with
- City Ordinances,
- 2. Authorized hours of'operàtion: 7:00 a.m. to Sunset, Monday through
Friday, excluding city recognized holidays.
3. 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: -
Application for Grading Permit PE NO 2 ?0. 01
CITY OF CARLSBAD
- ENGINEERING DEPARTMENT
2075 Las Palmas.Drive Validation Project Engineer Initial 438-3634 - by Cashier
Assessors Parcel No.
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address
13/o
A
1--r i v A
Legal Description Map No.
iog' c r15-4
Project Name
Owner .Phone
314Lbof\J &ooS r7S9,oC
Owners Addrss
SPçvv Pf30V
Plans by Civil Engineer Phone
-y fiii6 1t43oc
Address I Phone
4sO Utetj AJC--L ESC6rJC))])0
Soil Engineer R.C.E. Phone
1L31JL
Grading Contractor Phone
- .. . 24 Hr. Phone
Address
Party responsible for overall supervision
IV\ U EfL) &-f 'J
Proosed use of grade site
Number of cubic yards -
Cut Fill Import Waste
ooH)ooHooO 0
Proposed Schedule of Start Finish
Operations (dates)
I hereby acknowledge that I have read t pp cation tate that
all City ordinances and e I s reulating e cavating a grading,
and the provisions an conditi ns of any -permit ssue urs ______
this application.
Owner or authorized agent
ENVIRONMENTAL CLEARANCE -
Date
By
the information I have provided is correct a agree to corn y with
Signature of Permittee __________________________
EIA Log No.
Under City Code Sec. 11.06.170 this grading is:
O Regular Grading - City Inspector will make inspections listed below.
O 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. .Cerl. Rec'd.
-_-
O.K. For Release
Grading permit fee $ - Plan check fee $
Permit Issued . Copies: -
by Date . Whit! - Office; Yellow - Inspector; Pink - Permittee
Permit Expiration Date 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.