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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.