HomeMy WebLinkAboutPE 2.90.10; DUGGINS RESIDENCE; Engineering ApplicationApplication for Grading Permit PE NO. ID
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive - I I Validation by Cashier Project Engineer Initial 438-3634 I
Assessors Parcel No. 4446:-
/ 6 -7 -7 0 - _-.L 2-3
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address .
-7492 /
DATE INITIAL
Secured Agreement Recd.
Legal Description Map No. Cash Deposit Receipt No.
Pitce) 23 )*'e/
Project Name Drawing No. . I Building Permit Plancheck No.
____________________________ •
Owner Phone
P T )I 721, -141r
General Permit Requirements:
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, 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 e7: -;,-1, 4
Pjns by Civil Engineer Phone
AiC- /
Address Phone
$Z.:-r c -
Soil Engineer R.C.E. Phone
A.) /'lAfyS, r .7qy
Grading Contractor Phone 7..'-/O'O
24 Hr. Phone9-79g/ Special Requirements: _________________________________________________________ Address #"dS t
Party res onsible for overfl supervision
('4f),n j4i ,'L 5
Proposed use orade sitG.....'
off 54/C
Number of cubic yards
Cut Fill Import Waste
Under City Code Sec. 11.06.170 this grading is:
0 Regular Grading - City Inspector will make inspections listed below.
0 Controlled Grading - private grading engineer shall observe work,
Proposed Schedule of Start Finish
-
Operations (dates). 3/J .
coordinate tests and make reports
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with Inspection Date Insp. Initial
all City ordinances and State laws regulating excavating and grading,
and the provisions and conditions of any _ermit issued pursuant to Initial - Site Prep.
this application.
Signature of Permittee
Rough - Grade
Owner or authorized agent Final - Slopes Planted
Compaction Reports Read
ENVIRONMENTAL CLEARANCE -
Date
EIA Log No. Private Engr. Cert. Rec'd.
By
O.K. For Release
Grading permit fee $ ' Plan check fee $
Copies: - Permit Issued
by Date White - Office; Yellow - Inspector; Pink - Permittee
Permit Expiration Date • . -• Golden Rod - Finance; Green - Building
A PERMIT TO DO THE WORK DESCRIBED THIS FORM WHEN PROPERLY VALIDATED IS
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD OR UNTIL THE EXPIRATION DATE SPECIFIED ABOVE.