HomeMy WebLinkAboutPE 2.90.15; BROOKS RESIDENCE; Engineering ApplicationApplication for Grading Permit PE NO. 2 . O. 16'
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
Project Engineer Initial
2075 Las Palmas Drive Validation by Cashier 438-3634
Assessors Parcel No. 9-06- 1 ro _0£
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address
/c2_')0/-/O 06',IQ
DATE INITIAL
Secured Agreement Rec'd.
Legal Description Map No.
/,S100LIE/Z 1414,&J4 D
Cash Deposit Receipt No.
Project Name
'O OS
Drawing No. I Building Permit Plancheck No.
Owner Phone
OOif 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 if,.!' " illEroi
p-)as-
Plans by Civil Engineer Phone
.0 0 Alq 4,b _ ,
Address Phonef
Soil Engineer R.C.E. Phone
6,41 ', 6 _//93i3 J _9
Grãng Contractor Phone
24 Hr. Phone Special Requirements: Address
_
/c/
Party responsible for overall supervision
Proposed use of grade site SO" -
Number of cubic yards
Waste Cut Fill I
3c:~ 0
mport
/ o O 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) __I_S 0
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
Signature of Permittee ~:Sz/
Owner or authorized agent
Initial - Site Prep.
Inspection Date Insp. Initial
this application.
Rough - Grade
Final - Slopes Planted
Compaction Reports Read
ENVIRONMENTAL CLEARANCE
- Date
EIA Log No. & De'!-.
II D??O ---30 By
Private Engr. Cert. Rec'd. ____________________________________
O.K. For Release
- Gradingpermitfee$ _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.