HomeMy WebLinkAboutPE 2.90.19; AVIARA UNIT B; Engineering ApplicationApplication for Grading Permit PE NO.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive
Project Engineer Initial 438-3634 Validation by Cashier
Assessors Parcel No. S
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address - . DATE INITIAL
Secured Agreement Rec'd.
Legal Description Map No
,
Cash Deposit Receipt No.
Project Name Drawing No. Building P ermit Plancheck No.
Owner Phone 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
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Plans by Civil En ineer Phone ,t712
Addr s
1
Phor(e
SoiL Engineer R.C.E.Phone ,'i4/7;9ac,4"5.
Grading Contractor I Phone .
24 Hr. Phone Special Requirements: ___________________________________________________________________________ Address
Party responsible for overall supervision
ofgrade site Proposed
evr/ Ave
Number of cubic yards
Cut Fill Import ste .
I I
7"11 MJ
Proposed Schedule of Start Finish
Operations (dates)
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o Regular Grading - City Inspector will make inspections listed below.
O Controlled Grading - private grading engineer shall observe work,
coordinate tests and make reports
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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 permit issud pursuantto Initial - Site Prep.
this application.
Rough - Grade
Signature of Permittee
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 $
Permit Issued . . Copies:
by Date - White - 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.