HomeMy WebLinkAboutPE 2.90.29; JORDAN RESIDENCE; Engineering ApplicationProject Engineer Initial____________________________
Assessors Parcel No.
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive
438-3634
PE NO.
A.1 0,
Validation by Cashier'
FOR APPLICANT TO FILL IN FOR DEPARTMENT USE
Site Address 044OL a'r Secured Agreement Recd.
DATE INITIAL
Legal Description Map No. Lori i,i-p hs O&Z, m'. - - Cash Deposit Receipt No.
N ?4t1Ai me PLMJ '
Drawing No. I 3fr-7 Building Permit Plancheck No.
O eer Phone OEM, h!4 Ii J'oAiJ ,4?5-74 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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Plarls ivil E
of
n inee 4r11 416 /
Phone 14
Addiess Phone '
24e.i/J (IA1E4-eb AtIE. &E(JD/tO
RCE it4TflAJ6 /ftJ Phone1 •/214
Graglii
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Contractor
7()7J1' /Ak11
Phone 15- aO
24 Hr. Phone Special Requirements: Address
'QMi9fZ,4ti,
Part responstlla *11W for overall supervis
MA 7E/J/WE2 /AJ,
61
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,
coordinate tests and make reports
Proposed Schedule.0f Start Finish
Operations (dates) ON AY
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 to
this application.
Signature of Permittee
Owner or authorized agent
Inspection Date Insp. Initial
Initial - Site Prep.
Rough - Grade 27I'
Final - Slopes Planted
Compaction Reports Read ' 12-/I/il )?
ENVIRONMENTAL CLEARANCE -
Date ___________________________________
EIA Log No.
By
Private Engr. Cert. Rec'd.
O.K. For Release IfA I Z P-W Grading permit 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