HomeMy WebLinkAboutPE 2.90.32; HEMLOCK I; Engineering ApplicationProject Engineer I
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
2075 Las Palmas Drive
438-3634
PE NO. _2.'IO32
Validation by Cashier
Assessors Parcel No.
FOR APPLICANT TO FILL IN
Site Address k .4%Lt.'kç
Map Legal Description No.
.j. -ç .i ôep
Project Name -
TWo Cô4OtitIuW1
Owner O Phone K k 1i4) 414- - -
Oviner's Address )414113E.L., z_ z1'( 4oeat1
Plans by Civil Engineer Phone
iJ 01-
Address Phon
r7,23 t. 4W'( i&i
Soil Engineer R.c.E. Phone
O0b707 l'Jt- A'4
Grading Contractor I Phone
24 Hr. Phone
Address
Party responsible for overall supervision
Proposed use of grade site
.
Number of-cubic yards
Cut Fill 116 0 Import 'TOC) Waste
Proposed Schedule of Start Finish I Operations (dates)
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
ENVIRONMENTAL CLEARANCE -
Date
EIA Log No.
By
Grading permit fee $
FOR DEPARTMENT USE
DATE INITIAL
Secured Agreement Rec'd.
Cash Deposit Receipt No.
Drawing No. Building Permit Plancheck No.
General Permit Requirements:
All grading and erosion control work shall be done in accordance with
City Ordinances,
Authorized hours of operation: 7:00 a.m. 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..
Special Requirements:
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. Cert. Rec'd.
O.K. For Release
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.