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Pa...._ APPLI. ATION — GRADING BUILDING PERMIT <br /> y � SAN JOAQUIN COUNTY COMMUNITY�DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468121 <br /> INSPECTION REQUEST-24 HOUR RECORDER: (209)468-3165 <br /> PERMIT NO. <br /> ���� ORDEi�"�Q��PL�1J��,��D,R��'�zl�M1TS��REQUI,RED�TO�GRAD�E�PROF�R�T�1F;[N�S,AI��:l�0AQ�1IN�;C�UN.�TY��. <br /> Scope of Work: �p 0• �� <br /> R oo C rc � <br /> Number of Cubic Yards to be moved: <br /> N'AlU1E ANDADDFZESS�4�: „; <br /> Name Q <br /> Address: "F Address: RI t <br /> City: State: City: .0, State: l' <br /> ZIP Ph. MT.. 2 6 d ZIP <br /> l � s _ x TMIf „ I� <br /> Lic. No_5(9/.2Company:Fe4, � , Lic. No.: Company: <br /> Address:?/, rch Ph: No.: Address: Ph. No.: ( } <br /> i <br /> f City:' S- l d.ri State: :G�" Ziplzp City: State: Zip: <br /> QL IAIQtINiF Tla AND fJC�U.,AhEN,T TION hIIUST flb, BMiTTED T �DEIIELOPMENT+ ERVIC,ES *: Check <br /> . gIE)IZEIf��i: PLICAfiIONCAE`PR3C SER3 - . <br /> 4 .., _ E -off i <br /> 1. One.Completed Application for a.Grading Building Permit e/ <br /> 2. Regular Grading (projects with earthwork fess than 5,000 cubic yards)three complete sets of plans and specifications <br /> containing the following,information. If.the Building,Official s e.that geologic factors may be involved, / <br /> the application must comply with the Engineered Grading. t e:all plans must be 18"x 24':minimum:) <br /> {a. ' Site plan,drawn'to scale showing the location of the site, property lines,north arrow,easements and all existing and <br /> proposed development:-The location of any buildings'or structures on adjacent property within 15'of the grading F <br /> site or that may be affected by the grading operation L Must be.shown. <br /> b. A plan showingthb relative contours of theexistin round and details of terrain and area drainage. <br /> c. .A plan.showing.the elevations,dimensions,location,extent and slopes of proposed'grading using contours or other <br /> suitable means. <br /> i Id. A detailed plan showing all surface and subsurface drainage devices,walls,cribbing,dams and other protective <br /> deices to.be constructed with,or as part of the proposed work. This plan must show the drainage area and the , <br /> estimated runoff of the area served by any drains. <br /> e. A statement containing the following: <br /> The quantity of excavation and fill. ` E <br /> That the project complies with the 1997 UBC,Chapters 18 and 33. <br /> The specific intention or ultimate purpose for grading the property. <br /> • information covering construction and material requirements(if required). .� <br /> - USGS.datum if the project is within the 100- ear flood area. <br /> 3. Engineered Grading (projects with earthwork of 5,000 or more cubic yards)three complete sets of plans and _ <br /> specifications containingthe following information: <br /> a. A Grading Plan with all the elements specified in the"Grading Plan Format". <br /> b. A statement containing the following: " <br /> - The quantity of excavation and fill. - <br /> • That the project complieswith the-1.897 UBC;Chapters 18 and 33. <br /> - The specific intention or ultimate purpose for grading the property. <br /> - information covering construction and material requirements.(if required): <br /> - USGS datum if the project is within the 1.00-year flood area. <br /> 1Ic. A soils en ineerin report. <br /> Ed. An engineering geologyreport. <br /> {e: Performance Bonding. <br /> 4. Permit Fee. <br /> F:+etAmnuiandouts+MRwrTAPP-cwaoirrcexfaen12s(Revl&W10-3042) Page 1 oft <br />