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7� c6 APPLICATION — GRADING BUILDING PERMIT <br /> SAN JOAQUIN COUNTY.COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1� 1810 E. HAZELTON AVENUE,STOCKTON CA 95205 <br /> BUSINESS PHONE: (209 468-3121 <br /> INSPECTION REQUEST-24 HOUR RECORDER: (209) 468-3165 <br /> PERMIT NO. <br /> THIS PORTION OF THE APPLICATION MUST BE COMPLETELY FILLED OUT BY THE APPLICANT IN <br /> ORDER TO APPLY FOR PERMITS REQUIRED TO GRADE PROPERTY IN SAN JOAQUIN COUNTY. <br /> Scope of Work: <br /> Number of Cubic Yards to be moved: <br /> OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS �- <br /> Name: � �Sj Q Name: c� K7�o � sled r <br /> Address: �,� �. AJ • 49a Address: •() , Oa <br /> City: State: City: d State:."','AE r� <br /> ZIP: aZi� Ph: ( } 7 ��3Z0 ziP: �5 xAbr Ph: ('v <br /> 1 CONTRACTOR INFORMATION DESIGNER INFORMATION "lee 111)7 <br /> Lica No: Company: Lic. No.: Company: <br /> Address: Ph: No.: ( ) Address: Ph. No.: { ) <br /> City: . State: Zip: City: State: Zip: <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES Check <br /> BEFORE YOUR APPLICATION CAN BE PROCESSED. -off <br /> 1. One Completed Application for a Grading Building Permit. <br /> 2. Regular Grading (projects with earthwork less than 5,000 cubic yards)three complete sets of plans and specifications <br /> containing the following information. If the Building Official has cause to believe that geologic factors may be involved, <br /> ` thea lication must comply with the Engineered Gradin requirements. Note: all plans must be 18"x 24" minimum. <br /> PP� P Y 9� g q ( P ) <br /> Site pian drawn to scale showing the location of the site, property lines, north arrow,easements and all existing and <br /> I proposed development. The location of any buildings or structures on adjacent property within 15'of the grading <br /> site or that may be affected by the grading operation must be shown. <br /> b. A plan showing the relative contours of the existing 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 /> x suitable means. <br /> d. A detailed plan showing all surface and subsurface drainage devices,walls,cribbing,dams and other protective <br /> r devices 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 /> I e. A statement containing the following: <br /> • The quantity of excavation and fill. <br /> • That the project complies with the 2001 CBC, 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 containing the 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 /> a. • The quantity of excavation and fill. <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 /> c. 'A soils engineering report. <br /> d. An engineering eolo report. <br /> e. Performance Bonding. <br /> 47 Permit Fee. <br /> FZuildirg4Haridou[s1PERMI7APP-GRADING-docFile N128(Re ised12-24-03) Page 1 of <br />